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Crisis, Conversion, and Cult Formation: An Examination of a Common Psychosocial Sequence

Published Online:https://doi.org/10.1176/ajp.130.8.861

An overview of prescientific medicine, therapeutic communities, and psychoanalysis is given in an attempt to discover the generic factors operating in all interpersonal therapies. The authors hypothesize that the placebo effect rests on the universal need of humans for a group and, by symbolic extension, a system. Further, they hypothesize that a common therapeutic process follows the sequence of crisis, conversion, and cult formation.

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