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Therapeutic processes and perceived helpfulness of dang-ki (Chinese shamanism) from the symbolic healing perspective.

Boon-Ooi Lee, Laurence J. Kirmayer, Danielle Groleau

Culture, Medicine, and Psychiatry March 1, 2010 DOI: 10.1007/s11013-009-9161-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Ethnographic interview study Peer reviewed
Sample size 21
Population Patients consulting dang-kis in Singapore
Interventions talismans and physical manipulations
Duration Three stages: immediately before and after the healing and approximately 1 month later
Topics Shamanism
Keywords Humans Treatment outcome Spiritual therapies Adult Middle aged Patient satisfaction Singapore Female Interviews as topic Surveys and questionnaires
Key findings Most patients (11 of 21) perceived dang-ki consultations as helpful, 4 found them helpful but could not follow all recommendations, 5 were unsure due to lack of concrete results, and 1 found the consultation unhelpful. Dang-kis typically used more than one method per problem, including words, talismans, and physical manipulations. The authors argue the symbolic healing model is a useful but incomplete framework because shared meaning and symbolic transformation are complex and may unfold over multiple sessions.

Abstract

This study focuses on the therapeutic process and perceived helpfulness of dang-ki, a form of Chinese shamanistic healing, in Singapore. It aims to understand the healing symbols employed in dang-ki, whether or not patients find them helpful and whether their perceived helpfulness can be explained by the symbolic healing model (Dow, Am Anthropol 88(1):56-69, 1986; Levi-Strauss, Structural anthropology. Basic Books, New York, 1963). Although many researchers have applied this model to explain the efficacy of shamanistic healings, they did not directly provide empirical support. Furthermore, the therapeutic process of a shared clinical reality as proposed by the model may be achievable in small-scale traditional societies that are culturally more homogeneous than in contemporary societies that are culturally more diversified due to globalization and immigration. Patients may hold multidimensional health belief systems, as biomedicine and alternative healing systems coexist. Thus, it would be interesting to see the relevance and applicability of the symbolic healing model to shamanistic healing in contemporary societies. In this study, ethnographic interviews were conducted with 21 patients over three stages: immediately before and after the healing and approximately 1 month later. The dang-ki healing symbols were identified by observing the healing sessions with video recording. Results show that dang-kis normally applied more than one method to treat a given problem. These methods included words, talismans and physical manipulations. Overall, 11 patients perceived their consultations as helpful, 4 perceived their consultations as helpful but were unable to follow all recommendations, 5 were not sure of the outcome because they had yet to see any concrete results and only 1 patient considered his consultation unhelpful. Although the symbolic healing model provides a useful framework to understand perceived helpfulness, processes such as enactment of a common meaning system and symbolic transformation are complex and dynamic, and may be carried over several healing sessions.

Comparable studies

Other qualitative studies on shamanism, most cited first.

Study Year Design Participants
"Plantas con madre": plants that teach and guide in the shamanic initiation process in the East-Central Peruvian Amazon. Curanderos, apprentices, and herbalists in East-Central Peru, including Mestizo,... 2011 Qualitative study n = 36
Purging and the body in the therapeutic use of ayahuasca Healers and participants in shamanic tourism contexts of the Peruvian Amazon and... 2019 Ethnography with literature review n = 227
The Globalization of Ayahuasca Shamanism and the Erasure of Indigenous Shamanism Western tourists and indigenous peoples in Iquitos, Peru 2016 Ethnography
Shamanism and Rock Art in Far Western North America Historic hunter-gatherer cultures of California and the Great Basin 1992 Ethnographic review and analysis
Working with “La Medicina”: Elements of Healing in Contemporary Ayahuasca Rituals Ayahuasqueros and Western participants in shamanic tourism in Iquitos, Peru 2012 Ethnography

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