HPY 16(1) Moreira-Almeida 1/28/05 9:02 AM Page 1 History of Psychiatry, 16(1): 005–025 Copyright © 2005 SAGE Publications (London, Thousand Oaks, CA and New Delhi) www.sagepublications.com [200503] DOI: 10.1177/0957154X05044602 History of ‘Spiritist madness’ in Brazil ALEXANDER MOREIRA-ALMEIDA * University of São Paulo ANGÉLICA A. SILVA DE ALMEIDA University of Campinas FRANCISCO LOTUFO NETO University of São Paulo Edited by Dr TOM DENING Spiritism is widely accepted in Brazil and influences psychiatric practice, especially through religious-oriented hospitals. However, during the first half of the twentieth century it was considered an important cause of mental illness. This paper first reviews opinions on ‘Spiritist madness’, written by the most eminent psychiatrists of the time, and then discusses the epistemological factors that have contributed to the conflict between medicine and Spiritism. We critically examine the appropriateness of the methods used in the debates, and how this has led to inferences about associations and causal relationships. Keywords: dissociation; history; mediumship; mental hygiene; possession; prejudice; spiritism; spiritualism; trance Introduction Throughout the last century, the psychiatric community has had a range of different attitudes to so-called mediumistic experiences. Although such experiences are ancient and exist in every culture, well-controlled studies of the subject are scarce. Nowadays, psychiatry considers that spiritualist experiences are culturally related, and are non-pathological in most cases, * Address for correspondence: Rua Caetés 737/205, Perdizes 0516-081, São Paulo, SP, Brazil. Email:
[email protected] HPY 16(1) Moreira-Almeida 1/28/05 9:02 AM Page 2 6 HISTORY OF PSYCHIATRY 16(1) even contributing to psychological development and well-being (Cardeña, Lyinn and Krippmer, 2000; Grof and Grof, 1989; Lukoff, Lu and Tuner, 1992).