(:title Comment on the Mental Health of Homosexuals and Bisexuals:) (:description The elevated mental problems of homosexuals are not readily explicable in terms of stigma, prejudice, discrimination and victimization.:) (:keywords discrimination, prejudice, mental health, homosexuality, psychiatric morbidity, developmental disturbances:) The claim that discrimination and prejudice are responsible for the elevated mental health problems of homosexuals is largely vacuous. Prejudice and discrimination likely do not make more than a small contribution to psychiatric morbidity among homosexuals, especially in the Netherlands and Scandinavia. It appears that homosexuality by itself is associated with increased psychiatric morbidity. A simplified model of the relationship between homosexuality and increased odds of mental illnesses, based on the evidence presented in this section as well as considerable additional evidence presented in a [[Origin/HomePage|book]], is depicted in Fig. 1 below. The mediating roles of family/friends and factors contributing to discrimination against homosexuals such as religiosity or equivalent are not included for simplicity. Solid connectors represent a strong influence and dashed connectors represent a weaker influence. The model argues that the increased odds of mental illnesses seen among homosexuals are largely a result of the prenatal developmental disturbances that cause homosexuality rather than stigma or discrimination or victimization. %center%Attach:model.gif"A simplified model of the relationship between homosexuality and increased odds of mental illnesses" | **Fig. 1**: A simplified model of the relationship between homosexuality and increased odds of mental illnesses. '''Notes''': *a = traits (e.g., skinniness in men, overweight/obesity in women) and mannerisms (e.g., sex-atypical mannerisms) that increase the risk of discrimination/victimization. *b = abnormal brain development. *c = should be obvious. *d = unusual behaviors due to mental illnesses/abnormality that increase the risk of discrimination/victimization.