OBJECTIVE: To increase understanding of the process and meanings of shamanic care from patient complaint through diagnosis, treatment, and outcome. DESIGN: Information collected from 924 patient contact forms completed by 36 shamans over an 18-month period included basic demographic information on the patients, their complaints, treatments suggested by the shamans and the shamans' perceptions of the outcomes of treatment. These data were translated and entered into a computer database. LOCATION: A Hmong American community in California's Central Valley. METHODS: Quantitative descriptions of the sample were generated and integrated with qualitative analysis of the content of the text from the diagnostic, treatment and outcome categories was performed to systematically identify patterns in the data. RESULTS: Patients sought shamanic help for an array of physical, emotional, and psychologic complaints--problems that the shamans frequently diagnosed as being caused by soul loss or bad spirits. CONCLUSIONS: The data suggest the persistence of the need for the spiritual healing provided by the shamans within this immigrant community. Shamans' rituals affirmed and strengthened connections to family, culture, and community.
OBJECTIVE: To increase understanding of the process and meanings of shamanic care from patient complaint through diagnosis, treatment, and outcome. DESIGN: Information collected from 924 patient contact forms completed by 36 shamans over an 18-month period included basic demographic information on the patients, their complaints, treatments suggested by the shamans and the shamans' perceptions of the outcomes of treatment. These data were translated and entered into a computer database. LOCATION: A Hmong American community in California's Central Valley. METHODS: Quantitative descriptions of the sample were generated and integrated with qualitative analysis of the content of the text from the diagnostic, treatment and outcome categories was performed to systematically identify patterns in the data. RESULTS:Patients sought shamanic help for an array of physical, emotional, and psychologic complaints--problems that the shamans frequently diagnosed as being caused by soul loss or bad spirits. CONCLUSIONS: The data suggest the persistence of the need for the spiritual healing provided by the shamans within this immigrant community. Shamans' rituals affirmed and strengthened connections to family, culture, and community.