In Ignatian terms, they did very successful Annotation 18 retreats. The next third, who perhaps changed the most from the retreat, ended up focusing on healing. This healing included counseling and when necessary a consultation with a psychiatrist to see if medication was called for. After talking with several directors about their experiences in giving the Exercises, it seemed that the above distribution of retreatants' different pathways is normal. Also the percentage of Jesuits willing to get counseling and medication, if needed, is about the same.
Many tribes view the nature and structure of the spirit-world differently.
Some Native Americans are dedicated both to their Native spiritual ways and to Catholic ways. Others are only Catholic, much as we non-Indians are Catholic. Some are very Native in their spirituality and culture. Ignatius speaks profoundly about these differences between the one giving and the one receiving the Exercises. Asking such questions shows them respect and honor.