Type | Reason for coming to destination | Travel Mode | Pre-existing psychiatric illness | Subtypes |
---|---|---|---|---|
Type I | Psychiatric ideation, need to accomplish mission | Usually alone | Documented psychiatric history: schizophrenia or bipolar illness | I(i) identification with character (murderer, torturer, victim) I (ii) identification with idea (satanic rituals, righting wrongs of killings) I (iii) magical ideals concerning health/sickness/healing possibilities (relics, holy water) I (iv) problems with family (unresolved grieving, family disapproval of interest in horror) |
Type II | Curiosity plus strange (non-psychotic) thoughts or mission | Usually in groups, sometimes alone | Non-psychotic mental disorders: personality disorders; fixed ideas | II(i) appears in groups (aims at changing society; Gothic appearance and unusual behaviour) II (ii) individual (aims at correcting displays, sites, type of veneration, behaviour) |
Type III | (Jerusalem syndrome discrete type) Regular tourists | With friends or family; often as part of organised tour | No previous psychiatric history or psychopathology | no subtypes: all cases characterised by highly predictable well described clinical stages (e.g. anxiety, obsessive behaviour, need to display particular behaviour at site, vocalised display of views on horror or death, no visual or auditory hallucinations) |