A Cultural Pathway to Addressing Contemporary Mental Illness: Construction and Healing Logic of the “Virtual Illness” Concept in Shamanism in the North of China
Religions April 1, 2026 Peer reviewed DOI: 10.3390/rel17040431 via OpenAlex
Summary
In northern China, contemporary shamanic practices have adapted to address mental illness, conceptualizing it as 'virtual illness' linked to external malevolent spirits. This study examines how local shamans employ spiritual healing to help individuals cope with prolonged mental distress by attributing issues to a possessed spiritual identity and encouraging a positive outlook. These cultural practices not only align with modern medical systems but also provide insights into the individuation process and the concept of the 'self' in relation to mental health.
Study at a glance
| Design | qualitative study |
|---|---|
| Population | local shamans and individuals experiencing mental distress in northern China |
| Key finding | Shamanic healing practices in northern China frame prolonged mental distress as possession by malevolent spirits, offering a culturally specific approach to coping with mental illness. |
Abstract
Mental illness has become increasingly prominent in the modern individuation process in China. Correspondingly, contemporary shamanic practices in the north of China have gradually focused on mental issues and have constructed an indigenous concept related to them: “virtual illness.” Based on many years of fieldwork conducted in the shamanic regions of the north of China, this study focuses on the healing practices of local shamans. By integrating theoretical resources on the “self” from sociology and shamanic studies, it explores the cultural practices and therapeutic logic formed by local shamans around the concept of “virtual illness” in addressing contemporary socio-psychological anxiety. Studies indicate that within the shamanic conceptual system of this region, prolonged mental distress is prone to possession by external malevolent spirits, thereby becoming a form of virtual illness. The healing process of possession-type “virtual illness” reflects the regional shamanic approach to explanation and intervention within a framework of a holistic self. This is manifested by attributing misfortune, such as failure and mental illness, to the possessed spiritual identity and conducting spiritual healing on the possessed spiritual identity, while encouraging individuals to maintain a positive and forward-looking state. Together, these actions build a positive psychological foundation for coping with mental illness, providing a unique response pathway to the mental illness triggered by the “individualized self.” Cultural healing practices in the north of China for mental illness not only adapt to the modern Chinese medical system and social context, but also offer a targeted cultural healing perspective for understanding mental illness phenomena in China’s individuation process, thereby promoting philosophical reflection on the concept of the “self.”