If any straight cis people are wondering why this is such a big deal, you might be missing the context that accusations of mental illness were used for decades as a way to criminalise gay people and put them in jail or worse (look up what happened to Alan Turing if you want to know what "worse" means).
When homophobic religious dogma started to wane, it was swiftly replaced by pseudoscientific psychological homophobia that persisted in textbooks until as late as the 1990s.
Homophobes basically just hate queer people, and look for any excuse to justify their prejudices rather than question their own motivations.
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