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See no evil, hear no evil? the role of psychiatry in exorcism

Declan Christopher Lyons, Mohammed Al Hassan, Shahzeb Shahid, Ruairi Nevin-Maguire, Luke Reilly, F.s.l. Lyons

Irish Journal of Psychological Medicine December 26, 2025 DOI: 10.1017/ipm.2025.10160 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Keywords Exorcism Possession linguistics Mental illness Mental health Diversity politics Schizophrenia object-oriented programming Psychotherapist Psychoanalysis
Key points Argues that mental health professionals may be unwilling to differentiate between possession and mental illness, seeing exorcism as interference with conventional treatment, and that risks and cautions are necessary in approaching this issue.

Abstract

Beliefs in evil spirits and the practice of deliverance from supernatural forces have been widespread throughout history. Many psychological and physical afflictions have been attributed to involuntary demonic possession. Traditional remedies, for those reporting inhabitation by evil spirits, can involve exorcism believed to expel such forces. Similar beliefs may be symptomatic of major mental illness and treatments namely medication and psychotherapy, are frequently recommended. An increasingly secular western world is also seeing growth in non-denominational Christian churches and other faiths, who accept spirit possession and exorcism. Culturally competent mental health professionals, seeking to understand their patients' world view, may struggle with exorcism, seeing it as an interference to conventional treatment. They may be being unwilling thus to attempt differentiation between possession and mental illness. This paper explores the diversity of views on this topic and points of contention and overlap. The risks and cautions necessary in approaching this issue are stressed.