Understanding ‘Illness’

Abstract: This study describes and analyses understanding ‘illness’ among clients and leaders of the spiritual tradition Candomblé in Rio de Janeiro. The study focuses on the individuals’ narratives of illness and of healing rituals within the cult. Particular attention is given to the consultation ritual called jogo de búzios, which is one of the main practices of finding the reason for the illness as well as its cure. The emphasis in this study is on the necessity to look at medical pluralism, the socio-individual context of illness and narrativity as an intersubjective practice. The conclusion is reached that illness within Candomblé ideology can be understood as disequilibrium in a person’s lifeworld. The individual is approached from within the plurimedical context of both biomedical and Candomblé healing tradition in Rio. Here it is argued that the person creates meaning of the illness in relation to different aspects of his lifeworld. The individual’s lifeworld includes the urban context of Rio de Janeiro; therefore a brief discussion is developed about how this context influences the individual meaning production of the illness. The Candomblé house is described with its social structure and other elements that are important for understanding how the cult might work for the clients as an alternative and/or complementary medical treatment. The study progressively introduces and analyses the lifestories of the individuals that approach the Candomblé cult in order to seek treatment. It also is concerned with stories of the Candomblé leaders and their view on the phenomenology of the Body, the Self and the social milieu of the person. Finally, the study emphasises the importance of studies that focus on the individual’s interpretation of the relations between the Self and the Body, and the individual’s understanding of medical knowledge and practice.