It’s refreshing to hear of a psychiatrist who sees the spirituality of a person being relevant to treatment. Unfortunately, I seemed to detect a note of irritation (intolerance?) in your comment “without the dogma”. This seemed to be a reference to Darryl’s Judeo-Christian perspective. It is impossible to discuss spirituality without dogma. The shamanic concepts that Kelly spoke of are rooted in pantheistic and animistic belief systems or dogma. While there are certainly points of agreement between traditional, orthodox Christianity and all other religions, there are sharp points of division which Darryl alluded to. I understand that traditional Christian dogma may make some people wince at ideas such as the exclusive deity of Christ or his literal physical resurrection from the dead, but I hope we can all be patient with one another when theological and philosophical differences arise. We can’t simply roll them all into one generic brand of “spirituality” and pretend these differences don’t exist. As Christian, a recovered schizophrenic, and a therapist for 30+ years, I want to believe that more traditional religious views can be included into this very important discussion.