Possession, Exorcism and Psychotherapy
Note: This is a long, incredibly compelling article if you are interested in the history of treating mental disorders. I highly suggest going to the page and reading the rest of the article HERE.
For all of recorded history, almost all human beings have believed in a spiritual plane of existence that somehow interacts with people in their daily life. A common belief is that souls, spirits, and demons exist, and that evil spirits can invade people and cause illness, especially mental illness. Throughout history the preferred method for eliminating evil spirits has been some form of ritual invocation or exorcism. Rather than dying out, belief in spirits, demons, and the supernatural is widespread today, in both highly industrialized societies like the U.S. and in less technologically developed countries. An understanding of how these beliefs came about and how they are practiced today can help psychologists provide appropriate services for clients with such beliefs. Â Â
Could there ever be a situation in which a psychologist would be justified in conducting an exorcism for a client who was thought to be possessed by a demon? Although this scenario might sound unlikely, some psychologists have in fact conducted exorcisms in recent years. Given the widespread belief in the reality of supernatural phenomena such as demonic possession in America and throughout the world, psychologists need to have a basic understanding of why so many people believe in possession and participate in exorcism rituals. This article summarizes the history of belief in spirits and possession, the position of churches on the issue, and some psychological explanations for how exorcism could help "possessed" people.
Since ancient times most people have believed in the existence of spirits, and specifically a human soul, thought to be an invisible spirit that inhabits people while they are alive and survives the death of the body to live eternally in a spiritual world. The Greek word "psyche" means mind or soul, and is the root of the words psychology and psychiatry, which mean the study of the psyche and the treatment of the psyche, respectively (Stone, 1997). Today the soul is considered a religious or spiritual concept, and psychotherapy addresses not the soul but the mind and disordered or distressing feelings and behavior resulting from suboptimal mental functioning (Fancher, 1995). However, since most people believe in spirits and the soul (Taylor, 2003), psychologists should have a good understanding of how these beliefs developed and how they can affect the treatment of people with psychological disorders.
The idea that spirits can enter and control a person is as old as civilization, and historical, biblical, and archeological evidence indicates its presence in diverse forms and in almost all cultures (Eliade, 2004; Prins, 1990). "Religiomagical rituals are major forms of healing in nonindustrialized societies and provide the foundation for faith healing in our own" (Frank & Frank, 1991, p. 87). The earliest healers were shamans who believed in magic and the supernatural; many thought that evil spirits invaded people's bodies and made them disturbed (Stone, 1997). An exorcism is a ritual that is used to drive the devil, demons, or evil spirits from a person (Wilkinson, 2007). Harner (1990) stated that a form of exorcism exists in all shamanic cultures. Skulls that have been trepanned (bored with small holes, probably to release demons) date back to at least 5000 B.C.E. (Porter, 2003). Belief in spirit possession and exorcism has been documented in Babylonia, Nigeria, Tanzania, Greece, India, Ceylon, Malaysia, Indonesia, China, Tibet, Korea, New Guinea, Brazil, Columbia, Haiti, the United States, and throughout Europe (Kiev, 1964). However, the possession phenomenon is not universal; it has not been found in certain tribal groups in the Philippines, the Malay Peninsula, or Australia (Ellenberger, 1970).
            "The view that supernatural forces can cause and cure illness stretches back to furthest antiquity" (Frank & Frank, 1991, p. 88). Exorcism is one form of supernatural healing. Since the ancient Babylonians and Egyptians (circa 3000 B.C.E.) the mentally abnormal have been treated with techniques like the laying on of hands, music and herbs, and a ritual of exorcism. In fact, spiritual and religious practices such as exorcism, faith healing, prayer, charms, amulets, and similar methods have been the most common treatments for mental illness throughout human history. "Between the years 200 and 1700, almost all mental disorders were understood in terms of demonic possession" (Wolpert, 2006, p. 163), and even today "spirit possession is the most common explanation of problems throughout the world" (Haley & Richeport-Haley, 2003, p. 20).Â
            Non-Western societies often do not clearly distinguish between mental and bodily illnesses, or between natural and supernatural causes of illness. Supernatural causes may be described as soul loss, possession by an evil spirit, or the work of a sorcerer or ancestral ghost. It would be a mistake to think that such beliefs are found only in less industrialized countries: "Demonology continues to be a favored explanation for bizarre behavior even in modern, postindustrial, postfeminist, politically correct North America" (Bankart, 1997, p. 34).Â
Supernatural Beliefs Are Widespread Today
The DSM-IV TR (American Psychiatric Association, 2000) describes several disorders involving spirits and possession in the appendix on culture-bound syndromes. For example, the phenomenon of Zar possession is common in many North African and Middle Eastern countries, including Egypt, Ethiopia, Somalia, Sudan, and Iran. Susto or "soul loss" is an illness that is said to result from the soul leaving the body, and affects Latinos in the U. S. and people in Mexico, Central America, and South America. The DSM-IV TR notes that similar beliefs are found in many parts of the world. Many Native American tribes believe in spirit possession, and healers often suck illness-causing spirit objects out of patients; the Tlingit have a verbal exorcism ritual (Hultkrantz, 1992). The phenomenon of Windigo psychosis (possession by a cannibalistic demon) is well established among the Northern Algonquin Indians. The Ainu community in Japan believes in demonic possession and exorcism; in Nicaragua and Honduras there is a possession state called Grisi Siknis; and trance possession is found in Voodoo as practiced in Haiti (Prins, 1990).
Belief in spirits, demons, and other supernatural entities is extremely common today, even in countries where much of the population is well educated, as shown by numerous surveys. For example, a 2005 poll found that 68 percent of Americans believe in the devil (O'Connor, 2005). Three other surveys with large representative samples taken since 2001 have all shown that roughly 70 percent of Americans say they believe in the devil, including a national Gallup survey in May 2007 (Newport, 2007).  According to a 2003 Harris survey, Americans harbor a wide variety of supernatural beliefs: 50% believe in ghosts, 31% believe in astrology, and 27% believe in reincarnation. Large majorities of the population say they believe in God (86%); angels (75%); and heaven (82%). Most Americans (84%) believe in the survival of the soul after death, 84% believe in miracles, and 68% believe in the devil (Taylor, 2003). Another 2003 poll found that 58% of Americans believe that the devil sometimes possesses people (Rice, 2003).Â
Demons and Exorcism in the Hebrew and Christian Traditions
Due to the references to demonic possession and exorcism in the New Testament, these beliefs have been a part of Christianity since its beginning. Today exorcism is a recognized practice of Catholicism, Eastern Orthodox, and some Protestant denominations. The Church of England has an official exorcist in each diocese (Malia, 2001).
The ancient belief in spirits and souls leads logically to the belief in exorcism as a treatment for mental illness. If spirits exist, then maybe they can travel outside the body, and maybe evil spirits can invade healthy people and make them ill. This mind/body dualism is evident in the Hebrew Bible, which states that madness (shigeon) is caused by possession by evil spirits (Stone, 1997). "An evil spirit came upon Saul" and he tried to kill David (1 Samuel 21). Methods to avoid demons included fumigation (Lev. 16:12-13), wearing clothes with a blue thread (Num. 15:38) and posting demons-keep-away messages at the entryway of houses (Exodus 12:13). The medicine of the Old Testament is strictly supernatural and religious, and while methods to avoid demons are described, no treatments for the demon possessed are mentioned (Wolpert, 2006).
In the Greek New Testament the possibility of illness resulting from assault by evil spirits is widely assumed (Matt. 9:32-33; Matt. 12:22; Matt. 17:14-21; Mark 1:24; Mark 5:9; Mark 9:14-29; Luke 13:11; Acts 16:16). Jesus was Christianity's first great exorcist (Wilkinson, 2007). About one-fourth of all the healings of Jesus were exorcisms, and there are 26 references to exorcisms in the New Testament; for example, "Jesus preached and cast out devils" (Mark 1:39). There are 13 stories about demon possession involving Jesus, describing at least six separate episodes (Camille, 2006). Jesus exorcised evil spirits "with a word" (Matt. 8:16-17). In the entire New Testament there is no clear example of mental illness that is not attributed to demons and cured by any method other than exorcism.
Apparently at the time of Jesus all mental illness was attributed to demon possession, and Jesus always used exorcism to treat what today we would probably see as mental illness. Interestingly, according to the New Testament, Jesus was not the only one who was able to cast out demons; some other Jews also did it successfully (Matt. 12:27) and an unnamed person who was not a disciple was reported to cast out demons in Christ's name (Mark 9:37-38). While some modern liberal readers of the New Testament might like to think that Jesus healed by psychological means (faith healing) rather than literally exorcising demons, this interpretation is not supported by the text. For example, on one occasion (according to the story in Matt. 8:28-34) the demons cast out by Jesus entered a herd of pigs, who then cast themselves off a cliff and died. It is hard to see how metaphorical demons could drive a herd of pigs to suicide; the reader is clearly meant to understand that the demons were objectively real and powerful.
 Eventually Jesus gave his disciples and all believers the power to "discern spirits" (1 Cor. 12:10) and cast out unclean spirits (Mark 16:17; Matt. 10:1; Luke 9:1). For example, Paul removed a demon from a slave girl who told fortunes (Acts 16:16-24). Contemporary Christians who believe in demon possession as one cause of mental illness and exorcism as the proper treatment have clear justification in the text of the New Testament. Indeed, it would seem that any Christian who denied the objective existence of demonic possession and exorcism would find no basis for that belief in the text.
Exorcism in the Roman Catholic Tradition
Today many religions, churches, and folk healers accept the reality of visions, spirit possession, and exorcism (Porter, 2003),  but none have codified and institutionalized the practice of exorcism as much as the Roman Catholic Church (Wilkinson, 2007). The Catholic Church revised and renewed the rite of exorcism in 2000, and the importance of the rite was affirmed by Pope John Paul II, who is reported to have conducted three exorcisms himself. In 2005 Pope Benedict XVI spoke at a meeting of Italian exorcists and encouraged them to continue their important work (Washington Times, 2005). When the Church revised the exorcism rite the document included a new warning that psychiatric illness should not be confused with possession (Wilkinson, 2007).Â
Catholic theology asserts the reality of demonic possession and exorcism and the Catholic Encyclopedia (New Advent, n.d.) notes that "Superstition ought not to be confounded with religion, . . . nor magic . . . with a legitimate religious rite" (n.p.). The Vatican's chief exorcist Amorth has said "where [religious] faith declines, superstition grows" (Wilkinson, 2007, p. 30). The differences between the supernatural beliefs of magic, superstition, and religion are not always clear. Superstition is usually considered an attenuated form of magic. Superstitions are a mixture of religious and magical beliefs, folklore, and historical events. Few people admit to being superstitious, because the word implies ignorance and pre-scientific thinking, but many people freely admit to holding supernatural beliefs (Singer & Singer, 1995).
Some people might propose that when Jesus cast out demons he was actually conducting faith healing of people with an illness such as epilepsy, schizophrenia, multiple personality disorder, or hysteria. However, the Catholic Encyclopedia (New Advent, n.d.) points out that Jesus did not confuse demonic possession with illness. For example, in Luke 13:32 Jesus expressly distinguished between the expulsion of evil spirits and the curing of disease. Similarly, a report by the Church of England states "One cannot dismiss the New Testament exorcisms as so much hysteria . . . . it simply will not do to dismiss this language as metaphor" (quoted in Malia, 2001, p. 27).
In 2005 the Vatican began offering training to its exorcists to help them distinguish between psychological disorders and possession by the devil; half a million Italians seek exorcisms each year, but most are not considered possessed (Nadeau, 2005). The Vatican's chief exorcist, Father Gabriele Amorth, made news when he announced "Of course the Devil exists . . . I am convinced that the Nazis were all possessed" (Pisa, 2006, n.p.). Amorth is said to have conducted over 30,000 exorcisms in his career.
Exorcism Exists in Many World Religions
Besides Judaism and Christianity, exorcism rituals are found in many religions around the world, including Hinduism, Buddhism, Taoism, Shintoism, and Islam. There are several references to possession by evil spirits and exorcism in the Qur'an. Some verses state that Satan can possess people and cause insanity (e.g., Surah Al-Baqarah 2:275). Islamic clergy say that real cases of possession are rare, but they do exist (Islam, 2007).
Some people are convinced that exorcism is gaining medical credibility. For example, in the United Kingdom psychiatrists are increasingly referring patients for private exorcisms, and a member of the Royal College of Psychiatrists believes that evil spirits exist and can possess humans (Penman, 2007). Most of those exorcised by the Church of England are referred by registered psychiatrists; the Church has claimed an 80% success rate (Penman, 2007), although no documentation to support the claim is available; results are not published (Layton, 2006). Â
Exorcism in Protestant Denominations in America
It is often thought that only the Roman Catholic Church practices exorcism, probably due to how it is usually portrayed in movies such as The Exorcist(1973), but some Protestant churches in the U.S. also recognize demonic possession and exorcism. Some of these churches perform exorcisms rarely, while others (particularly Pentecostal and other charismatic groups) perform it often. A conservative estimate is that there are at least five or six hundred evangelical exorcism ministries operating today in the U.S. (Cuneo, 2001). Many Latter-day Saints (Mormons) also believe in demonic possession and exorcism, although they call the ritual "the ordinance," and details about it are not publicized (Russell, 2006).Â
Although there are scientific and psychological explanations for the symptoms of alleged demonic possession, not everyone has respect for science or psychology. Many Evangelical, Pentecostal, charismatic, and other conservative Christian churches do not take psychology seriously. Biblical literalists understandably resist attempts to explain human behavior without reference to the Bible. For example, Koch (1972) said he had seen over 500 cases of demonic activity in people's lives, and "exorcism in its spiritual essence stands justified by the New Testament as a legitimate means of helping the possessed" (p. 250). Another minister advised "If you decide that there could be demonic involvement, then it is wise to consider exorcism" (Collins, 1988, p. 571). Arguing against the behavioral approach of B. F. Skinner, Adams (1986, p. 41) said "Can angels and demons be controlled by man?" Other books by Christian counselors include Biblical Demonology (Unger, 1994) and Counseling and the Demonic (Bufford, 1995).
In Modern Psychotherapies (Jones & Butman, 1991, p. 155) the authors stated "there are such supernatural entities as God, angels, the devil, and demons." This book has been called "the standard classroom text for overviewing major theories of psychotherapy from a Christian perspective" (Kellemen, 2005, n.p.).
Excerpts from the textbook Introduction to Psychology and Counseling, which has been called "the standard Christian introduction to psychology" (Meier, Minirth, Wichern, & Ratcliff, 1991, n.p.) illustrate the fundamentalist Christian view: "The existence of supernatural evil forces is to be granted.  . . . demon possession can imitate epileptic seizures" (p. 46). "A precipitating factor in depression can be an attack by Satan" (p. 281). "Individuals with personality disorders may be thought to be demon-possessed" (p. 259). The authors advise that "in clinical counseling the presence of the demonic clearly stands out from other abnormal behavior" (p. 260) and they list eight characteristics of demon possession, including superhuman strength, the ability to perform supernatural acts, and a change of voice when the demon speaks. The authors note that "Demon-possessed individuals do not respond to therapy" (p. 260).
In an issue of the magazine Christianity Today readers were advised that "demonization may go hand in hand with a psychological disorder" (Tennant, 2001, p. 60) and natural causes should be ruled out before attempting to expel evil spirits. The author suggests that prayer will help determine whether true demons are involved. Well-known Evangelical minister Pat Robertson (2003) has written that "demonic oppression can cause depression . . . . what starts as depression can become oppression, then possession" (p. 249) and "not all drug addicts or alcoholics are demon possessed, but I do know that there are demonic spirits behind most addictions . . . they need to be delivered" (p. 239).
            Many Evangelical churches have streamlined exorcisms; "deliverance" ministers in Bakersfield, California conduct exorcisms during altar calls, in group meetings, and during private office visits (Barna, 2006). Some ministers routinely put diagnosed psychiatric patients through an exorcism called "whole personality deliverance;" one minister said "Demonic spirits are real. We need supernatural help" and another said "Spirits may cause psychiatric conditions such as schizophrenia" (Barna, 2006, n.p.). According to one counselor, "It just seems logical if demons bothered folks once, they might still, and where better to hide in modern society than behind a DSM-IV diagnosis" (Timmins, 2006, p. 97).
Some Psychiatrists and Psychologists Practice Exorcism
Some psychiatrists and psychologists not only believe in the reality of demonic possession, they practice exorcism rituals. M. Scott Peck, who died in 2005, was a psychiatrist who described himself as a nondenominational Christian and became famous for his bestseller The Road Less Traveled (1978). In his last book, Glimpses of the Devil (2005) Peck revealed that he believed that possession is a genuine phenomenon, and that he had conducted exorcisms of some of his patients, in collaboration with priests. In the book Peck describes one patient whose symptoms "did not fit the established categories of psychiatric diagnosis, which was why, as a scientific-minded psychiatrist, I thought she might be possessed. . . . My instinct was that she likely required an exorcism" (Peck, 2005, p. 23).
            Even psychologists who scoff at the idea of demons would probably admit that certain clients who are resistant to psychotherapy and who think they are possessed may be helped to feel better by going through an exorcism ritual. However, conducting an exorcism is not considered to be within the scope of practice for psychologists, as several cases have affirmed.
            In 1993 Phoenix psychologist Kenneth Olson had his license revoked for unprofessional conduct after he performed an exorcism on a ten-year-old boy, using a Bible, holy water, a crucifix, and prayer. Olson, who said he had practiced exorcisms for 12 years, billed Arizona Child Protective Services $180 for the two-hour procedure; the state board said that exorcism is not recognized as a legitimate form of psychological treatment (Chicago Tribune, 1993). Olson sued the licensing board, and the case went to a federal appeals court, which dismissed Olson's suit (Churchill, 1999).
In 2001 Memphis, Tennessee psychologist Terry B. Davis had her license revoked after she told a client that demons were controlling her and conducted an exorcism ritual, asking the demon to leave (Ross, 2001). In 2003 a "Christian psychologist" in Missouri named Thomas DeVol faced loss of his license because a client complained that he invoked Jesus to cast out the client's demons; DeVol claimed that up to four percent of his clients were possessed by evil spirits (National Psychologist, 2004).
An unnamed charismatic psychiatrist who did exorcisms  (which he called "deliverance" work) told writer Michael Cuneo (2001) that counselors and psychologists should tell their clients that the exorcism is not part of their professional treatment, and the office should not be used for the ritual; "otherwise you'll be raked over the coals by lawyers" (Cuneo, 2001, p. 139). Today it is relatively easy to find someone who will conduct an exorcism, both within churches and outside any particular spiritual tradition. For example, Wanda Pratnicka, who describes herself as a therapist, exorcist, and parapsychologist, claims to have "30 years experience with 25,000 successfully performed exorcisms" (Pratnicka, 2007, n.p.).