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spirit and healing in africa - University of the Free State

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SUMMARY<br />

This study is an exploration <strong>of</strong> <strong>the</strong> l<strong>in</strong>k between <strong>the</strong> Holy Spirit <strong>and</strong> <strong>heal<strong>in</strong>g</strong> <strong>in</strong> Africa from a<br />

Reformed perspective. It is meant as a contribution to <strong>the</strong> development <strong>of</strong> Reformed contextual<br />

perspectives on <strong>heal<strong>in</strong>g</strong> <strong>in</strong> Sou<strong>the</strong>rn Africa, <strong>and</strong> <strong>in</strong>vestigates whe<strong>the</strong>r a pneumatological<br />

exploration, sensitive to multi-layered underst<strong>and</strong><strong>in</strong>gs <strong>of</strong> health, could open productive avenues<br />

for Reformed <strong>the</strong>ology <strong>in</strong> Sou<strong>the</strong>rn Africa.<br />

The exploration consists <strong>of</strong> two parts. The first part is based on <strong>in</strong>terdiscipl<strong>in</strong>ary research, <strong>and</strong><br />

gives an overview <strong>of</strong> African health concepts that are <strong>in</strong>fluential <strong>in</strong> Sou<strong>the</strong>rn Africa. The<br />

exploration starts with <strong>the</strong> struggle to f<strong>in</strong>d an appropriate def<strong>in</strong>ition <strong>of</strong> health, result<strong>in</strong>g <strong>in</strong> <strong>the</strong><br />

underst<strong>and</strong><strong>in</strong>g <strong>of</strong> health as a social construct. This means that one’s social context determ<strong>in</strong>es<br />

one’s underst<strong>and</strong><strong>in</strong>g <strong>of</strong> health. The approach <strong>of</strong> social constructivism is non-essentialist <strong>and</strong><br />

<strong>in</strong>herently open to <strong>the</strong> contextual, social <strong>and</strong> subjective nature <strong>of</strong> health. As such, social<br />

constructivism provides <strong>the</strong> epistemological frame for this <strong>the</strong>sis’ underst<strong>and</strong><strong>in</strong>g <strong>of</strong> health <strong>and</strong><br />

<strong>heal<strong>in</strong>g</strong> <strong>in</strong> <strong>the</strong> African context.<br />

Social constructivism implies that <strong>the</strong>re are multiple underst<strong>and</strong><strong>in</strong>gs <strong>of</strong> health <strong>in</strong> a society. When<br />

a health concept occurs <strong>in</strong> a systematic or coherent pattern <strong>of</strong> ideas <strong>and</strong> practices, this coherent<br />

structure can be characterized as a health discourse. In Sou<strong>the</strong>rn Africa, various health discourses<br />

can be identified: (1) <strong>the</strong> African traditional <strong>heal<strong>in</strong>g</strong> or <strong>the</strong> ngoma discourse; (2) <strong>the</strong> missionary<br />

medic<strong>in</strong>e discourse; (3) <strong>the</strong> HIV/AIDS discourse; <strong>and</strong> (4) <strong>the</strong> church-based <strong>heal<strong>in</strong>g</strong> discourse.<br />

Each African health discourse is determ<strong>in</strong>ed by a specific notion which characterizes <strong>the</strong> way<br />

health is <strong>in</strong>terpreted accord<strong>in</strong>g to that particular health discourse. The notions that have been<br />

identified are: (1) relationality; (2) transformation; (3) quality <strong>of</strong> life; <strong>and</strong> (4) power.<br />

In <strong>the</strong> second part <strong>of</strong> <strong>the</strong> study, <strong>the</strong> relationship between African health discourses <strong>and</strong> Reformed<br />

<strong>the</strong>ology is developed on <strong>the</strong> basis <strong>of</strong> a pneumatological focus, which beg<strong>in</strong>s with an account <strong>of</strong><br />

pneumatological approaches, developed by Reformed <strong>the</strong>ologians (Calv<strong>in</strong>, Kuyper, Barth, Van<br />

Ruler, Moltmann, Welker, Veenh<strong>of</strong> <strong>and</strong> Van der Kooi), <strong>and</strong> a description <strong>of</strong> <strong>the</strong> Heidelberg<br />

Catechism’s pneumatology. The overview <strong>of</strong> Reformed pneumatologies suggests that most key<br />

ideas <strong>of</strong> <strong>the</strong> African health discourses correlate with specific motifs <strong>of</strong> <strong>the</strong> Reformed<br />

pneumatological matrix. Only <strong>the</strong> motif <strong>of</strong> power seems to be underdeveloped <strong>in</strong> Reformed<br />

thought.<br />

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