Kesurupan (trance) is a phenomenon that usually occurs in our community. Our community always think that kesurupan is associated with possession by a spirit. However, how about the medical perspective? In medical point of view, kesurupan case is a dissociative disorder.
Dissociative disorder is conditions that involve disruptions or breakdowns of memory, awareness, identity and/or perception. Based on DSM IV, there are five dissociative disorder :
- Depersonalization disorder : periods of detachment from self or surrounding which may be experienced as “unreal” (lacking in control of or “outside of” self) while retaining awareness that this is only a feeling and not a reality.
- Dissociative amnesia : (formerly Psychogenic Amnesia): noticeable impairment of recall resulting from emotional trauma
- Dissociative fugue : (formerly Psychogenic Fugue): physical desertion of familiar surroundings and experience of impaired recall of the past. This may lead to confusion about actual identity and the assumption of a new identity.
- Dissociative identity disorder : (formerly Multiple Personality Disorder): the alternation of two or more distinct personality states with impaired recall among personality states.
- Dissociative disorder not otherwise specified : used for forms of pathological dissociation that do not fully meet the criteria of the other specified dissociative disorders.
For kesurupan is classed in dissociative identity disorder. In kesurupan people, they act as if they have other personality. When they experience something that make stress, they will supress it into an an unconsious mind and it causes the other personality appears. Kesurupan always occur in people that have problems. Do you remember kesurupan phenomenon had occurred in senior high school students that failed in their National Examination? Recently, I find this case in a woman, junior high school student after she was asked to tell her most sad story in her life. After she told it, she slept on the floor and shouted in a hysterical manner. The most sad story telling is her stressor that she supress into uncounsious mind. So, as the result she acted like possesed by a spirit.
How about kesurupan massal (mass demoniac)? All of us know from news in newspaper and television that not infrequently kesurupan occur in bulk. How can it occur? In medical perspective it is related to suggestion factor. This is the reason it occur in women predominantly. Besides in women, it usually occurs in children, teenager, and peoples that have a depression disorder.
Kesurupan phenomenon is related to limbic system. Limbic system is a system that regulates emotion, action, and behavior. When this system is interrupted, there is a failure in neurotransmitter. So, this can make a change in behavior.
Now let me explain about the symptoms of kesurupan! First, the subjects start to feel the changes on themselves. Of course, you had seen in electronic media how the kesurupan people acted. They stared sharply, scary, and empty. Second, the subjects feel in two different state. Their voice started to change. If they are women, they can have a voice like man. They can have the power more than usually they have. Third, the subjects don’t remember anything that have occurred. Later, the kesurupan process will stop and they will forget what that had occurred.
Kesurupan is also different with fainted. When, we try to open their eyes, there are a strong resistance, so we will be very difficult to open their eyes. Therefore, don’t worry if kesurupan people looked as if fainted in the end!
In my opinion, it’s ok to give prayer to kesurupan people. However, I suggest you to take them to doctor because it is a mental disorder. It can be explained by medical knowledge. Don’t need to take them to orang pintar! They don’t be possessed by a spirit. Moreover, if they until want to harm the others and themselves, take them as soon as possible. Afterward, the doctor will give them sedative medicine and if they have a stable condition, it’s better to take them to psychiatrist or psychologist for a counseling.