Oohashi Et Al. Electroencephalographic Measurement of Possession Trance in the Field

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Oohashi Et Al. Electroencephalographic Measurement of Possession Trance in the Field

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  • Electroencephalographic measurement of possession trance in the field

    Tsutomu Oohashia,b,c,*, Norie Kawaic,d, Manabu Hondae,f, Satoshi Nakamurae,g,Masako Morimotoh, Emi Nishinai, Tadao Maekawaj

    aDepartment of Information and Network Science, Chiba Institute of Technology, Narashino 275-0016, JapanbDepartment of KANSEI Brain Science, ATR Human Information Processing Research Laboratories, Kyoto 619-0288, Japan

    cFoundation for Advancement of International Science, Tsukuba 305-0062, JapandDoctoral Programs of Medical Sciences, The University of Tsukuba, Tsukuba 305-8577, Japan

    ePRESTO, Japan Science and Technology Corporation, Kawaguchi 332-0012, JapanfLaboratory of Cerebral Integration, National Institute for Physiological Sciences, Okazaki 444-8585, Japan

    gBiomedical Imaging Research Center, Fukui Medical University, Fukui 910-1193, JapanhJapan Society for the Promotion of Science, Tokyo 102-8471, Japan

    iHuman Interface Research and Development Section, National Institute of Multimedia Education, Chiba 261-0014, JapanjATR Media Information Science Laboratories, Kyoto 619-0288, Japan

    Accepted 17 December 2001

    Abstract

    Objectives: To verify the utility of a portable electroencephalogram (EEG) measurement system developed for investigating spontaneous

    EEG from vigorously moving healthy subjects in a possession trance under a natural condition.

    Methods: A portable multi-channel EEG telemetry system was developed to record the EEGs of 3 healthy male Balinese while they were

    performing a ritual dedicatory drama in the field. After reducing extraneous artifacts using a digital filter, the EEGs and their power spectra

    were analyzed in terms of evolution from one state to another.

    Results: During the drama, one of the subjects became possessed while the others did not. The EEG of the possessed subject did not show

    any pathological findings including epileptic discharges, but indicated enhanced power in the theta and alpha frequency bands during the

    trance. This finding was not observed in the other two subjects, who did not go into trances, with no pathological EEG findings.

    Conclusions: The measurement system and data analysis methods we developed have allowed us, for the first time, to obtain an EEG from

    healthy subjects who are vigorously moving while in a possession trance. The present technique enables us to use a spontaneous EEG as a

    marker of the underlying physiology of a state of possession trance. q 2002 Elsevier Science Ireland Ltd. All rights reserved.

    Keywords: Possession trance; Spontaneous electroencephalogram; Field recording; Portable electroencephalogram recording system; Topography; Spectral

    analysis

    1. Introduction

    In some traditional cultures, it is widely observed that

    ordinary, healthy participants in a ritual ceremony enter a

    state of possession, or a possession trance, without

    psychoactive drugs. Based on a survey of 488 human socie-

    ties worldwide, Bourguignon (1973) reported that 90% had

    institutionalized some form of altered state of consciousness

    and 57% associated these states with a possession trance.

    Therefore, it is likely that some biological mechanisms

    common to all human beings may underlie possession

    phenomena. Nevertheless, since possession trance has so

    rarely been investigated from a psychophysiological

    perspective, such mechanisms are not clear. In the late

    1960s, Prince (1968) pointed out that possession states

    had not been studied physiologically although the unusual

    behavior and the alterations of consciousness that are asso-

    ciated with possession phenomena suggest an altered state

    of cerebral physiology. He suggested that future improve-

    ments in a portable electroencephalogram (EEG) recording

    system, including a telemetry system, would make it possi-

    ble to record physiological data from possessed individuals

    in the field under natural conditions. Until now, however, no

    one has yet successfully recorded an EEG under such condi-

    tions.

    There are at least three major problems facing researchers

    who wish to make a physiological study, under natural

    Clinical Neurophysiology 113 (2002) 435445

    1388-2457/02/$ - see front matter q 2002 Elsevier Science Ireland Ltd. All rights reserved.

    PII: S1388-2457(02)00002-0

    www.elsevier.com/locate/clinph

    * Corresponding author. Foundation for Advancement of International

    Science, Tokyo project office, 1-53-11-022 Higashinakano, Nakano-ku,

    Tokyo 164-0003, Japan. Tel.: 181-3-3366-8788; fax: 181-3-3366-8737.

    E-mail address: [email protected] (T. Oohashi).

    CLINPH 2001113

  • conditions, of a person in a state of possession. First, as

    Bourguignon and Peitay (1965) have pointed out, the sacred

    context of most possession phenomena make it extremely

    difficult to record physiological data in the field. Second, the

    standard telemetry system does not work in the field because

    there is no electric power supply and the system lacks port-

    ability. In addition, since the equipment is not shockproof,

    any vigorous movement that a possessed subject makes

    would easily cause malfunctions during the recording.

    Third, even if an EEG could be recorded, it would be

    seriously contaminated by various kinds of artifacts, espe-

    cially those caused by physical vibratory shocks continu-

    ously applied to the electronic circuits of the transmitter

    during the recording. We have been trying to overcome

    these difficulties for a long time.

    In the present study, we have two aims. The first is to

    verify the practical utility of the EEG portable recording

    system that we developed for field use and the reliability

    of the analysis procedure for a spontaneous EEG excluding

    the artifacts from body movement. The second is to report

    the first EEG findings on the subject of possession trances as

    a pilot study.

    We selected Bali Island, Indonesia, as the site for our

    study based on cultural anthropological studies. Bali is

    well known as a traditional society where possession trances

    frequently occur in ordinary healthy people in a ritual cere-

    mony (Covarrubias, 1937; Mead, 1942; Belo, 1960). There

    are several festal dramas and ritual ceremonies in which

    participants go into possession trances, but they are

    performed in a garden deep inside a temple, on grounds

    that are open only to villagers. Foreigners are rarely allowed

    in. It is impossible for foreigners to even obtain information

    about the time and place of such a performance beforehand.

    We visited Bali several times since 1973 to find a ritual

    drama or ceremony suitable for our study as well as to

    establish a relationship of mutual trust with the Balinese

    people. Due to the sanctity of the rituals and the inviolability

    of the performance space, it was difficult to persuade perfor-

    mers to put an electric device on their body during a perfor-

    mance, nor could we bring a recording system into the

    performance space. It took us 11 years to establish mutual

    trust with the local community and to obtain the consent for

    our research from executive officers of the temple and reli-

    gious administrators. We finally received permission to

    enter a performance space for EEG recordings in 1984.

    We had begun the development of a portable multi-chan-

    nel EEG telemetry system that could be used in the field in

    the mid-1980s, and continued to test and improve it in the

    1990s. With this system, we have been able to identify the

    temporal and spectral characteristics of extraneous artifacts

    in the data obtained from vigorously moving subjects, and

    have developed analysis methods to effectively reduce

    them.

    In this way, we have finally succeeded in recording a

    multi-channel EEG from a possessed subject in a Balinese

    ritual ceremony.

    2. Methods

    2.1. Subjects

    In Bali, Indonesia, the participants and/or spectators of

    ritual ceremonies and dramas are known to go into a posses-

    sion trance without any psychoactive drugs. This phenom-

    enon is called Kerauhan. One of the prominent

    characteristics of Kerauhan is the fact that it usually occurs

    not in a professional shaman but in ordinary healthy people

    en masse during ritual ceremonies. In this study, we focused

    on a Kerauhan that occurred during a dedicatory ritual

    drama called Calonarang. In this drama, several partici-

    pants usually show a similar pattern of possession trance.

    Therefore, the homogeneity of this drama is potentially

    suitable for a physiological study. Two healthy right-handed

    male volunteers (aged 28 and 32) were studied (Subjects 1

    and 2). Prior to the experiments, we carefully explained the

    experimental procedure to them and the subjects gave their

    informed consent. Basic personal data of each subject, such

    as family history, past medical history and possession

    experiences, were obtained through interviews. On a sepa-

    rate occasion, we recorded the EEG of another male subject

    (Subject 3, aged 31). This subject behaved as though

    possessed but was thought not to have gone into a posses-

    sion trance during the drama according to his appearance

    (e.g. eyes, face) and behavior (e.g. muscle stiffness and

    tremor, recovery from the episode) during the drama and

    the lack of anterograde amnesia during the episode (see

    Section 3).

    2.2. EEG recordings

    Many telemetry EEG recording systems are commer-

    cially available, however, most of them are designed to

    record EEGs in the laboratory. When we began our study,

    none of them could record EEGs from vigorously moving

    subjects in the field with no electric power supply, although

    some commercial products are now available. In addition, it

    was very important that the EEG recording system not

    disturb the visual and auditory information of the sacred

    ceremonial space, and not distract the subjects participating

    in the drama. Therefore, we developed a multi-channel

    portable EEG recording system based on a WEE-6124 tele-

    metric system (Nihon-Kohden, Tokyo, Japan) (Fig. 1). We

    made a stable, long-life battery-based, portable power

    supply to use the receiver system in the field. We also rede-

    signed the electrode cap (Electro-cap, Ohio, USA). Each

    electrode was tightly affixed to an elastic cap. The cap

    was fixed to the subjects head by means of a strap that

    went under the chin in order to reduce constraints on the

    subject and simultaneously to keep it tightly in contact with

    the scalp. These modifications prevented a major dislodg-

    ment of the electrodes. In addition, an electroconducting gel

    was put on the scalp to maintain the electrical contact

    between the electrodes and the scalp and to compensate

    T. Oohashi et al. / Clinical Neurophysiology 113 (2002) 435445436

  • for slight dislodgments of the electrodes. The electrode cap

    had holes for the subjects ears so that the earlobes were

    exposed and the subject could easily listen to the music with

    no undue unpleasantness. The length of the cable connect-

    ing the electrode cap and the head amplifier was shortened

    to less than 10 cm. The head amplifier was tightly affixed to

    the electrode cap. These modifications significantly reduced

    extraneous artifacts caused by electromagnetic induction

    and body movements. The transmitter was attached to a

    flexible cloth belt, which was fastened tightly around the

    subjects waist. Receiving antennas with high-performance

    boosters, which improved sensitivity and expanded the area

    of reception, were installed at multiple locations around the

    performance field. As a result of these modifications, the

    EEG data were clearly received from subjects moving

    around in an area more than a 100 m2.

    The EEG was recorded from 12 scalp sites (Fp1, Fp2, F7,

    Fz, F8, C3, C4, T5, Pz, T6, O1 and O2 according to the

    International 1020 System) using linked earlobe electrodes

    as a reference with a filter setting of 160 Hz (23 dB). Fp1and Fp2 were linked and used as Fp for analysis. Data

    recorded from the two subjects were stored on an analog

    magnetic tape with a 28-channel data recorder (XR-9000,

    TEAC, Tokyo, Japan). Thirty minutes before the drama

    started, the electrodes were quickly attached to the subjects.

    It was confirmed that the subjects did not feel unpleasant-

    ness or constraint. The electrode cap and the transmitter

    were hidden under the costumes so that the subjects did

    not look different from the other performers. Before the

    performance began, a 3 min resting EEG was recorded

    with the subjects eyes closed. The EEGs were continuously

    recorded during the drama, which lasted approximately

    70 min. When the performance was over, another 3 min

    resting EEG was recorded with eyes closed. Before the

    EEG recordings, the subjects were interviewed regarding

    personal facts and past history. Episodic recall and subjec-

    tive impressions before, during and after the trance were

    obtained from each subject after the ritual drama ended,

    through a standard clinical interview by a Balinese medical

    doctor. The behavior of each subject during the drama was

    also recorded on a videotape.

    2.3. Data analysis

    The entire observation period of Subject 1, who became

    possessed, was categorized into two states: normal state

    (NS) and trance state (TS). The NS was further subdivided

    into 3 phases: the resting phase with eyes closed before the

    drama (PRE), the music-playing phase (MUSIC) and the

    resting phase with eyes closed after the drama (POST).

    The TS was subdivided into 5 phases: the first moving

    phase with eyes opened (MOVE-I), the first falling-down

    phase with eyes closed (FALL-I), the second moving phase

    with eyes opened (MOVE-II), the second falling-down

    phase with eyes closed (FALL-II) and the final phase

    (FINAL). The EEG data for Subject 2 (whose EEG was

    recorded simultaneously with that of Subject 1 but who

    did not become possessed) was compared phase by phase

    with that of Subject 1 in real-time. The data for Subject 3,

    whose EEG was recorded on a separate occasion, was also

    analyzed. He behaved as though possessed but did not go

    into a possession trance (see Section 3). Since the behavior

    of Subject 3 was similar to that of Subject 1, although he did

    not play a musical instrument, we used the phases of Subject

    T. Oohashi et al. / Clinical Neurophysiology 113 (2002) 435445 437

    Fig. 1. The multi-channel portable EEG recording system and analysis system developed for field use.

  • 1, except for MUSIC, for the analysis of Subject 3. WAIT

    was used in place of MUSIC for Subject 3 when he was

    waiting to come on the scene before his possession-like

    behavior. Note that all of the phases for Subject 3 are NS.

    We first visually inspected the original raw EEG for

    epileptic discharges. Then, we digitalized the data with a

    sampling frequency of 256 Hz and filtered it with an equi-

    ripple FIR digital bandpass filter (pass-band cutoff frequen-

    cies, 4 and 30 Hz; stop-band cutoff frequencies, 3.5 and

    30.5 Hz; stop-band attenuation, 20 dB; pass-band ripple,

    0.1 dB; filter order, 768) to extract the frequency bands of

    interest: theta (48 Hz), alpha 1 (810 Hz), alpha 2 (10

    13 Hz) and beta (1330 Hz). Artifacts caused by body

    movements, wire vibration and mechanical shocks were

    thus effectively reduced (see Fig. 2) without affecting the

    frequency band we were interested in. After this filtering

    procedure, epochs containing other artifacts with an extre-

    mely large amplitude including those arising from the

    subjects eye movement were carefully excluded from

    further analysis through visual inspection of both the raw

    and filtered EEGs. We then subjected the EEG data to power

    spectrum analysis. The power spectrum of the EEG at each

    electrode was calculated by fast fourier transform (FFT)

    analysis for every 2 s epoch with an overlap of 1 s, at the

    frequency resolution of 0.5 Hz with a sampling frequency of

    256 Hz. Then the averaged power spectrum within each

    phase was calculated. The square root of the averaged

    power level in the theta, alpha 1, alpha 2 and beta bands

    at each electrode position was calculated to get the equiva-

    lent potential of the EEGs. Based on these values, colored

    contour line maps with 2565 scalp grid points were

    constructed by linear interpolation and extrapolation. This

    map is called a brain electrical activity map (BEAM), which

    describes the scalp distribution of the equivalent EEG

    potentials (Ueno and Matsuoka, 1976; Duffy et al., 1979;

    Oohashi et al., 2000).

    3. Results

    3.1. Appearance of the subjects

    3.1.1. Subjects 1 and 2

    Approximately 50 persons participated in the drama. At

    the beginning, 3040 players, including Subjects 1 and 2,

    entered the performance space and started vigorously beat-

    ing a bamboo musical instrument with a stick. During the

    drama, they sat at the side of the performance space,

    continuously playing their instruments. At the climax,

    about 60 min into the drama, Subject 1 along with a few

    participants suddenly became possessed. He left his musical

    instrument and jumped into the center of the performance

    space. He then attacked the person playing a witch with a

    sword. He dashed himself against the witch, glowered at

    her, then staggered around for a while and dashed again

    (Fig. 2A). He repeated these automatism-like actions

    several times (MOVE-I and MOVE-II). During this time,

    he fell down on the ground twice and closed his eyes

    (FALL-I and FALL-II) (Fig. 2B). He stiffened and showed

    tremors in FALL-II. After FALL-II, he wiggled on the

    ground with eyes closed (FINAL). When a priest sprinkled

    a few drops of sacred water on him and patted him, he was

    barely able to stand up with assistance and gradually

    returned to NS. The TS lasted 7 min and 50 s. While Subject

    1 was in TS, the drama came to a climax at which time the

    music was being played very loudly. A questionnaire

    completed after the drama revealed that Subject 1 had ante-

    rograde amnesia during TS, namely he did not remember his

    own behavior during that time. By contrast, Subject 2 sat

    and played his instrument with concentration and strength

    throughout the drama with his eyes open. Note that although

    Subject 2 had experienced TS many times before, he did not

    go into a trance during this particular performance. Table 1

    shows the time of each phase of the trances.

    3.1.2. Subject 3

    Subject 3 was recorded at another performance of the

    drama Calonarang in a similar setting. He attacked the

    witch with a sword several times and fell down on the

    ground twice with his eyes closed. His behavior was similar

    to that of Subject 1. However, he did not stiffen and did not

    have any tremors during FALL-I and FALL-II. After the

    drama, he suddenly and easily stood up without assistance

    and behaved as usual. He did not show anterograde amnesia

    at any point during the drama.

    3.2. Achievement of the EEG recording system and digital

    bandpass filter

    It was difficult to keep a good contact between the elec-

    trodes and the scalp in the possessed subjects, who vigor-

    ously moved and sometimes fell down, especially when the

    subject tried to remove the electrodes from his body. Due to

    mechanical shocks caused by the subjects movement, the

    transmitter temporarily became inoperative. In addition, the

    signal was sometimes intercepted by an obstacle. Neverthe-

    less, the multi-channel EEG data were successfully trans-

    mitted for approximately 90% of the time of the experiment.

    Fig. 2 shows an example of the raw and filtered EEG

    recorded from Subject 1 during the possession trance. The

    digital bandpass filter effectively removed low-frequency

    noises below 4 Hz caused by mechanical shock to the trans-

    mitter as well as high-frequency noises above 30 Hz. This

    filtering procedure enabled us to easily avoid the contami-

    nation of extraneous artifacts and to obtain an overview of

    the data.

    3.3. EEG findings

    3.3.1. Visual inspection of the raw EEG of the possessed

    subject

    The raw EEG waveforms indicated that during the PRE

    and POST phases, Subject 1 showed a symmetrical domi-

    T. Oohashi et al. / Clinical Neurophysiology 113 (2002) 435445438

  • nant rhythm in the occipital regions with normal waxing and

    waning. Peak frequencies were 11 and 10.5 Hz for PRE and

    POST, respectively. No apparent spikes or sharp waves

    were observed during the 3 min PRE and POST recordings.

    Considering the filter setting, we cannot definitively state

    that slow waves did not exist. However, no localized contin-

    uous or intermittent rhythmic slow waves have been

    observed so far. Even just before TS, Subject 1 did not

    show any obvious rhythmic paroxysmal discharges or an

    electrical decremental pattern suggesting an ictal EEG. In

    MOVE-I and MOVE-II, it was difficult to evaluate the exis-

    tence of spikes and sharp waves by a visual inspection of the

    raw EEG because of the extraneous artifacts. On the other

    hand, in FALL-I and FALL-II an occipital dominant rhythm

    T. Oohashi et al. / Clinical Neurophysiology 113 (2002) 435445 439

    Fig. 2. A subject in TS and corresponding EEGs. (A, upper) Subject in an eyes-open moving phase of TS. The subject in TS (left) attacks the witchs (center)

    abdomen with a short sword. (A, lower) Subject 1s raw EEG, filtered EEG (430 Hz) and power spectra of filtered EEG at each electrode. The peak frequency

    of power was observed at 9 Hz. (B, upper) Subject in an eyes-closed falling phase of TS. (B, lower) Subject 1s raw EEG, filtered EEG (430 Hz) and power

    spectra of filtered EEG at each electrode. Prominent alpha 2 rhythm is observed predominantly in the occipital region. The peak frequency of the power was

    observed at 10.5 Hz.

  • peaking at 10.5 Hz was clearly observed without spikes,

    sharp waves or generalized slow waves.

    3.3.2. Power spectrum analysis of the EEG

    In Subject 1, a remarkable difference between NS and TS

    was seen in the power spectra of the spontaneous EEG as

    well as between the different phases within TS. Fig. 3A

    compares the BEAMs of Subjects 1 and 2 chronologically.

    Subject 2 (Fig. 3A, lower panel) showed little change in

    EEG power throughout the drama except for a slight

    enhancement of the beta and theta bands in the frontal

    region at the climax of the drama. Subject 1 (Fig. 3A,

    upper panel) showed BEAMs similar to those of Subject 2

    during the PRE and MUSIC phases in NS. During TS, by

    contrast, Subject 1 showed a distinctive increase in the

    power of the theta, alpha 1 and alpha 2 bands. The power

    of the alpha 1 band was relatively predominant during

    MOVE-I and MOVE-II, whereas that of the alpha 2 band

    was more prominent during FALL-I and FALL-II. The

    enhancement of the power in these frequency ranges

    became more prominent as time went on. This tendency is

    also recognizable in Fig. 3B, which shows the temporal

    evolution of the averaged EEG potential for each band

    across all the electrodes in Subjects 1 (upper panel) and 2

    (lower panel). In addition, Subject 1 showed a greater

    enhancement of the theta, alpha 1 and alpha 2 bands during

    POST than during PRE, whereas Subject 2 did not show

    such an enhancement at all.

    Fig. 4 shows the time course of the BEAMs and the

    averaged power of each band across all the electrodes

    recorded from Subject 3, who did not become possessed

    but showed behavior, including vigorous body movement,

    similar to that of Subject 1. Subject 3 did not play a musical

    instrument but just waited for the scene with his eyes open

    during the WAIT phase. During the PRE and POST phases,

    an occipital dominant rhythm was clearly observed with a

    peak frequency at 10 Hz. During the MOVE and FALL

    phases, when he mimicked a possessed person and behaved

    as Subject 1 did but without actual possession, the BEAM

    did not show any remarkable changes, except for a slight

    enhancement of the alpha 1 and alpha 2 bands during FALL-

    I and FALL-II (Fig. 4A). The time course of the power

    spectra of Subject 3 shown in Fig. 4B resembles that of

    Subject 2 (Fig. 3B, lower graph) who was not possessed

    and who continuously played his instrument throughout

    the drama without making any vigorous movement. A

    lack of prominent change in the power spectra of Subject

    3 is in marked contrast to those of Subject 1, who showed

    similar body movement during TS.

    4. Discussion

    We successfully recorded EEGs during possession

    trances under natural conditions for the first time. This

    was achieved by establishing a stable relationship of mutual

    trust with the Balinese people and by developing the neces-

    sary recording and analysis systems. The recorded EEG in

    this study showed an enhancement of the theta and alpha

    bands of spontaneous EEG activity, and differed from

    epileptic disorders and mental disorders.

    4.1. Utility of the portable EEG telemetry system and

    analysis method

    The multi-channel portable EEG telemetry system that

    we developed for use in the field enabled us to record the

    EEG data from the subjects under a possession trance.

    Major points that enabled us to do this are as follows: (1)

    improvements in the manner of affixing the electrode cap

    allowed a tight connection of the cap with less constraint;

    (2) strengthening and shortening the wire connections

    between the electrodes and the head amplifier decreased

    artifacts caused by vibration and increased the resonance

    frequency of the input circuit and (3) application of a digital

    bandpass filter with a sharp frequency characteristic effec-

    tively reduced low-frequency artifacts, especially the drift

    of the baseline caused by mechanical vibration of the elec-

    tric circuit.

    4.2. Validation of the power spectrum analysis

    We hypothesized that the stationary aspect of the

    frequency structure of a spontaneous EEG, which can be

    elaborated by FFT and averaging multiple epochs, might

    reflect a physiological change of neuronal activity specific

    to each phase of the possession trance because a sponta-

    neous EEG is a good index of the global state of the

    brain. From this viewpoint, it is ideal for all of the EEG

    data recorded from each phase to be analyzed. In this case,

    however, we could not avoid deterioration of the quality of

    the data due to contamination by artifacts. Therefore, multi-

    ple epochs free from artifacts were carefully sampled from

    T. Oohashi et al. / Clinical Neurophysiology 113 (2002) 435445440

    Table 1

    Time of each phase of EEG recordingsa

    Phase 1 2 3 4 5 6 7 8

    PRE MUSIC MOVE-I FALL-I MOVE-II FALL-II FINAL POST

    Subjects 1 and 2 120 3564 188 29 229 21 113 172

    Subject 3 180 2350 208 32 220 25 105 180

    a Numbers represent time in seconds of various phases of EEG recordings. Note that the EEG data from both Subject 1 and Subject 2 are categorized based on

    Subject 1s behavior.

  • the data, and consequently, the time of the selected epochs

    in each phase might not be enough to manifest the general

    state of phase. To verify whether the findings based on the

    sampled data represented each phase, we examined the

    power spectra of all data from each phase without excluding

    the epochs contaminated by artifacts. Then to evaluate the

    overall similarity between the data from all epochs and

    those from the sampled epochs in terms of spatial distribu-

    tion and spectral proportion of BEAMs, Pearsons correla-

    tion coefficients were calculated in each phase using the

    values at all electrodes in all frequency bands. In all of

    the phases except for MOVE-I and MOVE-II for Subjects

    1 and 3, which contained excessive artifacts because of the

    subjects intense movement, the power spectra of the entire

    period compared quite well with those obtained from the

    sampled data. Correlation coefficients ranged from 0.61 to

    0.89 and the significance was always less than 0.01. There-

    fore, it is likely that the sampled data represented the entire

    period of each phase in a possession trance. Regarding the

    MOVE-I and MOVE-II, the excessive noise introduced by

    the subjects intensive movements disabled us from evalu-

    ating similarity between the entire data and the sampled

    data. Therefore, we calculated correlation coefficients

    across the multiple sampled epochs in these phases to test

    their mutual similarity. Correlation coefficients calculated

    between two different sampled epochs were ranged from

    0.31 to 0.91 and the probability was always less than 0.05,

    which means that the sampled epochs in the present study

    resembled each other in terms of the spatial distribution and

    spectral proportion of BEAMs. Thus, it is reasonable to

    consider that the sampled data reflected a common character

    through the entire period even in these phases. These find-

    ings suggest that the data obtained from our measurement

    and analysis methods reflect the physiological states specific

    to each phase of a possession trance.

    There are several points we have to be cautious about

    when interpreting the results. In terms of BEAMs, it is

    necessary to consider the effect of activation of the linked-

    earlobe reference electrodes. Activation of the earlobe elec-

    trode by the occipital alpha rhythm could distort the scalp

    distribution and falsely localize the frontal activity of the

    alpha band shown in the frontal region in Subject 1. In

    addition, part of the slow activity induced by the noise of

    the earlobe electrode might have been contaminated in the

    BEAM of the theta range, although the digital bandpass

    filter followed by a careful visual inspection significantly

    reduced such artifacts (Fig. 2). Spectral analysis with a

    better temporal resolution, such as the maximum entropy

    method, may provide useful information in this regard

    (Morimoto et al., 1998).

    It is unlikely that the enhancement of the theta, alpha 1

    and alpha 2 bands observed in Subject 1 resulted from non-

    specific effects associated with physical exercise. The data

    obtained from Subject 3 is useful in this regard because he

    performed similar physical exercise but did not show clear

    evidence of a possession trance, such as anterograde amne-

    sia, during his possession-like behavior. As shown in Fig. 4,

    the EEG of Subject 3 lacked enhancement of the power

    spectra. His EEG resembles that of Subject 2, who did not

    become possessed. It is in sharp contrast to the EEG of

    Subject 1. These findings suggest that the enhancement of

    the EEG power spectra observed in Subject 1 is specific to

    his possession trance.

    There is a possibility that a physiological difference

    between an NS and a possession trance can be detected in

    a spontaneous EEG as a difference in the stationary aspect

    of the frequency structure described by our analysis. On the

    other hand, transitional characteristics in microtime

    domains and relationships across different EEG bands

    cannot be assessed by the present method using the FFT.

    Other techniques of spectral analysis, such as the maximum

    entropy method, may be useful for this purpose (Morimoto

    et al., 1998).

    4.3. EEG findings and comparison with neurological and

    mental disorders

    Since this is a single case study, it is necessary to employ

    considerable caution in interpreting the present EEG find-

    ings. Nevertheless, it may be instructive to compare the

    present findings with those of some typical neurological or

    psychological disorders.

    4.3.1. Epileptic disorders

    It is important to distinguish a Kerauhan from an epileptic

    disorder (Daly, 1990; Schaul, 1998). According to inter-

    views with the subjects in the present study, none of them

    or anyone in their family had a history of epilepsy. The EEG

    waveform of Subject 1, who experienced a possession

    trance, did not show obvious paroxysmal discharges before,

    during or after TS. Moreover, the EEG during the FALL-I

    and FALL-II phases in TS showed a prominent occipital

    dominant rhythm, which is unlikely to be observed in an

    ictal EEG.

    4.3.2. Mental disorders

    The possession trance observed in the present study must

    also be differentiated from schizophrenia or dissociative

    disorders that may show some state of possession. Miyauchi

    et al. (1996) reported that the various kinds of change in a

    spontaneous EEG, including enhancement of slow waves,

    decrease in alpha rhythm and increment or decrement of fast

    waves, can be observed in schizophrenia. EEG findings in

    patients with dissociative disorders, such as multiple

    personality disorders in a possessed state, are accumulating

    but remain diverse (Coons et al., 1982; Cocores et al., 1984;

    Putnam, 1984; Hughes et al., 1990). These findings are

    considered rather specific to the symptoms but not to the

    diseases themselves. It is difficult to formally make a diag-

    nosis from the resting EEG in the present study because it

    was recorded outside for only 3 min. Nevertheless, since

    dissociative episodes or unusual behavior have never been

    T. Oohashi et al. / Clinical Neurophysiology 113 (2002) 435445 441

  • T. Oohashi et al. / Clinical Neurophysiology 113 (2002) 435445442

  • seen in the daily life of the subjects, and the possession

    trance was only observed in the highly organized ritual

    drama, it is unlikely that the possession trance observed in

    this study is due to a mental disorder.

    4.3.3. Hyperventilation

    During TS of Subject 1, the power in the theta, alpha 1 and

    alpha 2 frequency bands was greatly enhanced. This

    enhancement continued after Subject 1 returned to NS. To

    account for these changes, we should consider the possible

    effect of hyperventilation associated with the exercise done

    during the possession trance because hyperventilation causes

    a shift to a lower frequency of alpha or theta in a spontaneous

    EEG. Since Subject 3, who seemed to be doing almost the

    same amount of exercise, did not show this kind of hyper-

    ventilation-induced phenomenon, we do not think that hyper-

    ventilation is the sole reason for the spectral changes in the

    EEG of Subject 1. The concentration of expiratory carbon

    dioxide must be measured to prove this point.

    4.4. Enhancement of the EEG in the alpha rhythm

    The alpha rhythm of an EEG is considered to occur in

    relaxed yet alert subjects and to be sensitive to the subjects

    emotional as well as arousal state (Drennen and Oreilly,

    1986; Iwaki et al., 1997). Although there is considerable

    intersubject variability in the amount of alpha rhythm, a

    normal alpha rhythm can be treated as an intraindividually

    stable trait in terms of its testretest reliability (Gasser et al.,

    1985; Kohrman et al., 1989; Fernandez et al., 1993). There

    is a considerable amount of literature reporting the enhance-

    ment of alpha-EEG during meditation or Zen (Kasamatsu

    and Hirai, 1966; Banquet, 1973; Banquet and Sailhan, 1977;

    Dillbeck and Bronson, 1981; Khare and Nigam, 2000).

    Although the mechanisms underlying the generation of the

    T. Oohashi et al. / Clinical Neurophysiology 113 (2002) 435445 443

    Fig. 3. Change of EEG power associated with the transition to and from TS. (A) Time course of BEAMs. In Subject 1 (upper), who went into TS, the power of

    the theta, alpha 1 and alpha 2 frequency bands is markedly enhanced during TS. Such enhancement is also recognizable in the POST phase of NS. By contrast,

    Subject 2 (lower) did not show any change in EEG power during MUSIC. (B) Time course of the mean of the EEG power across all electrodes in each

    frequency band. Subject 1 (upper) shows increased power in the theta, alpha 1 and alpha 2 frequency bands in TS. The power of alpha 2 is more prominent in

    FALL-I, FALL-II than in MOVE-I, MOVE-II, while the opposite is seen in the alpha 1 band. By contrast, Subject 2 (lower) shows stable EEG power

    throughout the recording period.

    Fig. 4. Change of EEG power in Subject 3, who did a similar amount of exercise without going into a possession trance. (A) Time course of BEAMs. (B) Time

    course of the mean of EEG power across all electrodes in each frequency band. Subject 3 shows stable EEG power during the exercise.

  • alpha rhythm have yet to be fully clarified, an animal model

    suggests the involvement of at least the thalamocortical and

    intracortical networks (Steriade et al., 1990). A focal

    decrease of the background EEG in the alpha band occurs

    in association with corresponding cortical activation. It is

    known that an occipital alpha-EEG closely reflects the acti-

    vation of the visual cortex; a significant negative correlation

    between the occipital alpha rhythm and activity in the visual

    cortex has been reported (Sadato et al., 1998). The remark-

    able enhancement of the occipital alpha-EEG during eye-

    closed phases (e.g. PRE, FALL-I and II, FINAL and POST)

    in the present study is in parallel with this evidence. More

    importantly, when the eye-closed phases and eye-open

    phases are compared within each category, the enhancement

    of the alpha-EEG is more evident in the later part of the

    trance (Fig. 3B). Although there is marked variability in

    alpha power in normal individuals from one period of

    time to another, depending on their level of mental activity,

    this finding may suggest some linkage between the depth of

    trance and alpha-EEG. A positive correlation has been

    shown between the occipital alpha-EEG and the regional

    cerebral blood flow in the deep brain structure (Sadato et

    al., 1998), including the thalamus (Oohashi et al., 2000).

    Therefore, we need to consider the possibility that a posses-

    sion trance may be associated with a change of activity in

    deep-lying structures, including the thalamus. However, we

    lack a sufficient number of subjects in a possession trance; it

    is necessary to collect more data in the field to determine

    whether the observed findings reflect a physiological

    phenomenon specific to possession trances, or alternatively,

    if they are simply associated with that particular subject.

    In conclusion, we consider that we have verified the abil-

    ity of the developed portable EEG recording system and the

    utility of the EEG analysis method for subjects with move-

    ment in the field. Namely, this methodology was recognized

    as being useful to some extent for EEG recording under

    severe conditions and for investigating the features of spon-

    taneous EEGs. We also succeeded in our second goal of

    measuring the EEG of a possessed subject under natural

    settings for the first time. This EEG lacked apparent patho-

    logical findings and showed an enhancement of EEG power

    in the theta and alpha frequency ranges. This is still only a

    single case study on the EEG findings of a possession trance.

    In the near future, we plan to increase the number of cases

    using the present system to examine general physiological

    findings of possession trance.

    Acknowledgements

    We express our special thanks to the Balinese people who

    accepted us and allowed us to carry out our experiment

    during their ritual ceremony. We also sincerely thank Ms

    Sari Sudo and Mr Ida Bagus Sunarta for their continuous

    support for 20 years in Bali, and the members of the Yama-

    shiro Institute of Science and Culture for their technical

    support.

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