OCD and science fiction's responsibility to the mentally ill

Budd recently brought up Orson Scott Card's novel Xenocide, which created a religious movement out of OCD. As someone who suffers from OCD, I have always been fascinated by Card's depiction in Xenocide. I think OCD is a deeply underused mental illness in science fiction, even more than the almost equally underused schizophrenia and bipolar. Phillip K. Dick, at least, portrayed the complexity of schizophrenics lives in unusual, tender terms. But OCD is even a more interesting mental illness, in sci-fi terms. What Xenocide pointed out is that OCD has some evolutionary benefits. For instance, my OCD gives me literally almost superhuman powers of concentration. I can read 300, 400 pages a day often, or work on a paper for 10 hours straight, and not be tired. I think contemporary science fiction too often emphasizes the victimized or maladaptive elements of mental illness, without realizing that mental illness is not necessarily maladaptive, if channeled in the right directions. Of course it causes problems. But so does one's sexual orientation and science fiction authors don't routinely demonize LGBT people (nor should they).
I think science fiction really needs to come to terms with its own history of psychophobia. Obviously, I am in part talking about Scientology. I don't think its any accident that it was science fiction that created the most deeply anti-mentally ill ideology of the last century. Science fiction, from its conception, has always emphasized the power of the ubermensch, and therefore neglected the hidden powers that undermensch populations can also have. Science fiction's history of ableism and racism is directly linked to its inability to divorce itself from the myth of the superhuman. But I'd really like to science fiction to link itself to the underdog for a change, not for the Paul Atreides's, Enders, and Supermans of the world. Science fiction, quite simply, owes mentally ill people for the crimes done in science fiction's names. And it's about time that mentally ill people collect.

The Gerstein Dilemna in Science Fiction and Real Life

The Gerstein Dilemna, as I've termed it, is the choice between saving millions by killing thousands, or doing nothing and walking away. I've given it that term in reference to SS officer Kurt Gerstein, an anti-Nazi who infiltrated the SS in World War II and subsequently tried to alert the world about the Holocaust and sabotage the Holocaust from within the SS. Gerstein is believed to have destroyed a number of gas shipments to the camps, but in order to destroy those shipments, he had to let others go through. Thus, in order to try to save hundreds of thousands, he had to kill tens of thousands. Few literary works have taken on Gerstein's life: The Deputy being the most prominent. But though science fiction has never dealt directly with Gerstein (to my knowledge) it frequently brings dilemmas like these up, because of the epic scale on which it is set. Unfortunately, sci-fi seldom shows its heroes making the hard choices, and when they make the hard choices, they are always spared the consequences. Rosselin considers genocide in BSG, in order to save the human race (killing milllions to save thousands, in that case) and Ender commits a "guiltless genocide" in Ender's Game, but neither of those examples are particularly encouraging. A true Gerstein-like scenario is needed in sci-fi, as a cautionary tale, if nothing else. Sometimes the only way to resist the enemy, is to fight the enemy within. In the process, you don't have clean hands. But then, in war, no one really does.