The Ethics of Shamanic Work: Do shamanic healing only with their permission. Before doing any healing work in your circle for anyone, we must have their express and informed consent to do shamanic (spiritual) healing. If the person is a child, get the consent of the parents or primary caregivers. If the person is in a coma, you must have the permission of their family or guardian. And, we will still journey to that person to ask their permission and what it is they want. When dealing with the spirit of a deceased person, permission from his or her family or guardian is desirable. And, again, we will also ask the spirit of the person what they want. If in doubt, don’t do the work.