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Schizophrenia Patient or Spiritually Advanced Personality? A Qualitative Case Analysis.

Hemant Bhargav, Aarti Jagannathan, Nagarathna Raghuram, T M Srinivasan, Bangalore N Gangadhar

Journal of Religion and Health October 1, 2015 DOI: 10.1007/s10943-014-9994-0 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Qualitative Case report Peer reviewed
Sample size 1
Population 34-year-old unmarried male
Key findings A case of a man with symptoms resembling spiritual experiences was diagnosed as schizophrenia rather than spiritual advancement, and clinically useful distinguishing features are tabulated.

Abstract

Many aspects of spiritual experience are similar in form and content to symptoms of psychosis. Both spiritually advanced people and patients suffering from psychopathology experience alterations in their sense of 'self.' Psychotic experiences originate from derangement of the personality, whereas spiritual experiences involve systematic thinning out of the selfish ego, allowing individual consciousness to merge into universal consciousness. Documented instances and case studies suggest possible confusion between the spiritually advanced and schizophrenia patients. Clinical practice contains no clear guidelines on how to distinguish them. Here we use a case presentation to help tabulate clinically useful points distinguishing spiritually advanced persons from schizophrenia patients. A 34-year-old unmarried male reported to our clinic with four main complaints: lack of sense of self since childhood; repeated thoughts questioning whether he existed or not; social withdrawal; and inability to continue in any occupation. Qualitative case analysis and discussions using descriptions from ancient texts and modern psychology led to the diagnosis of schizophrenia rather than spiritual advancement.