spirit and healing in africa - University of the Free State

spirit and healing in africa - University of the Free State spirit and healing in africa - University of the Free State

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5. Research methodology When embarking on the study of health, one very basic but difficult-to-answer question arises: what is health? Health is a subject that emerges in daily conversations, in political debate on health insurance, in newspaper articles on Africa, in recipes for food, in sports magazines, in fact in nearly every aspect of everyday life. But what is health exactly? This research is based on the assumption that health is multi-dimensional, which means that one’s definition of health depends on one’s socio-cultural context, age, gender, financial situation and religious frame of reference. This understanding of health as a product of one’s particular experiences and cultural concepts, turns ‘health’ into a social construct: the definition of health is determined by the internal rules, regulations and institutions that are meaningful to a particular social group in society. This automatically means that there are multiple understandings of health within one society, even though there is generally one dominant understanding of healing. The medical understanding of health, for example, is a very familiar frame of reference in most societies. Yet, besides this dominant discourse, there are also other perspectives on healing. Usually these are labeled as ‘alternative’ medicine, but that is primarily a matter of one’s perspective. African traditional healing, Chinese medicine and Native-American medicine are all examples of other health discourses, that co-exist with the biomedical discourse. The implication of health as a social construct is that there is no health construction that is not ‘legitimate’, since each health conception generates its own understanding of what is true about health and healing (cf. Porter 1997:33-43). Social constructivism is thus the epistemological frame of this study. The relevance of social constructivism to this study is that it offers new opportunities for Reformed theology to reflect on healing, because it starts with contextual understandings of healing. As such, the major benefit of a social constructivist approach is the broadening of the scope of healing for theological reflection. Chapter one is a substantiation of this theoretical frame of reference, and provides the foundation of this study on health and healing in the African context. If a theological response to the African believers’ quest for healing is to be meaningful, contextual and interdisciplinary approaches are required. The contextual nature of health asks for an approach that does not confine the subject of health to the realm of biomedicine, clinics and the individual body. Rather, it seeks the recognition of the socio-cultural elements of health, which means that health is also rooted in interpersonal relationships, religious practices, spiritual matters, environmental circumstances and societal situations. The existence of various health discourses is an affirmation of this contextuality of health. The contextual nature of health, therefore, needs to be considered when responding theologically to issues of health and healing. The highly interdisciplinary nature of health asks for an approach that does not discuss the 18

subject of health within the various sub-disciplines of theology alone (see Conradie 2006:3). Rather, it seeks the insights and wisdom of other scientific disciplines to achieve a better and broader understanding of health, illness and healing. The interdisciplinary nature of health, therefore, is to be included in theological approaches to health and healing. The contextual and interdisciplinary nature of this study is connected with the African health discourses. These health discourses play a crucial role in how Reformed believers conceptualize health and healing in the African context, thus to respond meaningfully to what Reformed believers need when it comes to God and health, it is necessary to understand the various frames of reference regarding health. The first part of this study will, therefore, describe the four most prominent health discourses in Southern Africa, which are the traditional healing or the ngoma paradigm, missionary medicine, HIV/AIDS and church-based healing. This discourse study is based on literature-study of research provided by the disciplines of cultural anthropology, medical anthropology and epidemiology. The second part of this study consists of a discussion between the African discourses on health and Reformed theology. The basic notions of health, as deduced from the four health discourses, will be included in pneumatological discourse, in order to explore new possibilities for speaking of God and health. In other words, the contextuality and the interdisciplinarity of the research is dependent on the fact that pneumatological discourse is informed by health discourses existing in the African context. The engagement of African multi-layered understandings of health with pneumatological discourse will produce what I call ‘pneumatological fragments’ of healing. The method of gathering fragments (Tracy 1997:122-129; 1999:170-184; 2000:62-88) attempts to avoid a totalitarian system for understanding Spirit and healing, and seeks to appreciate notions like contextuality, particularity, diversity, non-closure and creativity. Just as the social constructivism theory provides the epistemological frame for the first part of this study, so will the approach of ‘gathering fragments’ be the epistemological frame for constructing pneumatological proposals on healing. Both frames are an expression of the postmodernist desire to move away from the grand narrative (about healing, about God) with its totalitarian system, because the ‘one size fits all’ approach of modernity is not a productive approach, at least not when it comes to addressing the relationship between God and healing. The ‘gathering fragments’ approach inherently considers the subjective experiences of believers, the contextual frame of health perceptions and the open-ended nature of doing theology, and thus corresponds well with the idea that African theology is a multifaceted project that should be done in openended ways (Maluleke 1997:17; 2005:486). 19

subject <strong>of</strong> health with<strong>in</strong> <strong>the</strong> various sub-discipl<strong>in</strong>es <strong>of</strong> <strong>the</strong>ology alone (see Conradie 2006:3).<br />

Ra<strong>the</strong>r, it seeks <strong>the</strong> <strong>in</strong>sights <strong>and</strong> wisdom <strong>of</strong> o<strong>the</strong>r scientific discipl<strong>in</strong>es to achieve a better <strong>and</strong><br />

broader underst<strong>and</strong><strong>in</strong>g <strong>of</strong> health, illness <strong>and</strong> <strong>heal<strong>in</strong>g</strong>. The <strong>in</strong>terdiscipl<strong>in</strong>ary nature <strong>of</strong> health,<br />

<strong>the</strong>refore, is to be <strong>in</strong>cluded <strong>in</strong> <strong>the</strong>ological approaches to health <strong>and</strong> <strong>heal<strong>in</strong>g</strong>.<br />

The contextual <strong>and</strong> <strong>in</strong>terdiscipl<strong>in</strong>ary nature <strong>of</strong> this study is connected with <strong>the</strong> African health<br />

discourses. These health discourses play a crucial role <strong>in</strong> how Reformed believers conceptualize<br />

health <strong>and</strong> <strong>heal<strong>in</strong>g</strong> <strong>in</strong> <strong>the</strong> African context, thus to respond mean<strong>in</strong>gfully to what Reformed<br />

believers need when it comes to God <strong>and</strong> health, it is necessary to underst<strong>and</strong> <strong>the</strong> various frames<br />

<strong>of</strong> reference regard<strong>in</strong>g health. The first part <strong>of</strong> this study will, <strong>the</strong>refore, describe <strong>the</strong> four most<br />

prom<strong>in</strong>ent health discourses <strong>in</strong> Sou<strong>the</strong>rn Africa, which are <strong>the</strong> traditional <strong>heal<strong>in</strong>g</strong> or <strong>the</strong> ngoma<br />

paradigm, missionary medic<strong>in</strong>e, HIV/AIDS <strong>and</strong> church-based <strong>heal<strong>in</strong>g</strong>. This discourse study is<br />

based on literature-study <strong>of</strong> research provided by <strong>the</strong> discipl<strong>in</strong>es <strong>of</strong> cultural anthropology,<br />

medical anthropology <strong>and</strong> epidemiology.<br />

The second part <strong>of</strong> this study consists <strong>of</strong> a discussion between <strong>the</strong> African discourses on health<br />

<strong>and</strong> Reformed <strong>the</strong>ology. The basic notions <strong>of</strong> health, as deduced from <strong>the</strong> four health discourses,<br />

will be <strong>in</strong>cluded <strong>in</strong> pneumatological discourse, <strong>in</strong> order to explore new possibilities for speak<strong>in</strong>g<br />

<strong>of</strong> God <strong>and</strong> health. In o<strong>the</strong>r words, <strong>the</strong> contextuality <strong>and</strong> <strong>the</strong> <strong>in</strong>terdiscipl<strong>in</strong>arity <strong>of</strong> <strong>the</strong> research is<br />

dependent on <strong>the</strong> fact that pneumatological discourse is <strong>in</strong>formed by health discourses exist<strong>in</strong>g <strong>in</strong><br />

<strong>the</strong> African context. The engagement <strong>of</strong> African multi-layered underst<strong>and</strong><strong>in</strong>gs <strong>of</strong> health with<br />

pneumatological discourse will produce what I call ‘pneumatological fragments’ <strong>of</strong> <strong>heal<strong>in</strong>g</strong>. The<br />

method <strong>of</strong> ga<strong>the</strong>r<strong>in</strong>g fragments (Tracy 1997:122-129; 1999:170-184; 2000:62-88) attempts to<br />

avoid a totalitarian system for underst<strong>and</strong><strong>in</strong>g Spirit <strong>and</strong> <strong>heal<strong>in</strong>g</strong>, <strong>and</strong> seeks to appreciate notions<br />

like contextuality, particularity, diversity, non-closure <strong>and</strong> creativity. Just as <strong>the</strong> social<br />

constructivism <strong>the</strong>ory provides <strong>the</strong> epistemological frame for <strong>the</strong> first part <strong>of</strong> this study, so will<br />

<strong>the</strong> approach <strong>of</strong> ‘ga<strong>the</strong>r<strong>in</strong>g fragments’ be <strong>the</strong> epistemological frame for construct<strong>in</strong>g<br />

pneumatological proposals on <strong>heal<strong>in</strong>g</strong>. Both frames are an expression <strong>of</strong> <strong>the</strong> postmodernist desire<br />

to move away from <strong>the</strong> gr<strong>and</strong> narrative (about <strong>heal<strong>in</strong>g</strong>, about God) with its totalitarian system,<br />

because <strong>the</strong> ‘one size fits all’ approach <strong>of</strong> modernity is not a productive approach, at least not<br />

when it comes to address<strong>in</strong>g <strong>the</strong> relationship between God <strong>and</strong> <strong>heal<strong>in</strong>g</strong>. The ‘ga<strong>the</strong>r<strong>in</strong>g<br />

fragments’ approach <strong>in</strong>herently considers <strong>the</strong> subjective experiences <strong>of</strong> believers, <strong>the</strong> contextual<br />

frame <strong>of</strong> health perceptions <strong>and</strong> <strong>the</strong> open-ended nature <strong>of</strong> do<strong>in</strong>g <strong>the</strong>ology, <strong>and</strong> thus corresponds<br />

well with <strong>the</strong> idea that African <strong>the</strong>ology is a multifaceted project that should be done <strong>in</strong> openended<br />

ways (Maluleke 1997:17; 2005:486).<br />

19

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