Spiritual Emergency: Crisis or Transformation?


“Spiritual emergence” is a profound spiritual opening that takes place in the form of different spiritual experiences that usually don’t constitute a serious problem or impairment in the everyday lives of the individuals who experience them. According to a paper by British psychiatrist Nicki Crowley, this kind of emergence is an organic process within human development, during which individuals are able to experience transpersonal elements.1 By transpersonal, I mean experiences and perspectives that extend beyond the personal level of the psyche and ordinary life.

“Spiritual emergency,” a term first used by Czech psychiatrist and noted transpersonal psychology researcher Stanislav Grof, is closely related to spiritual emergence. Grof posits that the phenomenon of spiritual emergency can actually be helpful in easing many of the problems of today’s world if this phenomenon is supported and understood in the correct way.2 He was one of the first professionals to identify the spiritual awakenings that happen spontaneously to many individuals in the form of spiritual emergencies.3 During a spiritual emergency, individuals experience mild or severe distress resulting in impairments in their psychological and social functioning caused by spiritual experiences that may be too difficult for the person to handle. A spiritual emergency may thus be defined as a crisis during which experiences are so intense that they temporarily disrupt the sense of self.4 According to author Emma Bragdon, the phenomenon of spiritual emergency is quite broad and may be seen as the reason behind the different forms an individual’s struggle takes, including addiction.5 I further agree with transpersonal psychologist David Lukoff, who posits that spiritual emergency often involves altered states of consciousness.6

As both an experiencer and a researcher of out-of-body experiences, I posit that spiritual emergencies constitute an integral part of the spiritual emergence phenomenon, which includes a range of extraordinary spiritual experiences that either happen spontaneously or are elicited by spiritually oriented practices as well as the use of other external elements, techniques, and agents. According to Lukoff, spiritual emergence encompasses phenomena such as mystical experiences, near-death experiences (NDE), meditation-related experiences, kundalini awakening, psychic openings, visionary experiences, purported alien encounters, and other spiritual problems.7 These spiritual experiences are also called spiritually transformative experiences (STEs), non-ordinary transcendence experiences (NOTEs), and exceptional human experiences (EHEs).

Rejecting the Pathology Label

According to Hungarian psychiatrist Szabolcs KĂ©ri, such spiritual experiences may be accompanied by “pathological” symptoms such as hallucinations, odd behavior, depression, and/or odd thoughts.8 Therefore, individuals suffering from such symptoms may be misdiagnosed with mental illness. As Grof pointed out, spiritual and mystical experiences offer personal growth potential. They can trigger a powerful transformation and further personal development in individuals undergoing such experiences. Mislabeling them as pathological symptoms may be damaging to spiritual development as well as to the individual’s psychological and physiological well-being.

KĂ©ri has noted out that out-of-body experiences (OBEs) and other extraordinary human experiences such as glossolalia (“speaking in tongues”), or possession may be mistaken for psychoses if the cultural background of the individuals experiencing them is ignored. Psychologist Michael A. Persinger’s study of religious experience, for example, revealed intriguing electroencephalogram (EEG) activity in separate cases of glossolalia and transcendental meditation.9 During the transcendental meditation case, the EEG showed delta-wave activity in the temporal lobe that lasted about 10 seconds. The second case involved a spike in wave activity in the temporal lobe of an individual who performed glossolalia. Both cases represented healthy individuals with no history of pathology. Based on the study, Persinger hypothesized that experiences of a mystical or religious nature naturally occur in the temporal lobe and are of a transient nature.

Fortunately, there is new hope for people experiencing spiritual experiences which are too much for them to digest without seeking appropriate professional help. The hope comes in the form of a new diagnostic category called “Religious or Spiritual Problem,” which in 1994 was officially entered into the Diagnostic and Statistics Manual of Mental Disorders (DSM) IV.

The new category actually defines spiritual problems as distressing episodes in the life of individuals involving the questioning of spiritual values which are not necessarily related to an organized church or religious institution. Based on this diagnostic category, spiritual problems in the broad categories above may for the first time be officially treated as non-pathological rather than pathological problems.

Understanding Out-of-Body Experiences

Consider OBEs. During these experiences, people often see their own physical body from the elevated visuospatial perspective typical of these experiences.10 According to psychiatrist Stuart W. Twemlow, OBEs should not be treated as pathological or even as abnormal.11 He therefore posits that therapists should view OBEs as experiences with the potential for spiritual transcendence. Furthermore, psychologist Alexander De Foe suggests that since both NDEs and OBEs are life-changing experiences that may have a significant impact on an individual’s psychological well-being, those who undergo them should be encouraged to talk openly about their extraordinary experiences within a counseling setting.12

Although different intensities of OBE may be distressing, experiencing one does not automatically mean that the person suffers from psychosis. I believe that spiritually based OBEs may be considered profound transformational experiences and/or spiritual problems experienced by those who undergo spiritual emergence or its more intensive form, spiritual emergency. They may or may not have features resembling psychosis. A number of authors note the resemblance between paranormal experiences and pathological states such as psychosis. Kéri studied the relationship between religious conversion as a form of spiritual emergency and psychosis. The study found that of 53 individuals referred to a psychiatry center with a diagnosis of psychosis, 24 were not pathologically ill after all. Instead, they had had spiritual experiences, such as religious conversions, which represented a deep, transformative episode in their lives.

In addition, some therapists interested in the potential healing aspects of the OBE phenomenon have introduced techniques aimed at helping their clients to intentionally trigger an out-of-body-like experience during the therapy session using artificial means. The goal is to encourage the spiritual as well as personal-level development that a transformative OBE may offer. There has been little research done so far on the therapeutic utilization of OBEs artificially induced during the counseling session, although Paul W. Schenk, in his 2006 book The Hypnotic Use of Waking Dreams, suggests that waking dreams contain certain elements occurring during both NDEs and OBEs. Within the framework of therapy, he encourages clients to deliberately induce a waking-dream state with the help of different visualization- or imagination-based techniques. The aim is to attain an OBE/NDE-like experience that can be utilized for further personal and spiritual growth.

What the Research Shows

The transpersonal element of altered states of consciousness, including OBEs, has been recognized by many authors who study the subject. According to De Foe, the topic of OBEs deserves more attention, especially from the point of view of how therapy may aid those experiencing OBEs. The majority of the current OBE studies examine elicited OBEs in the clinical population rather than in the healthy population or look at OBEs induced artificially rather than at will or occurring spontaneously in the waking/active state.

To date, OBEs in people with pathological conditions such as epilepsy have been studied a fair amount. However, there is a severe lack of studies aimed at researching spontaneous OBEs within the non-pathological population, which have healing as well as transformative potential. Individuals who undergo spontaneous, naturally occurring OBEs may be hesitant to talk about them out of fear of being put down or ridiculed if they do.13 De Foe’s study argues there has been a severe lack of research into the therapeutic benefits of exploring OBEs. According to him, one of the reasons is the lack of a general agreement on how to approach the phenomenon of OBEs within the counseling framework.

A 2018 study conducted by psychologists Habib Nobakht and Karl Dale implied that dissociation and trauma are common features of both NDEs and mystical experiences.14 Psychiatrist Jerome Kroll and colleagues studied the relationships between different types of altered states of consciousness such as mysticism, absorption, dissociative episodes and childhood/adolescent trauma and neglect. Their study showed that the tendency to experience dissociative states of consciousness was not correlated with the tendency to undergo mystical experiences characterized by altered states of consciousness.15 According to the 2016 study conducted by psychologist Yochai Ataria, similarities exist between mystical and traumatic experience.16 The author posits that one of the most significant common elements of both is the subject’s encounter with nothingness. Interestingly, Greyson and Khanna’s 2014 study of near-death survivors found that NDEs were associated with greater post-traumatic spiritual growth. The study further revealed that NDEs have no influence on post-traumatic spiritual decline.17

My Unique Perspective

I myself began having spontaneous out-of-body experiences many years ago. The first was back in 1994. I remember waking up in the middle of the night. Without checking where I was located, I knew I was in my bedroom but clearly out of my body, hovering above my bed. Suddenly, something pulled me very strongly toward the window. I tried intensely to resist but could not, as I was physically out of my body. I don’t remember why I was pulled to the window, as I could have just as easily been pulled through the wall or a closed door. (When out of body, you can easily pass through both.) I clearly heard my own breathing and my heart beating as if the sounds were coming from a nearby radio.

Furthermore, I was able to hear everything that was going on in the next room as if I were present. Suddenly, I was able to see a light coming from either the left or the right — I could not tell which, because when you are out of body, sides sometimes get reversed as through a mirror. The light was becoming more and more intense. I also remember that I tried to raise my hand; however, I could not see a hand. My hand was a part of my real, physical body lying on my bed at that time, but what I saw from above was only its contours. It looked cloudy, shadowy, and gaseous and I knew that this was not a hand made of flesh, muscle, and tissue. It was a phantom, an etheric double hand. At the point of looking at the phantom hand, I clearly thought to myself: “Get back to your body.” And so I did, right after I intended to, using my mind.18

Based on the knowledge drawn from such OBE encounters, I came to believe that death does not exist, space and time are transcendent, and life itself is but a small portion of a physical dimension of a much greater, holographic, multidimensional existence or consciousness. These perceptions have convinced me that the transformative nature of OBEs holds great potential, whether it is a onetime event or gradually develops over the course of one’s life. OBEs have a high potential to heal both on the psychological as well as physical level. Further, they are transformative events that bring a host of potential benefits to their experiencers. The gifts of OBEs include unitive consciousness, visionary experiences, ineffability, mystical and contemplative states, etc. I know a man who has had more than 15,000 spontaneous, genuine OBEs.19 20 They have helped him greatly on his journey of spiritual emergence, leading to transformation and even transcendence.

Therefore I strongly believe that OBEs in healthy individuals are an essential part of the development of the human psyche, as are other extraordinary or transcendental states of consciousness. I further believe OBEs within the healthy population, where there is no history of clinical pathology, should be fully respected by society and treated as non- pathological. As of today, there is no substantiated scientific evidence proving that extraordinary or other anomalous experiences of a spiritual nature are dysfunctions, deviations, or pathologies.

It is too bad that in many cases people’s OBEs are deeply misunderstood by society and mistaken for a pathological condition by the medical community. Clearly, further scientific research on the effects of spontaneous OBEs and other extraordinary human experiences on the overall well-being of individuals — especially the potential to heal and transform spiritually — should be conducted.

Show 20 footnotes

  1. Crowley, N. (2006) “Psychosis or Spiritual Emergence? – Consideration of the Transpersonal Perspective within Psychiatry.” Essay submitted to the Royal College of Psychiatrists
  2. Grof, C., & Grof, S. (1990). The Stormy Search for the Self: A Guide to Personal Growth Through Transformational Crisis. New York: Jeremy P. Tarcher
  3. Grof, S. (1989). Spiritual Emergency: When Personal Transformation Becomes a Crisis. New York: Tarcher Putnam
  4. Collins, M. (2007). Spiritual Emergency and occupational identity: A transpersonal perspective. The British Journal of Occupational Therapy
  5. Bragdon, E. (2013). The Call of Spiritual Emergency: From Personal Crisis to Personal Transformation. Woodstock, VT: Lightening Up Press
  6. Lukoff, D. (2007). Visionary Spiritual Experience, Southern Medical Journal, 100(6), 635-641
  7. Lukoff, D., Lu, F., & Turner, R. (1998). From spiritual emergency to spiritual problem: The transpersonal roots of the new DSM-IV category. Journal of Humanistic Psychology, 38(2), 21-50
  8. Keri, S. (2017). Self-Transformation at the Boundary of Religious Conversion and Psychosis. Journal of Religion and Health. 57, 1-20. doi:10.1007/s10943-017-0496-8
  9. Persinger, M.A. (1984). Striking EEG Profiles from Single Episodes of Glossolalia in Transcendental Meditation. Perceptual and Motor Skills, 58, 127-133. doi:10.2466/pms.1984.58.1.127
  10. Sellers, J. (2017). Out-of-Body Experience: Review & a Case study. Journal of Consciousness Exploration & Research, 8(9), 686-708
  11. Twemlow, S. (1989). Clinical Approaches to the Out-of-Body Experience. Journal of Near-Death Studies, 8(1), 29-43. doi:10.1007/BF01076137
  12. De Foe, A. (2012). How should therapists respond to client accounts of out-of-body experience? International Journal of Transpersonal Studies, 31(1), 75-82. http://dx.doi.org/10.24972/ ijts.2012.31.1.75
  13. Parra, A. (2009). Out-of-Body Experiences and Hallucinatory Experiences: A Psychological Approach. Imagination, Cognition and Personality, 29(3), 211- 223. doi:10.2190/IC.29.3.d
  14. Nobakht, H.N., Dale, K.Y. (2018). An Exploration of the Roles of Trauma and Dissociation in Mystical Experiences and Near-Death Experiences. Journal of Spirituality in Mental Health, (20)4, 321-332. doi: 10.1080/19349637.2018.1439796
  15. Kroll, J., Fiszdon, J., Crosby, R.D. (1996). Childhood Abuse and Three Measures of Altered States of Consciousness Dissociation, Absorption and Mysticism in a Female Outpatient Sample. Journal of Personality Disorders, (10) 4, 345-354. doi: https://doi.org/10.1521/pedi.1996.10.4.345
  16. Ataria, Y. (2016). Traumatic and Mystical Experiences. The Dark Nights of the Soul. Journal of Humanistic Psycholog, 56 (4), 331-356. doi: https://doi.org/10.1177/0022167814563143
  17. Greyson, B., Khanna, S. (2014). Spiritual Transformation after Near Death Experiences. Spirituality in Clinical Practice, 1(1),43-55. doi: 10.1037/scp0000010
  18. Sellers, J. (2015). I Have Seen It Tomorrow, Bobot, Slovakia: Ludoprint
  19. Sellers, J. (2018). A Brief Review of Studies of Out-of-Body Experiences in Both the Healthy and Pathological Populations, Journal of Cognitive Science, 19 (4), pp. 471-491. doi: 10.17791/jcs.2018.19.4.471
  20. Sellers, J. (2019)Transpersonal and transformative potential of out-of-body experiences, Journal of Exceptional Experiences and Psychology, 6 (2), pp. 7-27


Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.


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  1. Please try to explain to yourself how in reference to a spiritual being one can have an out of body experience other than in making love one has an out of murdering each other experience, and would one truly have to be what no one could first…

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  2. Thank you Julia

    “Fortunately, there is new hope for people experiencing spiritual experiences which are too much for them to digest without seeking appropriate professional help. The hope comes in the form of a new diagnostic category called “Religious or Spiritual Problem,” which in 1994 was officially entered into the Diagnostic and Statistics Manual of Mental Disorders (DSM) IV.”

    “The study found that of 53 individuals referred to a psychiatry center with a diagnosis of psychosis, 24 were not pathologically ill after all. Instead, they had had spiritual experiences, such as religious conversions, which represented a deep, transformative episode in their lives.”

    1994 was a long time ago. To my knowledge, not a single person with ANY “problem” leaves without a pathological diagnosis.

    It is interesting that half of the individuals were tested and met a pathology. I wonder how they test for that.
    I think I will pass and not divulge my experiences with any knower of my mind.

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    • “1994 was a long time ago. To my knowledge, not a single person with ANY ‘problem’ leaves without a pathological diagnosis.”

      True, I had a powerful dream about being “moved by the Holy Spirit” the morning after 9/11/2001. A mere query about what that dream meant, with a supposedly “holistic, Christian, dream specialist, talk therapist,” resulted in that dream being incorrectly claimed to be a “Holy Spirit voice,” thus psychosis, according to her medical records.

      It should have been diagnosed as a “Religious or Spiritual Problem.” You’re right, the therapists don’t actually utilize that diagnosis. And there are lots and lots of people who’ve experienced spiritual emergences, who’ve been misdiagnosed with the DSM non-disorders.

      Thanks for your insights, Julia. I share a lot of your interests. I’ve never experienced an OBE, but do seem to have prophetic dreams, at least some times, and do lucid dream as well. And, once I escaped the insane “mental health” workers, my healing journey functioned as an awakening to the dreams of my entire lifetime, which included the concept that we are all one within the collective unconscious. It was a staggeringly amazing, serendipitous experience. One so full of love and so perfect, it’s now hard for me to believe we are not all “one in the Spirit, one in the Lord.”

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  3. “I further believe OBEs within the healthy population, where there is no history of clinical pathology, should be fully respected by society and treated as non- pathological.”

    Are you including DSM diagnoses when you say “clinical pathology”? As far as I know, there are no clinical tests for “psychosis”. Or are you saying OBEs are only valid (and therefore should be respected) for people who have never had any clinically diagnosable disease?

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  4. The characteristic EEG signature is coherence of brain functioning in the Alpha 1 frequency (8-10 cycles per second) in all parts of the brain but most significantly and uniquely in the pre-frontal cortex. This is not to say there is not other stuff with EEG going on but it is the coherence of the Alpha 1 frequency in the front of the brain that is most important point to focus on. It leads to better decisions and greater clarity of mind.

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  5. Bravo, Julia! Your feature makes total sense. I’ve had prophetic dreams, and seen ghosts throughout my life and experienced a spiritual transformation: being born again over 3 days in 2003. From 2012 – 2018, I also had an intense ‘dark night of the soul.’

    I was born into a family which had experienced addiction, trauma and mental illness: a heavy legacy. If we get caught up in labels developed by people who don’t experience such states (whether mental health professionals, or a member of the public) and who don’t know the intensity of intergenerational trauma, we can fool ourselves to believing we’re mentally ill.

    Extreme states are definitely not a “problem”, but they can feel very chaotic and disjointed, like a new cosmos being born within us, essentially shattering our ego mind which clings to the comfort zone and a need to be superior.

    My awakening happened during a period of profound grief and trauma, enabling me to see a much deeper meaning and astonishing (but real) interconnection between people. Ultimately, through altered states and a sense of being guided to answers, I was able to see that unconditional love (which lies beyond all labelling) is able to heal intergenerational trauma. Open Dialogue therapy (2016 – 2018) in the UK helped me reflect and rebuild a coherent me, after a period of dissocation and terrible nightmares.

    The resulting compassion has transformed my life and enables me to work in the recovery community, as a service of remembrance to my younger brother, Eric, who took his life in 2009. Namaste.

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