Abstract
Objective: To examine a few links between spirituality and psychosis through illustrative cases.
Conclusions: Psychoses exact a terrible toll on people. In approximately half the patients there is an enduring loss of richness of personality - the so-called deficit syndrome. Many people with psychoses attempt and complete suicide. Spirituality may be critical for dealing with the assault that psychoses effects on identity and personality. It may also help in coping with devastating loss. Religion and spirituality may replace some of the loss, and may also play a key role in psychotherapeutic support and recovery. However, religion can also be a source of pain, guilt and exclusion, and religious themes may also play a negative role in psychopathology.