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Discernment of spirits is a charism or spiritual gift mentioned in 1 Corinthians 12:10. The Apostle Paul appears to have exercised this gift during the deliverance of a woman with a spirit of divination, as described in Acts 16:16-18.

However, it is common practice for Catholic exorcists to first seek the expert opinion and assessment of psychiatrists and doctors to rule out potential natural causes. It seems to me that this step would be unnecessary if exorcists possessed the charism of discernment of spirits, as this gift, by definition, would enable them to determine whether an evil spirit is involved.

How often, if at all, do Catholic exorcists have the charism of discernment of spirits?

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    The question is unlikely to be answered anymore precisely than rarely since a precise survey of exorcists is unlikely on most topics, but also the gift you describe is rare and not strictly necessary according to Catholic theology. That is, you conflate a gift with a power of orders.
    – eques
    Commented May 22 at 3:26

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