One sad thing about the first amendment to the American constitution is it tends to mask and blur the proper recognizable symptoms of the various forms of mental illnesses among America's inhabitants. Since the first amendment allows the formation and expression of every form of bizarre belief, the various forms of expressed psychoses tend to be viewed not as mental illnesses, but as beliefs, religions or opinions inhabitants of America have a so-called constitutional right to express or embrace.
The first amendment does not allow the mentally deranged person to sharply perceive his mental abnormality but deludes him into thinking his abnormality is a normal difference. If the seriously mentally ill person can function in the society without physically harming himself or others, it is possible for him to convince other like-minded psychotics to follow his psychotic beliefs. By virtue of their psychoses, they are unable to perceive the true psychotic symptoms expressed by the mentally ill person they are following and they are unable to perceive evidence of phychosis in his beliefs. They therefore embrace his expressed delusions as truths.