Guide XIV-127

Shumei

Koyama Mihoko1970Shiga Prefecture, Japan
Client cardCompare
[source: …] where a claim comes from[uncertain] not confirmed in a primary source[synthesis] the writer's reconstruction

1. Introduction

Version followed: Shumei (Shinji Shūmeikai) as its global site (shumei.org, English pages and the Portuguese Jyorei FAQ) and Shumei International publish it in 2026, with history from the Kokugakuin University Encyclopedia of Shinto entry by Yumiyama Tatsuya. Shumei spells the healing practice "Jyorei"; the wider Okada lineage spells it "Johrei". Both spellings are used below.

What it is. Shumei is a Japanese new religious movement and international spiritual fellowship, not a therapy. The encyclopedia entry describes it as a Shinto-derived new religion strongly influenced by Sekai Kyūseikyō (Church of World Messianity). Its organisational founder, Koyama Mihoko (born 1910), received jōrei in 1940, joined Okada Mokichi's movement in 1941, rose to lead its proselytisation office after Okada's death (1882–1955), and became independent in 1970, during the parent church's centralisation drive (ichigenka), taking about 18,000 members with her. The entry gives a nominal membership of about 440,000, headquarters in Shiga Prefecture, mission work in Hong Kong and the United States, and a founder's hall, Misono, completed in 1983 at Shigaraki. Members call Okada Meishu-sama (spiritual leader) and Koyama Kaishu (organisational leader). [source: Kokugakuin Encyclopedia of Shinto] Shumei's own site names only Okada ("Meishusama") as its spiritual leader. [source: shumei.org About Shumei]

Core idea of change, as Shumei states it. Meishusama taught that a world free of sickness, poverty and discord is within everyone's reach through three paths: Jyorei spiritual healing, Natural Agriculture, and appreciation of Art and Beauty. A guiding saying is "Gratitude breeds gratitude, discontent spawns discontent." [source: shumei.org About Shumei] In Shumei's account, illness and unhappiness are caused by "spiritual clouds" (impurities or spiritual toxins), and the light channelled in Jyorei dispels them "as light ends darkness". [source: shumei.org Jyorei FAQ (pt), translated] The encyclopedia records the lineage goal of eliminating illness, poverty and war and building a paradise on earth. [source: Kokugakuin]

Related institutions. The Miho Museum in Shiga (art and culture), the Shumei Taiko Ensemble, and international Natural Agriculture programmes that Shumei International links to the UN's sustainable food systems work. [source: Shumei International What We Do] The museum was designed by I. M. Pei and commissioned by Koyama Mihoko with her daughter Koyama Hiroko [uncertain: secondary, unverified].

Evidence status (one line). Johrei is classed as a biofield or energy-healing practice; reviews summarised by BCCT find no clinical trial evidence for effects on disease, conflicting laboratory studies, and only low-to-moderate-quality evidence for biofield therapies easing anxiety and symptoms; Shumei's own FAQ notes there are no scientific studies of Jyorei's effects. [source: BCCT Johrei summary; shumei.org Jyorei FAQ (pt)] Jyorei is described here as a spiritual practice; it is not a treatment for any physical disease, and every medical decision belongs with the client's doctor.

Cross-references. 120 (Johrei and the Church of World Messianity, the parent lineage); 121 (Mahikari, another hand-raising light practice in the Okada orbit); 128 (Shinreikyo).

2. Framework

There is no therapeutic protocol. Two frameworks matter: the movement's own path as it publishes it, and the psychotherapist's work with a client for whom Shumei is part of life.

A. The movement's path (as Shumei publishes it)

  • First contact: receiving Jyorei. Jyorei is "a shared act involving two people, one who gives and one who receives"; it "can be given to anyone at any place or time", and all who wish to experience it are welcome at Shumei centres. [source: shumei.org Spiritual Healing] No membership or belief in God or in Jyorei is required, and Jyorei should never be charged for; voluntary gifts of gratitude are welcome. [source: Jyorei FAQ (pt)] Members, many of them university-age, offer jōrei to passers-by outside major railway stations in Japan. [source: Kokugakuin]
  • Repeated receiving and study. The FAQ says the number of sessions needed cannot be predicted because it depends on how many impurities must be cleared, and for persistent problems recommends receiving Jyorei as often as possible and studying the teachings. [source: Jyorei FAQ (pt)]
  • Becoming a giver. Anyone who sincerely wishes to give Jyorei may do so after attending instructional sessions and being formally initiated as a practitioner. [source: Jyorei FAQ (pt)] Initiation content is not described here.
  • Wider practice. Natural Agriculture, art and beauty in daily life, centre activities, the Taiko ensemble, and pilgrimage or visits to Misono, where members believe the spring water brings healings like those of jōrei. [source: Kokugakuin; Shumei International]
  • Membership is non-exclusive. Members come from diverse backgrounds and many keep or deepen their own religion after joining. [source: shumei.org About Shumei]

B. The psychotherapist's work (phases are [synthesis]; no session counts are given by any source)

  1. Orientation and meaning: learn what Shumei, Jyorei, Natural Agriculture and art mean in this client's life, in the client's own words. Move on when you can state the client's involvement (how long, how often, role: receiver, giver, member, family member of a member) and what it gives them.
  2. Cultural formulation and differential assessment: use the Cultural Formulation Interview and its spirituality, religion and moral traditions module [uncertain: not verified]; separate culturally normative experience from psychosis, mania, dissociation, OCD and complicated grief without pathologising belief. Move on when the formulation includes the client's explanatory model and the clinical picture.
  3. Health and safety: check whether any physical or psychiatric condition is being treated only or mainly by Jyorei; coordinate with the treating doctor (with consent); assess children's access to care. Move on when medical care is in place or the client has made an informed decision with the doctor.
  4. Focused work: the presenting problem (e.g. guilt over "clouds", family conflict about membership, illness meaning, grief, dependency, leaving) with interventions in section 4.
  5. Consolidation and referral: link to the client's community leaders if the client wishes, to medical, social-work or specialist services where needed; end with a plan the client owns.

3. Guiding principles

  • Describe, attribute, do not adjudicate. Spiritual clouds, purification and spiritual light are Shumei's terms; hold them as the client's and the movement's beliefs. Practical meaning: write "the client understands her headaches as spiritual clouds clearing", not "the headaches are clouds clearing" or "the client has a false belief". [synthesis]
  • Healing claims are attributed, with evidence status stated once. Practical meaning: if asked, say plainly that research has not shown Jyorei treats disease, without disparaging the practice. [source: BCCT; synthesis]
  • Medical decisions stay with the doctor. Practical meaning: never advise starting, stopping or changing a medicine; with consent, contact the treating doctor when care may be delayed. [synthesis]
  • The therapist is not a giver. Practical meaning: no Jyorei in sessions, even if you are a member or are asked; refer the client to their centre for it. [synthesis]
  • Non-exclusive membership is real for many. Shumei states members often keep their own religion. Practical meaning: ask about every tradition in the client's life, not only Shumei. [source: shumei.org About Shumei]
  • Meaning before pathology. Practical meaning: assess function, distress and safety, not the content of belief, when deciding what is clinical. [synthesis]
  • Autonomy-respecting decision support. Practical meaning: help the client weigh options against their own values; do not steer them in or out of the movement. [synthesis]
  • Watch for guilt and blame in the illness model. If illness is caused by clouds that must be purified, slow recovery can be read as personal or ancestral failing. Practical meaning: listen for self-blame and offer room for other readings the client's own tradition allows. [synthesis]
  • Children's access to care comes first. Practical meaning: any sign that a child's medical care is withheld in favour of spiritual healing triggers safeguarding steps (section 4.8). [synthesis; Sugioka 2010 as context]
  • Respect the strengths. Gratitude, care for others, growing food and engaging with beauty are protective resources for many members. Practical meaning: use them in the plan where the client values them. [synthesis]
  • Name the evidence gaps in this guide honestly. No source gives clinical outcome data on Shumei membership or on therapy with Shumei members; the clinical guidance below is mainly [synthesis].

4. Intervention inventory

The inventory has two parts. 4.1–4.3 set out the movement's own practices as Shumei publishes them, so you can recognise and discuss them; you do not deliver them. 4.4–4.14 are the psychotherapist's interventions, which are [synthesis] unless a source is named.

4.1 Jyorei (Johrei) as the client receives or gives it

  • Purpose and when to use: know what the client means by "Jyorei" when they mention receiving or giving it, and assess its place in their health and relationships.
  • What Shumei publishes (public outline only): a giver projects healing light, with a raised hand, toward the receiver's forehead and then the top of the head; the receiver sits with eyes closed and lowers the head partway through; a session generally lasts about five minutes; no belief or membership is needed; it is never charged for. Givers attend instructional sessions and are formally initiated. [source: Jyorei FAQ (pt); Kokugakuin on tekazashi, "raising the hand"] Shumei says Meishusama developed Jyorei as a treatment for physical ailments, that recipients may feel "tranquility and well-being", and that givers gain capacity for compassion. [source: shumei.org Spiritual Healing] The FAQ reports sensations ranging from nothing to warmth, tingling, pressure, lights or colours, and calm, and says whether a physical illness is reversed is "a spiritual question". [source: Jyorei FAQ (pt)] Initiation content is not described here.
  • Steps (therapist): (1) Ask how often the client receives or gives Jyorei, where, and with whom. (2) Ask what it does for them, in their words. (3) Ask whether any health condition is being addressed by Jyorei, and whether a doctor is also involved. (4) Note benefits (calm, connection, purpose in helping others) as resources. (5) If Jyorei is standing in for medical assessment or treatment, move to 4.7.
  • Example language (illustrative): "When you receive Jyorei, what is that like for you?" / "Is there anything you're hoping Jyorei will help with in your body?" / "Who else is helping with that, medically?"
  • Watch for: Jyorei used as the only response to new, worsening or serious symptoms; the FAQ's claim that it has no side effects being read as "no need to check with a doctor"; giving Jyorei as a way of avoiding one's own distress. Working: the client can describe Jyorei's meaning and their medical care side by side.

4.2 Natural Agriculture as the client practises it

  • Purpose and when to use: understand a farming or food practice that may be central to the client's identity, livelihood or diet.
  • What Shumei publishes: minimal intervention in growing; no chemical inputs, and also no organic pesticides, herbicides or manure; compost of local leaves and grasses used to keep soil soft and moist, not as nutrient; no insect regarded as a "pest"; respect for soil and seed in their natural purity; plants said to respond to the farmer's thoughts, emotions and deeds; gratitude between producer and consumer; food that nourishes "body, mind and spirit", presented as "a way of life". [source: Shumei Natural Agriculture brochure] Shumei International runs Natural Agriculture programmes worldwide. [source: Shumei International]
  • Steps (therapist): (1) Ask what the client grows or eats and why. (2) Explore the values (gratitude, harmony, care) the practice expresses. (3) Where helpful, use it as behavioural activation or a grounding routine the client already values. (4) If diet is very restricted, or eating is tied to purity, fear or guilt, screen for disordered eating and refer for medical or dietetic review. (5) If the client earns a living from it, include stress, crop loss and financial strain in the formulation.
  • Example language (illustrative): "What does working the soil this way give you?" / "When a crop fails, how do you make sense of it?" (the brochure links plant response to the farmer's state, which may feed self-blame)
  • Watch for: guilt that a poor harvest reflects one's inner state; food rules hardening into fear; isolation. Working: the practice stays a source of meaning and calm rather than scrupulosity.

4.3 Art and beauty, Misono and the Miho Museum

  • Purpose and when to use: engage the third path (appreciation of art and beauty) as a resource, and understand pilgrimage or centre life.
  • What sources publish: Shumei supports art and music programmes, the Shumei Taiko Ensemble and the Miho Museum. [source: Shumei International] Members believe the spring water at Misono brings healings similar to jōrei. [source: Kokugakuin]
  • Steps (therapist): (1) Ask what beauty, art, music or Taiko mean to the client. (2) Build these into routines for mood and connection where the client wants that. (3) Ask about pilgrimages or visits and their cost in time and money. (4) If healing water is used for a medical condition, follow 4.7.
  • Example language (illustrative): "You said beauty matters in your path. Where in your week do you find it now?"
  • Watch for: travel or giving beyond the client's means; healing water replacing care. Working: art and community activities widen the client's sources of support.

4.4 Client-led exploration of meaning

  • Purpose and when to use: at intake and whenever Shumei comes up; consent-based, in the client's language.
  • Steps: (1) Ask permission to talk about spiritual life. (2) Use the client's terms (Jyorei, Meishusama, clouds, purification) with a brief check of what each means to them. (3) Map involvement: how they came (often by receiving Jyorei at a station, a centre or from a friend), how long, what role. (4) Ask what Shumei gives and costs them. (5) Ask whether they want spirituality included in therapy and how.
  • Example language (illustrative): "Many people find their faith important in times like this. Would it help to include it in our work?" / "You mentioned clouds clearing. Can you tell me what that means for you?"
  • Watch for: the client's fear that you will judge them; your own reactions to a group you do not know. Working: the client uses their own words freely and corrects your understanding.

4.5 Cultural formulation (CFI, including the spirituality, religion and moral traditions module)

  • Purpose and when to use: early, to place symptoms and help-seeking within the client's explanatory model.
  • Steps: (1) Use the core CFI to ask how the client understands the problem, its causes, what they and others have tried, and what help they expect. [uncertain: not verified] (2) Use the supplementary spirituality, religion and moral traditions module to explore Shumei identity, practices and community support. [uncertain: not verified] (3) Note the explanatory model (e.g. spiritual clouds, purification) beside clinical observations. (4) Agree a shared language for the work.
  • Example language (illustrative): "How would people at your centre understand what you're going through?" / "What do you think is causing it? What else might be involved?"
  • Watch for: a single cause held so tightly that other help is ruled out; community pressure. Working: the formulation holds both the client's model and options for care.

4.6 Differential assessment without pathologising belief

  • Purpose and when to use: when experiences during Jyorei (lights, heat, tingling, strong emotion) or beliefs about spiritual causes raise clinical questions.
  • Steps: (1) Remember that sensations of light, warmth and calm are described by Shumei as common during Jyorei; they are not by themselves symptoms. [source: Jyorei FAQ (pt)] (2) Look for features outside the shared practice: voices or visions with distress, fixed ideas the community does not share, sleep loss with grandiosity, persistent depersonalisation, intrusive "impurity" thoughts with compulsive cleansing or Jyorei-seeking. (3) Check function, insight, safety and how fellow members view the experience. (4) Consider psychosis, mania, dissociation, OCD (including scrupulosity), complicated grief and health anxiety. (5) For OCD, refer to or offer ERP as clinical sources describe it [uncertain: not verified]. (6) Where the issue is distress about spiritual life without a disorder, ICD-10-CM Z65.8 lists "Religious or spiritual problem" among its inclusion terms. [source: Unbound Medicine ICD-10-CM Z65.8]
  • Example language (illustrative): "Do others at the centre experience it the same way?" / "When the thoughts about impurity come, what do you feel you have to do?"
  • Watch for: labelling ordinary religious experience as illness; equally, missing a first episode because it is framed spiritually. Working: diagnosis rests on function and distress, and the client feels their faith was respected.

4.7 Health decisions and coordination with the doctor

  • Purpose and when to use: whenever Jyorei, healing water or the teachings are linked to a physical or psychiatric condition, a medication decision or delayed care.
  • Steps: (1) Ask neutrally what treatments are in place and what the client hopes Jyorei will do. (2) Do not advise starting, stopping or changing any medicine. (3) Clarify the medical facts the client has from their doctor; where unclear, encourage a medical review. (4) Explore values: what matters most, what they fear (e.g. side effects, losing faith). (5) Support a both-and option many members already take: spiritual practice alongside medical care. (6) With written consent, contact the treating doctor to share relevant psychological factors. (7) Where a capable adult chooses to decline treatment, document the discussion and keep the door open. (8) Where a child or a person lacking capacity is affected, go to 4.8.
  • Example language (illustrative): "Your faith in Jyorei is important to you, and so is your health. Some people use both. What do you think of that?" / "What has your doctor said about this? Would you like us to think through the questions to ask?"
  • Watch for: the belief that medications harm the body. In one Japanese case involving a different group (Seimei-kyō), whose teaching included a "Johrei" healing and the claim that medications harm the body, parents did not seek care for an infant with atopic dermatitis who died of sepsis and were arrested for medical neglect. [source: Sugioka 2010] No source cited here links Shumei to such a case. Working: the client keeps medical appointments and can talk about spiritual practice with the doctor.

4.8 Children: safeguarding and access to care

  • Purpose and when to use: whenever a client's child, or a child in a member household, has a health need, or a child is involved in practice.
  • Steps: (1) Ask who makes health decisions for the child and what care the child is receiving. (2) Distinguish a child receiving Jyorei alongside medical care from a child whose care is withheld or delayed. (3) If care is withheld or delayed for a significant condition, follow your local child-protection procedure and consult your safeguarding lead; local law sets the duty to report. (4) Involve the child's doctor with appropriate consent or as the law allows. (5) Seek the child's assent and age-appropriate voice in any plan. (6) Keep working with the parents' values while the child's safety is secured.
  • Example language (illustrative): "I can see how much you want your son to get better. Alongside Jyorei, I need to know that a doctor is checking on him. Can we arrange that together?"
  • Watch for: sores, infections, weight loss, fever or untreated chronic conditions; a parent's fear of medicines; pressure from others in the home. The Seimei-kyō infant death (a different group) shows how fatal a delay can be. [source: Sugioka 2010] Working: the child is seen by a doctor and the family stays engaged.

4.9 Guilt, self-blame and the "clouds" model of suffering

  • Purpose and when to use: when a client says their illness, slow recovery, a child's illness or a family death means they or their ancestors carry too many clouds or impurities.
  • Steps: (1) Reflect the belief accurately in the client's terms. (2) Ask how the belief affects mood, sleep and relationships. (3) Ask whether others in Shumei read it the same way; teachings within a movement are often more varied and gentler than a frightened person's version. (4) Invite the client's own tradition's resources: gratitude, compassion for others, the FAQ's statement that recovery is a holistic process. [source: Jyorei FAQ (pt)] (5) Where self-blame is rigid and distressing, use standard cognitive and compassion-focused work on the guilt, not on the faith. (6) If the client wishes, involve a trusted Shumei minister or senior member (4.14).
  • Example language (illustrative): "It sounds as if the illness feels like proof you've done something wrong. Is that how the teaching puts it, or is that how it feels when you're frightened?"
  • Watch for: depression, hopelessness, suicidal thinking (assess risk with standard practice); compulsive receiving of Jyorei to "clear" guilt. Working: less self-blame, while faith stays intact.

4.10 Dependency, time, giving and money

  • Purpose and when to use: when involvement seems to crowd out work, family, sleep or finances, or when a client consults Jyorei or the centre for every decision.
  • Steps: (1) Note that Shumei says Jyorei is free and gifts are voluntary. [source: Jyorei FAQ (pt)] (2) Ask, without assumption, about time spent, donations, travel and other costs, and whether these feel freely chosen. (3) Ask how decisions are made and who the client turns to. (4) Look for signs of coercive control as scholars describe them in high-demand groups (isolation from non-members, fear of leaving, inability to question) [uncertain: not verified for Shumei]. (5) Support the client to set their own limits. (6) If debt or financial harm is present, link to financial and, if needed, legal advice.
  • Example language (illustrative): "How does the time you give to the centre fit with the rest of your life right now?" / "If you wanted to give less, how would that go?"
  • Watch for: guilt about giving less; receiving Jyorei many times a day for anxiety (possible reassurance-seeking). Working: involvement fits the client's chosen priorities.

4.11 Family conflict and mixed-belief households

  • Purpose and when to use: when relatives worry about a member's involvement, or a member worries about relatives who do not share it.
  • Steps: (1) Hear each person's account. (2) Use Shumei's own non-exclusive position (members keep their own religion) to reduce either-or framing. [source: shumei.org About Shumei] (3) Focus on shared concerns (health, children, money, time together). (4) Coach respectful talk: curiosity, "I" statements, no debates about whether Jyorei works. (5) For relatives, offer support in their own right.
  • Example language (illustrative): "You both want your mother to be well. Can we talk about what each of you is afraid of?"
  • Watch for: ultimatums; a relative using therapy to push the member out; a member using it to recruit. Working: the family can discuss health and faith without rupture.

4.12 Illness meaning and grief when healing was hoped for

  • Purpose and when to use: serious illness, chronic pain, or bereavement after a person received Jyorei.
  • Steps: (1) Make space for hope and for disappointment. (2) Explore what the client's faith offers in loss (meaning, community, gratitude for the life). (3) Address guilt about not having given or received enough Jyorei, or about having sought or declined medical care. (4) Watch for complicated grief and depression; treat with standard grief-focused methods. (5) Link with Shumei community support if the client wants it.
  • Example language (illustrative): "You gave her Jyorei with so much love. What do you make of what happened?"
  • Watch for: blaming oneself or others in the community; anger at the movement; spiritual crisis. Working: grief moves, and the client chooses how faith fits after the loss.

4.13 Changing or leaving involvement

  • Purpose and when to use: when a client is doubting, reducing or ending membership, or has left.
  • Steps: (1) Stay neutral about the decision. (2) Explore losses: friends, routines, identity, meaning, the comfort of Jyorei. (3) Explore what the client wants to keep (gratitude, gardening, art). (4) Watch for religious trauma symptoms only where the client describes them; do not assume them. (5) Build new supports. (6) Plan for contact with members who remain family or friends.
  • Example language (illustrative): "What would you want to take with you from these years, and what would you leave behind?"
  • Watch for: sudden loss of community and isolation; shame. Working: the client has a self-chosen identity and support network.

4.14 Role boundaries, self-disclosure, community liaison and referral

  • Purpose and when to use: throughout, and especially if you are a Shumei member or giver, or a client asks you to give or receive Jyorei.
  • Steps: (1) Do not give Jyorei, offer readings or act as a spiritual guide in therapy; refer the client to their centre for spiritual practice. (2) If you are a member, keep your practice separate from your clinical role, avoid treating people you know through the centre, and seek supervision on dual relationships. (3) Self-disclose your own beliefs only when it clearly serves the client, briefly. (4) Build your spiritual and religious competence (Vieten et al. 2013 [uncertain: not verified]). (5) With consent, liaise with a Shumei minister or senior member when the client wants community support, e.g. around medical care. (6) Refer to medical, psychiatric, social-work, safeguarding or financial services as needed. These ethics points are [synthesis].
  • Example language (illustrative): "I'm glad Jyorei helps you. It's something you'd receive at the centre; here, our work is talking things through."
  • Watch for: pressure (often kindly meant) to receive Jyorei from a client; blurred roles in small communities. Working: the client is clear what therapy is and is not.

5. Handling problems

The movement's sources do not address psychotherapy; all guidance in this section is [synthesis] unless a source is named.

  • Client wants Jyorei instead of medical care for a serious condition. Do not argue efficacy. Acknowledge the faith, state your concern about the condition plainly, and ask whether the client would accept a medical opinion alongside Jyorei. Shumei's own FAQ makes no claim that Jyorei replaces medicine and says recovery is holistic; the client may find that reassuring. [source: Jyorei FAQ (pt)] With consent, contact the doctor; document. If a child or a person without capacity is at risk, follow 4.8 and local law.
  • Client asks you to receive Jyorei or to visit the centre. Thank them, decline warmly, and explain the boundary (4.14). Explore what the invitation means (gratitude, wanting to share, testing acceptance).
  • Client fears you will see their faith as illness. Name your stance early: you work with people of all faiths and focus on what they want help with. Use their language.
  • Stuck: "It's just my clouds; nothing will change until they clear." Accept the frame and ask what the client can do in the meantime that fits it (gratitude, helping others, caring for the body). Shumei's three paths offer active routes; use them as activation rather than waiting. [source: shumei.org About Shumei for the three paths]
  • Resistance from a relative who wants you to "get them out". Clarify your role: you work for the client's goals, not to remove anyone from a religion. Offer the relative their own support.
  • Overwhelm during or after intense practice. If a client reports distress, depersonalisation or unusual experiences after Jyorei or centre events, ground them, assess (4.6), and consider a pause from intense practice in consultation with the client. Shumei states Jyorei has no side effects [source: Jyorei FAQ (pt)]; take the client's report at face value regardless.
  • Non-adherence to medical treatment framed as purification. Treat it as a values conflict, not defiance: explore fears about medicines, past bad experiences and community messages; encourage the client to bring these to the doctor.
  • Compulsive receiving or giving. If Jyorei is sought many times a day to quell anxiety, or the client cannot stop giving it, consider OCD or health anxiety; use ERP principles with care to separate faith from compulsion, ideally in consultation with someone the client trusts in the community. [uncertain: ERP source not verified]
  • Rupture after an unwelcome comment about evidence. Own it, repair quickly, and return to the client's goals. Give evidence information only when asked or when safety requires it.
  • Grief and anger at the community after a death. Hold both; avoid joining in blame or defence. Help the client decide what they want from the community now.
  • Your own reactions. Unfamiliarity with Japanese new religions can lead to exoticising or suspicion. Seek supervision and read reliable scholarly sources before forming views.
  • Problems the sources do not address. There is no published account of therapy with Shumei members, no outcome data; medical neglect, litigation or harm by Shumei: none found in the sources consulted [uncertain: not verified]; the related infant-death case concerned a different group. [source: Sugioka 2010] Treat every risk point above as general clinical prudence, not as a finding about Shumei.

Sources

Web sources:

Books and manuals cited [uncertain: not verified]:

  • American Psychiatric Association. DSM-5-TR, Cultural Formulation Interview and supplementary modules.
  • Vieten, C., et al. (2013). Spiritual and religious competencies for psychologists. Psychology of Religion and Spirituality.