Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/66225
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Type: Journal article
Title: Possession states in Northern Sri Lanka
Author: Somasundaram, D.
Thivakaran, T.
Bhugra, D.
Citation: Psychopathology, 2008; 41(4):245-253
Publisher: Karger
Issue Date: 2008
ISSN: 0254-4962
1423-033X
Statement of
Responsibility: 
Daya Somasundaram, T. Thivakaran, Dinesh Bhugra
Abstract: <h4>Background</h4>Possession states are still commonly seen in developing societies as acceptable cultural phenomena in normal persons as well as in those with psychiatric illness. 'Possession' is defined here as the experience of being taken over, controlled or occupied by another spirit or force.<h4>Sampling and methods</h4>This is a descriptive cross-sectional study of possession states among psychiatric patients, general population and popular adepts in Northern Sri Lanka, using semi-structured questionnaires and clinical observations.<h4>Results</h4>Thirty psychiatric patients were identified as having possession states. They were compared with 30 controls each from the general population admitted to a general hospital outpatient department and selected popular adepts in the community. The latter are individuals who are well known as having possession states. An analysis of social factors and other variables showed that education, marital status, age, employment, strength of belief, alterations in personality, past or family psychiatric history, previous exposure to similar phenomena, help-seeking behavior and treatment outcome differed between the three groups. Religion of the subjects or recent changes in values showed no correlation with possession while monetary gain from possession states showed only a partial correlation. Western medical treatment was of value only when possession states were seen as part of psychotic illness.<h4>Discussion</h4>Possession is a spectrum of experiential and behavioral phenomena seen in culturally acceptable form in normal people, popular adepts, as well as manifestations of psychotic illness. Possession states which fit normal cultural stereotypes could, if necessary, be better managed by traditional methods. However, clinicians need to be familiar with culturally abnormal forms of possession which are manifestations of psychotic illness that benefit from western psychiatric treatment.
Keywords: Possession states; Cross-cultural psychiatry; Phenomenology; South Asia
Rights: Copyright © 2008 S. Karger AG, Basel
RMID: 0020110369
DOI: 10.1159/000125558
Appears in Collections:Psychiatry publications

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