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March 18, 1974

Official Status of Homosexuality

Author Affiliations

DePaul University Chicago

JAMA. 1974;227(11):1262. doi:10.1001/jama.1974.03230240020015

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To the Editor.—  Action taken by the American Psychiatric Association in deleting homosexuality from the APA's official catalog of disorders counters influences toward paranoia. While paranoid tendencies are common in lesbianism, authorities who use Freudian theory to conclude that homosexual needs in themselves cause paranoid delusions seem to be mistaken.Psychometric data under study here from a group of 47 professional actors indeed do show that those men with exaggerated signs of paranoia are unusually feminine as well (η-correlation ratio =.71). However, the relationship is U-shaped; that is, actors who manifest the greatest femininity include both the most- and the least-paranoid members of the group. Those who readily accept their homosexuality are likely to escape the typical persecutory suspicion of the clandestines, appearing even less paranoid than heterosexually oriented actors.Manifestly, social measures against any activity (religious, political, and economic, as well as sexual) drive people to underground closets and