{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:04:08Z","timestamp":1787069048368,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T00:00:00Z","timestamp":1760227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T00:00:00Z","timestamp":1760227200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Kitousei\u2010Seishinbyo, or psychosis induced by invocation, was first described by Morita in 1915 as a culture\u2010bound syndrome characterized by possession\u2010like states and personality transformation triggered by prayer or spiritual practices. New psychosocial triggers (e.g., self\u2010improvement seminars, emerging religious groups) have been identified. However, reports of possession\u2010related episodes have become extremely rare. Diagnostic confusion with dissociative identity disorder or other specified dissociative disorders persists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A woman in her 50s, with no prior psychiatric history, developed acute possession\u2010like symptoms after visiting a fortune\u2010teller. She was told her misfortune was caused by the spirit of her aborted child. Soon after, she entered trance states, spoke in altered voices (male and childlike), and exhibited personality changes, agitation, and dangerous behaviors, leading to involuntary admission. On evaluation, laboratory tests, electroencephalogram (EEG), and imaging were unremarkable. During hospitalization, she exhibited mutism, rigidity, temporary auditory hallucinations, and somatic complaints such as heaviness and dizziness, which fluctuated depending on spiritual contact. Retrospective review revealed significant psychosocial stressors, including marital discord, caregiving burden, and strained family relationships. Management involved family psychoeducation, occupational therapy, and low\u2010dose psychotropics (tandospirone and zolpidem). Her symptoms gradually stabilized, and she voluntarily discontinued spiritual practices. She was discharged after 62 days with improved family dynamics and sustained recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case illustrates a present\u2010day example of Kitousei\u2010Seishinbyo triggered by encountering a fortune\u2010teller. Improvement was achieved through combined psychosocial interventions and low\u2010dose pharmacotherapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pcn5.70227","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T04:56:12Z","timestamp":1760331372000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychosis induced by invocation presenting as possession state: A case of Kitousei\u2010Seishinbyo still emerging in modern Japan"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8860-4942","authenticated-orcid":false,"given":"Fumiya","family":"Miyano","sequence":"first","affiliation":[{"name":"Department of Psychiatry Hokkaido University Graduate School of Medicine Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Mitsui","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hokkaido University Graduate School of Medicine Sapporo Hokkaido Japan"},{"name":"Health Care Center of Hokkaido University Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3928-7630","authenticated-orcid":false,"given":"Yutaka","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hokkaido Prefectural Koyogaoka Hospital Abashiri Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5169-2930","authenticated-orcid":false,"given":"Takahiro A.","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hokkaido University Graduate School of Medicine Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,12]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"286","article-title":"On so\u2010called 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