Lukoff (1985) makes a case for a DSM diagnosis of
"Mystical Experience with Psychotic Features" (MEPF) (p. 156). The
MEPF shares some characteristics of the Brief Reactive Psychosis, Manic
Episode. However, it is different, especially because of its potential for a
positive outcome. The characteristics of MEPF include disorientation and
instability, an intense spiritual experience, appearance of an acute psychotic
episode lasting anywhere from minutes to months, and it results in a positive
and transformative outcome (Davis, 1998, p. 1). Lukoff says that mental health
professionals need to be capable of recognizing a mystical experience. Accurate
diagnosis could reduce hospitalization and medication for people who could be
treated in ways that are less stigmatizing and without side effects (p.
159-160).
However, the line between spiritual emergency and
psychosis is not always easily discernible. Psychiatrist and author Peter
Breggin (1991) believes that all psychological afflictions are a type of
spiritual crisis. He says that madness has a negative connotation in our
society, yet we also see these people as sensitive, creative, and
philosophical. "They often express passionate, painful, emotion through
psychological or spiritual metaphors wrapped in symbolic elements of suffering
and martyrdom" (Breggin, 1991, p. 26). Throughout history, people whom we
view as "mad" have often been endowed with special creative
qualities. The madness of many great minds has also been the source of their
creativity. For example, the famous painter Vincent Van Gogh also struggled
with mental illness.
The late mythologist Joseph Campbell (1972)
believed that the psychotic individual, the mystic, the yogi, and the LSD-taker
are all experiencing the same depths of the psychospiritual
ocean. However, "The mystic, endowed with native talents for this
sort of thing and following stage by stage the instruction of a master, enters
the waters and finds that he can swim: whereas the schizophrenic, unprepared,
unguided, and ungifted, has fallen or has intentionally plunged, and is
drowning" (p. 216).
According to indigenous and tribal people, madness
is the result of loss of part of the soul. The experience of trauma causes a
part of the spirit to separate off, so that the person is protected from the
full impact of the wound. What is traumatic varies with each person. The cause
of soul loss depends on the individual's experience of trauma, whether or not
someone else would experience it that way (Ingerman, 1991, p. 11).
Sometimes the madness is a temporary condition due
to a shamanic transformation, when the person has a calling to become an
ambassador of the spiritual realm and a transmitter of healing. Shamanism is humanity's
oldest spiritual and religious path. It has been practiced in many cultures all
over the world. The shaman lives in both the spiritual world and the world of
everyday reality. He receives knowledge from visions, dreams, and trance
states. Altered states of consciousness are achieved through drumming, dancing,
fasting, dehydration, pain stimulation, seclusion, restricted mobility, sleep
deprivation, hyperventilation, or the ingestion of hallucinogens (Ryan, 1999,
p. 65). "Shamanic and totemistic experiences thus connect the individual
with deep and primordial aspects of the psyche" (Grof, 1988, p. 283).
The "shamanic illness" is what initiates
the career of many shamans (Grof, 1988, p. 283). This crisis can take the form
of a physical or mental affliction that is resolved in the vocation of
shamanism. The dynamics of shamanism turn the crisis into a cure, thus
revealing the mind's own curative powers (Ryan, 1999,
pp. 61-62). During the shamanic crisis, the initiate experiences a symbolic
death and rebirth. "The death-rebirth process takes the form of the
descent into the underworld, torture, dismemberment
and annihilation by demons, and subsequent ascent to the upper world.
Development of ESP, creative inspiration, and the ability to diagnose and heal diseases
are additional typical transpersonal concomitants of
profound and well-integrated shamanic experiences" (Grof, 1988, p. 283).
The shamanic crisis cannot be assessed as a break with society and the world.
Rather, it is an intense understanding of their depth, and the break is instead
with the "trivial attitude toward both the human spirit and the world that
appears to satisfy the great majority" (Campbell, 1959, p. 253). In
comparison to the debilitation of an actual mental illness, a properly supported
shamanic crisis produces a person of superior intelligence and refinement, with
more energy and spiritual vitality than what is the norm. So the temporary
imbalance of the crisis may look like a mental breakdown, but it cannot be
dismissed as one (Campbell,
1959, pp. 252-253). Both mental and physical illness
represent a process of death and rebirth. This process is an initiation
in which one dies to an old way of being and is reborn anew.
According to Bragdon (1988, p. 159), as various
spiritual disciplines of different cultures gain popularity, many people are
experiencing transformational crises resulting from their practices. There are now a vast array of spiritual and psychic exercises to
choose from. In her book, Energies of
Transformation, Bonnie Greenwell
(1990) tells us that "Not only
spiritual teachers but psychotherapists, psychics, body therapists, and other
kinds of educators have promoted meditation practices, varieties of Tantric
practices, training for out-of-body experiences, breathing processes such as
Rebirthing, Holotropic Therapy, and Radiance Breathwork, and Reichian and
neo-Reichian bodywork"...All types of yoga, Tai Chi, and Aikido classes
are offered in many areas. Each of these practices is inclined to stimulate and
intensify certain types of energies that were latent or less active in the
body..."Deep relaxation processes, bio-feedback, imagery and gentler
styles of bodywork can also deeply affect the [spiritual] energy
system"...There has been much research into near-death experiences which
are often accompanied by major shifts in energy and consciousness. There are
even some reports of people becoming spiritually awakened through
dreams..."A 1988 Harris poll indicated that close to 4.5 million Americans
meditate. It is probable that most of these people have been exposed to at
least a nominal number of processes that can awaken the spiritual Self..."
(p. 6).
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