Not You: Addiction, Relapse, and Release in Uganda.
China Scherz, George Mpanga, Sarah Namirembe
Culture, Medicine, and Psychiatry March 1, 2022 DOI: 10.1007/s11013-021-09722-9 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Ethnography Peer reviewed |
|---|---|
| Population | Ugandan Pentecostals and spirit mediums |
| Duration | Four years |
| Topics | Addiction |
| Keywords | Christianity Religion Spirit possession Uganda |
| Citations | 4 |
| Key findings | Ugandan Pentecostal and spirit medium views of addiction as possession by an external spirit offer concepts and practices that point toward the possibility of release, contrasting with the chronic relapsing brain disease model. |
Abstract
In recent years, alcohol abuse and dependence have become topics of increasing concern in Uganda, but the chronic relapsing brain disease model of addiction remains only one of many ways of understanding and addressing alcohol-related problems there. For many Ugandan Pentecostals and spirit mediums to be addicted is to be under the control of a being that comes from outside the self. Where these two groups differ, and here they differ strongly, is in regard to the moral valence of these external spirits and what ought to be done about them. This article draws on four years of collaborative ethnographic fieldwork to explore the affordances of these ways of viewing and experiencing addiction and recovery for Ugandans attempting to leave alcohol behind. While the idioms of bondage, dedication, and possession are at times severe, this article argues that they contain within them concepts and practices that point away from models of addiction as a chronic relapsing brain disease and towards the possibility of release.
Comparable studies
Other qualitative studies on addiction, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Psychedelic therapy for smoking cessation: Qualitative analysis of participant accounts Participants who completed a psilocybin-facilitated smoking cessation pilot study | 2018 | Qualitative follow-up study using semi-structured interviews and thematic analysis | n = 12 |
| Therapeutic Effects of Ritual Ayahuasca Use in the Treatment of Substance Dependence—Qualitative Results Therapists, expert researchers, and individuals who underwent ayahuasca-assisted... | 2014 | Qualitative study | n = 29 |
| Exploring ayahuasca‐assisted therapy for addiction: A qualitative analysis of preliminary findings among an Indigenous community in Canada Indigenous adults in Canada who participated in ayahuasca-assisted ceremonial retreats | 2019 | Qualitative study | n = 11 |
| Self-reported negative outcomes of psilocybin users: A quantitative textual analysis Users who self-reported psilocybin experiences on an online platform | 2020 | Qualitative study | n = 346 |
| Reports of self-compassion and affect regulation in psilocybin-assisted therapy for alcohol use disorder: An interpretive phenomenological analysis. non-Hispanic White cisgender men and women with alcohol use disorder | 2023 | Qualitative study | n = 13 |