A Comparative Study of Exceptional Experiences of Clients Seeking
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View metadata, citation and similar papers at core.ac.uk brought to you by CORE ORIGINAL RESEARCH ARTICLE published: 18provided February by 2013 Frontiers - Publisher Connector doi: 10.3389/fpsyg.2013.00065 A comparative study of exceptional experiences of clients seeking advice and of subjects in an ordinary population 1 1,2 3 3 2,3 W. Fach , H. Atmanspacher *, K. Landolt ,T.Wyss and W. Rössler 1 Institute for Frontier Areas of Psychology and Mental Health, Freiburg, Germany 2 Collegium Helveticum, Zurich, Switzerland 3 Psychiatric University Clinic Zurich, Zurich, Switzerland Edited by: Exceptional experiences (EE) occur frequently within the populations of many countries Francesco Pagnini, Catholic University and across various socio-cultural contexts. Although some EE show similarities with men- of Milan, Italy tal disorders, it would be a mistake to identify them in general as disorders. In fact, the vast Reviewed by: Francesco Pagnini, Catholic University number of individuals reporting EE includes subclinical and completely healthy subjects. of Milan, Italy We conducted a comparative empirical study of several characteristics of EE for two sam- Colin M. Bosma, Harvard University, ples – one from ordinary population and the other from clients seeking advice. We found USA surprisingly similar phenomenological patterns of EE in both samples, but the frequency *Correspondence: and intensity of EE for clients seeking advice significantly exceeded those for the ordinary H. Atmanspacher, Institute for population. Our results support the hypothesis of a continuous spectrum between mental Frontier Areas of Psychology and Mental Health, Wilhelmstr. 3a, 79098 health and mental disorder for the types of experiences analyzed. Freiburg, Germany. Keywords: continuum hypothesis, exceptional experiences, mental disorders, phenomenological patterns e-mail: atmanspacher@ collegium.ethz.ch 1. INTRODUCTION temporary states whereas beliefs are usually regarded as persistent Exceptional (or extraordinary) experiences (EE) are usually under- traits. stood as deviations from what might be referred to as ordinary Numerous studies have shown that belief in EE is correlated experiences, i.e., experiences consistent with typical “reality mod- with high scores on scales measuring dispositions for absorp- els” (Metzinger, 2003) that individuals develop to cope with their tion (Tellegen and Atkinson, 1974), fantasy proneness (Wilson socio-cultural environment. In modern societies, basic elements and Barber, 1983; Rao, 1992), field dependence and suggestibility of such models are established epistemological concepts (such as (Hergovich, 2003), transliminality (Thalbourne, 2000), hypnotiz- cause-and-effect relations) and scientific principles and laws (such ability (Hilgard, 1974; Lynn and Sivec, 1992), imagination (Lynn as gravitation). Experiences inconsistent with those basic elements and Rhue, 1986, 1987), anxiety (Wolfradt, 1997), or dissociation are considered exceptional. (Spiegel and Cardeña, 1991; Frischholz et al., 1992). A well-known example of EE is the meaningful coincidence of Individuals reporting EE and altered states of consciousness events with no causal connection which Jung (1955) referred to also show tendencies toward schizotypy (Pizzagalli et al., 2001), as synchronistic. Another example, widely studied recently (cf. dissociation (Richards, 1991), transliminality (Sherwood and Mil- Metzinger, 2005) concerns out-of-body experiences, where an ner,2004–2005),hypersensibility (Thalbourne,2000; Jawer,2006), individual’s material body is typically “seen” by the same indi- and “thin-boundariedness” (Hartmann, 1991). However, it is vidual from outside his body. The entire spectrum of EE is more unknown what type of precise relationship a particular EE may comprehensively introduced in Sec. 2.1. have with particular beliefs and personality traits. Contrary to naive expectations, EE are not rare but abundant. Both EE and magical beliefs may be associated with phases Several studies (Greeley, 1975; Gallup and Newport, 1991; Harald- of mental disorder (Eckblad and Chapman, 1983; Thalbourne son and Houtkooper, 1991; McClenon, 1994; Newport and Straus- and Delin, 1994; Berenbaum et al., 2000). Nevertheless, even if berg, 2001; Schetsche and Schmied-Knittel, 2005; Belz, 2009) have there is a substantial overlap with many symptoms and diagnoses estimated frequencies of 30–50% for populations inWestern coun- of mental disorders, EE per se must not be categorized as such. tries, and higher than that within other cultural contexts. It is For instance, schizotypy is not necessarily connected with mental unclear, however, how the willingness of individuals to reveal EE health problems, and hearing voices is not psychotic in general can be faithfully assessed. (Romme and Escher, 1989, 1996; Bentall, 1990, 2000). An over- EE as such, and their phenomenology in particular, must be all survey of published studies has shown that the evidence for a systematically distinguished from the belief in experiences, such relationship between mental disorders and EE is inconsistent and as magical ideation (Eckblad and Chapman, 1983). Although ambiguous (Belz and Fach, 2012). experiences and beliefs are correlated, individuals with strong It has recently been proposed (van Os et al., 2000; van Os, 2003) beliefs in non-causal influences or unknown physical forces that a continuous spectrum – from sound mental health to men- (Lindeman and Aarnio, 2006) do not necessarily report EE tal disorder – reflects the situation more properly than a discrete (and vice versa). Moreover, EE tend to be more or less distinction between them. Support for this continuum hypothesis www.frontiersin.org February 2013 | Volume 4 | Article 65 | 1 Fach et al. Exceptional experiences in clients and ordinary population derives from several studies, as reviewed by van Os et al.(2009). images, affects, and fantasies from their perception of material Accordingly, EE may or may not be symptoms of mental disorder; events in the external world. 1 similarly, they may or may not even be indicators or precursors EE typically appear as deviations in a subject’s reality model. of such disorders. Although significant relationships can be found This entails a classification of EE based on two pairs of phenomena between EE, critical life events and traumatic experiences (Irwin, (cf. Fach, 2011; Belz and Fach, 2012). One pair refers to deviating 1992, 1993, 1994; Perkins and Allen, 2006), or even between actual experiences within the subject’s self model and world model, while life conditions and specific patterns of EE (Belz and Fach, 2012), the other refers to the way in which elements of those models are the conditions for such correlations are still unknown. merged or separated above or below ordinary (“baseline”) corre- Here we present additional evidence, based on particular types lations. The resulting four classes of EE can be characterized as of EE, for the continuum hypothesis. Different from van Os follows: et al.(2009), who focused on severely and less severely disordered individuals, we are concerned with the “healthy” side of the spec- 1. External phenomena are perceived in the world model. Their trum. We examined the phenomenology, frequency, and intensity referents are conceived in the material environment of a sub- of EE within ordinary population as well as in subclinical (i.e., ject. This class comprises visual, auditory, tactile, olfactory, and non-diagnosed) individuals seeking advice. kinetic phenomena, the impression of invisible but present The following section 2 provides some theoretical and empiri- agents, inexplicable changes to the body, phenomena concern- cal background for a systematic classification of the phenomenol- ing audio or visual recordings or the location, structure, or ogy of EE. Section 3 presents the empirical basis for our study. composition of material objects. Section 4 describes the resulting classes of EE and the contexts 2. Internal phenomena are perceived in the self model. They within which they occur. We compare their frequencies and inten- include somatic sensations, unusual moods, and feelings, sities and discuss some conclusions and implications of our results thought insertion, inner voices, and intriguing inner images. in Section 5. As in class (1), the affected subject is convinced that famil- iar explanations are suspended, and the experiences appear 2. BACKGROUND egodystonic. 2.1. THEORETICAL BACKGROUND 3. Coincidence phenomena refer to experiences of relations A recently proposed classification of EE (Fach,2011; Belz and Fach, between the self model and the world model that are not 2012) is based on a few key postulates of Metzinger’s(2003) theory founded on regular senses or bodily functions, but instead of mental representations. These representations are elements of exhibit connections between ordinarily disconnected elements a model of reality that subjects create, develop, and modify during of self and world. Typically, these relations are assumed to their lifetime. Two fundamental components of this model, or two be non-causal, often experienced as a salient meaningful link major representations within it, are the self model and the world between mental and material events. model. (Contrary to Descartes’ ontologically conceived dualism, 4. Dissociation phenomena are manifested by disconnections of Metzinger’s distinction is explicitly epistemic.) ordinarily connected elements of self and world. For instance, The world model contains all representations