Based on studies of spirit healing, this article proposes a model of the process of ritual healing that is focused on the core components of spiritual transformation, relatedness and empathy. It describes the central role of spiritual transformation in healers from which emerges their capacity for relation and empathy. Many spirit healers, following a spiritual transformation, begin to exercise 'radical empathy,' in which individual differences between healer and sufferer are melded into one field of feeling and experience. The model is compared and contrasted with aspects of healing processes in some psychotherapeutic and analytic therapies. These comparisons are offered in the light of the growing interest in incorporating spirituality into psychological and medical treatments.A concluding section briefly explores some implications of aspects of the model of healing process that support the claim that it is widely applicable and identifies foundational components.

This article expands psychosocial and cultural perspectives on the experience and expression of psychotic symptoms and the treatment of schizophrenia by exploring how Spiritism, a popular religion in Latin America, provides healing to persons with severe mental illness. Beliefs and treatment by Spiritist healers of persons with psychotic symptoms, some diagnosed with schizophrenia, are described. Reactions by mental health professionals (psychologists, mental health technicians and psychiatrists) to this alternative treatment are described. Qualitative data have been collected through in-depth interviews with 49 Spiritist mediums in Puerto Rico, and case histories of 22 patients and their family members, all of whom gave informed consent. In Brazil, interviews were conducted with a sample of 115 Spiritist mediums, with their informed consent. These mediums responded to semi-structured interviews and standard measures of social adjustment and mental health. As expected, beliefs and practices of Spiritist healers regarding psychotic symptoms, whether manifested by themselves or by clients diagnosed with schizophrenia or other disorders, differ substantively from conventional psychiatric constructs and treatment approaches. According to patients' self reports and researchers' observations, spirit healers often achieve positive results with persons manifesting psychotic symptoms or diagnosed with schizophrenia in that symptoms become less frequent and/or social adjustment improves. We suggest psychosocial mechanisms to explain these findings and raise questions for future research.

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Based on studies of spirit healing in Puerto Rico and the United States, this essay proposes a model of ritual healing process focused on the core components of spiritual transformation and empathy. It describes the central role of spiritual transformation in healers from which emerges their capacity for relation, empathy, and altruism. Many spirit healers, following a spiritual transformation, begin to exercise what I label here radical empathy, in which individual differences between healer and sufferer are melded into one field of feeling and experience. This produces a type of altruism in which spirit healers feel compelled to be altruistic in responding to suffering whenever they encounter it. The model is compared and contrasted with aspects of healing process in some psychotherapeutic and analytic therapies. These comparisons are offered in the light of the growing interest in incorporating spirituality into psychological and medical treatments.