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Religion, Spirituality, and Psychosis

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Abstract

This review discusses the relationships between religion, spirituality, and psychosis. Based on the DSM-IV, we comment on the concept of spiritual and religious problems, which, although they may seem to be psychotic episodes, are actually manifestations of nonpathological spiritual and religious experiences. Studies reporting that hallucinations also occur in the nonclinical population and thus are not exclusive to the diagnosed population are presented. Then, other studies pointing to the strong presence of religious content in psychotic patients are also presented. Finally, the criteria that could be used to make a differential diagnosis between healthy spiritual experiences and mental disorders of religious content are discussed. We conclude that the importance of this theme and the lack of quality investigations point to the necessity of further investigation.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Koenig HG, McCullough M, Larson DB: Handbook of Religion and Health: A Century of Research Reviewed. New York: Oxford University Press; 2001.

    Google Scholar 

  2. Moreira-Almeida A, Neto FL, Koenig HG: Religiousness and mental health: a review. Rev Bras Psiquiatr 2006, 28:242–250.

    PubMed  Google Scholar 

  3. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, edn 4. Washington, DC: American Psychiatric Association; 1994.

    Google Scholar 

  4. Van Os J, Kapur S: Schizophrenia. Lancet 2009, 374:635–645.

    Google Scholar 

  5. Lukoff D, Lu F, Turner R: Toward a more culturally sensitive DSM-IV: psychoreligious and psychospiritual problems. J Nerv Ment Dis 1992, 180:673–682.

    Article  CAS  PubMed  Google Scholar 

  6. Lukoff D, Lu F, Turner R: Cultural considerations in the assessment and treatment of religious and spiritual problems. Psychiatr Clin North Am 1995, 18:467–485.

    CAS  PubMed  Google Scholar 

  7. Grof S, Grof C: The Stormy Search for the Self: A Guide to Personal Growth Through Transformational Crisis. Los Angeles, CA: Jeremy P. Tarcher; 1989.

    Google Scholar 

  8. Yung AR, Phillips LJ, McGorry PD, et al.: Prediction of psychosis: a step towards indicated prevention of schizophrenia. Br J Psychiatry 1998, 172(Suppl 33):14–20.

    CAS  Google Scholar 

  9. McGlashan TH, Addington J, Cannon T, et al.: Recruitment and treatment practices for help-seeking “prodromal” patients. Schizophr Bull 2007, 33:715–726.

    Article  PubMed  Google Scholar 

  10. Cannon TD, Cadenhead MD, Cornblatt B, et al.: Prediction of psychosis in youth at clinical risk. Arch Gen Psychiatry 2008, 65:28–37.

    Article  PubMed  Google Scholar 

  11. Sidgewick H: Report on the census of hallucinations. Proc Soc Psychical Res 1894, 10:25–252.

    Google Scholar 

  12. West DJ: A mass observation questionnaire on hallucinations. J Soc Psychical Res 1948, 34:187–196.

    Google Scholar 

  13. Tien AY: Distribution of hallucinations in the population. Soc Psychiatry Psychiatr Epidemiol 1991, 26:287–292.

    Article  CAS  PubMed  Google Scholar 

  14. Ohayon MM: Prevalence of hallucinations and their pathological associations in the general population. Psychiatr Res 2000, 97:153–164.

    Article  CAS  Google Scholar 

  15. Preti A, Bonventre E, Ledda V, et al.: Hallucinatory experiences, delusional thought proneness, and psychological distress in a nonclinical population. J Nerv Ment Dis 2007, 195:484–491.

    Article  PubMed  Google Scholar 

  16. Romme M, Escher A: Hearing voices. Schizophr Bull 1989, 15:209–216.

    CAS  PubMed  Google Scholar 

  17. Miller LJ, O’Connor E, DiPasquale T: Patients attitudes toward hallucinations. Am J Psychiatry 1993, 150:584–588.

    CAS  PubMed  Google Scholar 

  18. • van Os J, Linscott RJ, Myin-Germeys I, et al.: A systematic review and meta-analysis of the psychosis continuum: evidence for a psychosis propensity-persistence-impairment model of psychotic disorder. Psychol Med 2009, 39:179–195. In this study, the authors verify the hypothesis of the existence of a continuum of psychotic symptoms present in patients with psychotic disorders and also in the nonclinical population.

    Article  PubMed  Google Scholar 

  19. Moreira-Almeida A, Lotufo Neto F, Greyson B: Dissociative and psychotic experiences in Brazilian spiritist mediums. Psychother Psychosom 2007, 76:57–58. (Published erratum appears in Psychother Psychosom 2007, 76:185.)

  20. Moreira-Almeida A, Lotufo Neto F, Cardeña E: Comparison of Brazilian spiritist mediumship and dissociative identity disorder. J Nerv Ment Dis 2008, 196:420–424.

    Article  PubMed  Google Scholar 

  21. Dalgalarrondo P: Religião, Psicopatologia e Saúde Mental [in Portuguese]. Porto Alegre, Brazil: Artmed; 2008.

    Google Scholar 

  22. Koenig HG: Religion, spirituality and psychiatry: a new era in mental health care. Rev Psiq Clín 2007, 34(Suppl 1):5–7.

    Google Scholar 

  23. Farr CB, Howe RL: The influence of religious ideas on the etiology, symptomatology, and prognosis of the psychoses: with special reference to social factors. Am J Psychiatry 1932, 11:845–865.

    Google Scholar 

  24. Erinosho OA: Social background and pre-admission sources of care among youruba psychiatric patients. Soc Psychiatry 1977, 12:71–74.

    Article  Google Scholar 

  25. Verghese A, John JK, Rajkumar S, et al.: Factors associated with the course and outcome of schizophrenia in India. Br J Psychiatry 1989, 154:499–503.

    Article  CAS  PubMed  Google Scholar 

  26. Dantas RC, Pavarin LB, Dalgalarrondo P: Symptoms of religious content in psychiatric patients. Rev Bras Psiq 1999, 21:158–164.

    Google Scholar 

  27. Tateyama J, Asai M, Kamisada M, et al.: Comparison of schizophrenic delusions between Japan and Germany. Psychopathology 1993, 26:151–158.

    Article  CAS  PubMed  Google Scholar 

  28. Appelbaum PS, Robbins PC, Roth LH: Dimensional approach to delusions: comparison across types and diagnosis. Am J Psychiatry 1999, 156:1938–1943.

    CAS  PubMed  Google Scholar 

  29. Mohr S, Huguelet P: The relationship between schizophrenia and religion and its implications for care. Swiss Med Wkly 2004, 134:369–376.

    PubMed  Google Scholar 

  30. Mohr S, Brandt PY, Borras L, et al.: Toward an integration of spirituality and religiousness into the psychosocial dimension of schizophrenia. Am J Psychiatry 2006, 163:1952–1959.

    Article  PubMed  Google Scholar 

  31. •• Mohr S, Rieben I, Betrisey C, et al.: Evolution of spirituality and religiousness in chronic schizophrenia or schizoaffective disorders: a 3-years follow-up study. Soc Psychiatry Psychiatr Epidemiol 2009 Oct 11 (Epub ahead of print). This was a prospective study on the relationships between religiousness and outcomes of schizophrenic or schizoaffective patients.

  32. Wilson WP: Religion and psychoses. In Handbook of Religion and Mental Health. Edited by Koenig HG. San Diego, CA: Academic Press; 1998:161–173.

  33. Koenig HG: Religion, spirituality and psychotic disorders. Rev Psiq Clin 2007, 34(Suppl 1):40–48.

    Google Scholar 

  34. Jackson M, Fulford KWM: Spiritual experience and psychopathology. Philos Psychiatr Psychol 1977, 4:41–65.

    Google Scholar 

  35. Lukoff D: Visionary spiritual experiences. South Med J 2007, 100:635–641.

    PubMed  Google Scholar 

  36. Hufford DJ: Visionary spiritual experiences and cognitive aspects of spiritual transformation. The Global Spiral 2008, 9. Also available at http://www.metanexus.net/magazine/tabid/68/id/10610/Default.aspx.

  37. •• Menezes A Jr, Moreira-Almeida A: Differential diagnosis between spiritual experiences and mental disorders of religious content. Rev Psiq Clín 2009, 36:75–82. Also available at http://www.hoje.org.br/elsh. The authors summarize several studies that proposed criteria to make a differential diagnosis between spiritual experiences and mental disorders with a religious basis.

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Correspondence to Adair Menezes Jr.

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Menezes, A., Moreira-Almeida, A. Religion, Spirituality, and Psychosis. Curr Psychiatry Rep 12, 174–179 (2010). https://doi.org/10.1007/s11920-010-0117-7

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