Researchers from University of Missouri (MU) studied the 2011 case of Norwegian mass murderer Anders Breivik, and suggested a new forensic term to classify non-psychotic behaviour that leads to criminal acts of violence.
"When these types of tragedies occur, we question the reason behind them," said Tahrir Rahman from MU.
"Sometimes people think that violent actions must be the byproduct of psychotic mental illness, but this is not always the case," said Rahman.
Breivik, a Norwegian terrorist, killed 77 people on July 22 in 2011, in a car bombing in Oslo and a mass shooting at a youth camp on the island of Utoya in Norway.
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Claiming to be a "Knights Templar" and a "saviour of Christianity," Breivik stated that the purpose of the attacks was to save Europe from multiculturalism.
Two teams of court-appointed forensic psychiatrists later examined Breivik. The first psychiatric team diagnosed him with paranoid schizophrenia.
"Breivik believed that killing innocent people was justifiable, which seems irrational and psychotic. However, some people without psychotic mental illness feel so strongly about their beliefs that they take extreme actions," said Rahman.
"Our suggested term for criminally violent behaviour when psychosis can be ruled out is 'extreme overvalued belief,'" he said.
Rahman defines "extreme overvalued belief" as a belief that is shared by others and often relished, amplified and defended by the accused.
Although the individual may suffer from other forms of mental illness, the belief and the actions associated with it are not the result of insanity, they said.
"Certain psychological factors may make people more vulnerable to developing dominating and amplified beliefs," said Rahman.
"However, amplification of beliefs about issues such as immigration, religion, abortion or politics also may occur through the internet, group dynamics or obedience to charismatic authority figures," he said.
The findings were published in the Journal of the American Academy of Psychiatry and the Law.