Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia
Background Religious and traditional healers remain the main providers of mental healthcare in much of Africa. Collaboration between biomedical and traditional treatment modalities is an underutilised approach, with potential to scale up mental healthcare. Aims To report the process and feasibility...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-05-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472421000569/type/journal_article |
| _version_ | 1811156977006411776 |
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| author | Yonas Baheretibeb Dawit Wondimagegn Samuel Law |
| author_facet | Yonas Baheretibeb Dawit Wondimagegn Samuel Law |
| author_sort | Yonas Baheretibeb |
| collection | DOAJ |
| description | Background
Religious and traditional healers remain the main providers of mental healthcare in much of Africa. Collaboration between biomedical and traditional treatment modalities is an underutilised approach, with potential to scale up mental healthcare.
Aims
To report the process and feasibility of establishing a collaboration between religious healers and psychiatrists in Addis Ababa, Ethiopia. To gain insight into the collaboration through studies of patient demographics, help-seeking patterns, nature of illness and receptivity of the project.
Method
This case study describes the process and challenges in establishing a collaborative psychiatric clinic for patients who are simultaneously receiving treatment with holy water, including an examination of basic clinical records of 1888 patients over a 7-year period.
Results
The collaboration is feasible and has been successfully implemented for 8 years. A majority (54%) of the clinic's patients were seeing biomedical services for the first time. Patients were brought in largely by families (54%); 26% were referred directly by priest healers. Most patients had severe mental illness, including schizophrenia (40%), substance misuse (24%) and mood disorders (30%). A vast majority (92.2%) of patients reported comfort in receiving treatment with holy water and prayers simultaneously with medication, and 73.6% believed their illness was caused by evil spirit possession.
Conclusions
A cross-system collaborative model is a feasible and potentially valuable model to address biomedical resource limitations. Provider collaboration and mutual learning are ultimately beneficial to patients with severe mental illness. Open-minded acceptance of cultural benefits and strengths of traditional healing is a prerequisite. Further study on outcomes and implementation are warranted.
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| first_indexed | 2024-04-10T04:59:46Z |
| format | Article |
| id | doaj.art-fa136a9b1fd2494d8b2542736fd2f50f |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:59:46Z |
| publishDate | 2021-05-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-fa136a9b1fd2494d8b2542736fd2f50f2023-03-09T12:29:06ZengCambridge University PressBJPsych Open2056-47242021-05-01710.1192/bjo.2021.56Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in EthiopiaYonas Baheretibeb0Dawit Wondimagegn1Samuel Law2https://orcid.org/0000-0002-1918-8782Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, EthiopiaDepartment of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, EthiopiaDepartment of Psychiatry, Faculty of Medicine, University of Toronto, CanadaBackground Religious and traditional healers remain the main providers of mental healthcare in much of Africa. Collaboration between biomedical and traditional treatment modalities is an underutilised approach, with potential to scale up mental healthcare. Aims To report the process and feasibility of establishing a collaboration between religious healers and psychiatrists in Addis Ababa, Ethiopia. To gain insight into the collaboration through studies of patient demographics, help-seeking patterns, nature of illness and receptivity of the project. Method This case study describes the process and challenges in establishing a collaborative psychiatric clinic for patients who are simultaneously receiving treatment with holy water, including an examination of basic clinical records of 1888 patients over a 7-year period. Results The collaboration is feasible and has been successfully implemented for 8 years. A majority (54%) of the clinic's patients were seeing biomedical services for the first time. Patients were brought in largely by families (54%); 26% were referred directly by priest healers. Most patients had severe mental illness, including schizophrenia (40%), substance misuse (24%) and mood disorders (30%). A vast majority (92.2%) of patients reported comfort in receiving treatment with holy water and prayers simultaneously with medication, and 73.6% believed their illness was caused by evil spirit possession. Conclusions A cross-system collaborative model is a feasible and potentially valuable model to address biomedical resource limitations. Provider collaboration and mutual learning are ultimately beneficial to patients with severe mental illness. Open-minded acceptance of cultural benefits and strengths of traditional healing is a prerequisite. Further study on outcomes and implementation are warranted. https://www.cambridge.org/core/product/identifier/S2056472421000569/type/journal_articleLow- and middle-income countriespsychosocial interventionsanthropologytranscultural psychiatryschizophrenia |
| spellingShingle | Yonas Baheretibeb Dawit Wondimagegn Samuel Law Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia BJPsych Open Low- and middle-income countries psychosocial interventions anthropology transcultural psychiatry schizophrenia |
| title | Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia |
| title_full | Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia |
| title_fullStr | Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia |
| title_full_unstemmed | Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia |
| title_short | Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia |
| title_sort | holy water and biomedicine a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in ethiopia |
| topic | Low- and middle-income countries psychosocial interventions anthropology transcultural psychiatry schizophrenia |
| url | https://www.cambridge.org/core/product/identifier/S2056472421000569/type/journal_article |
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