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The perceived effectiveness of traditional and faith healing in the treatment of mental illness: a systematic review of qualitative studies

  • A. S. J. van der Watt
  • T. van de Water
  • G. Nortje
  • B. D. Oladeji
  • S. Seedat
  • O. Gureje
  • Partnership for Mental Health Development in Sub-Saharan Africa (PaM-D) Research Team
Review

Abstract

Purpose

This work complements a quantitative review by Nortje et al. (Lancet Psychiatry 3(2):154–170, 2016) by exploring the qualitative literature in regard to the perceived effectiveness of traditional and faith healing of mental disorders.

Method

Qualitative studies focusing specifically on traditional and/or faith healing practices for mental illness were retrieved from eight databases. Data were extracted  into basic coding sheets to facilitate the assessment of the quality of eligible papers using the COREQ.

Results

Sixteen articles met the inclusion criteria. Despite methodological limitations, there was evidence from the papers that stakeholders perceived traditional and/or faith healing to be effective in treating mental illness, especially when used in combination with biomedical treatment.

Conclusion

Patients will continue to seek treatment from traditional and/or faith healers for mental illness if they perceive it to be effective regardless of alternative biomedical evidence. This provides opportunities for collaboration to address resource scarcity in low to middle income countries.

Keywords

Traditional healing Faith healing Mental illness Perceived effectiveness Qualitative Review 

Notes

Acknowledgements

This review was supported by the South African Research Chair (SARCHI) in Post-Traumatic Stress Disorder hosted by Stellenbosch University and funded by the Department of Science and Technology, and the National Research Foundation, South Africa. SARCHI had no role in the methods, preparation, writing, or decision to publish the Review. We thank Alvina Matthee and Linda Bellairs for their assistance in the literature search. Additionally, we would like to thank the PaM-D team, including L. Kola, J. Appiah-Poku, C. Othieno, B. Harris, O. Esan, V, Makanjuola, and L.N. Price; for their contributions.

Compliance with ethical standards

Conflict of interest

On behalf of all of the authors, the corresponding author states that there is no conflict of interest.

Supplementary material

127_2018_1519_MOESM1_ESM.docx (43 kb)
Supplementary material 1 (DOCX 43 KB)

References

  1. 1.
    Mbwayo A, Ndetei D, Mutiso V, Khasakhala L (2013) Traditional healers and provision of mental health services in cosmopolitan informal settlements in Nairobi, Kenya. Afr J Psychiatry 16(2):134–140Google Scholar
  2. 2.
    Nortje G, Oladeji B, Gureje O, Seedat S (2016) Effectiveness of traditional healers in treating mental disorders: a systematic review. Lancet Psychiatry 3(2):154–170CrossRefPubMedGoogle Scholar
  3. 3.
    Schoonover J et al (2014) Perceptions of traditional healing for mental illness in rural Gujarat. Ann Glob Health 80:96–102CrossRefPubMedGoogle Scholar
  4. 4.
    Gureje O, Nortje G, Makanjuola V, Oladeji BD, Seedat S, Jenkins R (2015) The role of global traditional and complementary systems of medicine in the treatment of mental health disorders. Lancet Psychiatry 2(2):168–177CrossRefPubMedCentralPubMedGoogle Scholar
  5. 5.
    The WHO World Mental Health Survey Consortium (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the world health organization world mental health surveys. JAMA 291(21):2581–2590CrossRefGoogle Scholar
  6. 6.
    Ndetei DM, Khasakhala LI, Kingori J, Oginga A, Raja S The complementary role of traditional and faith healers and potential liaisons with western-style mental health services in Kenya. Retrieved from http://www.utsouthwestern.edu/psychiatryandfreedom
  7. 7.
    Ngoma MC, Prince M, Mann A (2003) Common mental disorders among those attending primary health clinics and traditional healers in urban Tanzania. Br J Psychiatry 183:349–355CrossRefPubMedGoogle Scholar
  8. 8.
    Otsyula W (1973) Native and western healing: the dilemma of East African psychiatry. J Nerv Ment Dis 156:297–299CrossRefPubMedGoogle Scholar
  9. 9.
    Madamombe I (2006) Traditional healers boost primary health care. Afr Renew 19(4):10CrossRefGoogle Scholar
  10. 10.
    Koon OC (1999) Intellectual property protection of traditional medicine and treatments in Malaysia. In: Perspectives on intellectual property. Intellectual property aspects of ethnobiology, vol 6. Sweet & Maxwell, LondonGoogle Scholar
  11. 11.
    Sorsdahl K, Stein DJ, Flisher AJ (2010) Traditional healer attitudes and beliefs regarding referral of the mentally Ill to western doctors in South Africa. Transcult Psychiatry 47(4):591–609CrossRefPubMedGoogle Scholar
  12. 12.
    Abbo C (2011) Profiles and outcome of traditional healing practices for severe mental illnesses in two districts of Eastern Uganda. Glob Health Action 4:7117CrossRefGoogle Scholar
  13. 13.
    Sorsdahl K, Flisher AJ, Stein DJ (2010) Explanatory models of mental disorders and treatment practices among traditional healers in Mpumulanga, South Africa. Afr J Psychiatry 13:284–290CrossRefGoogle Scholar
  14. 14.
    Steel Z et al (2009) International and indigenous diagnoses of mental disorder among Vietnamese living in Vietnam and Australia. Br J Psychiatry 194(4):326–333CrossRefPubMedGoogle Scholar
  15. 15.
    Bhikha G, Farooq S, Chaudhry N, Husain N (2012) A systematic review of explanatory models of illness for psychosis in developing countries. Int Rev Psychiatry 24(5):450–462CrossRefPubMedGoogle Scholar
  16. 16.
    American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. Author, WashingtonCrossRefGoogle Scholar
  17. 17.
    Messerli-Rohrbach V, Bosch J (2000) Spiritual healing at a public psychiatric insitution. Forsch Komplementarmed Klass Naturheilkd 7(6):275–285PubMedGoogle Scholar
  18. 18.
    Zabicky G, Sollis LR (2000) Swearing: a not medical manoeuver collaborating in the management of subjects with pathologic ethanol intake in Mexico. Initial approximation. Salud Ment 23(4):22–27Google Scholar
  19. 19.
    Tong P, Sainsbury, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19(6):349–357CrossRefPubMedGoogle Scholar
  20. 20.
    Al-Krenawi A, Graham JR (1997) Spirit possession and exorcism in the treatment of a Bedouin psychiatric patient. Clin Soc Work J 25(2):211–222CrossRefGoogle Scholar
  21. 21.
    Al-Krenawi A, Graham JR (1999) Gender and biomedical/traditional mental health utilization among the Bedouin-Arabs of the Negev. Cult Med Psychiatry 23:219–243CrossRefPubMedGoogle Scholar
  22. 22.
    Connor LH (1982) Ships of fools and vessels of the divine: mental hospitals and madness, a case study. Soc Sci Med 16:783–794CrossRefPubMedGoogle Scholar
  23. 23.
    Marsh TN et al (2016) Indigenous healing and seeking safety: a blended implementation project for intergenerational trauma and substance use disorders. Int Indig Policy J 7(2):3Google Scholar
  24. 24.
    Wessels WH (1985) The traditional healer and psychiatry. Aust NZ J Psychiatry 19:283–286CrossRefGoogle Scholar
  25. 25.
    Bäärnhielm S, Ekblad S (2000) Turkish migrant women encountering health care in Stockholm: a qualitative study of somatization and illness meaning. Cult Med Psychiatry 24:431–452CrossRefPubMedGoogle Scholar
  26. 26.
    Marthoenis M, Aichberger MC, Schouler-Ocak M (2016) Patterns and determinants of treatment seeking among previously untreated psychotic patients in Aceh province, Indonesia: a qualitative study. Scientifica 2016:1–7CrossRefGoogle Scholar
  27. 27.
    Musyimi W, Mutiso VN, Nandoya ES, Ndetei DM (2016) Forming a joint dialogue among faith healers, traditional healers and formal health workers in mental health in a Kenyan setting: towards common grounds. J Ethnobiol Ethnomed 12(1):4CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Abdul Kadir NB, Bifulco A (2010) Malaysian Moslem mothers’ experience of depression and service use. Cult Med Psychiatry 34(3):443–467CrossRefPubMedGoogle Scholar
  29. 29.
    Bush A, NiaNia W (2012) Voice hearing and pseudoseizures in a Maori teenager: an example of mate Maori and Maori traditional healing. Aust Psychiatry 20(4):348–351CrossRefGoogle Scholar
  30. 30.
    Arias L, Taylor A, Ofori-Atta, Bradley EH (2016) Prayer camps and biomedical care in Ghana: is collaboration in mental health care possible? PloS One 11(9):e0162305CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Garrity JF (2000) Jesus, Peyote, and the Holy People: alcohol abuse and the ethos of power in Navajo healing. Med Anthropol Q 14(4):521–542CrossRefPubMedGoogle Scholar
  32. 32.
    Shields L, Chauhan A, Bakre R, Hamlai M, Lynch D, Bunders J (2016) How can mental health and faith-based practitioners work together? A case study of collaborative mental health in Gujarat, India. Transcult Psychiatry 53(3):368–391CrossRefPubMedGoogle Scholar
  33. 33.
    Yoder HNC, Tol WA, Reis R, de Jong JTVM (2016) Child mental health in Sierra Leone: a survey and exploratory qualitative study. Int J Ment Health Syst 10(1):48CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Ae-Ngibise K et al (2010) “Whether you like it or not people with mental problems are going to go to them”: a qualitative exploration into the widespread use of traditional and faith healers in the provision of mental health care in Ghana. Int Rev Psychiatry 22(6):558–567CrossRefPubMedGoogle Scholar
  35. 35.
    Kale R (1995) Traditional healers in South Africa: a parallel health care system. BMJ 310(6988):1182CrossRefPubMedPubMedCentralGoogle Scholar
  36. 36.
    Boelens PA, Reeves RR, Replogle WH, Koenig HG (2012) The effect of prayer on depression and anxiety: maintenance of positive influence 1 year after prayer intervention. Int J Psychiatry Med 43(1):85–98CrossRefPubMedGoogle Scholar
  37. 37.
    Hurst GA, Qilliams MG, King JE, Viken R (2008) Faith-based intervention in depression, anxiety, and other mental disturbances. South Med J 101:388–392CrossRefPubMedGoogle Scholar
  38. 38.
    Sorketti NZ, Zainal, Habil MH (2012) The characteristics of people with mental illness who are under treatment in traditional healer centres in Sudan. Int J Soc Psychiatry 58(2):204–216CrossRefPubMedGoogle Scholar
  39. 39.
    Csordas TJ (1988) Elements of charismatic persuasion and healing. Med Anthropol Q 2(2):121–142CrossRefGoogle Scholar
  40. 40.
    Alling A (2015) The healing effects of belief in medical practices and spirituality. EXPLORE J Sci Heal 11(4):273–280Google Scholar
  41. 41.
    Leuchter F, Cook I, Witte AE, Morgan AM, Abrams M (2002) Changes in brain function of depressed subjects during treatment wiht placebo. Am J Psychiatry, 159, 122–129Google Scholar
  42. 42.
    Kirsch I (2005) Placebo psychotherapy: synonym or oxymoron?. J Clin Psychol 61(7):791–803CrossRefPubMedGoogle Scholar
  43. 43.
    World Health Organization et al (2002) WHO traditional medicine strategy 2002–2005. Retrieved from http://apps.who.int/iris/bitstream/10665/67163/1/WHO_EDM_TRM_2002.1_eng.pdf
  44. 44.
    Kleinman A (2004) Culture and depression. N Engl J Med 351:951–953CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • A. S. J. van der Watt
    • 1
  • T. van de Water
    • 1
  • G. Nortje
    • 1
  • B. D. Oladeji
    • 2
  • S. Seedat
    • 1
  • O. Gureje
    • 2
  • Partnership for Mental Health Development in Sub-Saharan Africa (PaM-D) Research Team
  1. 1.Department of PsychiatryStellenbosch UniversityTygerbergSouth Africa
  2. 2.Department of PsychiatryUniversity of IbadanIbadanNigeria

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