<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article
  PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20120330//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML"
         xmlns:xlink="http://www.w3.org/1999/xlink"
         article-type="research-article"
         dtd-version="1.2"
         xml:lang="en">
   <front>
      <journal-meta>
         <journal-id>ZYGO</journal-id>
         <journal-title-group>
            <journal-title>Zygon®</journal-title>
            <abbrev-journal-title/>
         </journal-title-group>
         <issn pub-type="print">0591-2385</issn>
         <issn pub-type="electronic">1467-9744</issn>
      </journal-meta>
      <article-meta>
         <article-id pub-id-type="doi">10.1111/j.1467-9744.2006.00785.x</article-id>
         <title-group>
            <article-title>SPIRITUAL TRANSFORMATION, RITUAL HEALING, AND ALTRUISM</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name name-style="western">
                  <surname>Koss‐Chioino</surname>
                  <given-names>Joan D.</given-names>
               </name>
            </contrib>
         </contrib-group>
         <aff id="a1"/>
         <pub-date publication-format="electronic" iso-8601-date="2006-12-02">
            <day>02</day>
            <month>12</month>
            <year>2006</year>
         </pub-date>
         <volume>41</volume>
         <issue>4</issue>
         <issue-id pub-id-type="doi">10.1111/zygo.2006.41.issue-4</issue-id>
         <fpage>877</fpage>
         <lpage>892</lpage>
         <permissions/>
         <abstract>
            <p>Based on studies of spirit healing in Puerto Rico and the United States, this essay proposes a model of ritual healing process focused on the core components of spiritual transformation and empathy. It describes the central role of spiritual transformation in healers from which emerges their capacity for relation, empathy, and altruism. Many spirit healers, following a spiritual transformation, begin to exercise what I label here radical empathy, in which individual differences between healer and sufferer are melded into one field of feeling and experience. This produces a type of altruism in which spirit healers feel compelled to be altruistic in responding to suffering whenever they encounter it. The model is compared and contrasted with aspects of healing process in some psychotherapeutic and analytic therapies. These comparisons are offered in the light of the growing interest in incorporating spirituality into psychological and medical treatments.</p>
         </abstract>
         <kwd-group>
            <kwd>altruism</kwd>
            <kwd>empathy</kwd>
            <kwd>healing process</kwd>
            <kwd>ritual healing</kwd>
            <kwd>spiritual transformation</kwd>
         </kwd-group>
         <counts/>
      </article-meta>
   </front>
   <body/>
   <back>
      <ref-list>
         <ref id="b1">
            <mixed-citation id="cit1" publication-type="book">Batson, Carl Daniel. 2002. “<source>Addressing the Altruism Question Experimentally. 
        </source>
					In
					Altruism and Altruistic Love: Science, Philosophy and Religion in Dialogue, ed. 
S.Post, 
L. G.Underwood, 
J. P.Schloss, and 
W. B.Hurlbut, 89–105. 
            New York
          : Oxford Univ. Press.
</mixed-citation>
         </ref>
         <ref id="b2">
            <mixed-citation id="cit2" publication-type="book">Batson, Carl Daniel, Nadia Ahmad, 
D. A.Lishner, and 
J.Tsang.2002. “<source>Empathy and Altruism 
        </source>”. In
					Handbook of Positive Psychology, ed. 
C. R.Snyder and 
S. J.Lopez, 485–98. 
            New York
          : Oxford Univ. Press.
</mixed-citation>
         </ref>
         <ref id="b3">
            <mixed-citation id="cit3" publication-type="book">Bohart, Arthur C., and 
Leslie S.Greenberg.1997. Empathy Reconsidered: New Directions in Psychotherapy. 
            Washington
            , 
            D.C.
          : American Psychological Association.
</mixed-citation>
         </ref>
         <ref id="b4">
            <mixed-citation id="cit4" publication-type="book">Colby, Anne, and 
WilliamDamon.1992. Some Do Care: Contemporary Lives of Moral Commitment. 
            New York
          : Free Press.
</mixed-citation>
         </ref>
         <ref id="b5">
            <mixed-citation id="cit5" publication-type="book">Csordas, Thomas J.2002. Body/Meaning/Healing. 
            New York
          : Palgrave MacMillan.
</mixed-citation>
         </ref>
         <ref id="b6">
            <mixed-citation id="cit6" publication-type="book">Csordas, Thomas J.1994. The Sacred Self: A Cultural Phenomenology of Charismatic Healing. 
            Berkeley
          : Univ. of California Press.
</mixed-citation>
         </ref>
         <ref id="b7">
            <mixed-citation id="cit7" publication-type="journal">Csordas, Thomas, and 
ElizabethLewton.1998. “Practice, Performance and Experience in Ritual Healing. 
<source>Transcultural Psychiatry 35 
        </source> (Dec): 435–512.
</mixed-citation>
         </ref>
         <ref id="b8">
            <mixed-citation id="cit8" publication-type="book">Frankl, Victor E.1959. Mans Search for Meaning. 
            Boston
          : Beacon.
</mixed-citation>
         </ref>
         <ref id="b9">
            <mixed-citation id="cit9" publication-type="journal">Greenwald, D. F., and 
D. W.Harder.2003. “The Dimensions of Spirituality. 
<source>Psychological Reports 
        </source>92(3):975–80.
</mixed-citation>
         </ref>
         <ref id="b10">
            <mixed-citation id="cit10" publication-type="journal">Groesbeck, C. Jess. 1975. “The Archetypal Image of the Wounded Healer. 
<source>Journal of Analytical Psychology 
        </source>20(2):122–45.
</mixed-citation>
         </ref>
         <ref id="b11">
            <mixed-citation id="cit11" publication-type="book">Guggenbuhl‐Craig, Adolf. 1978. Power in the Helping Professions. 
            Dallas
            , 
            Tex.
          : Spring.
</mixed-citation>
         </ref>
         <ref id="b12">
            <mixed-citation id="cit12" publication-type="book">Hefner, Philip. 2006. “<source>Spiritual Transformation and Healing: An Encounter with the Sacred 
        </source>”. In
					Spiritual Transformation and Healing: Anthropological, Theological, Neurosci‐entific, and Clinical Perspectives, ed. 
Joan D.Koss‐Chioino and 
PhilipHefner, 119–33. 
            Lanham
            , 
            Md.
          : AltaMira.
</mixed-citation>
         </ref>
         <ref id="b13">
            <mixed-citation id="cit13" publication-type="book">Katz, Richard. 1993. The Straight Path: A Story of Healing and Transformation in Fiji. 
            Reading
            , 
            Mass
          : Addison‐Wesley.
</mixed-citation>
         </ref>
         <ref id="b14">
            <mixed-citation id="cit14" publication-type="book">Katz, Solomon H.2004. The Spiritual Transformation Scientific Research Program. 
            Philadelphia
          : Metanexus Institute on Religion and Science.
</mixed-citation>
         </ref>
         <ref id="b15">
            <mixed-citation id="cit15" publication-type="journal">Kirmayer, Lawrence J.2003. “Asklepian Dreams: The Ethos of the Wounded‐Healer in the Clinical Encounter. 
<source>Transcultural Psychiatry 
        </source>40 (June): 248–77.
</mixed-citation>
         </ref>
         <ref id="b16">
            <mixed-citation id="cit16" publication-type="journal">Kirschenbaum, Howard, and 
StephenDemanchick.2004. “Much Ado about Dialogue: Review of K. Cissna and R. Anderson, <source>Moments of Meeting: Buber, Rogers and the Potential for Public Dialogue” Contemporary Psychology 
        </source>49(4):422–24.
</mixed-citation>
         </ref>
         <ref id="b17">
            <mixed-citation id="cit17" publication-type="journal">Kleinman, Arthur, and 
LiSung.1979. “Why Do Indigenous Practitioners Successfully Heal<source>Social Science and Medicine 
        </source>13B: 7–26.
</mixed-citation>
         </ref>
         <ref id="b18">
            <mixed-citation id="cit18" publication-type="book">Kohut, Hans. 1984. How Does Analysis Cure?
					
            Chicago
          : Univ. of Chicago Press.
</mixed-citation>
         </ref>
         <ref id="b19">
            <mixed-citation id="cit19" publication-type="journal">Koss, Joan D.1990. “Somatization and Somatic Complaint Syndromes among Hispanics: Overview and Ethnopsychological Perspectives. 
<source>Transcultural Psychiatric Research Re-view 
        </source>27 (1): 5–29.
</mixed-citation>
         </ref>
         <ref id="b20">
            <mixed-citation id="cit20" publication-type="book">Koss‐Chioino, Joan D.1992. Women as Healers, Women as Patients: Mental Health Care and Traditional Healing in Puerto Rico. 
            Boulder
            , 
            Colo.
          : Westview.
</mixed-citation>
         </ref>
         <ref id="b21">
            <mixed-citation id="cit21" publication-type="book">Koss‐Chioino, Joan D.1996. “<source>The Experience of Spirits: Ritual Healing as Transactions of Emotion (Puerto Rico) 
        </source>”. In
					Yearbook of Cross‐Cultural Medicine and Psychotherapy, Vol. 1993, Ethnopsychotherapy, ed. 
W.Andritzky, 251–71. 
            Berlin
          : Verlag fur Wissenschaft und Bildung.
</mixed-citation>
         </ref>
         <ref id="b22">
            <mixed-citation id="cit22" publication-type="book">
ed. 
W.Andritzky1999. “<source>Integrating Mental Health Care and Traditional Healing in Puerto Rico: The Story of an Experiment 
        </source>”. In
					Anthropology in Public and International Health, ed. 
R. A.Hahn, 279–99. 
            New York
          : Oxford Univ. Press.
</mixed-citation>
         </ref>
         <ref id="b23">
            <mixed-citation id="cit23" publication-type="book">Koss‐Chioino, Joan D., and 
PhilipHefner, eds. 
2006. Spiritual Transformation and Healing: Anthropological, Theological, Neuroscientific, and Clinical Perspectives. 
            Lanham
            , 
            Md.
          : AltaMira.
</mixed-citation>
         </ref>
         <ref id="b24">
            <mixed-citation id="cit24" publication-type="journal">Kristeller, Jean I., and 
ThomasJohnson.2005. “Cultivating Loving Kindness: A Two‐stage Model of the Effects of Meditation on Empathy, Compassion, and Altruism. 
<source>Zygon: Journal of Religion and Science 
        </source>40 (June): 391–407.
</mixed-citation>
         </ref>
         <ref id="b25">
            <mixed-citation id="cit25" publication-type="book">McLean, J. A.1994. Dimensions in Spirituality. 
            Oxford
            , 
            England
          : George Ronald Press.
</mixed-citation>
         </ref>
         <ref id="b26">
            <mixed-citation id="cit26" publication-type="book">Mead, George H.1932. The Philosophy of the Present. 
            Chicago
          : Univ. of Chicago Press.
</mixed-citation>
         </ref>
         <ref id="b27">
            <mixed-citation id="cit27" publication-type="journal">Mikulincer, Mario, and 
Philip R.Shaver.2005. “Attachment Security, Compassion, and Altruism. 
<source>Current Directions in Psychological Science 
        </source>14(1):34–38.
</mixed-citation>
         </ref>
         <ref id="b28">
            <mixed-citation id="cit28" publication-type="book">Miller, Grant D., and 
Dewitt C.BaldwinJr.2000. “<source>Implications of the Wounded Healer Paradigm for the Use of Self in Therapy 
        </source>”. In
					The Use of Self in Therapy, 2d ed., ed. 
M.Baldwin, 243–62. 
            New York
          : Haworth.
</mixed-citation>
         </ref>
         <ref id="b29">
            <mixed-citation id="cit29" publication-type="book">O'Hara, Maureen. 1997. “<source>Relational Empathy: Beyond Modernist Egocentrism to Postmodern Holistic Contextualism. 
        </source>
					In
					Empathy Reconsidered, ed. 
Arthur C.Bohart and 
L. S.Greenberg, 295–319. 
            Washington
            , 
            D.C.
          : American Psychological Association.
</mixed-citation>
         </ref>
         <ref id="b30">
            <mixed-citation id="cit30" publication-type="book">Oliner, Samuel P.2002. “<source>Extraordinary Acts of Ordinary People: Faces of Heroism and Altruism 
        </source>”. In
					Altruism and Altruistic Love: Science, Philosophy, and Religion in Dialogue, ed. 
S.Post, 
L. G.Underwood, 
J. P.Schloss, and 
W. B.Hurlbut, 123–39. 
            New York
          : Oxford Univ. Press.
</mixed-citation>
         </ref>
         <ref id="b31">
            <mixed-citation id="cit31" publication-type="book">Pargament, Kenneth. 2006. “<source>The Meaning of Spiritual Transformation. 
        </source>
					In
					Spiritual Transformation and Healing: Anthropological, Theological, Neuroscientific, and Clinical Perspectives, ed. 
Joan D.Koss‐Chioino and 
PhilipHefner, chap. 2. 
            Lanham
            , 
            Md.
          : AltaMira.
</mixed-citation>
         </ref>
         <ref id="b32">
            <mixed-citation id="cit32" publication-type="journal">Peters, Larry. 1981. “An Experiential Study of Nepalese Shamanism. 
<source>The Journal of Trans-personal Psychology 
        </source>13:1–26.
</mixed-citation>
         </ref>
         <ref id="b33">
            <mixed-citation id="cit33" publication-type="book">Post, Stephen G.2003. Unlimited Love: Altruism, Compassion, Service. 
            Philadelphia
          : Temple‐ton Foundation Press.
</mixed-citation>
         </ref>
         <ref id="b34">
            <mixed-citation id="cit34" publication-type="book">Post, Stephen G., 
Byron Johnson, Michael McCullough, and 
Jeffrey P.Schloss.2002. Research on Altruism and Love: An Annotated Bibliography of Major Studies in Psychology, Sociology, Evolutionary Biology and Theology. 
            Philadelphia
          : Templeton Foundation Press.
</mixed-citation>
         </ref>
         <ref id="b35">
            <mixed-citation id="cit35" publication-type="book">Preston, L., and 
E.Shumsky.2002. “<source>From an Empathic Stance to an Empathic Dance: Negotiation 
        </source>”. In
					Progress in Self Psychology, ed. 
A.Goldberg, 47–61. 
            Hillsdale
            , 
            N.J.
          : Analytic Press.
</mixed-citation>
         </ref>
         <ref id="b36">
            <mixed-citation id="cit36" publication-type="book">Renwick Monroe, Kristen. 2002. “<source>Explicating Altruism 
        </source>”. In
					Altruism and Altruistic Love: Science, Philosophy, and Religion in Dialogue, ed. 
S.Post, 
L. G.Underwood, 
J. P.Schloss, and 
W. B.Hurlbut, 106–22. 
            New York
          : Oxford Univ. Press.
</mixed-citation>
         </ref>
         <ref id="b37">
            <mixed-citation id="cit37" publication-type="journal">Rogers, Carl R.1957. “The Necessary and Sufficient Conditions of Therapeutic Personality Change. 
<source>Journal of Consulting and Clinical Psychology 
        </source>21:95–103.
</mixed-citation>
         </ref>
         <ref id="b38">
            <mixed-citation id="cit38" publication-type="book">Rogers, Carl R.1959. “<source>A Theory of Therapy, Personality and Interpersonal Relationships, as Developed in the Client‐centered Framework 
        </source>”. In
					Psychology: A Study of a Science, ed. 
S.Koch, 184–256. 
            New York
          : McGraw Hill.
</mixed-citation>
         </ref>
         <ref id="b39">
            <mixed-citation id="cit39" publication-type="book">Rowe, Crayton, and 
David S.MacIsaac.1989. Empathic Attunement: The Technique of Psychoanalytic Self Psychology. 
            Northvale
            , 
            N.J.
          : Jason Aronson.
</mixed-citation>
         </ref>
         <ref id="b40">
            <mixed-citation id="cit40" publication-type="journal">Samuels, Andrew. 1985. “Countertransference, the <italic>mundus imaginalis and</italic> a Research Project. 
<source>Journal of Analytical Psychology 
        </source>30:47–71.
</mixed-citation>
         </ref>
         <ref id="b41">
            <mixed-citation id="cit41" publication-type="book">Scheler, Max. 1954. The Nature of Sympathy. Trans. P.Heath.
					
            London
          : Routledge.
</mixed-citation>
         </ref>
         <ref id="b42">
            <mixed-citation id="cit42" publication-type="journal">Schwartz, Carolyn, 
JaniceBell Meisenhelder, 
YunshengMa, and 
GeorgeReed. 2003. “Altruistic Social Interest Behaviors Are Associated with Better Mental Health. 
<source>Psychosomatic Medicine 
        </source>65(5):778–85.
</mixed-citation>
         </ref>
         <ref id="b43">
            <mixed-citation id="cit43" publication-type="book">Shweder, Richard, and 
E. J.Bourne.1982. “<source>Does the Concept of Person Vary Cross‐culturally? 
        </source>”
					In
					Cultural Conceptions of Mental Health and Therapy, ed. 
A. J.Marsella and 
G. M.White, 97–137. 
            Boston
          : Kluver.
</mixed-citation>
         </ref>
         <ref id="b44">
            <mixed-citation id="cit44" publication-type="book">Spezio, Michael L.2006. “<source>Narrative in Holistic Healing: Empathy, Sympathy and Simulation Theory 
        </source>”. In
					Spiritual Transformation and Healing: Anthropological, Theological, Neuroscientific, and Clinical Perspectives, ed. 
Joan D.Koss‐Chioino and 
PhilipHefner, 206–22. 
            Lanham
            , 
            Md.
          : AltaMira.
</mixed-citation>
         </ref>
         <ref id="b45">
            <mixed-citation id="cit45" publication-type="book">Van Franz, Marie. 1975. C. G. Jung: His Myth in Our Time. 
            Toronto
          : Little, Brown.
</mixed-citation>
         </ref>
         <ref id="b46">
            <mixed-citation id="cit46" publication-type="book">Winnicott, David W.1971. Playing and Reality. 
            London
          : Tavistock.
</mixed-citation>
         </ref>
      </ref-list>
   </back>
</article>
