Psychotherapeutic management of a potential spirit medium (shaman) in a modern University Hospital setting in Malaysia is described. Magical thinking, projection and spirit possession (trance state) occur during management. Discussion of management was based on what Heinz Wolff described as the psychotherapist's functions of (1) psychodynamic understanding; (2) the therapeutic function; and (3) the developmental function. This patient did not conform to the general criteria of a suitable patient for psychotherapy. But her willingness to engage in therapy contributed to a satisfactory outcome. The therapist's growth in cross-cultural therapeutic encounter seems to be prominent.

Adjustment Disorders↗

PubMed1975

Short-term psychotherapy by medical students: its therapeutic effectiveness and its educational value.

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Curriculum↗

PubMed1973

Some clinical problems of a psychiatric day centre.

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Acting Out↗