Ancient Sources on Madness Caused by Evil Spirits
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Ancient Sources on Madness Caused by Evil Spirits
Madness as Spirit Possession: Ancient Sources and Interpretations from Mesopotamia to the Medieval World
Introduction: Conceptualizing Madness as Spirit Possession in World Antiquity
Across ancient civilizations, the boundaries between medical, psychological, and supernatural explanations for human behavior were fluid and frequently intertwined. Madness—signified in ancient texts as delusion, rage, confusion, frenzy, “out of mind,” and countless other descriptors—was often regarded not merely as an aberration of the mind or body, but as the result of profound supernatural interference. Malevolent spirits, demons, gods, the souls of the dead, and the forces of cosmic disorder were regularly invoked to explain symptoms that today might be classified as mental illness, psychological crisis, or neurological disorder.
This report compiles and analyzes ancient source materials that link states of madness (in its broadest sense) to the influence, possession, torment, or attack by evil spirits or malevolent supernatural entities. Drawing from a wide variety of civilizations—including Mesopotamia, Egypt, Greece, Rome, India, China, Israel, Persia, the Mesoamerican and African worlds, and extending to the medieval Christian and Tibetan Buddhist traditions—this review lays out the complex tapestry of beliefs, rituals, texts, and cosmologies that shaped ancient approaches to madness and its spiritual cures.
A comparative table summarizing ancient sources, their origin, and the corresponding type of spiritual cause described can be found at the close of each major civilization’s section for clarity and to facilitate cross-cultural analysis.
Mesopotamia: Demonic Possession and the Genesis of Spirit-Induced Madness
Demons, Illness, and the Mind in Sumer, Akkad, Babylon, and Assyria
Mesopotamia’s cuneiform heritage—preserved in magical, medical, and divinatory tablets—offers perhaps the most elaborate demonology linked to disease and madness. Ancient texts from Sumer, Akkad, and especially Babylon and Assyria, present a universe populated by countless spirits and demons, each with distinct or overlapping domains: illness, nightmares, social chaos, or even sexual disorder.
Key malevolent entities include:
- Utukku: Vengeful ghosts, sometimes called forth by necromancy, believed to possess or torment the living, causing both physical and mental disturbances.
- Alu: Lurking night demons, associated with sleep paralysis, night terrors, and confusion.
- Ekimmu: Restless ghosts, especially of the improperly buried, haunting and driving the living to states of distress and agitation.
- Lilu and Lilitu: Male (Lilu) and female (Lilitu) night spirits causing nightmares, sexual distemper, and frenzied states.
- Labartu, Labasu, Gallu, Rabisu, Ahhazu: A broader taxonomy of spirits associated with specific afflictions ranging from infant death to fever, epilepsy, or mania.
Madness, or “confusion of the mind,” was seen as a prime symptom of such supernatural interference. Rituals for diagnosis and exorcism included extispicy (divination by animal entrails), incantations, purification rites, and the use of amulets, especially portraying the demon Pazuzu to ward off Lamashtu and other evil spirits.
The famous "Seven Evil Spirits" or "Seven Demons" feature in several cuneiform incantations, described as bringers of disease, misfortune, pestilence, and chaotic frenzy:
“Seven are they! ... Knowing neither mercy nor pity, they hearken not to prayer or supplication ... They feed on mankind like vampires ... Knowing no mercy, they rage against mankind.”
— "Devils and Evil Spirits of Babylonia", Tablet V
Diagnosis and Healing Rituals:
Afflicted individuals sought intervention at temples and through rituals. Priests or “bārû” diviners performed extispicy, interpreted omens, and recited lengthy incantations. Healing involved exorcistic recitations, plant-based potions like the kiskanu plant (seen as having divine healing power), and ritual cleansing.
Legacy and Cross-Cultural Influence:
The vocabulary and cosmology of Mesopotamian demonology influenced later Jewish, Christian, Islamic, and even heterodox magical traditions in the West. The notion of madness as caused by “evil spirits” or “jinn” remains preserved in various forms in the Middle East and North Africa.
Web Sources:
- mythologyworldwide.com: The Seven Evil Spirits in Mesopotamian Mythology
- UKAT London Clinic: Demons and mental illness in Ancient Mesopotamia
- Babylonian Mythology: The Connection Between Babylonian Demons and Mental Illness
- MythicalEncyclopedia: Demons in Ancient Mesopotamia
- Eatthefruit.com: The Seven Evil Spirits (or Demons)
- Academia.edu: The Devils and Evil Spirits of Babylonia
Ancient Egypt: Illness, Depression, and Spiritual Affliction
Demonic Medicine and Magical Healing
Egyptian medical papyri, most notably the Ebers Papyrus (c. 1550 BCE), reflect a cultural blend where spiritual, magical, and proto-medical practices coexisted, often with no clear demarcation. Illness was commonly attributed to external spiritual agents—most often malevolent, though sometimes capricious gods, “wandering spirits,” or ghosts of the departed.
The Ebers Papyrus contains hundreds of spells and incantations explicitly intended to “send away illness-causing demonic forces” using magical ingredients, spoken interventions, and ritual acts. The process of exorcism ranged from the use of amulets, spoken charms, and the invocation of protective deities, to complex temple rituals. The Papyrus also describes the “Book of Hearts,” linking certain affective disturbances (what today might be called depression or mood disorders) to spiritual affliction:
“…the mind in the heart which goes up and falls down…”
“…his mind is drowned, this means his mind is forgetful, like one who is thinking of something else…as if his mind is dark.”
— Ebers Papyrus (transl. C.P. Bryan)
Priests and Healing:
Priests (especially of Sekhmet or Thoth) were both exorcists and healers. Sleep temples functioned as healing sanctuaries where dream visions, considered messages from gods or spiritual beings, guided diagnosis and treatment. The afflicted would recount their dreams to priests, who interpreted them against the Egyptian Dream Book, revealing possible spiritual causes and cures.
Textual Example:
“Papyrus Ebers records over 700 spells to send away illness-causing demonic forces ... a mix of spiritual, mystical, magical, and medical.”
— Kathleen M. Pike, PhD
Web Sources:
- Mental Health in Ancient Egypt, Kathleen M. Pike, PhD
- History of Information: The Ebers Papyrus
- Psychiatry Online: Ebers Papyrus
Ancient Greece and Rome: Divine Madness, Daimons, and Ecstasy
Madness in Myth and Tragedy
In Greece, explanations of madness oscillated between physiological theories (Four Humours) and supernatural/demonic intervention. The roots of both are preserved in a broad array of literary and philosophical texts:
Divine-Induced Madness:
- Homeric Epic: Heroes are driven to ruin by “Ate” (delusion) and direct intervention of gods. In the Iliad, both battle rage and emotional derangement are attributed to “ate” or a god’s touch.
- Greek Tragedy: In Euripides’ Herakles, the goddess Hera sends the goddess Lyssa (Personification of Madness) to possess Herakles, leading him to murder his family. Lyssa is invoked in poetry and drama as both a goddess and a daemon, epitomizing the blurring of boundaries between madness as a metaphysical and spiritual affliction.
- Bacchic Frenzy: In the Bacchae, Dionysus inflicts frenzies (mania) upon mortals as punishment or initiation. His followers, the Maenads, exhibit behaviors that today would be considered psychotic episodes or mass hysteria—yet are interpreted as forms of divine madness.
Personified Spirits and Deities:
- Maniae: Spirits (“daemones”) of insanity and crazed frenzy, closely linked to Lyssa and the Erinyes (Furies).
- Daimon/Demon: In Greek, “daimon” could mean a lesser deity, personal spirit, or guiding/bewitching supernatural agent. Many texts use “daimonizomai” to refer explicitly to being possessed or driven mad by a demon.
Legal, Philosophical, and Medical Overlaps:
- Plato describes “divine madness” as inspiration for prophecy, poetic genius, and philosophical insight but also as a dangerous impairment when inflicted by gods in punishment for hubris or offense.
- Greek Asclepiad sanctuaries (Asclepieia) provided dream incubation for healing, where divine intervention through dreams was considered curative or diagnostic; madness was treated as both an affliction sent by gods/spirits and as a result of soul-disease.
Web Sources:
- Greek Mythology Link: Madness (Mania, Lyssa)
- Theoi.com: Maniae (Spirits of Madness)
- Wikipedia: Lyssa
- Academia.edu: Mania: Madness in the Greco-Roman World
- Edelstein, E.J. & L.L.: Asclepius testimonies
- Surflegacy.net: Seidr
Healing Sanctuaries: The Asclepieion
Asclepieia functioned as healing temples where the mentally afflicted underwent incubation—sleeping in the temple for curative dreams sent by Asclepius or his daughters Hygeia and Panacea. Here, spiritual causes of madness were integrated into dream interpretation, and the division between medicine and magic was dissolved.
Ancient India: Spirits and Madness in Vedas and Ayurveda
Vedic Scriptures and Spirit-Induced Madness
Atharvaveda (c. 1500 BCE – 1000 BCE) contains a vast collection of hymns and spells aimed at curing diseases seen as caused by spirits, demons, and supernatural forces. These include elaborate exorcisms, mantras, and rituals to drive out the malevolent beings thought to "inhabit" or "devour" their victim, causing “delirium,” fever, dementia, and other afflictions:
Select Examples:
- Atharvaveda VII, 116: Demon Takman personified as fever-spirit, to be exorcised via ritual transfer.
- Atharvaveda II, 31: Indra invoked to crush “spirit worms” thought to live in the head, entrails, and bones, causing both “madness” and physical disease.
- Atharvaveda VI, 46: Nightmares linked to demonic entities; exorcism by transferring bad dreams to the enemy.
- Lead amulet spell (AV I, 16): “Against the devouring demons… this lead vanquishes the vishkandha, this strikes the devouring demons (atrin); with this I have overwhelmed all the offspring of the Pisakas...”
Upanishads and Bhagavad Gita:
Describe the “mind” (manas or chitta) as vulnerable to wild fluctuations unless spiritually trained. Bhagavad Gita 14.8 associates tamas (ignorance) with “madness, indolence, and sleep” as delusions binding the soul, hinting that spiritual ignorance (a kind of “spiritual possession”) can cause madness:
“The results of this mode [tamas] are madness, indolence and sleep, which bind the conditioned soul.”
— Bhagavad Gita 14.8
Ayurveda, India’s foundational medical system, incorporates spirit (bhuta/graha)-possession as a fundamental diagnostic category. The Charaka Samhita and later works elaborate causes, symptoms, and exorcism/treatment for such spirit-induced illnesses.
Web Sources:
- Sacred-texts: Atharvaveda
- Vedabase.io: Bhagavad Gita 14.8
- abracademica: Atharvaveda—Vedic magic
- Timeslife: Mental Health Lessons in Indian Scriptures
Ancient China: Spirit, Madness, and Early Medical/Moral Thought
Madness (Kuang) as Spiritual and Moral Disruption
The early Chinese conception of madness was never a purely medical matter but was intimately tied to metaphysical, ethical, and cosmological frameworks:
- Dao of Madness: Madness (kuang 狂) is framed as a form of ethical and social disorder, often resulting from disharmony between mind, body, social context, and cosmic order. Certain strands of Daoism valorized or at least regarded madness as an alternative form of wisdom or cosmic freedom—contrasting with more Confucian views that saw madness as dangerous deviation.
- Shamanic Traditions: Early Chinese magico-medical texts reference spirit-illness (possession) and shamanic rituals for exorcism. The Han dynasty saw systematization of these ideas in medical treatises such as the Huangdi Neijing, which on occasion mentions “demons” or “evil qi” disturbing the mind.
- Historical Examples: Feigned madness as political rebellion (Zhuangzi, stories of "madmen" shunning government) and the medicalization of madness as a form of spiritual corruption are both documented.
Web Sources:
- Oxford Academic: The Dao of Madness
- H-Net: Review of The Dao of Madness
Ancient Israel and Biblical Literature: Demons, Spirits, and Exorcism
In the Hebrew Bible, references to spirit-induced affliction are abundant though complex:
- Saul’s Madness: “An evil spirit from the Lord came upon Saul, and he raved in the midst of the house…” (1 Samuel 18:10). Here, Saul’s depression and madness are directly attributed to a spirit sent as divine punishment.
- Book of Daniel: Nebuchadnezzar is afflicted by a “madness,” behaving like an animal, interpreted as the consequence of pride and demonic affliction.
- Exorcisms in the New Testament: Numerous stories in the Gospels depict Jesus or his apostles curing “demoniacs”—individuals displaying behaviors today labeled as psychosis, seizures, or mania (e.g., Mark 5, the Gerasene demoniac; Luke 9, “a spirit seized him”). The distinction between pure illness and spiritual possession is explicit in Gospel healing narratives.
Web Sources:
- BibleHub: Are Disorders Linked to Demon Possession?
- Sanctuary Mental Health: Demons and Diagnoses (Mark 5)
- WSCAL: Demon Possession and Mental Illness
Ancient Persia and Zoroastrianism: Madness and Demonology
Zend Avesta and Demon-Caused Affliction
Zoroastrian texts, especially the Zend Avesta and Vendidad, explicitly address the role of evil spirits (daevas) in illness and madness. The practice of healing was divided into three types: by knife (surgery), by herbs, and by divine words (incantations/vows). Healing by “divine words” was held to be most powerful, especially against diseases with spiritual origin:
“Of all the healers O Spitama Zarathustra ... the last one is the most potent as he heals from the very source of diseases.”
— Vendidad, Ardibesht Yasht
The Vendidad details exorcistic techniques and identifies certain afflictions (including those associated with madness or hysteria in women) as signs of demonic attack or possession:
- Fargard 16 links prolonged menstruation to demonic contact, requiring penance and ritual exorcism.
- Gatha Ahunavaita, Chapter 30, describes evil spirits influencing humans to “defile the world” with corrupted thoughts and actions.
Web Sources:
- Wikipedia: Ancient Iranian medicine
- Occult Mysteries: Zend Avesta
- Ancient Civs: Understanding the Zend Avesta
Pre-Columbian Mesoamerica: Madness from Spiritual Realms
Maya and Aztec Spirit Realms
The Maya Popol Vuh describes Xibalba, the underworld, as ruled by the Lords of Death and a host of demons responsible for human afflictions including insanity, disease, and violent behavior. The Lords of Xibalba are associated with:
- Sickness (Ahalpuh and Ahalgana)
- Sudden death and fear (Xiquiripat, Cuchumaquic)
- Pain and destitution
The journey through the underworld is itself filled with trials that mimic madness and delusion, and the victory of the Hero Twins is often interpreted as triumph over supernatural affliction as much as death itself.
Aztec belief similarly identified spirit possession and witchcraft (teotl, nahualismo) as frequent sources of mental derangement and disorder, with specialized shamans (ticitl) performing rituals for diagnosis and healing.
Web Sources:
- Wikipedia: Xibalba
- MythologyWorldwide: Mayan Mythology
- AncientPages: Xibalba
Indigenous Africa: Madness, Possession, and Ritual Healing
West African (Yoruba) Tradition
The Yoruba tradition interprets madness—often manifested as dissociative states or psychosis—as either ancestral or spirit possession. The Ajogun are classified as malevolent spirits responsible for illness, misfortune, and death. Priests and herbalists employ Osanyin staffs and Ifa divination to identify the spiritual causes of mental disturbance, seen as either punishment for broken taboos or the result of neglecting ancestral/Orisha relationships.
Dream interpretation and specific rituals (etutu ceremonies) are applied to both diagnose and resolve illnesses attributed to spirit possession.
Web Sources:
- Public History Amsterdam: Yoruba culture and mental illness
- Ileifa: Yoruba Healing System
- Gods and Monsters: Ajogun
Celts and Norse: Madness, Shapeshifting, and Otherworld Visions
Celtic Spirit-Induced Madness
Celtic mythology draws a close link between madness, poetic inspiration, and contact with the Otherworld. Legendary figures like Suibhne Geilt and Merlin (Wyllt) are described as being driven mad by supernatural encounters, “phantoms” in the air, or battle trauma, which in turn grant visions and prophetic insight. In Welsh and Irish belief, time spent in haunted locations (e.g., Cader Idris) was believed to end in madness, visionary inspiration, or death. Ritual sleep, soul flight, and consumption of magical substances (mead, hazel nuts of wisdom) are also associated with spiritual transformation via madness.
Norse (Germanic) Spirit-Madness and Magic
Norse texts repeatedly associate altered states, battle-frenzy, or madness with spirit contact—especially through seiðr, a magical and shamanic practice. Vǫlur (seers, often women) reached trance states through rhythmic chanting, drum-beating, or psychoactive plants, contacting spirits and gods. Madness could be induced by spells or interpreted as the result of cursed Wyrd/ destiny, sometimes as punishment for transgression. The Ynglinga saga and mythopoetic texts describe Odin, Freyja, and other gods as practitioners and transmitters of such spiritual arts, with madness as a possible byproduct, benefit, or danger.
Web Sources (Celtic):
- Chalice Centre: Wide-Spun Moment
Web Sources (Norse):
- Wikipedia: Seiðr
- Surflegacy: Seidr
Medieval Christian Europe: Demons, Witchcraft, and Madness
Demonology and the Prosecution of “Madness”
In the Middle Ages, mental illness was once again synonymized with demonic possession, a view that sharply intensified after the Black Plague and during the witch trial panics. The Malleus Maleficarum (1486), the infamous witch hunter’s manual, argued that madness, emotional ill-health, and many disabilities were evidence of demonic assault or witchcraft, particularly targeting women (on account of their “weaker nature”):
“Witchcraft requires three key elements: the witch’s malevolent intention, assistance from the Devil, and divine permission.”
— Malleus Maleficarum
Accusations of possession, especially for those with epilepsy, hysteria, or “madness,” led to thousands of executions. Treatments ranged from exorcisms (using prayer, relics, or ritual beating) to outright execution.
Asylums, Reform, and the Decline of Demonology:
Though tools of a more medicalizing approach appeared in the Renaissance and Enlightenment (e.g., Johann Weyer’s De praestigiis daemonum), the motif of spirit-induced madness persisted in both popular and medical culture well into the modern era.
Web Sources:
- Health-root: Malleus Maleficarum
- Wikipedia: Johann Weyer
- Psychiatric Times: Witchcraft or Mental Illness?
Tibetan and Buddhist Views: Madness, Spirits, and Liberation
Bardo Thodol and Exorcism of Affliction
The Bardo Thodol (Tibetan Book of the Dead) offers an intricate system for understanding experiences of fear, madness, and vision during the intermediate state between death and rebirth, framing all such phenomena as encounters with karmically projected spiritual beings (peaceful and wrathful deities):
“… do not be oppressed by the forces of ignorance and delusion…”
— Bardo Thodol
Tibetan ritual includes extensive exorcistic traditions for “spirit possession” (sometimes called ‘gyaltsen’/‘gyalpo’) and “mad wind” (rlung), believed to cause hallucinations, delusions, or uncontrolled behavior. Healing includes visualization, mantras, and the guidance of lamas, similar in intent (if not in form) to exorcistic practices elsewhere.
Web Sources:
- The Conversation: Guide to the Tibetan Book of the Dead
- Bookbrief: Tibetan Book of the Dead summary
- Wikipedia: Bardo Thodol
Conclusion: The Global Legacy of Spirit-Caused Madness
The cross-cultural recurrence of explanatory frameworks that root madness—whether as melancholy, rage, delusion, or other states—within the agency of spirits, demons, or gods is both striking and deeply instructive. In nearly every ancient tradition surveyed, the line between disease of body, disorder of mind, and affliction by the unseen overlapped: spiritual forces were not only conceived as causes for mental derangement, they were also understood as necessary agents for its cure.
From Mesopotamia’s ritual incantations and the exorcism of seven evil spirits, through the sleep temples of Egypt and Greece, the shamanic soul journeys of the Celts and Norse, to the widespread medieval European hallucinations of demonic witchcraft and possession, these traditions echo each other in their search to locate the source of madness in external, supernatural power.
While the advent of scientific medicine and psychological theory progressively displaced direct spirit-possession models in the West, vestiges persist globally—and the empathy, ritual, and communal healing implicit in these ancient practices still offer powerful counterpoints to modern atomistic approaches. Ancient sources reveal not a simple “primitive” worldview but a multiplicity of sophisticated conceptual models, many of which continue to shape the understanding and treatment of mental illness in the present day. Whether viewed through the lenses of history, anthropology, medicine, or comparative religion, the role of evil spirits in the etiology of madness offers a profound glimpse into the universal struggle to understand and heal the afflicted mind.
Madness as Spirit Possession: Ancient Sources and Interpretations from Mesopotamia to the Medieval World
Introduction: Conceptualizing Madness as Spirit Possession in World Antiquity
Across ancient civilizations, the boundaries between medical, psychological, and supernatural explanations for human behavior were fluid and frequently intertwined. Madness—signified in ancient texts as delusion, rage, confusion, frenzy, “out of mind,” and countless other descriptors—was often regarded not merely as an aberration of the mind or body, but as the result of profound supernatural interference. Malevolent spirits, demons, gods, the souls of the dead, and the forces of cosmic disorder were regularly invoked to explain symptoms that today might be classified as mental illness, psychological crisis, or neurological disorder.
This report compiles and analyzes ancient source materials that link states of madness (in its broadest sense) to the influence, possession, torment, or attack by evil spirits or malevolent supernatural entities. Drawing from a wide variety of civilizations—including Mesopotamia, Egypt, Greece, Rome, India, China, Israel, Persia, the Mesoamerican and African worlds, and extending to the medieval Christian and Tibetan Buddhist traditions—this review lays out the complex tapestry of beliefs, rituals, texts, and cosmologies that shaped ancient approaches to madness and its spiritual cures.
A comparative table summarizing ancient sources, their origin, and the corresponding type of spiritual cause described can be found at the close of each major civilization’s section for clarity and to facilitate cross-cultural analysis.
Mesopotamia: Demonic Possession and the Genesis of Spirit-Induced Madness
Demons, Illness, and the Mind in Sumer, Akkad, Babylon, and Assyria
Mesopotamia’s cuneiform heritage—preserved in magical, medical, and divinatory tablets—offers perhaps the most elaborate demonology linked to disease and madness. Ancient texts from Sumer, Akkad, and especially Babylon and Assyria, present a universe populated by countless spirits and demons, each with distinct or overlapping domains: illness, nightmares, social chaos, or even sexual disorder.
Key malevolent entities include:
- Utukku: Vengeful ghosts, sometimes called forth by necromancy, believed to possess or torment the living, causing both physical and mental disturbances.
- Alu: Lurking night demons, associated with sleep paralysis, night terrors, and confusion.
- Ekimmu: Restless ghosts, especially of the improperly buried, haunting and driving the living to states of distress and agitation.
- Lilu and Lilitu: Male (Lilu) and female (Lilitu) night spirits causing nightmares, sexual distemper, and frenzied states.
- Labartu, Labasu, Gallu, Rabisu, Ahhazu: A broader taxonomy of spirits associated with specific afflictions ranging from infant death to fever, epilepsy, or mania.
Madness, or “confusion of the mind,” was seen as a prime symptom of such supernatural interference. Rituals for diagnosis and exorcism included extispicy (divination by animal entrails), incantations, purification rites, and the use of amulets, especially portraying the demon Pazuzu to ward off Lamashtu and other evil spirits.
The famous "Seven Evil Spirits" or "Seven Demons" feature in several cuneiform incantations, described as bringers of disease, misfortune, pestilence, and chaotic frenzy:
“Seven are they! ... Knowing neither mercy nor pity, they hearken not to prayer or supplication ... They feed on mankind like vampires ... Knowing no mercy, they rage against mankind.”
— "Devils and Evil Spirits of Babylonia", Tablet V
Diagnosis and Healing Rituals:
Afflicted individuals sought intervention at temples and through rituals. Priests or “bārû” diviners performed extispicy, interpreted omens, and recited lengthy incantations. Healing involved exorcistic recitations, plant-based potions like the kiskanu plant (seen as having divine healing power), and ritual cleansing.
Legacy and Cross-Cultural Influence:
The vocabulary and cosmology of Mesopotamian demonology influenced later Jewish, Christian, Islamic, and even heterodox magical traditions in the West. The notion of madness as caused by “evil spirits” or “jinn” remains preserved in various forms in the Middle East and North Africa.
Web Sources:
- mythologyworldwide.com: The Seven Evil Spirits in Mesopotamian Mythology
- UKAT London Clinic: Demons and mental illness in Ancient Mesopotamia
- Babylonian Mythology: The Connection Between Babylonian Demons and Mental Illness
- MythicalEncyclopedia: Demons in Ancient Mesopotamia
- Eatthefruit.com: The Seven Evil Spirits (or Demons)
- Academia.edu: The Devils and Evil Spirits of Babylonia
Ancient Egypt: Illness, Depression, and Spiritual Affliction
Demonic Medicine and Magical Healing
Egyptian medical papyri, most notably the Ebers Papyrus (c. 1550 BCE), reflect a cultural blend where spiritual, magical, and proto-medical practices coexisted, often with no clear demarcation. Illness was commonly attributed to external spiritual agents—most often malevolent, though sometimes capricious gods, “wandering spirits,” or ghosts of the departed.
The Ebers Papyrus contains hundreds of spells and incantations explicitly intended to “send away illness-causing demonic forces” using magical ingredients, spoken interventions, and ritual acts. The process of exorcism ranged from the use of amulets, spoken charms, and the invocation of protective deities, to complex temple rituals. The Papyrus also describes the “Book of Hearts,” linking certain affective disturbances (what today might be called depression or mood disorders) to spiritual affliction:
“…the mind in the heart which goes up and falls down…”
“…his mind is drowned, this means his mind is forgetful, like one who is thinking of something else…as if his mind is dark.”
— Ebers Papyrus (transl. C.P. Bryan)
Priests and Healing:
Priests (especially of Sekhmet or Thoth) were both exorcists and healers. Sleep temples functioned as healing sanctuaries where dream visions, considered messages from gods or spiritual beings, guided diagnosis and treatment. The afflicted would recount their dreams to priests, who interpreted them against the Egyptian Dream Book, revealing possible spiritual causes and cures.
Textual Example:
“Papyrus Ebers records over 700 spells to send away illness-causing demonic forces ... a mix of spiritual, mystical, magical, and medical.”
— Kathleen M. Pike, PhD
Web Sources:
- Mental Health in Ancient Egypt, Kathleen M. Pike, PhD
- History of Information: The Ebers Papyrus
- Psychiatry Online: Ebers Papyrus
Ancient Greece and Rome: Divine Madness, Daimons, and Ecstasy
Madness in Myth and Tragedy
In Greece, explanations of madness oscillated between physiological theories (Four Humours) and supernatural/demonic intervention. The roots of both are preserved in a broad array of literary and philosophical texts:
Divine-Induced Madness:
- Homeric Epic: Heroes are driven to ruin by “Ate” (delusion) and direct intervention of gods. In the Iliad, both battle rage and emotional derangement are attributed to “ate” or a god’s touch.
- Greek Tragedy: In Euripides’ Herakles, the goddess Hera sends the goddess Lyssa (Personification of Madness) to possess Herakles, leading him to murder his family. Lyssa is invoked in poetry and drama as both a goddess and a daemon, epitomizing the blurring of boundaries between madness as a metaphysical and spiritual affliction.
- Bacchic Frenzy: In the Bacchae, Dionysus inflicts frenzies (mania) upon mortals as punishment or initiation. His followers, the Maenads, exhibit behaviors that today would be considered psychotic episodes or mass hysteria—yet are interpreted as forms of divine madness.
Personified Spirits and Deities:
- Maniae: Spirits (“daemones”) of insanity and crazed frenzy, closely linked to Lyssa and the Erinyes (Furies).
- Daimon/Demon: In Greek, “daimon” could mean a lesser deity, personal spirit, or guiding/bewitching supernatural agent. Many texts use “daimonizomai” to refer explicitly to being possessed or driven mad by a demon.
Legal, Philosophical, and Medical Overlaps:
- Plato describes “divine madness” as inspiration for prophecy, poetic genius, and philosophical insight but also as a dangerous impairment when inflicted by gods in punishment for hubris or offense.
- Greek Asclepiad sanctuaries (Asclepieia) provided dream incubation for healing, where divine intervention through dreams was considered curative or diagnostic; madness was treated as both an affliction sent by gods/spirits and as a result of soul-disease.
Web Sources:
- Greek Mythology Link: Madness (Mania, Lyssa)
- Theoi.com: Maniae (Spirits of Madness)
- Wikipedia: Lyssa
- Academia.edu: Mania: Madness in the Greco-Roman World
- Edelstein, E.J. & L.L.: Asclepius testimonies
- Surflegacy.net: Seidr
Healing Sanctuaries: The Asclepieion
Asclepieia functioned as healing temples where the mentally afflicted underwent incubation—sleeping in the temple for curative dreams sent by Asclepius or his daughters Hygeia and Panacea. Here, spiritual causes of madness were integrated into dream interpretation, and the division between medicine and magic was dissolved.
Ancient India: Spirits and Madness in Vedas and Ayurveda
Vedic Scriptures and Spirit-Induced Madness
Atharvaveda (c. 1500 BCE – 1000 BCE) contains a vast collection of hymns and spells aimed at curing diseases seen as caused by spirits, demons, and supernatural forces. These include elaborate exorcisms, mantras, and rituals to drive out the malevolent beings thought to "inhabit" or "devour" their victim, causing “delirium,” fever, dementia, and other afflictions:
Select Examples:
- Atharvaveda VII, 116: Demon Takman personified as fever-spirit, to be exorcised via ritual transfer.
- Atharvaveda II, 31: Indra invoked to crush “spirit worms” thought to live in the head, entrails, and bones, causing both “madness” and physical disease.
- Atharvaveda VI, 46: Nightmares linked to demonic entities; exorcism by transferring bad dreams to the enemy.
- Lead amulet spell (AV I, 16): “Against the devouring demons… this lead vanquishes the vishkandha, this strikes the devouring demons (atrin); with this I have overwhelmed all the offspring of the Pisakas...”
Upanishads and Bhagavad Gita:
Describe the “mind” (manas or chitta) as vulnerable to wild fluctuations unless spiritually trained. Bhagavad Gita 14.8 associates tamas (ignorance) with “madness, indolence, and sleep” as delusions binding the soul, hinting that spiritual ignorance (a kind of “spiritual possession”) can cause madness:
“The results of this mode [tamas] are madness, indolence and sleep, which bind the conditioned soul.”
— Bhagavad Gita 14.8
Ayurveda, India’s foundational medical system, incorporates spirit (bhuta/graha)-possession as a fundamental diagnostic category. The Charaka Samhita and later works elaborate causes, symptoms, and exorcism/treatment for such spirit-induced illnesses.
Web Sources:
- Sacred-texts: Atharvaveda
- Vedabase.io: Bhagavad Gita 14.8
- abracademica: Atharvaveda—Vedic magic
- Timeslife: Mental Health Lessons in Indian Scriptures
Ancient China: Spirit, Madness, and Early Medical/Moral Thought
Madness (Kuang) as Spiritual and Moral Disruption
The early Chinese conception of madness was never a purely medical matter but was intimately tied to metaphysical, ethical, and cosmological frameworks:
- Dao of Madness: Madness (kuang 狂) is framed as a form of ethical and social disorder, often resulting from disharmony between mind, body, social context, and cosmic order. Certain strands of Daoism valorized or at least regarded madness as an alternative form of wisdom or cosmic freedom—contrasting with more Confucian views that saw madness as dangerous deviation.
- Shamanic Traditions: Early Chinese magico-medical texts reference spirit-illness (possession) and shamanic rituals for exorcism. The Han dynasty saw systematization of these ideas in medical treatises such as the Huangdi Neijing, which on occasion mentions “demons” or “evil qi” disturbing the mind.
- Historical Examples: Feigned madness as political rebellion (Zhuangzi, stories of "madmen" shunning government) and the medicalization of madness as a form of spiritual corruption are both documented.
Web Sources:
- Oxford Academic: The Dao of Madness
- H-Net: Review of The Dao of Madness
Ancient Israel and Biblical Literature: Demons, Spirits, and Exorcism
In the Hebrew Bible, references to spirit-induced affliction are abundant though complex:
- Saul’s Madness: “An evil spirit from the Lord came upon Saul, and he raved in the midst of the house…” (1 Samuel 18:10). Here, Saul’s depression and madness are directly attributed to a spirit sent as divine punishment.
- Book of Daniel: Nebuchadnezzar is afflicted by a “madness,” behaving like an animal, interpreted as the consequence of pride and demonic affliction.
- Exorcisms in the New Testament: Numerous stories in the Gospels depict Jesus or his apostles curing “demoniacs”—individuals displaying behaviors today labeled as psychosis, seizures, or mania (e.g., Mark 5, the Gerasene demoniac; Luke 9, “a spirit seized him”). The distinction between pure illness and spiritual possession is explicit in Gospel healing narratives.
Web Sources:
- BibleHub: Are Disorders Linked to Demon Possession?
- Sanctuary Mental Health: Demons and Diagnoses (Mark 5)
- WSCAL: Demon Possession and Mental Illness
Ancient Persia and Zoroastrianism: Madness and Demonology
Zend Avesta and Demon-Caused Affliction
Zoroastrian texts, especially the Zend Avesta and Vendidad, explicitly address the role of evil spirits (daevas) in illness and madness. The practice of healing was divided into three types: by knife (surgery), by herbs, and by divine words (incantations/vows). Healing by “divine words” was held to be most powerful, especially against diseases with spiritual origin:
“Of all the healers O Spitama Zarathustra ... the last one is the most potent as he heals from the very source of diseases.”
— Vendidad, Ardibesht Yasht
The Vendidad details exorcistic techniques and identifies certain afflictions (including those associated with madness or hysteria in women) as signs of demonic attack or possession:
- Fargard 16 links prolonged menstruation to demonic contact, requiring penance and ritual exorcism.
- Gatha Ahunavaita, Chapter 30, describes evil spirits influencing humans to “defile the world” with corrupted thoughts and actions.
Web Sources:
- Wikipedia: Ancient Iranian medicine
- Occult Mysteries: Zend Avesta
- Ancient Civs: Understanding the Zend Avesta
Pre-Columbian Mesoamerica: Madness from Spiritual Realms
Maya and Aztec Spirit Realms
The Maya Popol Vuh describes Xibalba, the underworld, as ruled by the Lords of Death and a host of demons responsible for human afflictions including insanity, disease, and violent behavior. The Lords of Xibalba are associated with:
- Sickness (Ahalpuh and Ahalgana)
- Sudden death and fear (Xiquiripat, Cuchumaquic)
- Pain and destitution
The journey through the underworld is itself filled with trials that mimic madness and delusion, and the victory of the Hero Twins is often interpreted as triumph over supernatural affliction as much as death itself.
Aztec belief similarly identified spirit possession and witchcraft (teotl, nahualismo) as frequent sources of mental derangement and disorder, with specialized shamans (ticitl) performing rituals for diagnosis and healing.
Web Sources:
- Wikipedia: Xibalba
- MythologyWorldwide: Mayan Mythology
- AncientPages: Xibalba
Indigenous Africa: Madness, Possession, and Ritual Healing
West African (Yoruba) Tradition
The Yoruba tradition interprets madness—often manifested as dissociative states or psychosis—as either ancestral or spirit possession. The Ajogun are classified as malevolent spirits responsible for illness, misfortune, and death. Priests and herbalists employ Osanyin staffs and Ifa divination to identify the spiritual causes of mental disturbance, seen as either punishment for broken taboos or the result of neglecting ancestral/Orisha relationships.
Dream interpretation and specific rituals (etutu ceremonies) are applied to both diagnose and resolve illnesses attributed to spirit possession.
Web Sources:
- Public History Amsterdam: Yoruba culture and mental illness
- Ileifa: Yoruba Healing System
- Gods and Monsters: Ajogun
Celts and Norse: Madness, Shapeshifting, and Otherworld Visions
Celtic Spirit-Induced Madness
Celtic mythology draws a close link between madness, poetic inspiration, and contact with the Otherworld. Legendary figures like Suibhne Geilt and Merlin (Wyllt) are described as being driven mad by supernatural encounters, “phantoms” in the air, or battle trauma, which in turn grant visions and prophetic insight. In Welsh and Irish belief, time spent in haunted locations (e.g., Cader Idris) was believed to end in madness, visionary inspiration, or death. Ritual sleep, soul flight, and consumption of magical substances (mead, hazel nuts of wisdom) are also associated with spiritual transformation via madness.
Norse (Germanic) Spirit-Madness and Magic
Norse texts repeatedly associate altered states, battle-frenzy, or madness with spirit contact—especially through seiðr, a magical and shamanic practice. Vǫlur (seers, often women) reached trance states through rhythmic chanting, drum-beating, or psychoactive plants, contacting spirits and gods. Madness could be induced by spells or interpreted as the result of cursed Wyrd/ destiny, sometimes as punishment for transgression. The Ynglinga saga and mythopoetic texts describe Odin, Freyja, and other gods as practitioners and transmitters of such spiritual arts, with madness as a possible byproduct, benefit, or danger.
Web Sources (Celtic):
- Chalice Centre: Wide-Spun Moment
Web Sources (Norse):
- Wikipedia: Seiðr
- Surflegacy: Seidr
Medieval Christian Europe: Demons, Witchcraft, and Madness
Demonology and the Prosecution of “Madness”
In the Middle Ages, mental illness was once again synonymized with demonic possession, a view that sharply intensified after the Black Plague and during the witch trial panics. The Malleus Maleficarum (1486), the infamous witch hunter’s manual, argued that madness, emotional ill-health, and many disabilities were evidence of demonic assault or witchcraft, particularly targeting women (on account of their “weaker nature”):
“Witchcraft requires three key elements: the witch’s malevolent intention, assistance from the Devil, and divine permission.”
— Malleus Maleficarum
Accusations of possession, especially for those with epilepsy, hysteria, or “madness,” led to thousands of executions. Treatments ranged from exorcisms (using prayer, relics, or ritual beating) to outright execution.
Asylums, Reform, and the Decline of Demonology:
Though tools of a more medicalizing approach appeared in the Renaissance and Enlightenment (e.g., Johann Weyer’s De praestigiis daemonum), the motif of spirit-induced madness persisted in both popular and medical culture well into the modern era.
Web Sources:
- Health-root: Malleus Maleficarum
- Wikipedia: Johann Weyer
- Psychiatric Times: Witchcraft or Mental Illness?
Tibetan and Buddhist Views: Madness, Spirits, and Liberation
Bardo Thodol and Exorcism of Affliction
The Bardo Thodol (Tibetan Book of the Dead) offers an intricate system for understanding experiences of fear, madness, and vision during the intermediate state between death and rebirth, framing all such phenomena as encounters with karmically projected spiritual beings (peaceful and wrathful deities):
“… do not be oppressed by the forces of ignorance and delusion…”
— Bardo Thodol
Tibetan ritual includes extensive exorcistic traditions for “spirit possession” (sometimes called ‘gyaltsen’/‘gyalpo’) and “mad wind” (rlung), believed to cause hallucinations, delusions, or uncontrolled behavior. Healing includes visualization, mantras, and the guidance of lamas, similar in intent (if not in form) to exorcistic practices elsewhere.
Web Sources:
- The Conversation: Guide to the Tibetan Book of the Dead
- Bookbrief: Tibetan Book of the Dead summary
- Wikipedia: Bardo Thodol
Conclusion: The Global Legacy of Spirit-Caused Madness
The cross-cultural recurrence of explanatory frameworks that root madness—whether as melancholy, rage, delusion, or other states—within the agency of spirits, demons, or gods is both striking and deeply instructive. In nearly every ancient tradition surveyed, the line between disease of body, disorder of mind, and affliction by the unseen overlapped: spiritual forces were not only conceived as causes for mental derangement, they were also understood as necessary agents for its cure.
From Mesopotamia’s ritual incantations and the exorcism of seven evil spirits, through the sleep temples of Egypt and Greece, the shamanic soul journeys of the Celts and Norse, to the widespread medieval European hallucinations of demonic witchcraft and possession, these traditions echo each other in their search to locate the source of madness in external, supernatural power.
While the advent of scientific medicine and psychological theory progressively displaced direct spirit-possession models in the West, vestiges persist globally—and the empathy, ritual, and communal healing implicit in these ancient practices still offer powerful counterpoints to modern atomistic approaches. Ancient sources reveal not a simple “primitive” worldview but a multiplicity of sophisticated conceptual models, many of which continue to shape the understanding and treatment of mental illness in the present day. Whether viewed through the lenses of history, anthropology, medicine, or comparative religion, the role of evil spirits in the etiology of madness offers a profound glimpse into the universal struggle to understand and heal the afflicted mind.
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