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Exaltation in Temporal Lobe Epilepsy: Neuropsychiatric Symptom or Portal to the Divine?

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Abstract

Religiosity is a prominent feature of the Geschwind syndrome, a behavioural pattern found in some cases of temporal lobe epilepsy. Since the 1950s, when Wilder Penfield induced spiritual feelings by experimental manipulation of the temporal lobes, development of brain imaging technology has revealed neural correlates of intense emotional states, spurring the growth of neurotheology. In their secular empiricism, psychiatry, neurology and psychology are inclined to pathologise deviant religious expression, thereby reinforcing the dualism of objective and phenomenal worlds. Considering theological perspectives and the idea of cosmic consciousness, the authors urge a holistic approach to the spiritual events of epileptic aura, potentially leading to a deeper understanding of the mind and its transcendent potential.

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References

  • Alexander, E. 2012. “Heaven is Real: a Doctor’s Experience of the Afterlife.” Newsweek 15 October.

  • American Psychiatric Association. 1994. Diagnostic & Statistical Manual of Mental Disorders IV. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Barham, G.F. 1907. “Notes on the Management and Treatment of the Epileptic Insane with Special Reference to the NaCl-Free (or Hypochlorination) Diet.” Journal of Mental Science 53:361–367.

    Google Scholar 

  • Bartlet, J.E.A. 1957. “Chronic Psychosis Following Epilepsy.” American Journal of Psychiatry 114:338–343.

    Google Scholar 

  • Bartocci, G., and S. Dein. 2005. “Detachment: Gateway to the World of Spirituality.” Transcultural Psychiatry 42:545–569.

    Article  Google Scholar 

  • Bear, D.M., and Fedio, P. 1977. “Quantitative Analysis of Interictal Behaviour in Temporal Lobe Epilepsy.” Archives of Neurology 34:454–467.

    Article  Google Scholar 

  • Berrios, G.E. 1979. “Insanity and Epilepsy in the Nineteenth Century.” In Psychiatry, Genetics and Pathography: a Tribute to Eliot Slater, edited by M. Roth and V. Cowie, 161–171. London: Gaskell.

    Google Scholar 

  • Betts, T.A. 1981. “Epilepsy and the Mental Hospital” . In Epilepsy and Psychiatry, edited by E.H. Reynolds and M.R. Trimble, 175–184. Edinburgh: Churchill Livingstone.

    Google Scholar 

  • Bohm, D. 1980. Wholeness and the Implicate Order. London: Ark.

    Google Scholar 

  • Brandon, O. 1960. The Battle for the Soul: Aspects of Religious Conversion. London: Hodder & Stoughton.

    Google Scholar 

  • Browne, V. 1978. Jung: Man and Myth. London: Macmillan.

    Google Scholar 

  • Caruncho, M.V., and F.B. Fernández. 2011. “The Hallucinations of Frédéric Chopin.” Medical Humanities 37:5–8.

    Article  Google Scholar 

  • Christensen, C.W. 1963. “Religious Conversion.” Archives of General Psychiatry, 9:207–216.

    Article  Google Scholar 

  • Coles, A. 2008. “God, Theologian and Humble Neurologist.” Brain 131:1953–1959.

    Article  Google Scholar 

  • Curlin, F.A., Odell, S.V., Lawrence, R.E., Chin, M.H., Lantos, J.D., Meador, K.G., and H.G. Koenig. 2007. “The Relationship between Psychiatry and Religion among U.S. Physicians.” Psychiatric Service 58:1193–1198.

    Article  Google Scholar 

  • Dawkins, R. 2007. The God Delusion. London: Black Swan.

    Google Scholar 

  • Devinsky, O., and G. Lai. 2008. “Spirituality and Religion in Epilepsy.” Epilepsy & Behaviour 12:636–643.

    Article  Google Scholar 

  • Dewhurst, K., and A.W. & Beard. 1970. “Sudden Religious Conversions in Temporal Lobe Epilepsy.” British Journal of Psychiatry, 117:497–507.

  • Dolgoff-Kaspar, R., Ettinger, A.B.., Golub, S.A., Perrine, K., Harden, C., and S.D. Croll. 2011. “Numinous-Like Auras and Spirituality in Persons with Partial Seizures.” Epilepsia 52:640–644.

    Article  Google Scholar 

  • Dostoyevsky, F. 1869/2004. The Idiot, translated by D. McDuff. London: Penguin.

  • Edelston, H. 1949. “A Case of Hystero-Epilepsy Successfully Treated by Deep Analytic Psychotherapy.” Journal of Mental Science 95:388–402.

    Google Scholar 

  • Ellis, A. 1980. “Psychotherapy and Aesthetic Values: a Response to AE Bergin’s ‘Psychotherapy and Religious Values.’” Journal of Consultative Clinical Psychology 48:635–639.

    Article  Google Scholar 

  • Esquirol, J.D. 1837/1845. Mental Maladies: Treatise on Insanity, translated by E.K. Hunt. Philadelphia: Lea & Blanchard.

  • Evans, H.M. 2008. “Affirming the Existential Within Medicine: Medical Humanities, Governance, and Imaginative Understanding.” Journal of Medical Humanities 29: 55–59.

    Article  Google Scholar 

  • Fingelkurts, A.A., and A.A. Fingelkurts. 2009. “Is our Brain Hardwired to Produce God, or is our Brain Hardwired to Perceive God? A Systematic Review on the Role of the Brain in Mediating Religious Experience.” Cognitive Process 10:293–326.

    Article  Google Scholar 

  • Foote-Smith E., and L. Bayne. 1991. “Joan of Arc.” Epilepsia 32:810–815.

    Article  Google Scholar 

  • Forman, R. 1998. “What Does Mysticism Have to Teach us About Consciousness?” Journal of Consciousness Studies 5:185–201.

    Google Scholar 

  • Foster, L. 1993. “The Psychology of Religious Genius: Joseph Smith and the Origins of New Religious Movements.” Dialog: a Journal of Mormon Thought 26:1–22.

    Google Scholar 

  • Freemon, F.R. 1976. “A Differential Diagnosis of the Inspirational Spells of Muhammad the Prophet of Islam.” Epilepsia 17:423–427.

    Article  Google Scholar 

  • Freud, S. 1934. The Future of an Illusion. London: Leonard & Virginia Woolf at the Hogarth Press.

    Google Scholar 

  • Galanter, M. 2005. Spirituality and the Healthy Mind: Science, Therapy and the Need for Personal Meaning. Oxford: Oxford University Press.

    Google Scholar 

  • Gastaut, H. 1978. “Fyodor Mikhailovitch Dostoevski’s Involuntary Contribution to the Symptomatology and Prognosis of Epilepsy.” Epilepsia 19:186–201.

    Article  Google Scholar 

  • Geschwind, N. 1979. “ Behavioural Changes in Temporal Lobe Epilepsy.” Psychological Medicine 9:217–219.

    Article  Google Scholar 

  • Gibbs, F.A. 1951. “Ictal and Nonictal Psychiatric Disorders in Temporal Lobe Epilepsy.” Journal of Nervous & Mental Disease 113:522–528.

    Google Scholar 

  • Granieri, E., and P. Fazio. 2011. “The Lombrosian Prejudice in Medicine: the Case of Epilepsy; Epileptic Psychosis; Epilepsy and Aggressiveness.” Neurological Sciences. Accessed October 24, 2011. www.springerlink.com/content/kh63041g33m3n418/fulltext.pdf

  • Granqvist, P., Fredrikson, M., Unge, P., Hagenfeldt, A., Valind, S., Larhammar, D., and M. Larsson. 2005. “Sensed Presence and Mystical Experiences are Predicted by Suggestibility, Not By the Application of Transcranial Weak Complex Magnetic Fields.” Neuroscience Letters 379:1–6.

    Article  Google Scholar 

  • Hardy, A. 1965. The Living Stream: a Restatement of Evolution Theory and its Relation to the Spirit of Man. London: Collins.

    Google Scholar 

  • Hay, D. 2006. Something There: the Biology of the Human Spirit. London: Darton, Longman & Todd.

    Google Scholar 

  • Henderson, D.K., and R.D. Gillespie. 1950. Textbook of Psychiatry, 7th edition. London: Oxford University Press.

    Google Scholar 

  • Henningsen, P., and L.J. Kirmayer. 2000. “Mind Beyond the Net: Implications of Cognitive Neuroscience for Cultural Psychiatry.” Transcultural Psychiatry 37:467–494.

    Article  Google Scholar 

  • Hoch, P.H. 1943. “Clinical and Biological Interrelations Between Schizophrenia and Epilepsy.” American Journal of Psychiatry 99:507–512.

    Google Scholar 

  • Hood, R. 1996. The Psychology of Religion, 2nd edition. New York: Guilford Press.

    Google Scholar 

  • Howden, J.C. 1872. “The Religious Sentiment in Epileptics.” Journal of Mental Science 18: 82–497.

    Google Scholar 

  • Hunter, R., and I. Macalpine. 1963. Three Hundred Years of Psychiatry 1535–1860. London: Oxford University Press.

    Google Scholar 

  • Iannaccone, L., Stark, R., and R. Finke. 1998. “Rationality and the ‘Religious Mind.’” Economic Inquiry 36:373–389.

    Article  Google Scholar 

  • Jackson, J.H.. and P. Stewart. 1899. “Epileptic Attack With a Warning of a Crude Sensation of Smell and Intellectual Aura (Dreamy State) in a Patient who has Symptoms Pointing to Gross Organic Disease of Right Tempero-Sphenoidal Lobe.” Brain 22: 534–549.

    Article  Google Scholar 

  • James, W. 1902/2002. The Varieties of Religious Experience: a Study in Human Nature. London: Routledge.

  • Jamison, K.R. 1989. “Mood Disorders and Patterns of Creativity in British Writers and Artists.” Psychiatry 52:125–134.

    Google Scholar 

  • Kleinman, A. 2006. What Really Matters? New York: Oxford University Press.

    Google Scholar 

  • Koenig, H.G. 2009. “Research on Religion, Spirituality and Mental Health: A Review.” Canadian Journal of Psychiatry 54:283–291.

    Google Scholar 

  • Landsborough, D. 1987. “St. Paul and Temporal Lobe Epilepsy.” Journal of Neurology, Neurosurgery & Psychiatry 50:659–664.

    Article  Google Scholar 

  • Landtblom, A. 2004. “Did Sts Birgitta Suffer from Epilepsy? A Neuropathography.” Seizure 13:161–167.

    Article  Google Scholar 

  • Lewis-Fernández, R., and N. Díaz. 2002. “The Cultural Formulation: A Method for Assessing Cultural Factors Affecting the Clinical Encounter.” Psychiatric Quarterly 73:271–295.

    Article  Google Scholar 

  • Lukoff, D., Lu, F., and R. Turner. 1992. “Toward a More Culturally Sensitive DSM-IV.” Journal of Nervous &Mental Disease 180:673–682.

    Article  Google Scholar 

  • MacDonald, M. 1990. “Insanity and the Realities of History in Early Modern England.” In Lectures on the History of Psychiatry, edited by R.M. Murray and T.H. Turner, 60–81. London: Gaskell.

    Google Scholar 

  • Maslow, A.H. 1964. Religion, Values and Peak Experience. New York: Penguin.

    Google Scholar 

  • Maudsley, H. 1869. “Emanuel Swedenborg.” Journal of Mental Science 15:169–198.

    Google Scholar 

  • May, R.M. 1993. Cosmic Consciousness Revisited: the Modern Origins and Development of a Western Spiritual Psychology. Rockport: Element.

    Google Scholar 

  • Mayer-Gross, W., Slater, E., and M. Roth. 1955. Clinical Psychiatry. London: Cassell & Company.

    Google Scholar 

  • Mungas, D. 1982. “Interictal Behaviour Abnormality in Temporal Lobe Epilepsy: A Specific Syndrome or Nonspecific Psychopathology.” Archives of General Psychiatry 39:108–111.

    Article  Google Scholar 

  • Newberg, A.B.., and E.G. d’Aquili. 2000. “The Neuropsychology of Religious and Spiritual Experience.” Journal of Consciousness Studies 7:251–266.

    Google Scholar 

  • Ng, F. 2007. “The Interface Between Religion and Psychosis.” Australasian Psychiatry 15: 62–66.

    Article  Google Scholar 

  • Persinger, M.A. 1987. Neuropsychological Bases of God Beliefs. New York: Praeger.

    Google Scholar 

  • Plante, T.G. 2009. Spiritual Practices in Psychotherapy: Thirteen Tools for Enhancing Psychological Health. Washington DC: American Psychological Association.

    Google Scholar 

  • Prince, R. 1979. “Religious Experience and Psychosis.” Journal of Altered States of Consciousness 5:167–181.

    Google Scholar 

  • Skinner, B.F. 1987. “What Religion Means to Me.” Free Inquiry 7:12–13.

    Google Scholar 

  • Slater, E., and A.W. Beard. 1963. “The Schizophrenia-Like Psychoses of Epilepsy.” British Journal of Psychiatry 109:95–150.

    Article  Google Scholar 

  • Szasz, T. 1974. The Second Sin. Garden City: Doubleday.

    Google Scholar 

  • Tallis, R. 2011. The Aping of Mankind: Neuromania, Darwinitis and the Misrepresentation of Humanity. Acumen.

  • Temkin, O. 1971. The Falling Sickness: a History of Epilepsy from the Greeks to the Beginnings of Modern Neurology, 2nd edition. Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Trimble, M. 1991. The Psychoses of Epilepsy. New York: Raven.

    Google Scholar 

  • -----. 2007. The Soul in the Brain: the Cerebral Basis of Language, Art and Belief. Baltimore: Johns Hopskins University Press.

  • Trimble, M., and A. Freeman. 2006. “An Investigation of Religiosity and the Gastaut-Geschwind Syndrome in Patients with Temporal Lobe Epilepsy.” Epilepsy & Behaviour 9:407–414.

    Article  Google Scholar 

  • Tucker, D.M., Novelly R.A., and P.J. Walker. 1987. “Hyperreligiosity in Temporal Lobe Epilepsy: Redefining the Relationship.” Journal of Nervous & Mental Disease 175: 181–184.

    Article  Google Scholar 

  • van Huyssteen, J.W. 2006. Alone in the World: Human Uniqueness in Science and Theology. Grand Rapids: Eerdmans.

    Google Scholar 

  • von Dänicken, E. 1977. Miracles of the Gods: a Hard Look at the Supernatural. London: Corgi.

    Google Scholar 

  • Walach, H. 2007. “Mind-Body-Spirituality.” Mind & Matter 5:215–240.

    Google Scholar 

  • Waxman, S.G., and N. Geschwind. 1975. “The Interictal Behaviour Syndrome of Temporal Lobe Epilepsy.” Archives of General Psychiatry 32:1580–1586.

    Article  Google Scholar 

  • Whitley, R. 2010. “Atheism and Mental Health.” Harvard Review of Psychiatry 18:190–194.

    Article  Google Scholar 

  • Wolf, P., and M.R. Trimble. 1985. “Biological Anatagonism and Epileptic Psychosis.” British Journal of Psychiatry 146:272–276.

    Article  Google Scholar 

  • Wuerfel, J., Krishnamoorthy E.S., Brown R.J., Lemieux L., Koepp M., Tebartz van Elst L., and M.R. Trimble. 2004. “Religiosity is Associated with Hippocampal but not Amygdala Volumes in Patients with Refractory Epilepsy.” Journal of Neurology & Neurosurgical Psychiatry 75:640–642.

    Article  Google Scholar 

  • Yin, R.K. 1994. Case Study Research: Design and Methods, 2nd edition. Thousand Oaks, California: Sage.

    Google Scholar 

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Correspondence to Niall McCrae.

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McCrae, N., Whitley, R. Exaltation in Temporal Lobe Epilepsy: Neuropsychiatric Symptom or Portal to the Divine?. J Med Humanit 35, 241–255 (2014). https://doi.org/10.1007/s10912-014-9294-4

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