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I also have a lot of interest in this subject. I think one major factor that needs to be looked at is a person's spiritual practice at the time of their psychosis. If they have been on a spiritual path, then it's probably a spiritual emergency. If not, then it may be more of a spontaneous psychosis. Also, I think it's possible that a person with a fragile ego and a fragile mental health status can bring on a true psychotic episode with the intense practice of meditation. I believe I did that to myself. Also, the "rising of kundalini" can cause damage to the nervous system if done too quickly. In the book Living with Kundalini, it sounds like Gopi Krishna had the same after-effects as I did from years of meditation. Whatever the cause, psychosis is still psychosis. I question myself all the time. What if my spiritual practice led to psychosis? What if it just brought out a hidden tendency towards mental illness? I don't really know, but if I needed treatment, I would take what was available.