Heresy
In the Roman Catholic Church, obstinate and willful manifest heresy is considered to spiritually cut one off from the Church, even before excommunication is incurred. The Codex Justinianus (1:5:12) defines "everyone who is not devoted to the Catholic Church and to our Orthodox holy Faith" a heretic. The Church had always dealt harshly with strands of Christianity that it considered heretical, but before the 11th century these tended to centre around individual preachers or small localised sects, like Arianism, Pelagianism, Donatism, Marcionism and Montanism. The diffusion of the almost Manichaean sect of Paulicians westwards gave birth to the famous 11th and 12th century heresies of Western Europe. The first one was that of Bogomils in modern day Bosnia, a sort of sanctuary between Eastern and Western Christianity. By the 11th century, more organised groups such as the Patarini, the Dulcinians, the Waldensians and the Cathars were beginning to appear in the towns and cities of northern Italy, southern France and Flanders.

Q: What is thought of to spiritually cut one off from the Church even before excommunication?
obstinate and willful manifest heresy