Traditional Healers and Mental Health in Nepal: A Scoping Review.

Journal: Culture, medicine and psychiatry

Volume: 45

Issue: 1

Year of Publication: 2021

Affiliated Institutions:  Department of Psychiatry and Behavioral Sciences, Duke University, Erwin Road, Durham, NC, , USA. tony.pham@duke.edu. Duke Global Health Institute, Durham, NC, USA. Transcultural Psychosocial Organization Nepal, Kathmandu, Nepal. Utrecht University, Utrecth, The Netherlands. Department of Psychiatry and Behavioral Sciences, Duke University, Erwin Road, Durham, NC, , USA.

Abstract summary 

Despite extensive ethnographic and qualitative research on traditional healers in Nepal, the role of traditional healers in relation to mental health has not been synthesized. We focused on the following clinically based research question, "What are the processes by which Nepali traditional healers address mental well-being?" We adopted a scoping review methodology to maximize the available literature base and conducted a modified thematic analysis rooted in grounded theory, ethnography, and phenomenology. We searched five databases using terms related to traditional healers and mental health. We contacted key authors and reviewed references for additional literature. Our scoping review yielded 86 eligible studies, 65 of which relied solely on classical qualitative study designs. The reviewed literature suggests that traditional healers use a wide range of interventions that utilize magico-religious explanatory models to invoke symbolic transference, manipulation of local illness narratives, roles, and relationships, cognitive restructuring, meaning-making, and catharsis. Traditional healers' perceived impact appears greatest for mild to moderate forms of psychological distress. However, the methodological and sample heterogeneity preclude uniform conclusions about traditional healing. Further research should employ methods which are both empirically sound and culturally adapted to explore the role of traditional healers in mental health.

Authors & Co-authors:  Pham Tony V TV Kaiser Bonnie N BN Koirala Rishav R Maharjan Sujen Man SM Upadhaya Nawaraj N Franz Lauren L Kohrt Brandon A BA

Study Outcome 

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Statistics
Citations :  Acharya S 2019. “Spiritual Possession and the Role of Traditional Healers in Nepal.” Journal of Nepal Health Research Council 17 (1): 131–32.
Authors :  7
Identifiers
Doi : 10.1007/s11013-020-09676-4
SSN : 1573-076X
Study Population
Male,Female
Mesh Terms
Faith Healing
Other Terms
Mental health;Psychotherapy;Religion;Spirituality;Traditional healer
Study Design
Grounded Theory,Ethnographic Study,Cross Sectional Study
Study Approach
Qualitative
Country of Study
Publication Country
Netherlands