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Self-Transformation at the Boundary of Religious Conversion and Psychosis

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Abstract

The relationship between religious conversion, as a form of spiritual emergency, and psychosis is one of the fundamental issues at the meeting point of theology and clinical psychology. In the present study, we assessed 53 individuals referred to a psychiatry center with the initial diagnosis of a psychotic episode by focusing on the clinical diagnosis (psychosis vs. spiritual emergency), subjective experiences (basic symptoms), and neuropsychological functions. Twenty-nine individuals meet the diagnosis of schizophrenia-spectrum disorders, but 24 persons experienced only religious and spiritual problems (religious conversion). Both groups reported similar levels of perplexity (e.g., ambivalence, inability to discriminate between own feelings, and hyperreflectivity) and self-disorder (e.g., depersonalization, impression of a change in one’s mirror image, and experience of discontinuity in own action). Diminished affectivity, disturbed contact, and perceptual/cognitive disorders were pronounced in psychosis, whereas anxiety and depressive symptoms were more severe in people with spiritual and religious problems. These results indicate that perplexity, self-disorder, and emotional turmoil are common features of turbulent religious conversion and psychosis, but a broader emergence of anomalous subjective experiences and cognitive deficits are detectable only in psychosis.

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Acknowledgements

We thank Ibolya Halász, Katalin Kaza, and Péter Nagy for their assistance in the clinical interviews.

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  1. Katharina Schütz Zell Center, Nyírő Gyula Hospital – National Institute of Psychiatry and Addictions, Budapest, Hungary

    Szabolcs Kéri

  2. Department of Cognitive Science, Budapest University of Technology and Economics, Egry J. Str. 1, Budapest, 1111, Hungary

    Szabolcs Kéri

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Kéri, S. Self-Transformation at the Boundary of Religious Conversion and Psychosis. J Relig Health 59, 584–597 (2020). https://doi.org/10.1007/s10943-017-0496-8

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