Espiritismo de Cordon is derived from its ritual. The ritual associated with Espiritismo de Cordon is physically, mentally and emotionally difficult. Those participating in the ritual stand in a circle holding hands while walking in a counterclockwise fashion. At the same time, they are chanting and beating the floor with their feet and swinging their arms forcefully until they fall into a trance. The heavy breathing and stamping serve one specific purpose. The noises that are made create a hypnotic noise that leads the medium into a trance. Upon reaching this particular state of mind, the medium can contact the spirits for solutions to problems or ailments.