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Physiologic correlates of culture-bound dissociation: A comparative study of Brazilian spiritist mediums and controls.

Marco Aurélio Vinhosa Bastos, Paulo Roberto Haidamus de Oliveira Bastos, Igraíne Helena Scholz Osório, Sérgio Augusto Monteiro Pinheiro, Décio Iandoli, Giancarlo Lucchetti

Transcultural Psychiatry April 1, 2018 DOI: 10.1177/1363461518759202 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 40
Population Female spiritist mediums and nonmedium controls from the same religious context in Brazil
Duration Measurements before and immediately after spirit communication, and 1 hour after the possession experiences
Keywords Dissociation Heart rate variability Melatonin Noradrenaline Spirit mediumship Thyroid hormone
Citations 12
Key findings During spirit possession, mediums exhibited mild, short-lived physiological arousal (increased heart rate, noradrenaline, TSH, prolactin, CPK) while controls showed relaxation, with no lasting cardiac autonomic differences.

Abstract

Mediumship and spirit possession are cultural phenomena found in many societies worldwide. In Brazil, Spiritism (a tradition in which mediumship is emphasized) is the third largest religious denomination. The present study aimed to investigate physiologic correlates of nonpathological dissociative experiences by comparing 20 female spiritist mediums with several years of socially sanctioned practice to 20 female nonmedium control subjects from the same religious context. We measured plasma levels of hormones and neuroactive substances, as well as vital signs and heart rate variability (HRV) parameters, before and immediately after spirit communication. Although no between-group differences were noted in basal physiological parameters, in response to the possession experiences the groups differed in heart rate and in plasma concentrations of noradrenaline, thyroid-stimulating hormone (TSH), prolactin, and creatine phosphokinase (CPK). The changes in parameters indicated an arousal response in mediums and a relaxation response in control participants, and the same pattern of changes was observed in HRV parameters from each group during the possession experiences. However, the changes in physiologic parameters for mediums were mild and of short duration: 1 hour after the possession experiences, no difference in cardiac autonomic regulation was noted. No significant group effect was noted for melatonin. Cognitive control processes may explain the arousal associated with the dissociative state. Findings from this study suggest that pathological and nonpathological dissociation may have different physiological correlates.