Culture, Medicine and Psychiatry

, Volume 31, Issue 2, pp 251–269 | Cite as

Psychosis and shamanism in a filipino-american immigrant

Clinical Case Study
  • Wei-Chin Hwang
  • Jeanne Miranda
  • Christopher Chung

Clinical History

Patient Identification

Mr. A is a 47-year-old, single Filipino-American man who sought care at a county outpatient clinic in a western state of the United States. He is small in height (5 feet 3 inches) and build, and wore casual clothing.

History of Present Illness

Mr. A first came into treatment because he began experiencing negative hallucinations of evil demonlike spirits trying to convince him to join them by killing himself. They appeared daily for three months before he finally came into treatment.

At intake, the patient reported feeling confused and felt that there was “something wrong” with him. Specifically, he was bothered by the hurtful demonlike voices and images, could not sleep well at night, experienced anhedonia, and lost his job. He had difficulty taking care of his daily needs and did not shower for weeks at a time. He was slightly disheveled, evidenced blunted affect, and giggled to himself, but had some insight.

Mr. A reported a long and continuous...


Schizophrenia Psychotic Experience Evil Spirit Healing Power Social Security Disability Insurance 
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  3. Hwang Wei-Chin, Wood Jeffrey J., Lin Keh-Ming, Cheung Freda (2006) Cognitive-Behavioral Therapy with Chinese Americans: Research, Theory, and Clinical Practice. Cognitive and Behavioral Practice 13:293–303CrossRefGoogle Scholar
  4. Walsh R. N. (1990) The Spirit of Shamanism. Jeremy P. Tarcher, Los AngelesGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2007

Authors and Affiliations

  • Wei-Chin Hwang
    • 1
  • Jeanne Miranda
    • 2
  • Christopher Chung
    • 3
  1. 1.Department of PsychologyClaremont McKenna CollegeClaremontUSA
  2. 2.Department of Psychiatry and Biobehavioral SciencesUniversity of CaliforniaLos AngelesUSA
  3. 3.Department of PsychiatryLos Angeles Biomedical Research Institute, Harbor-UCLA Medical CenterTorranceUSA

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