Therapeutic landscapes of traditional healing: building spaces of well-being with the traditional healer in St. Louis, Senegal

Abstract

Literature on therapeutic landscapes has not sufficiently explored the relational dynamics that contribute to shaping therapeutic landscapes. In particular, not enough attention has been paid to the patient–healer relationship and its role in producing well-being, especially in non-western settings. This article is a first attempt to address these deficiencies by exploring the role of the patient–healer relationship in shaping therapeutic landscapes especially as regards traditional healing in the city of St. Louis in Northern Senegal. By exploring the understandings of health and well-being of 160 people (including patients, herbalists and traditional healers), this article will show how therapeutic landscapes of traditional healing are built relationally in the patient–healer encounter; it will also underscore the strong link between the herbal component of traditional healing, the cognitive component of dialogue with the healer and the spiritual and sociocultural elements associated with rituals. The findings have relevant policy implications. This article takes a stand in the debate on integration between 'traditional' and 'western medicine' in Africa by stating that integration should give more serious consideration to the ability of traditional healing systems to create well-being because, as the case study shows, the latter strongly relies on the relational dimension of healing.