Central to the identity of modern medical specialities, including psychiatry, is the notion of hypostatic abstraction: doctors treat conditions or disorders, which are conceived of as “things” that people “have.” Mad activism rejects this notion and hence challenges psychiatry’s identity as a medical specialty. This article elaborates the challenge of Mad activism and develops the hypostatic abstraction as applied to medicine. For psychiatry to maintain its identity as a medical speciality while accommodating the challenge of Mad activism, it must develop (...) an additional conception of the clinical encounter. Toward elaborating this conception, this article raises two basic framing questions: For what kind of understanding of the situation should the clinical encounter aim? What is the therapeutic aim of the encounter as a whole? It proposes that the concepts of “secondary insight” and of “identity-making” can allow the clinical encounter to proceed in a way that accommodates the challenge of Mad activism. (shrink)

In spite of scientific developments, paranormal beliefs remain widespread, especially in South Asian societies. Numerous disorders connected to possession and trance have been theorized in recent years. In this study, three community samples were used to develop a comprehensive scale of Belief in Jinn Possession Scale (BJPS) and to examine its consistency and relevance. The BJPS scale was proposed to be multidimensional with four factors displaying satisfactory internal consistency reliability estimated by the exploratory factor analysis (EFA) ( n = 300). (...) However, confirmatory factor analyses ( n = 300) reduced the number of factors to two. The BJPS demonstrated excellent reliability and statistically significant positive correlations among its factors of beliefs about signs of possession and beliefs about vulnerability and preventive measures. Convergent and discriminant validity ( n = 316) was supported by a high correlation between BJPS, Revised Paranormal Belief Scale (RPBS), and Paranormal and Supernatural Belief Scale (PSBS) and a low correlation between BJPS, Narcissistic Personality Inventory 16 (NPI-16), and Moral Identity Measure (MIM). These results suggest that the BJPS is a well-grounded and sound tool for evaluating one’s irrational beliefs about possession states in Pakistani culture, and it may be the first attempt to conceptualize possession. (shrink)