Comorbid Major Mental Disorders

doi:10.1017/9781009280099.010

Chapter 9 - Comorbid Major Mental Disorders

from Section 2 - Confounding Factors and Special Populations

Published online by Cambridge University Press: 19 June 2025

Ashley H. VanDercar ,

Ren Belcher and

Susan Hatters Friedman

Edited by

Paul Whitehead and

Tyler Durns: Affiliation:
University of Utah
Charles Scott: Affiliation:
University of California, Davis
Paul Whitehead: Affiliation:
University of Utah
Barbara E. McDermott: Affiliation:
University of California, Davis

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Summary

Research into serious mental illness is limited in both cult leaders and followers. Problematically, extant data is often biased: leaders tend to only be evaluated when they attempt to plead insanity after they are charged with criminal acts, and followers may only be evaluated when leaving the cult. Major mental disorders appear to be less common in cult leaders than are personality disorders and substance use disorders. When completing evaluations of cult leaders, it is important to consider whether a delusional sounding belief is, instead instrumental, and being put forth as a form of manipulation. Another critical consideration, in either cult leaders or followers, is whether a belief – even if firmly held – is truly delusional, or whether it is a part of the subculture’s belief system. This chapter details various characteristics which may be more common among followers; however, these are difficult to quantify as both the presence in and leaving of the cult confound the presentation of those symptoms.

Keywords

cult psychiatry cult mental health mental illness in cults cult leaders cult followers subcultural beliefs brainwashing in cults cult evaluations personality disorders in cults forensic psychiatry

Information

Type: Chapter
Information: A Clinical and Forensic Guide to Cults and Persuasive Leadership , pp. 153 - 169

DOI: https://doi.org/10.1017/9781009280099.010 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2025

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References

Ryan v. Kenney, 281 F. Supp. 2d 1008 (D. Neb. 2003).Google Scholar

Galanter, M, Rabkin, R, Rabkin, J, Deutsch, A. The “Moonies”: a psychological study of conversion and membership in a contemporary religious sect. American Journal of Psychiatry. 1979;136(2):165–70.Google Scholar

Dean, RA. Moonies: a psychological analysis of the unification church. D Phil doctoral thesis. University of Michigan; 1981.Google Scholar

Galanter, M, Buckley, P. Evangelical religion and meditation: psychotherapeutic effects. Journal of Nervous and Mental Disease. 1978;166(10):685–91.CrossRef Google Scholar PubMed

Ross, M. Clinical profiles of Hare Krishna devotees. American Journal of Psychiatry. 1983;140(4):416–20.Google Scholar PubMed

Saliba, JA. Psychiatry and the cults: an annotated bibliography. Routledge; 1987.Google Scholar

FBI. The Vault, WACO / Branch Davidian Compound. https://vault.fbi.gov/waco-branch-davidian-compound Google Scholar

Jim Jones autopsy report. 1978. https://jonestown.sdsu.edu/wp-content/uploads/2013/10/JimJones.pdf Google Scholar

Leonetti, C. Eye of the beholder: the wrongful conviction of Charles Milles Manson. Southwest Law Review. 2015;45(2):257–331.Google Scholar

Lundgren v. Mitchell, 440 F.3d 754 (6th Cir. 2006).Google Scholar

State v. Lundgren, 1993 Ohio App. LEXIS 4394 (Ct. App. Sep. 1, 1993).Google Scholar

State v. Lundgren, No. 90-L-15-140, 1993 WL 346444, at *1 (Ohio Ct. App. Sept. 14, 1993).Google Scholar

State v. Lundgren, 653 N.E.2d 304 (Ohio, 1995).Google Scholar

State of Ohio, Respondent-Appellee, v. Jeffrey D. Lundgren, Petitioner-Appellant, 1999 WL 33840275 (Ohio), 13.Google Scholar

McPherson, SB. Death penalty mitigation and cult membership: the case of the Kirtland killings. Behavioral Sciences & the Law. 1992;10:65–74.CrossRef Google Scholar

State v. Lundgren, CASE NO. 97-L-110, 1998 Ohio App. LEXIS 6164 (Ct. App. Dec. 18, 1998).Google Scholar

Singer, M, Lalich, J. Cult in our midst: the continuing fight against the hidden menace. Jossey-Bass; 2003.Google Scholar

United States v. Mitchell, 706 F. Supp. 2d 1148 (D. Utah 2010).Google Scholar

Olsson, PA. Malignant pied pipers: a psychological study of destructive cult leaders. Strategic Book Publishing & Rights Agency; 2017.Google Scholar

Burke, J. Antisocial personality disorder in cult leaders and induction of dependent personality disorder in cult members. Cultic Studies Review. 2006;5(3):390–410.Google Scholar

State v. Barzee, 177 P.3d 48 (Utah 2007).Google Scholar

Forensic panel report on Brian David Mitchell. 2009. https://archive.org/details/BDMCSTReport Google Scholar

United States v. Mitchell, 2009 U.S. Dist. LEXIS 106865 (D. Utah, 2009).Google Scholar

State v. Ryan, 233 Neb. 74 (1989).Google Scholar

Ryan v. Kenney, 281 F. Supp. 2d 1008 (D. Neb. 2003).Google Scholar

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. American Psychiatric Association; 2013.Google Scholar

Rahman, T, Hartz, SM, Xiong, W, Meloy, JR, Janofsky, J, Harry, B, et al. Extreme overvalued beliefs. Journal of American Academy of Psychiatry and the Law. 2020;48(3):319–26.Google Scholar PubMed

Kim, N. In the end, State never does kill Michael Ryan. Falls City Journal. 2015 May 27. https://fcjournal.net/2015/05/27/in-the-end-state-never-does-kill-michael-ryan/Google Scholar

Singer, MT. Coming out of the cults. Psychology Today. 1979;72–82.Google Scholar

Hopkins, RP. The hospital viewpoint: mental illness or social maladjustment? Journal – National Association of Private Psychiatric Hospitals. 1978;9(4):19–21.Google Scholar PubMed

Ungerleider, JT, Wellisch, DK. Coercive persuasion (brainwashing), religious cults, and deprogramming. American Journal of Psychiatry. 1979;136:279–82.Google Scholar PubMed

Clark, JG. Problems in referral of cult members. Journal – National Association of Private Psychiatric Hospitals. 1978;9(4):27–29.Google Scholar PubMed

Levine, SV, Salter, NE. Youth and contemporary religious movements: psychosocial findings. Canadian Psychiatric Association Journal. 1976;21(6):411–20.CrossRef Google Scholar PubMed

Halperin, DA. Psychiatric perspectives on cult affiliation. Psychiatric Annals. 1990;20:204–13.CrossRef Google Scholar

State v. Applin, 67 P.3d 1152 (Wash. Ct. App. 2003).Google Scholar

United States v. Fishman, 743 F. Supp. 713 (N.D. Cal. 1990).Google Scholar

State v. Ryan, 409 N.W.2d 579 (Neb. 1987).Google Scholar

State v. Ryan, 249 Neb. 218 (Neb. 1996).Google Scholar

May, J. Discovery investigation to air Rulo-cult story on Dennis Ryan. Hiawatha World. 2017 Feb 16. www.hiawathaworldonline.com/news/discovery-investigation-to-air-rulo-cult-story-on-dennis-ryan/article_b21dd661-9372-5223-a57d-bda3f2f6384b.html Google Scholar

Molko v. Holy Spirit Association, 46 Cal.3d 1092 (Calif. 1988).Google Scholar

Molko v. Holy Spirit Association. Brief amicus curiae of The American Psychological Association et al. 1987 10 Feb.Google Scholar

State v. Luff, 621 N.E.2d 493 (Ohio Ct. App. 1993).Google Scholar

Washington v. Harper, 494 U.S. 210 (1990).Google Scholar

Sell v. United States, 539 U.S. 166 (2003).Google Scholar

Minute Entry, Document 171. United States v. Mitchell et al., Case No. 2:08-cr-00125-DAK-2 (D. Utah Nov. 17 2009).Google Scholar

Reavy, P. Wanda Barzee sentenced to 15 years in federal prison, gets scolding from Elizabeth Smart’s mother. Desert News. 2010 May 22. www.deseret.com/2010/5/22/20116683/wanda-barzee-sentenced-to-15-years-in-federal-prison-gets-scolding-from-elizabeth-smart-s-mother Google Scholar

Chambers, WV, Langone, MD, Dole, AA, Grice, JW. The Group Psychological Abuse Scale: a measure of the varieties of cultic abuse. Cultic Studies Journal. 1994;11(1):L88–117.Google Scholar

Almendros, C, Carrobles, JA, Rodriguez-Carballeira, A, Gamez-Guadix, M. Reasons for leaving: psychological abuse and distress reported by former members of cultic groups. Cultic Studies Review. 2009;8(2):118–38.Google Scholar

Spero, MH. Psychotherapeutic procedure with religious cult devotees. Journal of Nervous and Mental Disease. 1982;170:332–44.CrossRef Google Scholar PubMed

Aronoff, J, Lynn, SJ, Malinoski, P. Are cultic environments psychologically harmful? Clinical Psychology Review. 2000;20(1):91–111.CrossRef Google Scholar PubMed

Weiss, AS, Comrey, AL. Personality characteristics of Hare Krishnas. Journal of Personality Assessment. 1987;51(3):399–413.CrossRef Google Scholar PubMed

Latkin, CA. The self-concept of Rajneeshpuram commune members. Journal for the Scientific Study of Religion. 1990:91–98.CrossRef Google Scholar

Sundberg, ND, Latkin, CA, Littman, RA, Hagan, RA. Personality in a religious commune: CPIs in Rajneeshpuram. Journal of Personality Assessment. 1990;55(1–2):7–17.CrossRef Google Scholar

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