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John E. Mack Institute

Exploring the Frontiers of Human Experience

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DSM-IV Religious and Spiritual Problems

Admin · April 25, 2023 ·

A coursebook by David Lukoff, Ph.D.

A new diagnostic category called “Religious or Spiritual Problem” was introduced in the DSM-IV (Diagnostic and Statistical Manual of the American Psychiatric Association) in 1994.

For the first time, there is acknowledgment of distressing religious and spiritual experiences as nonpathological problems.

Co-author of the new category, David Lukoff, Ph.D., has prepared a coursebook (presented here) designed to teach mental health professionals about the process of its acceptance, its definition, various types of religious and spiritual problems, differential diagnosis, and treatment of these problems.

Alien encounters are included in this coursebook because such extraordinary events function for some individuals as transcendent experiences (see section 3.9).

This coursebook is free to view, and is presented here as a .pdf file, in the expectation that the coursebook will be of interest to general readers seeking more information on these subjects.

Click to download the book

Professionals interested in taking this course should visit Internet Guided Learning to ensure that they are downloading the most current edition of this coursebook. If you are a professional interested in taking the online course, the CE Quiz Form and tuition fee information is available at the course’s official website, the Internet Guided Learning website.

Contents of the .pdf file:

Introduction to Course

I Background of DSM-IV Categories

II Religious Problems
Lesson 2.1 Religious Problems
Lesson 2.2 Loss or questioning of faith
Lesson 2.3 Changes in membership, practices and beliefs
Lesson 2.4 New Religious Movements and Cults
Lesson 2.5 Terminal and life-threatening illness

III Spiritual Problems
Lesson 3.1 Spiritual Emergence
Lesson 3.2 Spiritual Problems
Lesson 3.3 Mystical experiences
Lesson 3.4 Near-death experiences
Lesson 3.5 Meditation & Spiritual Practice
Lesson 3.6 Psychic experiences
Lesson 3.7 Visionary Experiences
Lesson 3.8 Shamanic experiences
Lesson 3.9 Alien Encounter Experiences
Lesson 3.10 Possession experiences

IV Co-Ocurrence with Mental Disorders

V Differential Diagnosis

VI Therapeutic Interventions
Lesson 6.1 Spiritual Crises
Lesson 6.2 Psychotherapy

VII Online Resources
Lesson 7.1 Online Resources
Lesson 7.2 Searching Medline


© 2000 David Lukoff
All Rights Reserved.

Psychiatric Arts

May 12, 2023 Rice University Karin Austin is the new executive director of the John E Mack Institute (JEMI). In this presentation she details the donation of John Mack’s archives to Rice University’s Archives of the Impossible, curated by Jeffrey J. Kripal, Ph.D. I’d like to begin today with my deepest and my most sincere […]

February 2023 — JEMI is proud to premiere a new paper by Tiffany Vance-Huffman of Naropa University: “Shamanic Initiations, Alien Abduction Phenomena, and the Return of the Archetypal Feminine: An Experiential Distillation”. “The purpose of this paper,” Vance-Huffman writes, “is to change the way people think about anomalous experiences and illnesses of the body-mind by examining […]

January 19, 2023 — Dave Schrader of The Darkness Radio interviews Ariel Phenomenon producer Randall Nickerson. If you haven’t yet seen the documentary, play the first 2 minutes of this podcast to hear a sensational collage of excerpts. Listen to Darkness Radio interview with Randall Nickerson (30m, mp3) Ariel Phenomenon is available from many digital retailers. Buying from ArielPhenomenon.com benefits the film […]

November 1, 2022 — Rizwan Virk, founder of Play Labs @ MIT, writes “It wouldn’t be the first time officials put the issue to rest without a full, open-minded investigation” in this essential editorial on NBC News’ THINK website. Christopher Mellon calls it “One of the most balanced and thoughtful recent articles regarding the UAP […]

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JEMI is named in recognition of John E. Mack, M.D. (1929-2004), Pulitzer Prize-winning author and Professor of Psychiatry at the Harvard Medical School, to honor his courageous examination of human experience and the ways in which perceptions and beliefs about reality shape the global condition.

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