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Behavioral and psychological norms loom large in the conceptualization and diagnosis of mental illness. Consider the DSM-IV characterization of delusions: “false belief[s] based on incorrect inference about external reality that is firmly sustained despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary.” But who are the “everyone else” against which one’s beliefs are deemed to be normal or pathological? Until very recently, they were the people who lived in one’s physical locale, spoke the same language, shared the same culture. The advent of the new communication technologies, however, raises difficulties …
