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Trance, functional psychosis, and culture
1University of Hawai'i-West O'ahu, 96-129 Ala Ike Street, Pearl City, HI 96782, USA. rcastill@hawaii.edu
Psychiatry
|April 25, 2003
Summary
Culturally structured trances, similar to meditative states, may explain functional psychosis symptoms. Western cultures’ focus on biogenetic illness, unlike non-Western spiritual views, leads to poorer outcomes for psychosis patients.
Area of Science:
- Cross-cultural psychology
- Psychiatry
- Anthropology
Background:
- Functional psychoses symptoms may stem from culturally influenced spontaneous trances.
- Meditative trance experiences in Indian yogis show dissociation and hallucinations.
- Cultural factors significantly impact psychosis presentation, diagnosis, and treatment.
Purpose of the Study:
- To explore the hypothesis linking culturally structured trances to functional psychosis symptoms.
- To compare psychological mechanisms of meditative and spontaneous trances.
- To analyze cross-cultural differences in functional psychosis outcomes.
Main Methods:
- Review of anthropological studies on yogi trance states.
- Analysis of psychological mechanisms underlying trance.
- Examination of cross-cultural research on functional psychosis.
Main Results:
- Meditative trance mechanisms resemble those in spontaneous trances linked to psychosis.
- Transient functional psychoses with full recovery are more common in non-Western cultures.
- Western cultural beliefs framing psychosis as incurable biogenetic illness correlate with poorer outcomes.
Conclusions:
- Cultural frameworks shape the experience and outcome of functional psychoses.
- Spiritual interpretations of psychosis in non-Western cultures may facilitate better recovery.
- Understanding cultural context is crucial for improving psychosis treatment globally.