This study investigates the characteristic features of trance states in three different ethnic communities (Chinese, Malays and Indians) in Singapore by administering a semi-structured interview to 55 patients with the condition and analysing witnesses’ accounts. Trance disorder among the three groups displays remarkable similarities in phenomenology but differences also exist. Most of the trances were reportedly precipitated by fear, anger and/or frustration. Seventy per cent of patients reported prodromal symptoms. Common manifestations include unusual vocalizations and movements, shaking, apparent immunity from pain, and unfocused or fixed gaze. The patients tend to assume the identities of gods from their own cultures. For individuals reported to be possessed by deities, the embodied identities are gods lower down in the hierarchy of Chinese gods or a minor supernatural figure on the Hindu pantheon. The recognizable prodromal symptoms and hierarchy among the gods may have therapeutic implications.
Adityanjee, R. , Raju, G. S. P., & Khandelwal, S. K. (1989). Current status of multiple personality disorder in India. American Journal of Psychiatry, 146(12), 1607–1610.
2.
American Psychiatric Association . (1994). Diagnostic and statistical manual of mental disorders(4th ed.). Washington, D.C.: American Psychiatric Press.
3.
Antze, P. (1992). Possession trance and multiple personality: Psychiatric disorders or idioms of distress?Transcultural Psychiatric Research Review, 29, 319–323.
4.
Boddy, J. (1992). Comment on the proposed DSM-IV criteria for trance and possession disorder. Transcultural Psychiatric Research Review, 29, 323–330.
5.
Bourguignon, E. (1978). Spirit possession and altered states of consciousness: The evolution of an enquiry. In G. D. Spindler (Ed.), The making of psychological anthropology(pp. 479–515). Berkley: University of California Press.
6.
Cardena, E. (1992). Trance and possession as dissociative disorders. Transcultural Psychiatric Research Review, 29, 287–300.
7.
Chen, P. C. (1979). Main puteri: An indigenous Kelantanese form of psychotherapy. International Journal of Social Psychiatry, 25, 167–175.
8.
Census of Population. (1990). Department of Statistics, Singapore: Singapore National Printers.
9.
Chong, T. M. (1976). Cultural–religious trance states in Singapore. Proceedings of the 7th International Congress of Hypnosis, 1–3 July, Philadelphia.
10.
Clammer, J. (1993). Religious pluralism and Chinese beliefs in Singapore. In H. T. Cheu (Ed.), Chinese beliefs and practices in Southeast Asia(pp. 199–221). Selangor, Malaysia: Pelanduk.
11.
Comber, L. (1958). Chinese temples in Singapore. Singapore: Eastern Universities Press.
12.
Griffith, E. E. H. , & Ruiz, P. (1977). Cultural factors in the training of psychiatry residents in an Hispanic urban community. Psychiatric Quarterly, 49, 29–37.
13.
Halperin, D. (1996). Trance and possession: Are they the same?Transcultural Psychiatric Research Review, 33, 33–41.
14.
Kleinman, A. (1998). Rethinking psychiatry: From cultural category to personal experience. New York: The Free Press.
15.
Kua, E. H. , Sim, L. P., & Chee, K. T. (1986). A cross-cultural study of the possession-trance in Singapore. Australian & New Zealand Journal of Psychiatry, 20, 361–364.
16.
Lee, S. M. (1995). Spectrum of Chinese culture. Selangor, Malaysia: Pelanduk.
17.
Lewis-Fern·ndez, R. (1992). The proposed DSM-IV trance and possession disorder category: Potential benefits and risks. Transcultural Psychiatric Research Review, 29, 301–317.
18.
Li, D. , & Spiegel, D. (1992). A neural network model of dissociative disorder. Psychiatric Annals, 22, 144–147.
19.
Ludwig, A. M. , (1966). Altered states of consciousness. Archives of General Psychiatry, 15, 225–234.
20.
Nasruddin, M. G. (1990). Dancing to ecstasy on the hobby horse. In W. J. Karim (Ed.), Emotions of culture: A Malay perspective(pp. 142–158). London: Oxford University Press.
21.
Noll, R. (1993). Exorcism and possession: The clash of worldviews and the hubris of psychiatry. Dissociation, 6 (Special issue), 250–253.
22.
Ong, A. (1987). Spirits of resistance and capitalist discipline: Factory women in Malaysia. Albany: State University of New York Press.
23.
Prins, H. (1990). Besieged by devils: Possession and possession states. In Bizarre behaviours: boundaries of psychiatric disorder(pp. 23–40). London: Routledge.
24.
Rashid, R. (1990). Martial arts and the Malay superman. In W. J. Karim (Ed.), Emotions of culture: A Malay perspective(pp. 64–95). London: Oxford University Press.
25.
Reed, G. (1988). The psychology of anomalous experience(rev. ed.). New York: Prometheus.
26.
Sakai, T. (1993). Chinese religious practices and customs in Malaysia and Singapore. In E. T. Cheu (Ed.), Chinese beliefs and practices in Southeast Asia. Selangor, Malaysia: Pelanduk.
27.
Saxena, S. (1987). ‘Simple dissociative disorder’: A subcategory in DSM-III-R?American Journal of Psychiatry, 144 (4), 525-525.
28.
Saxena, S. , & Prasad, K. V. S. R. (1989). DSM-III subclassification of dissociative disorders applied to psychiatric outpatients in India. American Journal of Psychiatry, 146(2), 261–262.
29.
Spiegel, D. , & Maldonado, J. R. (1999). Dissociative disorder. In R. E. Hales, S. C. Yudofsky, & J. A. Talbott (Eds.), The American Psychiatric Press textbook of psychiatry(3rd ed., pp. 711–737). Washington, D.C.: American Psychiatric Press.
30.
Tham, S. C. (1985). Religion and modernization: A study of changing rituals amongSingapore’s Chinese, Malays and Indians. Singapore: Graham Brash.
31.
Tong, C. K. (1989). Child diviners: Religious knowledge and power among the Chinese in Singapore. Southeast Asian Ethnography, 8, 71–86.
32.
Wong, C.S. (1987). An illustrated cycle of Chinese festivities in Malaysia andSingapore. Singapore: Malaysia Publishing House.
33.
Zisook, S. (1987). Unresolved grief. In S. Zisook (Ed.), Biopsychosocial aspects of bereavement(pp. 21–34). Washington, D.C.: American Psychiatric Press.
