1. Introduction
Version followed: Agonshū as described in the scholarly profile by Erica Baffelli and Ian Reader (World Religions and Spirituality Project, 2018), Reader's 1988 study in the Japanese Journal of Religious Studies, and Reader and Baffelli's 2018 monograph as summarised in published reviews. The movement's own website (agon.org) is not quoted here [uncertain: not verified]; its self-description is given as these scholars report it.
Agonshū (阿含宗) is a Japanese new religious movement founded by Kiriyama Seiyū (1921–2016; born Tsutsumi Masao/Masuo). He founded a Kannon devotional group, the Kannon Jikeikai, in 1954, took the name Kiriyama Seiyū in 1955, and in 1978 reorganised the group as Agonshū, named after the Āgama (Agon) sutras, which it presents as the Buddha's original teaching and as "complete Buddhism" [source: WRSP profile; Reader 1988]. Its headquarters temple is at Yamashina, Kyoto, with a main Tokyo centre and regional centres [source: WRSP profile]. Legal registration in 1981 is reported only in encyclopedic summaries [uncertain: secondary, unverified].
This is a religious organisation, not a therapy. This guide describes it as its scholars report its own teaching, then sets out the psychotherapist's work with members, former members and families.
The movement's account of how change happens (attributed): misfortune in a person's life is attributed to bad karma (innen) and to spiritual hindrances (reishō) from unhappy or unliberated spirits of the dead, especially neglected ancestors (fujōbutsurei). Ritual, chiefly the goma fire rite and veneration of a Buddha relic, is taught to "cut one's karma" (innen wo kiru), liberate the dead so they become Buddhas (jōbutsu) and benevolent ancestors, and bring worldly benefits to the living [source: WRSP profile; Reader 1988]. Reader notes that Agonshū uses karma in largely negative terms, close to Japanese folk fears of restless spirits, and that healing is not presented as its central claim [source: Reader 1988]. Evidence status: these are religious claims about the spirit world and karma, and no empirical evaluation of ritual outcomes appears in the sources cited here [uncertain: not verified].
Current situation. After the founder's death on 29 August 2016, leadership passed to the senior priest Fukada Seia (kanchō, chief ritualist) and Wada Naoko (head of administration). Kiriyama was proclaimed a "second Buddha" in 2017, his relics now preside over rituals, and messages said to come from him in the spirit world (kaiso reiyu) are treated as teaching [source: WRSP profile; Introvigne review; Graf review]. Reader and Baffelli describe this as a turn towards veneration of the founder; Introvigne's review summarises their finding that the movement holds that Kiriyama "is still leading the movement from the spirit world" [source: Introvigne review]. They also describe an ageing membership, difficulty recruiting, and a shift towards Japanese nationalism and rites for the Japanese war dead [source: WRSP profile; Graf review].
Aum Shinrikyō connection. Scholars state that Asahara Shōkō, the founder of Aum Shinrikyō, had briefly been a member of Agonshū, and that after the 1995 Aum attacks this association made Agonshū unpopular and contributed to wider public suspicion of new religions in Japan [source: WRSP profile; Introvigne review]. Reader and Baffelli suggest the later nationalist emphasis was partly a way to distance the movement from Asahara [source: Wikipedia citing Reader and Baffelli 2018, pp. 102, 110–111; uncertain: secondary, unverified]. Agonshū itself is not reported in these sources as involved in Aum's crimes, and no court case against Agonshū is reported in them. For Aum Shinrikyō itself, see XIV 130.
2. Framework
2a. The organisation as scholars report it publishes itself
- Founder narrative. Kiriyama's early hardship (including a 1953 prison sentence and business failure) is presented as a model: a man who suffered the same spiritual hindrances as followers and overcame them. His 1971 book Henshin no genri is credited with starting an esoteric Buddhism (mikkyō) boom; he reported visions, including figures appearing in the goma flames from 1978 onward [source: Reader 1988]. He practised fasting and cold-water austerities before a 1970 dream in which Juntei Kannon told him to turn to goma rites (described here qualitatively only) [source: Reader 1988].
- Objects of worship. The shinsei busshari ("true relic of the Buddha"), presented to Kiriyama by Sri Lanka's President Jayewardene in 1986, became the main object of worship; members keep miniature reliquaries at home. The relic is credited with liberating the dead, removing obstacles and granting wishes [source: Reader 1988; WRSP profile]. Since 2016 the founder's own relics are also venerated [source: Introvigne review].
- Core rite: goma. A fire rite in which wooden gomagi sticks inscribed with prayers are burned. A monthly goma on the first of each month (tsuitachi) at the Tokyo centre has been broadcast by satellite to regional centres; Reader observed a two-part format, a solemn goma before the relic followed by an upbeat talk with chanted positive-thinking affirmations [source: Reader 1988]. A monthly memorial rite on the 16th (Meitokusai) is also listed [source: WRSP profile].
- Hoshi Matsuri (Star Festival), in outline. An annual mass festival on 11 February at Yamashina. Two large pyres are lit, one for fulfilling the wishes of the living (hōshō, associated with the diamond mandala) and one for liberating the dead (gedatsu, associated with the womb mandala). Members and visitors buy and inscribe gomagi; participants include priests in yamabushi (mountain ascetic) dress. Reader recorded gomagi priced at 100 yen each and numbers rising from about 100,000 (1970) to over 30 million (1988); attendance was estimated at over half a million in the late 1980s. Since 1993 the festival has been a combined Shinto–Buddhist event [source: Reader 1988; WRSP profile; Graf review]. Ritual procedure is not described further here.
- Earlier practice. A thousand-day chanting practice (senza gyō) before an image of Juntei Kannon was replaced in 1986 by relic veneration [source: Reader 1988].
- Membership and costs. Joining involves a "small monthly fee" and the purchase of ritual items and a personal altar; higher ranks come through paid training seminars leading to yamabushi status; members are expected to volunteer and to do kanjin (soliciting alms and selling goma sticks). The movement also has a health-food business and a publishing house (Hirakawa Shuppan) [source: WRSP profile]. Exact current fees are not published in the sources cited here [uncertain].
- Other services. Spiritual counselling and divination are offered to members; overseas fire rites for the war dead have been held [source: WRSP profile]. Reader also reported member counselling and home worship before the busshari [source: Reader 1988].
- Size. About 200,000–300,000 members in the late 1980s by scholarly estimates, with higher figures (around 500,000) in some reports [source: WRSP profile; Reader 1988; Introvigne review]; current numbers are not given [uncertain].
2b. The therapist's framework [synthesis]
No source gives a therapy protocol for Agonshū members, and no session counts or durations are sourced. A practical sequence:
- Engagement and cultural assessment. Goal: understand what membership means to the client and how it relates to the presenting problem. Use the Cultural Formulation Interview (CFI) and its Religion and Spirituality module [source: APA CFI]. Move on when the client's explanatory model (karma, ancestors, spirits) and the role of the group are clear and the client feels respected.
- Differential assessment. Goal: separate culturally normative belief and experience from symptoms needing treatment. Move on once risk and diagnosis are clarified.
- Shared formulation and goals. Goal: agree what the client wants from therapy (symptom relief, a decision about membership, family conflict, grief), in the client's language.
- Working phase. Use the interventions in section 4 as indicated.
- Consolidation or transition. Goal: relapse planning, community supports inside or outside the movement, referral where needed.
Movement between phases is by clinical judgement, not by any sourced criterion.
3. Guiding principles
- Describe, do not adjudicate. Agonshū's teachings on karma, spirits and relics are the client's religious framework; the therapist neither affirms nor disputes them. Practical meaning: use the client's own terms (innen, reishō, jōbutsu) with curiosity [synthesis].
- Respect religion as part of identity. Practical meaning: do not let bias about new religions or about Aum's history shape judgement of a member (APA Principle E) [source: APA Ethics Code].
- Competence or referral. Practical meaning: where Japanese religious culture is central and unfamiliar, seek consultation or training, or refer [source: APA Ethics Code].
- No labels the sources do not use. Practical meaning: do not use pejorative labels or call Agonshū a high-control group; scholars describe founder veneration, not a finding of coercion [source: Introvigne review; synthesis].
- Avoid stigma by association. Practical meaning: Asahara's brief membership is history scholars record; it says nothing about an individual member. Raise it only if the client does [synthesis].
- The therapist is not a priest, ritualist or diviner. Practical meaning: no goma, readings, ancestor rites or spirit interpretations in therapy; avoid multiple relationships (APA 3.05) [source: APA Ethics Code; synthesis].
- Client autonomy about membership. Practical meaning: staying, cutting back or leaving is the client's decision; the therapist helps them think it through [synthesis].
- Look at money and time plainly. Practical meaning: fees, gomagi, seminars and kanjin are reported features; ask about them as you would any significant expense [source: WRSP profile; synthesis].
- Informed consent about the therapy itself. Practical meaning: explain at the outset that therapy is not religious practice and does not replace it [source: APA Ethics Code].
- Safety first. Practical meaning: risk of suicide, psychosis or abuse overrides the exploratory stance [synthesis].
4. Intervention inventory
Agonshū's own rites (goma, relic veneration, the Hoshi Matsuri, memorial rites, seminars and yamabushi training) belong to the movement and its priests. They are not therapy interventions and are not taught here. The interventions below are the psychotherapist's work with members, former members and relatives. They are clinical synthesis unless a source is tagged.
4.1 Client-led exploration of meaning
- Purpose / when: at intake and whenever the client explains a problem in Agonshū terms (bad karma, ancestral hindrance, a wish offered at the Hoshi Matsuri). Builds alliance and shows what membership gives the client: community, ritual, a way to act on misfortune, a link to the dead [synthesis].
- Steps: (1) Ask permission to talk about religion. (2) Ask the client to describe their practice and what it means, in their own words. (3) Reflect their terms back without correcting them. (4) Ask what the practice helps with and what, if anything, it costs them. (5) Note links to the presenting problem and check them with the client.
- Example language (illustrative): "You mentioned cutting your karma. Can you tell me what that means for you, and how it connects to what's been happening?" / "What does the monthly fire rite give you that you'd miss without it?"
- Watch for: the client testing whether you will mock them or refer to Aum; shame about spending; whether religious practice is a resource, a source of distress, or both. Working signs: the client uses their own terms freely and links them to their goals.
4.2 Cultural Formulation Interview with the Religion and Spirituality module
- Purpose / when: a structured early assessment. The CFI's 16 core questions cover the cultural definition of the problem, perceived causes and supports, cultural identity, self-coping and help-seeking, current preferences and the clinician–patient relationship; the Religion and Spirituality supplementary module expands several of these, and an informant version exists for relatives [source: APA CFI]. The APA presents it as a tool to aid understanding, not a sole basis for diagnosis [source: APA CFI].
- Steps: (1) Use the core CFI in the first sessions, paraphrasing its domains in your own words. (2) Add the Religion and Spirituality module when membership is clearly significant. (3) Record the client's explanatory model (for example, ancestral hindrance) next to your clinical formulation. (4) Use the informant version with a consenting relative where family conflict is part of the problem.
- Example language (illustrative): "People explain difficulties in different ways. How do you and your family understand what's happening?" / "Has anyone in your temple or community helped with this? How did that go?"
- Watch for: differences between the client's and the family's explanations; reluctance to describe the group to an outsider; whether earlier help from the group (counselling, divination) helped or added worry [source for group counselling and divination: WRSP profile]. Working signs: a shared formulation that respects both frameworks.
4.3 Differential assessment without pathologising belief
- Purpose / when: when the client reports experiences the movement treats as normal (seeing figures in goma flames, spirit influence, messages from the founder in the spirit world) or when distress about spirits is high. Reader reports Agonshū teaches that anyone with correct spiritual sight can see figures in the flames [source: Reader 1988].
- Steps: (1) Find out whether the experience is shared, taught and expected in the client's community, or idiosyncratic. (2) Look at the form and context: does it happen only in rites, is it under voluntary control, does it fit the community's account? (3) Screen for features beyond the religious frame: thought disorder, functional decline, sleeplessness, grandiosity, command experiences, a new personal mission. (4) Screen for depression, complicated grief, OCD (intrusive fears of ancestral harm with compulsive offering) and dissociation. (5) Where a diagnosis is unclear, consider ICD-10-CM Z65.8, whose inclusion terms include "Religious or spiritual problem" [source: Unbound Medicine ICD-10-CM]; DSM-5-TR wording is not quoted here [uncertain]. (6) Refer urgently for psychiatric assessment if psychosis or mania is suspected.
- Example language (illustrative): "Is this something others in your group also see, or is it more personal to you?" / "Apart from the rite, have you noticed changes in your sleep, energy or thinking?"
- Watch for: pathologising normative experience (a clinical error), and the opposite error of missing illness because it is wrapped in religious language. Working signs: the client feels understood and the formulation separates belief from symptom.
4.4 Working with karma and ancestor attributions
- Purpose / when: the client blames themselves or their ancestors for misfortune, or feels responsible for unliberated family spirits. Reader notes the teaching can shift responsibility for failure onto the past and that a movement booklet listed 22 kinds of misfortune tied to spiritual causes [source: Reader 1988].
- Steps: (1) Map the attribution: which misfortune, which ancestor, what the client believes must be done. (2) Ask what the belief does for them: relief from self-blame, or fear and guilt. (3) Without disputing the belief, widen the picture: other causes (illness, economics, relationships) that can be worked on in parallel. (4) Help the client separate what they can act on now from what they hand to ritual. (5) If fear is driving repeated offerings, assess for OCD and use exposure and response prevention with consent, aware that religious rites are not the target; compulsive over-reassurance is (ERP is the standard OCD treatment per IOCDF [uncertain: not verified]).
- Example language (illustrative): "Your tradition says some of this comes from the past. Alongside that, what parts of it can you and I work on directly?" / "When the worry about your ancestors comes, what do you feel you have to do, and what happens if you don't?"
- Watch for: guilt or fear increasing after rites; buying more gomagi or services to calm anxiety; avoidance of medical or practical help because a problem is seen as purely spiritual. Working signs: the client acts on practical causes while keeping their practice if they choose.
4.5 Grief and relationships with the dead
- Purpose / when: bereaved clients drawn to memorial rites, and clients troubled by beliefs that a dead relative is suffering. Ancestor rites and liberation of the dead are central to Agonshū's offer [source: WRSP profile; Reader 1988].
- Steps: (1) Treat memorial practice as a legitimate continuing bond. (2) Assess for prolonged or complicated grief. (3) Explore what the client believes the dead need and how that affects them. (4) Where belief that the dead are suffering intensifies grief, work on the grief itself (the loss, the relationship, unfinished business) rather than the doctrine. (5) Check whether paying for rites is linked to guilt and whether spending is affordable.
- Example language (illustrative): "It sounds as if caring for your father through these rites matters a lot. What do you most wish he knew?"
- Watch for: guilt-driven spending; prolonged grief; distress when rites seem not to bring peace. Working signs: grief moves; rites, if continued, feel consoling rather than urgent.
4.6 Financial and time review
- Purpose / when: when money, debt or exhaustion appear, or relatives raise spending. Reported costs include a monthly fee, ritual items and a home altar, gomagi, paid training seminars toward higher ranks, and expected volunteering and kanjin (soliciting alms and selling goma sticks) [source: WRSP profile; Reader 1988]. Baffelli and Reader note concerns about alms collection and membership costs [source: WRSP profile].
- Steps: (1) Ask neutrally for a month's religious spending and hours. (2) Set them against income, debts and other obligations. (3) Ask whether any spending feels pressured or is driven by fear of spiritual consequences. (4) Agree the client's own limit if they want one. (5) If debt is serious, refer for debt advice.
- Example language (illustrative): "Many commitments cost money and time. Would it help to look at what your practice costs you each month, so you can decide what feels right?"
- Watch for: spending linked to fear, concealment from family, kanjin quotas that cause strain [uncertain: whether quotas exist is not documented]. Working signs: spending is chosen, known to the client and affordable.
4.7 Assessing the leader relationship and group dynamics
- Purpose / when: when the client describes pressure, fear of leaving, or dependence on guidance. Scholars describe strong reverence for the founder in his lifetime, growing messianic framing, and since 2016 founder veneration with spirit messages treated as teaching; Baffelli and Reader also note a risk that founder focus makes the movement more inward-looking [source: Reader 1988; WRSP profile; Introvigne review]. These sources do not document coercive control in Agonshū.
- Steps: (1) Ask how decisions are made in the client's life and how much depends on guidance from the group (counselling, divination, spirit messages). (2) Ask whether the client can disagree, take a break or reduce giving without consequences. (3) Ask about contact with non-member family and friends. (4) Note general coercive-control signs (isolation, fear of punishment, control of money or information) without assuming them [synthesis]. (5) Reflect findings back neutrally.
- Example language (illustrative): "If you wanted to skip a month or give less, what would happen? How would people react?" / "How do you decide when guidance from the temple fits your own judgement?"
- Watch for: fear of spiritual punishment for leaving; decisions routinely deferred to divination; shrinking outside relationships. Working signs: the client describes their own choices with less fear.
4.8 Stigma and the Aum association
- Purpose / when: when a member or former member feels judged because Asahara Shōkō was briefly a member, or because of public suspicion of new religions after 1995 [source: WRSP profile; Introvigne review].
- Steps: (1) Let the client raise it. (2) Validate the experience of stigma. (3) Separate the historical fact scholars record from the client's own conduct. (4) Work on any shame or concealment that affects relationships or work. (5) If the client is a former member of Aum or its successor groups, see XIV 130.
- Example language (illustrative): "It sounds as if people have assumed things about you because of events you had nothing to do with. How has that affected you?"
- Watch for: the therapist's own bias; client concealment of membership from the therapist. Working signs: the client talks openly about membership.
4.9 Decisions about membership, leaving and religious trauma
- Purpose / when: a client is unsure whether to stay, reduce involvement or leave, or has left and is distressed.
- Steps: (1) Use a neutral decision balance: what membership gives, what it costs. (2) Explore fears about leaving, including fear of karmic or ancestral consequences, without challenging the belief directly. (3) If leaving, plan practicalities: altar and ritual objects, ongoing payments, contact with members, telling family. (4) After leaving, work on loss of community and meaning, guilt toward ancestors, anger, and identity. (5) Help the client find other ways to honour the dead if they wish (another Buddhist temple, family rites).
- Example language (illustrative): "It's your choice whether to stay. Shall we look at what each path would mean for you?" / "Leaving can bring grief as well as relief. Both make sense."
- Watch for: intrusive fear of spiritual harm after leaving; depression from loss of community; pressure from either side. Working signs: the decision feels the client's own; distress about consequences eases.
4.10 Work with family members
- Purpose / when: relatives are worried about spending, time, nationalism or the movement's reputation, or a member is in conflict with non-member family.
- Steps: (1) Clarify who the client is. (2) Help relatives stay curious and connected rather than confrontational. (3) Separate the concerns that can be checked (money, time, health) from disagreements about belief. (4) With the member's consent, offer a joint session focused on communication. (5) Give no confrontation or "exit" scripts.
- Example language (illustrative), to a relative: "Keeping the relationship warm usually helps more than arguing about belief. What specifically worries you?"
- Watch for: relatives wanting the therapist to persuade the member to leave; the member feeling ganged up on. Working signs: conversations at home become calmer and more specific.
4.11 Children
- Purpose / when: a child is raised in a member family and there are concerns about wellbeing. The sources cited here document no specific child-welfare issues in Agonshū.
- Steps: (1) Apply ordinary safeguarding thresholds, without treating membership itself as a risk. (2) If medical care, schooling or development is affected, refer for assessment and follow local child-protection procedures. (3) Seek the child's assent and the parents' consent appropriately. (4) Never name minors in records shared outside the clinical team beyond what law requires.
- Example language (illustrative), to a parent: "I'd like to understand how your child is doing at home, at school and with the temple activities."
- Watch for: fear-based beliefs about spirits causing a child's difficulties delaying assessment of developmental or health needs. Working signs: appropriate assessment happens with family cooperation.
4.12 Role boundaries and ethics
- Purpose / when: throughout; especially if the client asks for spiritual advice, or the therapist shares a Buddhist or Japanese background.
- Steps: (1) Do not perform rites, divination, spirit readings or blessings, or comment on whether ancestors are liberated. (2) Avoid multiple relationships (for example, attending the client's temple events in a role that blurs the boundary) (APA 3.05) and conflicts of interest [source: APA Ethics Code]. (3) Use self-disclosure about your own religion sparingly and only for the client's benefit [synthesis]. (4) Seek supervision or training in religious and spiritual competencies (Vieten et al. 2013 [uncertain: not verified]). (5) Document consent to therapy, including what therapy is not [source: APA Ethics Code].
- Example language (illustrative): "I'm not able to say what your ancestors need; that's a question for your tradition. What I can do is help you with how this is affecting you."
- Watch for: pressure to act as a spiritual authority; your own views leaking into sessions. Working signs: the client brings religious questions to their tradition and psychological ones to you.
4.13 Involving religious leaders and referral
- Purpose / when: when the client wishes to involve a priest or community figure, or needs services beyond therapy.
- Steps: (1) Only with explicit consent, and only for agreed purposes. (2) Agree what is shared. (3) Refer to psychiatry (psychosis, mania, severe depression), medical care (any physical illness, which no rite treats), debt advice, and family therapy as needed. (4) For former members of Aum or its successors, see XIV 130.
- Example language (illustrative): "Would it help to involve someone from your temple, or would you rather keep therapy separate?"
- Watch for: confidentiality breaches; leaders' and therapist's advice conflicting. Working signs: the client feels supported by both without being pulled between them.
5. Handling problems
None of the sources cited here addresses therapy with Agonshū members; all guidance in this section is [synthesis] unless tagged.
- The client asks the therapist to confirm a spiritual cause ("Is my bad luck from my grandfather's spirit?"). Decline the role kindly and return to the client's experience. (illustrative) "That's a question your tradition answers. I'm interested in how believing it feels for you."
- Guarded or defensive client (expects ridicule, especially about Aum). Name the stance openly, use their terms, and show curiosity before asking about costs or pressures. Do not raise Asahara unless the client does.
- Stuck in spiritual explanation only (all problems are karma, so nothing can be done). Use "both/and" work (4.4): keep the spiritual frame and add practical steps the client chooses.
- Fear-driven offerings or reassurance-seeking. Assess for OCD; if present, plan ERP with consent and a clear agreement that religious practice itself is not the target, only the compulsive excess [uncertain: IOCDF guidance not verified].
- Overwhelm after rites or spirit messages (fear, sleeplessness, sense of being contacted by the founder's spirit). Ground and assess (4.3). If features go beyond the community's norm or the client is not functioning, arrange urgent psychiatric review.
- Non-adherence to therapy because of ritual calendar. Schedule around key dates (the monthly rites on the 1st and 16th; the Hoshi Matsuri on 11 February) [source for dates: Reader 1988; WRSP profile].
- Rupture: the client feels the therapist is against the group. Acknowledge it, take responsibility for any slip, and restate that membership decisions are the client's. (illustrative) "I may have sounded critical of your temple. That isn't my job here, and I'm sorry if it felt that way."
- Relatives pressing the therapist to get the member out. Clarify roles and confidentiality; offer support to relatives separately; give no exit or confrontation scripts.
- Financial strain the client minimises. Return to the monthly review (4.6), with the client's own figures; refer for debt advice where needed.
- Physical illness treated by ritual alone. No rite is a treatment for physical disease. Encourage medical assessment and continued medical care alongside any practice; do not advise on medicines. For children, follow safeguarding procedures (4.11).
- Former member grieving loss of community and meaning. Treat as loss: validate, explore what was valued, and help the client find community and ways of honouring the dead outside the movement if they wish.
- Suicide risk. Kiriyama's own narrative includes a suicide attempt before founding his first group [source: WRSP profile]; a client may relate to that story. Assess risk with standard methods, follow safe-messaging principles, and plan safety with the client, including lethal-means counselling (storage and removal) where indicated.
- Therapist's own reactions (to nationalist or war-dead themes, or to new religions generally). Take them to supervision; keep them out of the session.
Sources
- Agonshū Timeline and profile, Erica Baffelli and Ian Reader, World Religions and Spirituality Project (2018)
- Reader, I. (1988). The rise of a Japanese "new new religion": themes in the development of Agonshū. Japanese Journal of Religious Studies 15/4, 235–261 (Nanzan Institute)
- Introvigne, M. (2019). Review of Reader and Baffelli, Dynamism and the Aging of a Japanese "New" Religion. Reading Religion
- Graf, T. (2021). Review of Baffelli and Reader, Dynamism and the Ageing of a Japanese "New" Religion. Asian Ethnology 80/2
- Agon Shu, Wikipedia (secondary; used only where marked)
- [APA DSM-5-TR Cultural Formulation Interview, American Psychiatric Association](https://www.psychiatry.org/File Library/Psychiatrists/Practice/DSM/DSM-5-TR/APA-DSM5TR-CulturalFormulationInterview.pdf)
- ICD-10-CM Z65.8, Other specified problems related to psychosocial circumstances (includes 'Religious or spiritual problem'), https://www.unboundmedicine.com/icd/view/ICD-10-CM/945432/all/Z65_8___Other_specified_problems_related_to_psychosocial_circumstances
- APA Ethical Principles of Psychologists and Code of Conduct
- Book cited via the reviews above: Baffelli, E., and Reader, I. (2018). Dynamism and the Ageing of a Japanese "New" Religion: Transformations and the Founder. London: Bloomsbury.
- Also cited [uncertain: not verified]: Vieten, C., et al. (2013), spiritual and religious competencies for psychologists; IOCDF guidance on ERP for OCD.
- Cross-reference: XIV 130 (Aum Shinrikyō).