commodity fetichismo, the holy spirit, and the turn.pdf

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JAMES PFEIFFER COMMODITY FETICHISMO, THE HOLY SPIRIT, AND THE TURN TO PENTECOSTAL AND AFRICAN INDEPENDENT CHURCHES IN CENTRAL MOZAMBIQUE ABSTRACT. Pentecostal and African Independent Churches have rapidly spread through- out central Mozambique in the aftermath of war and in the midst of a recent structural adjustment program that has hastened commoditization of community life and intensi- fied local inequalities. This extraordinary expansion signals a shift away from reliance on “traditional” healers to treat persistent afflictions believed to have spiritual causes. Survey data and illness narratives collected from recent church recruits and local residents during research in 2002 and 2003 in the city of Chimoio reveal that healers have increased fees and tailored treatments to clients searching for good fortune in ways that have alienated many other help seekers in this changing social environment. While traditional healing has been celebrated in the international health world, community attitudes are less generous; many healers are increasingly viewed with suspicion because of their engagement with malevolent occult forces to foment social conflict, competition, and confrontation for high fees. Church healing approaches offer free and less divisive spiritual protection reinforced by social support in a new collectivity. One vital source of church popularity derives from pastors’ efforts to tap the already considerable community anxiety over rising healer fees and their socially divisive treatments in an insecure environment. KEY WORDS: Mozambique, Pentecostalism, African Independent Churches, traditional healing, structural adjustment INTRODUCTION Pentecostals and African Independent Churches (AICs) influenced by Pentecostal- ism have rapidly spread throughout central Mozambique in the aftermath of war and in the midst of a structural adjustment program that has hastened commodi- tization of community life and intensified local inequalities over the last decade. The AICs, which include “Zionist” and “Apostolic” movements (the AICs) from South Africa and Zimbabwe, have found fertile ground for growth among the poor, who are recruited primarily through healing. Other churches more directly iden- tified as Pentecostal, including various manifestations of the Assemblies of God, the Apostolic Faith Mission, Universal Church - Kingdom of God, and the Full Gospel Church have had similar success in attracting new members through heal- ing. 1 The extraordinary expansion of these movements in Mozambique signals a dramatic and important shift away from reliance on “traditional” healers, known as nyanga or n’anga in Shona dialects and curandeiros in Portuguese, to treat persistent afflictions believed to have spiritual causes. As argued elsewhere by the author (Pfeiffer 2002), the popularity of the churches has in part been driven by Culture, Medicine and Psychiatry 29: 255–283, 2005. C 2005 Springer Science+Business Media, Inc. DOI: 10.1007/s11013-005-9168-3

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Page 1: COMMODITY FETICHISMO, THE HOLY SPIRIT, AND THE TURN.pdf

JAMES PFEIFFER

COMMODITY FETICHISMO, THE HOLY SPIRIT, AND THE TURNTO PENTECOSTAL AND AFRICAN INDEPENDENT CHURCHES

IN CENTRAL MOZAMBIQUE

ABSTRACT. Pentecostal and African Independent Churches have rapidly spread through-out central Mozambique in the aftermath of war and in the midst of a recent structuraladjustment program that has hastened commoditization of community life and intensi-fied local inequalities. This extraordinary expansion signals a shift away from reliance on“traditional” healers to treat persistent afflictions believed to have spiritual causes. Surveydata and illness narratives collected from recent church recruits and local residents duringresearch in 2002 and 2003 in the city of Chimoio reveal that healers have increased feesand tailored treatments to clients searching for good fortune in ways that have alienatedmany other help seekers in this changing social environment. While traditional healing hasbeen celebrated in the international health world, community attitudes are less generous;many healers are increasingly viewed with suspicion because of their engagement withmalevolent occult forces to foment social conflict, competition, and confrontation for highfees. Church healing approaches offer free and less divisive spiritual protection reinforcedby social support in a new collectivity. One vital source of church popularity derives frompastors’ efforts to tap the already considerable community anxiety over rising healer feesand their socially divisive treatments in an insecure environment.

KEY WORDS: Mozambique, Pentecostalism, African Independent Churches, traditionalhealing, structural adjustment

INTRODUCTION

Pentecostals and African Independent Churches (AICs) influenced by Pentecostal-ism have rapidly spread throughout central Mozambique in the aftermath of warand in the midst of a structural adjustment program that has hastened commodi-tization of community life and intensified local inequalities over the last decade.The AICs, which include “Zionist” and “Apostolic” movements (the AICs) fromSouth Africa and Zimbabwe, have found fertile ground for growth among the poor,who are recruited primarily through healing. Other churches more directly iden-tified as Pentecostal, including various manifestations of the Assemblies of God,the Apostolic Faith Mission, Universal Church - Kingdom of God, and the FullGospel Church have had similar success in attracting new members through heal-ing.1 The extraordinary expansion of these movements in Mozambique signals adramatic and important shift away from reliance on “traditional” healers, knownas nyanga or n’anga in Shona dialects and curandeiros in Portuguese, to treatpersistent afflictions believed to have spiritual causes. As argued elsewhere by theauthor (Pfeiffer 2002), the popularity of the churches has in part been driven by

Culture, Medicine and Psychiatry 29: 255–283, 2005.©C 2005 Springer Science+Business Media, Inc.DOI: 10.1007/s11013-005-9168-3

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growing inequality in the last decade that may have heightened perceived spiritualthreats to health and good fortune in an environment of deepening insecurity andconflict. Based on more recent illness narrative interviews of church recruits inthe central Mozambican city of Chimoio, the current article focuses more specif-ically on how curandeiros have increased fees and tailored treatments to clientssearching for good fortune in ways that have alienated many other help seekers inthis social environment.

Fees have risen in the context of widening local economic disparities, creatingfurther social dilemmas for clients seeking new prosperity or combating persis-tent misfortunes in the form of illness, infertility, job loss, financial struggles, orfamilial conflict. The higher cost of traditional treatment in itself is a barrier toconsulting curandeiros for many of the poor. But equally important is how theinflation of fees in the context of increasingly stark social inequalities taints thelegitimacy of the therapeutic process itself by eroding trust and confidence andintroducing skepticism into patient-healer interactions. While traditional healinghas been celebrated and even romanticized in the international health world, com-munity attitudes toward curandeiros are decidedly less generous, and their healingactivities are increasingly viewed with suspicion because of their engagementwith often malevolent and frightening occult forces used to foment social conflict,competition, and confrontation. The conspicuous sale of curandeiro services forhigh profit appears to be one of the most troubling aspects of traditional healingfor many help seekers in this environment; access to these occult forces is beingsold at elevated prices to enrich the provider, often at great expense and dangerto others. In contrast, the churches’ healing approach emphasizes a less divisiveand more pervasive spiritual protection offered without payment and reinforcedby social support in a new collectivity. It is argued here that one vital source of themovement’s recent popularity derives from church efforts to promote this contrastand effectively exploit the already considerable community anxiety over risingcurandeiro fees and their socially divisive treatments in an increasingly insecureenvironment.

This expansion of churches in Mozambique parallels similar growth of Pen-tecostal and AIC movements across the continent, especially southern Africa, inrecent years. The critical role of healing to this expansion is well-documented,and the churches’ success within urbanizing communities is believed by many toderive, at least in part, from how they soothe the trauma of social dislocation, dis-persion, and “anomie” in the transition to modernity (Sundkler 1961; Daneel 1970,1988; Oosthuizen 1992; Bourdillon 1991). Healing practices, especially amongAICs, are reported to be “syncretistic” in their incorporation of local idioms ofsocial distress and illness causation related to this transition. Earlier explana-tions for Pentecostal popularity in Africa focused on this healing syncretism thatwas thought to provide a “bridge” back to tradition for disoriented and nostalgic

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urban migrants bewildered by their new circumstances (see for example. Kiernan1977, 1997; Daneel 1992; Dube 1989; Oosthuisen 1989; Sundkler 1961). Laterexplanations centered on whether church popularity represented “resistance” or“acquiescence” to European domination and the political economy of apartheid(Ranger 1986; Thomas 1994; Walshe 1991; Schoffeleers 1991; Comaroff 1985). Inthe post-colonial and post-apartheid period, a new paradigm of sorts has emergedthat locates AIC and Pentecostal success within the globalization and transition-to-modernity problematic by emphasizing church rejection of “tradition” as a “breakwith the past,” an embrace of modernity, and participation in a new social identitythat transcends ethnicity and nation (cf. Corten and Marshall-Fratani 2001; Poewe1994; Van Der Veer 1995; Coleman 2000; Meyer 1998; Van Dijk 1998). To jointhese movements, members break with their individual pasts, represented by ties tofamily and tradition in rural areas, to create a new, modern, urban, more individualsubject freed from the constraints of rural family demands and backward beliefs(Meyer 1998). In this view, traditional healers are often vilified and demonized byPentecostal movements primarily because they are “traditional” and therefore be-lieved to keep individuals mired in backwardness and poverty, impeding progresstoward modernity and prosperity (cf. Meyer 1993; 1998).

The illness narratives described here, which focus on lay member patterns ofhealth-seeking that preceeded and motivated the turn to prophet-healers, tend, how-ever, to provide conversion stories that do not fit well within this new paradigm.While “demonization” of traditional healers by Pentecostals is widely reported,there is little available in the current literature that explains why this demoniza-tion resonates so strongly among so many of the poor, and why local healersshould lose their legitimacy and perceived efficaciousness in treating the sameillness-causing spiritual afflictions and occult threats that prophet-healers address.In these narratives, church members speak less of rejecting the past than of theirdisillusionment with the intensified commodification of traditional healing in achanging social environment of sharpening income disparities and declining so-cial security: an environment generated in part by economic liberalization andstructural adjustment over the last decade.

Traditional healing practices have increasingly been tailored and sold to menwho often pay high fees to practice, or protect against, sorcery related to obtainingemployment or undermining competitors. As the market has grown for these kindsof curandeiro services in the struggle to obtain scarce urban jobs amidst the lure ofpotential wealth in the growing economy, treatments for maternal and child healthcomplaints have been priced out of many women’s range. A majority of womencannot pay for curandeiro treatments themselves. Although church explanatorymodels for illness incorporate many of the same local Shona idioms of socialdistress deployed by traditional healers, pastors and prophets have imported thePentecostal notion of the universal “Holy Spirit” (Mwiya Mutsene in Chiteve, and

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Espirito Santo in Portuguese) to provide broad protection for free against relentlessoccult threats to health and well-being emanating from the deeply conflictive socialenvironment.

Most respondents recounted long, frustrating periods of seeking help fromvarious sources, including biomedical providers, home remedies, black marketpharmaceuticals, and curandeiros, often simultaneously, before finally turning tochurch prophets, usually in desperation to resolve a persistent affliction. Often,disparate episodes of illness and misfortune among different family members,especially children, are woven together to reveal the intervention of a “bad spirit,”or espirito mau in Portuguese. However, as many of the stories unfold, more nu-anced accounts reveal that traditional healers came to be perceived as ineffectiveand distrusted not because they offered traditional remedies, but rather becauseof the inflation of their fees in the sale of services as commodities through whichthe healers themselves often gain conspicuous wealth. It is not argued here thatcommodification of traditional healing is something new; curandeiros have report-edly been “paid” in some form or another for many years in Mozambique. Rather,economic disparity has increased so rapidly that rising fees for curandeiro serviceshave become suspect within this changing social environment, where “everyoneis out for themselves” [cada um para cada um in Portuguese], in the words ofone informant. The circulation of money and the commodification of treatmenthave new effects and have taken on new meaning in an environment in which thesocial gradient has steepened so quickly. Many curandeiros are perceived to becomplicit in advancing their clients’ fortunes at the expense of others, all whileprofiting themselves. In the current context characterized by both increasing so-cial and geographic mobility, curandeiros can cause conflicts within families orbetween neighbors and co-workers to spin disastrously out of control. Many ofthose interviewed turned to, and trusted, church prophet-healers in part becausetreatment for the same spiritual afflictions did not inflame these conflicts.

In direct contrast to the inflating curandeiro fees, church treatments are not “pur-chased,” and the lack of payment is cited by help-seekers as an indication of bothauthenticity and good intentions. Financial contributions to churches are vitallyimportant, but not linked to treatments, as discussed below in more detail. Pastorsand prophets are keenly aware of the ambivalence felt by many toward curandeirosand emphatically stress that the Holy Spirit is an entirely different healing powerin continual struggle with the harmful occult forces that traditional healers engage.Since church healers ply the same spiritual terrain as local curandeiros, often ex-orcizing malevolent spirits using local terms and idioms, drawing this distinctionbecomes especially critical to attracting new members. The contrast between thesale of curandeiro services and the churches’ offer of free healing provides justthe opportunity to tap into deepening local anxieties about new forms of accumu-lation, growing social competition, and importance of access to cash for survival

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in the commoditizing economy. Rapidly widening disparities, and alleged curan-deiro complicity in generating new inequalities, have brought this contrast intoeven sharper relief, and churches have used it effectively to undermine curandeirolegitimacy in the eyes of many.

Healing, Witchcraft, and Inequality

In both the old and new literature on “witchcraft,” the term is used broadly toencompass a range of practices related to the occult that often include healing(Gluckman 1955; Marwick 1965; Evans-Pritchard 1937; Middleton and Winter1963; Comaroff and Comaroff 1993; Geschiere 1997; Moore and Sanders 2001).2

Traditional healing in most southern Africa societies can involve activities thatfall under the rubric of “witchcraft” more broadly. Given the nature of their skills,curandeiros can potentially harness both the positive and destructive powers of thespirit world, that is, the volatile world of the dead, to cure, bring good luck, sendmisfortune, or kill. The confusion concerning the relationship and overlap amongwitchcraft, sorcery, and healing practices reflects the ambivalence that many inChimoio feel about curandeiros. Geshiere describes a similar ambivalence inCameroon, where he has analyzed court cases involving accusations of witchcraft(Geshiere 1999: 227).

Indeed, an accused who dares to call himself a sorcier is sure to be put in jail. Yet thenganga [healer] does so without any further reaction from the judges. Apparently the latterrecognize that there are different types of sorciers, some of which have to be punished,while others (the nganga) are valuable allies in the struggle against la sorcellerie. Thisterminological confusion has deeper implications. Officially, the State and its servantscondemn witchcraft as an evil, to be eradicated altogether. Privately, however, many civilservants (judges included) are deeply involved with witchcraft, enlisting the services ofnganga to protect them or even to attack their rivals. The murderous competition for postsand promotion in the public service is a hotbed for witchcraft rumours and machinations.

The fact that occult practices, including healing and sorcery, help indi-viduals manage these kinds of new inequalities has attracted a renewed in-terest in “witchcraft” among anthropologists (Kohnert 1996; Maxwell 1995,1999; Geschiere 1997, 1999; Meyer 1993; Comaroff and Comaroff 1993, 1999;Auslander 1993; Yamba 1997; Englund 1996; Moore and Sanders 2001; Sanders2003). As Geshiere (1999: 213) has emphasized, witchcraft can be both a levelingforce, undermining inequalities in wealth and power, but also instrumental forindividual accumulation and social mobility. He writes, “Witchcraft is both jeal-ousy and success. It is used to kill but also to heal” (Geshiere 1999: 213). Classicanthropology on witchcraft and sorcery emphasized the integration of occult prac-tices with local dynamics of “envy,” notions of “the limited good,” misfortune, andgood fortune (see discussions in Gluckman 1955; Marwick 1965; Evans-Pritchard1937; Middleton and Winter 1963).3 Whether in its power of explanation or in

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its instrumentality, witchcraft has provided a lens to interpret inequalities thatboth disrupt and animate social life. And, as Jean and John Comaroff emphasize,“[W]itchcraft is not simply an imaginative ‘idiom.’ It is chillingly concrete, itsmicropolitics all-too-real. As Evans-Pritchard (1937) long ago maintained, its oc-currence is explicable only with reference to its particular pragmatics; to the waysin which, in specific contexts, it permits the allocation of responsibility for, anddemands action upon, palpable human inequities and misfortunes” (1993: xxvii).Much of the new literature argues that modernity has not brought disenchant-ment as predicted by earlier Weberian theorists, but rather witchcraft and occultpractices may be increasing in contemporary Africa, at least in part because oftheir usefulness in responding to new inequalities that emerge with modernity.As Moore and Sanders suggest, however, “[C]ontemporary scholars of witchcraftcast occult beliefs and practices as not only contiguous with, but constitutive ofmodernity” (emphasis added, 2001: 12). Sanders specifically links the perceivedexpansion of these practices in Tanzania to recent economic reform, “[I]n theera of structural adjustment, the occult itself has been commodified and thusvastly expanded both in the popular imagination and its practical reach” (2003:168).

The market for these kinds of services predictably grows as social insecurity isheightened and the healers themselves, who are usually very poor, have also foundrewarding ways to ply their trade. Hence the purported increase in, or increasedanxieties about, competitive and dangerous forms of sorcery purchased from cu-randeiros in communities like Chimoio. Poor women are at a special disadvantagein these circumstances since most are unable to generate any significant cash topay for protective treatment, yet they remain in desperate need of spiritual defensegiven their reproductive roles amidst extraordinarily difficult material conditionsand dwindling familial support (see also Chapman 2003 for discussion on the vul-nerability of pregnant women to sorcery in central Mozambique). The evidencepresented here suggests that laymembers’ decisions to seek help from churchesand join these movements were not necessarily experienced as a break with tra-dition. Traditional healing practices had already themselves been transformed toaddress the afflictions of a “modernity” wrought by colonial penetration that hasgenerated vast changes in social life and healing practices in the region for over acentury. In this post-colonial and post-socialist moment, curandeiro practices haveagain adjusted to accommodate local fears and desires incited by “free markets”and state withdrawal. This adjustment is manifested in an emphasis on the sale ofservices most useful to individual enrichment at the expense of social competitors.Far from helping urban migrants to sever their rural family ties and embrace a new“modern” individuality, the churches appear to offer a new collectivity as an al-ternative to curandeiros/sorcerers who would otherwise foment social conflict andarouse dangerous occult powers for a high fee. In Chimoio, the flight to churches

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is as much a flight from the modernity of traditional healing as it is a break withthe past.

RESEARCH DESIGN AND METHODS

The interviews described here were collected as part of a larger study of AICand Pentecostal expansion in Chimoio and of the relationship of that expansionto structural adjustment and deepening social inequality in the region. In addi-tion to the collection of illness narratives, the research included a survey of threecontiguous peri-urban bairros (or neighborhoods) selected for their large popu-lations of residents representing a broad socioeconomic range with demographicsimilarity to the rest of the city. The population of the three bairros together totalsover 21,000 people (Instituto Nacional de Estatistica 1998). The survey of 616men and women using systematic random sampling was conducted to identify therange of churches in the community, estimate the level of participation in eachfaith, gather demographic information, and measure social attitudes using a setof Likert-scale questions concerning perceptions of changes in social inequal-ity, social well-being, occult practices, and access to basic services. The surveyinterviews each lasted about one hour.

Pastors from eight of the churches in the bairros helped to identify other men andwomen who were recent converts for more in-depth open-ended illness narrativeinterviews. These interviews focused on health-seeking decisions and experiencesthat led the respondents to seek help from the churches. Eighty illness narrativeinterviews were conducted in 2002 and 2003, and dozens of other similar inter-views conducted in 1998 and 2000 in the same bairros were also re-analyzedin relationship to the central questions in the current research. An additional 30interviews were conducted in 2003 with randomly selected bairro residents whowere not church members to identify and contrast recent health-seeking patternsof resort, attitudes toward curandeiros, and opinions about church healers.

CHIMOIO IN TRANSITION

The population of Chimoio, the capital of Manica Province, has more than tripledsince independence in 1975, expanding from about 50,000 to over 170,000 asthousands moved to the city in search of safety during the 15-year war with SouthAfrica-backed rebels (known by their Portuguese acronym RENAMO) that endedin 1992. In order to survive the austerity economy, most Chimoio residents arepeasant-proletarians who combine cash-earning opportunities with subsistenceproduction, cultivating maize and sorghum outside the city on small parcels ofland called machambas. Chimoio is a multi-lingual city where Chiteve, a variant

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in the Shona-based family of languages that extends across most of Zimbabweand central Mozambique, is spoken by a majority. But a number of other Shonadialects and local languages are also heard, including Chindau, Chisena, Chin-hungwe, Shangana, and Tonga. Portuguese is also widely used by most residentsin this multilingual environment. Standard health indicators reveal the impact ofsevere material deprivation; cumulative under-five mortality is estimated at about200/1000 (Instituto Nacional de Estatistica 1999), while maternal mortality wasestimated at 1,500/100,000 for the entire country during this period (UNDP 1998).

With affliction so common and unrelenting in this community, there are hun-dreds of curandeiros, both herbalists and spiritual healers, distributed throughoutthe city, who continue to be widely consulted. In Chimoio, the National HealthService (NHS) provides biomedical care through the provincial hospital, and atseveral health centers offering basic primary health care services distributed inother parts of the city. A private health clinic serving the small emerging elitethat can afford the high fees opened in the city in the mid-1990s. While moststate services are free or inexpensive, providers reportedly ask for under-the-tablepayments, a problem that worsened when health worker salaries dropped witheconomic adjustment (Cliff 1991). Pharmaceuticals stolen from clinics and hospi-tals, including chloroquin and antibiotics, are widely available in outdoor marketsor at private homes. The churches have now entered this already medically pluralenvironment, some offering spiritual healing that incorporates local notions ofillness and others practicing prayer healing and laying-on of hands.

The Church Expansion in Chimoio

According to the 1997 census, the Zion churches have become the largest reli-gious category in urban areas in Manica Province, claiming about 30 percent of thepopulation. Nearly five percent identified themselves as “Protestant/Evangelical,”a category consisting mostly of Pentecostals (INE 1999). It is likely that sincecensus data were collected in the mid-1990s church participation expanded evenfurther. Catholic Church membership declined from about 30 percent in the 1980census to 20 percent in urban areas. In the current survey of three bairros reportedhere, nearly 45 percent of respondents belonged to churches described as Zion-ist, Apostolic, or Pentecostal. About 12 percent identified as Zionist, 13 percentbelonged to Apostolic churches that use prophetic healing (and are often calledZionists by outsiders), and a further 20 percent were members of a wide rangeof Pentecostal churches. In just the three bairros surveyed here, over 40 distinctlynamed affiliations to which respondents belonged were identified within thesethree church groups . Catholics accounted for about 23 percent of the total sample.Gender differences in participation were evident as well. Nearly 16 percent of allwomen respondents were members of Zion churches in contrast to 8 percent of

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men. Twenty-two percent of women versus 17 percent of men belonged to Pen-tecostals, while nearly 26 percent of men were members of the Catholic Churchin contrast to only 20 percent of women. By 2002, the Department of ReligiousAffairs registered over 200 individual AIC and Pentecostal variants in Chimoio,up from 30 in the early 1990s.

Rapid AIC and Pentecostal expansion in the 1990s also gained momentum inpart because the Mozambican government loosened its regulation of religiousexpression, allowing church movements from the southern Africa region to enterMozambique and proselytize more freely (Vines and Wilson 1995). Since then, allchurches have been able to recruit and mobilize members without the governmentinterference and oversight that characterized the post-independence period in the1970s and 1980s. The end of the war opened the region to greater movement andcirculation of people and ideas while the economy was also being liberalized.Disentangling which of these historical factors contributed most to the dramaticgrowth of these religious movements is nearly impossible, and to argue, as somedo in Mozambique, that Pentecostal growth is simply the result of this openingof society in the late 1980s fails to explain why the Pentecostalist wave grew soquickly while other equally repressed faiths dwindled. One can only speculateas to whether the Pentecostals would have expanded just as quickly during thesocialist period if they had had freedom to proselytize. And the phenomenon isnot restricted to Mozambique; similar and related movements have swept acrossother regions of Africa in recent years, further suggesting that more generalsocial-historical processes may be implicated in growing church popularity. Thenarratives described here suggest that the striking economic changes of the 1990sthat accelerated commoditization and increased inequality had a distinct role inchurch growth.

Adjustment

In 1987, these broad changes in social and economic life were introduced by aWorld Bank/IMF structural adjustment program (SAP) while the war still draggedon (Marshall 1990; Cliff 1991; Hanlon 1996). The SAP led to privatization,shredding of social safety nets, cutbacks in social services, arrival of foreignaid, and growing corruption that has spawned rapid class formation and glaringeconomic disparities over a very short period (Fauvet 2000; Hanlon 1996). In theearlier years after independence, labor migration from the region to South Africawas also curtailed, eliminating an important source of income for some households,but significant male migration continued within the country and to Zimbabweduring and after the war. Social and economic changes accelerated further afterthe fighting ended in 1992, when economic activity could be conducted freefrom fear of attack. The change in social environment in local communities over

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this period cannot be overestimated. While Mozambique has been hailed forits relatively robust economic growth in the 1990s, benefits have trickled upto a small business elite while many Mozambicans remain mired in absolutepoverty (Ministry of Planning and Finance 1998; Hanlon 1996; INE 1998). Ithas become an economy in which the attraction of wealth and goods flowinginto the city is juxtaposed against deepened economic and social insecurity ina kind of austerity/luxury economy. Accumulation by the few is visible aroundthe city, where hundreds of larger cement houses are under construction, satellitedishes and antennae have appeared on many homes, and expensive SUVs andprivate luxury cars cruise the streets. Even in poorer bairros, some have managedto obtain paying work with foreign aid agencies or local businesses and to buildnew cement houses. One wealthy area of the city became known as the “bairrodos ladroes” (neighborhood of thieves, i.e. the corrupt) in the 1990s and later“bairro dos cabritos,” literally neighborhood of the goats, after President JoaquimChissano suggested in a national radio address that corrupt bureaucrats were liketethered goats that eat everything within their reach. Cabritismo (literally goatism)has become the central metaphor for corruption in national discourse.

In the eyes of many, the new conspicuous consumption and wealth in the cityappears to have no visible source or explanation; new wealth is often assumed to beobtained through crime, corruption, or practice of sorcery capabilities purchasedfrom corrupt curandeiros. Likert scale data in the survey for this research revealedthat over 80 percent of respondents either agreed somewhat or agreed strongly thatsince the war’s end only a few had gotten wealthier while most people had gottenpoorer. Nearly 45 percent of respondents felt that their own households had gottenpoorer since the war’s end, while only 30 percent felt that they had gotten wealthier.

The expanded trade of sexual favors for money or goods is another product ofthe deepened social inequality that has undermined economic security for manywomen. These activities range from full time sex work around neighborhoodbars to casual provision of sexual favors in exchange for cash or goods such asshoes or clothing. Likert scale data on the survey revealed that over 80 percentof respondents believed that prostitution and promiscuity (roughly translated ascurticao locally) had increased over the previous 10-year period; nearly 68 percentbelieved it had increased a great deal. The resulting pressure on intrahouseholdrelationships has produced greater distrust, allegations of adultery, and fear of thespread of sexually transmitted infections including, of course, AIDS. The ensuingmoral panic in Chimoio has not only destabilized relationships, families, andhouseholds, it has also generated a backlash within the churches against condompromotion campaigns that are seen as encouraging promiscuity and prostitution.

This is not to suggest that social life in the region had not already been directlyintegrated into market relationships for at least a century, if not longer. Large-scalemale labor migration to Southern Rhodesia, South Africa, and local plantations,

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in addition to participation in local trading, had long been the social and economicreality for Mozambicans under Portuguese rule. Bridewealth, known locally aslobolo, has long been paid in cash in the area, and cash payment to curandeiros hasreportedly been common for some time, especially in towns and cities. The socialistperiod after independence certainly curtailed market activities, but money was stillexchanged for a variety of services and goods. The recent period of free marketpromotion and privatization, however, marks an especially intense deepening ofthe commoditization of social life and associated social differentiation. As thecash price of lobolo has inflated, many men can no longer pay, and choose to livewith their partners without formal marriage status. In this survey, over 50 percentreported that they lived with a partner but were not married. Many informantsremarked that ceremonies to clear machambas based on mutual reciprocity weremaintained well into the recent war years, but with economic adjustment nearlyeveryone now demands cash payment to work for others. Much of the land formachambas and matoros was formerly allocated by local regulos, or chiefs knownas mambos in Shona, based on local notions of justice and kin-based land rights.The socialist period saw the state assume many of these functions, especially inthe creation of state farms and communal villages. But in the post-war period ofadjustment, small farmers increasingly have had to rent or pay for their land in spiteof new land tenure laws. As food subsidies have been eliminated, and fees (bothlegal and illegal) for health and education have been introduced, cash income hasbecome increasingly crucial to survival for the vulnerable, and to social mobilityfor the ambitious (see similar findings in Ministry of Planning and Finance studyof poverty and well-being, 1998: 312).

The deepened commodification of so many aspects of social life has occurredsimultaneously with, and has helped to cause, rapid class formation and conspic-uous accumulation of a fortunate few. Of course, sharp social disparities are notnew in a region whose recent history is defined by the severe inequalities of Por-tuguese rule. What distinguishes the current period from both the socialist andcolonial epochs is not simply commoditization and the arrival of modernity (bothhad already happened in some form or other in Chimoio) but rather the rapidincrease in new local inequalities based primarily on access to cash, and markedby intensified economic insecurity for some and new wealth for others in a sink orswim market. In this environment, the desperate need for money has supercededand in some ways dissolved previous social obligations, family relationships, andother sources of reciprocity and support, beyond the conventional notions of urban“anomie” and social disruption associated with the general processes of migrationand urbanization that characterize modernity in the Third World.

In this environment, the high price of curandeiro services has an especiallyimportant impact on women, most of whom have little or no cash income of theirown. In the survey here, nearly 60 percent of women stated that they had earned

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no cash income at all in the previous month, in contrast to only 10 percent ofmen who earned none. While 52 percent of men earned over 500,000 meticais(24,000 meticais to one US dollar) in the previous month, only 13 percent ofwomen earned in that range. Previous research in a nearby community (Pfeifferet al. 2001) also demonstrated that men and women normally control separateincome streams within households, so that the many women who do not earn theirown money can only use cash at the behest of their husbands. They must decidewhether to risk asking a spouse for money to treat an affliction believed to derivefrom intrahousehold conflict or familial discord. Indeed, most women reportedconsulting curandeiros only with spouses or family members, in part so they canpay. In contrast, most women reported seeking help from prophets on their ownsince cash payment was not necessary; later they often attempted to bring theirpartners into the church.

SPIRITS, INEQUALITY, AND SORCERY IN AN AGE OF ADJUSTMENT

Traditional healing in this region of Mozambique, specifically “therapy” thatengages the spirit/occult world, involves attempts to influence spiritual forces be-lieved to underlie fortune and misfortune, including illness. In this complex andintricate moral universe, both extraordinary fortune and misfortune can be viewedsuspiciously. Sorcery, vengeful spirits, angry ancestral spirits, and “immoral”behavior such as infidelity are often implicated in experiences of misfortune, in-cluding health problems, but spirits can also be manipulated and mobilized forpersonal gain (Chavanduka 1978; Gelfand 1962; Gelfand et al. 1985; Bourdillon1991). When illness is accompanied by unusual symptoms or circumstances, orwhen biomedical interventions fail, a spiritual cause might be considered anda curandeiro consulted to exorcise the offending spirits and provide continuedprotection. On the other hand, someone who is especially successful and accu-mulates material wealth and power may also be suspected of engaging the occultworld, with the help of a curandeiro, for self-promotion and perhaps to harm socialcompetitors.

The English term witchcraft conflates diverse modalities of engagement withthe spirit world and translations into Portuguese or Chiteve create further ambigui-ties and qualifications. In Chimoio, dangerous occult practices are roughly dividedinto two categories of practitioners and activities that resonate quite differently inthe new social environment. The Chiteve term uroyi, and in Portuguese feitico,or wakoroya (or varoya) in Chiteve and feiticeiro/as in Portuguese, is often usedin reference to the activity of “witches,” who are women born with an inheritedmalevolent spirit that can cause terrible misfortune. In contrast, “sorcery” abilitiesare purchased from curandeiros and are practiced through use of special sub-stances that can harm one’s enemies or provide good fortune. Health metaphors

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are embedded in the Portuguese terms employed for “treatment” of a wide rangeof life problems by sorcery practices using these substances and spiritual powers.Kukamba and kurom are Chiteve terms for the purchase of sorcery powers from cu-randeiros activated through substances called mutombo in Chiteve and translatedas medicamentos (medicines) or drogas (drugs) in Portuguese. The Portugueseterm medicamentos da vida is often used to distinguish mutombo that will helpa man obtain employment or other good fortune outside the realm of biomedicalhealth, narrowly defined. But the terms medicamentos or mutombo are also used inpractices that harm others, that is, to send sickness or misfortune. The Portugueseterm feitico, or sometimes fetichismo, is also heard in reference to this kind ofsorcery activity, but a second Portuguese term, drogar (literally “to use drugs”) ismore common to distinguish it from uroyi, or the activity of witches.

The distinction between feticeiro/as and drogados emerged clearly in severalquestions on social attitudes in the survey for this research. The survey askedrespondents separate questions concerning whether feitico and drogados had in-creased or decreased over the previous ten-year period. Over 64 percent respondedthat the use of “drogas” had increased, and over 42 percent agreed that it had in-creased a great deal. In contrast, nearly 42 percent believed that the problem ofwitches had actually diminished and only 36 percent believed it had increased atall. In pretests of the survey instrument, respondents clearly distinguished betweenthe two kinds of activity. The practice of kukamba or kuromba for protection, goodluck, or social aggression constitutes a key set of practices in the curandeiro’s treat-ment repertoire that might be called witchcraft in English but is distinct from thepractice of “witches,” or wakoroya, in Chimoio. The survey findings suggest thatoccult practices that can be bought and sold in the new economy are the ones per-ceived to have increased in the new economic and social environment. Analysisof the survey data also suggests that the perception of increased use of “drogas”is broadly shared among church and non-church respondents.

The exchange of money and the high prices of curandeiro services are alsolinked to an aura of danger surrounding many consultations. Tales abound ofcorrupt healers who charge outrageous fees, engage in sorcery to harm others orpromote good fortune, and enrich themselves by fomenting conflict within familiesand among neighbors. Treatments can involve an inversion of the moral worldin which help-seekers are required to engage in reprehensible activities such assleeping with one’s mother or daughter, necrophilia, or taking a life to secure occultpowers of protection and enrichment. Acts of moral abomination are one sourceof occult power and require tremendous courage on the part of the help-seeker.The greater the risk taken, the greater the potential pay-off. The demons that aremobilized in these treatment processes are unpredictable, unstable, and extremelydangerous. Paying a curandeiro to engage this world to provide protection, gaingood fortune, or harm one’s social enemies can go wildly wrong and result in a

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descent into madness for the help-seeker or misfortune for one’s family. “Drogas”gone wrong is the most common explanation for the many mentally ill men whonow wander the streets of Chimoio in rags. Curandeiros are sometimes implicatedin the startling increase in crime that began after the war’s end in the region. Onefrequently mentioned activity involves paying a fee to a corrupt curandeiro whohelps the client steal water used to wash corpses in the city mortuary. The water,with its spiritual power, can be ritually treated by the curandeiro to obtain theeffect of putting victims to sleep temporarily when it is sprinkled around theirhome at night. Thieves can then break in and steal everything while the occupantsare unconscious. They awake in the morning to see all their possessions taken, buthave heard nothing since they had been drugged.

As described elsewhere (Pfeiffer 2002), curandeiros function within a com-plex spirit world that requires some brief description. Ancestral guardian spirits,w(v)adzimu in Chiteve (or midzimu in other Shona dialects), can provide pro-tection from spiritual threats and should be honored regularly, usually throughritual beer brewing and festivities (Chavanduka 1978; Lan 1985; Gelfand 1962;Bourdillon 1991). Severe illness caused by malevolent spirits and sorcery canresult from ancestors’ withdrawal of protection for failure to follow ritual patternsof respect, “immoral” behavior such as infidelity, and intrafamily conflict. In Chi-moio, avenging spirits of murder victims are among the most dangerous since theyseek revenge by creating illness, misfortune or death in the murderer’s family (cf.Bourdillon 1991 and Lan 1985 for descriptions of similar spirits called ngozi inZimbabwe). Intrafamily conflict and tension is also often attributed to the presenceof such avenging spirits, which are called mupfukwa in Chimoio. Such spirits canalso be aroused with the help of a curandeiro by a family seeking to avenge themurder of a relative or to enforce the return of stolen property or payment of debt.

Spirits of both affliction and healing often emanate from important historicalperiods and events in the social history of a region. Curandeiros and prophet-healers both spoke of the spirits of Gungunyane, who led invasions into Ndauareas of central Mozambique in the convulsions of the Mfecane (Shaka Zulu’sexpansion north from South Africa), that caused illness and misfortune in yearspast. Some reported powerful spirits used for curing near the Zimbabwe borderthat derived from Ndebele warriors who were killed when they invaded the Shonaspeaking region of Manica that straddles the border. In contemporary Chimoio,as reported earlier by the author (Pfeiffer 2002), a specific category of avengingspirit called chikwambo emerged repeatedly in illness narratives of women churchrecruits, and one pastor referred to a chikwambo “epidemic” in Chimoio. One setof chikwambo spirits was repeatedly mentioned by healers, prophets, and churchmembers: those of migrant workers who had returned to Manica from Zimbabweor South Africa with money and goods, and had been robbed and killed uponarrival.4 These malevolent shades are the spirits of innocent people who have

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been maliciously robbed and murdered and who then seek revenge on membersof the killer’s family, sometimes generations later, causing accidents, illness, lossof work, financial calamity, and general misfortune. In order to appease suchan avenging spirit, affected families must pay the spirit back, offering youngdaughters to become “spirit wives,”mukadzi we mupfukwain Chiteve, or mulheresde espirito in Portuguese (see also discussion in Chapman 2003). A spirit wifewill often remain in her parents’ home, although she may have children and livetogether with another male partner, or have many sexual partners. If the spiritwife gives birth, the children belong to the spirit as compensation and cannot beclaimed by the biological father. If behavior by the wife angers the spirit, he cancause infertility, illness, and death. Mupfukwa spirits, including chikwambo, canalso be harnessed by skilled curandeiros for a fee and sent to cause harm to one’senemies, a reportedly common practice among drogados.

The Professionalization of Healing: AMETRAMO

Many curandeiros in the city belong to the government-sponsored MozambiqueAssociation of Traditional Healers, known by the Portuguese acronymAMETRAMO, responsible for collecting taxes and fees and setting price guide-lines for services offered. An official, two-page table typed on AMETRAMOletterhead enumerates dozens of treatments and their legal prices. The table useslocal spirit categories and terms in Chiteve appropriate to the city, while prices arelisted for treatments that help one obtain employment, avoid accidents, contactancestor spirits, and address a range of other common life worries and desires.Designed to control prices, the list confirms just how expensive consultations andexorcisms have become. For example, removal of a mupfukwa spirit costs 350,000meticais (not including the initial diagnosis consultation), equivalent to nearly halfa month’s wages for an average worker.

A number of curandeiros, however, are distrustful of the organization and be-lieve it exists merely to tax healers. A number of informants in the communityargued that “real” (verdadeiro, the term used in Portuguese) curandeiros are notAMETRAMO members and can only be found in rural areas, and existence ofthe price list is seen by some as an indication of the organization’s spurious-ness. Upon leaving the home of a well-known curandeiro interviewed for thisresearch, the local research assistant, who lives in a Chimoio bairro, whispered,“He’s not a real curandeiro, not with a nice cement house like that, with furni-ture and a motorcycle.” The healer’s accumulation and good life were evidencethat he was a fake. The 30 interviews with other residents who were not churchmembers tended to confirm that high fees were often paid to healers and that theperception of inflated fees is widespread, and not merely an accusation made bychurches.

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Healing sessions for two non-church clients observed by the author providea glimpse of the kind of problems, treatments, and fees apparently common tocurandeiro practice. Not surprisingly, these sessions would not have included thedangerous practices mentioned above since the healer was being observed by anoutsider. In the first case, the young male help seeker’s affliction had manifesteditself through a series of mishaps (especially an accident injuring his knee), mis-fortunes (problems at his workplace in Chimoio), and recurrent health problems(frequent trouble breathing). He had come to believe that these problems mustbe linked through a spiritual cause and had decided to consult the traditionalhealer. During the initial consultation, the curandeira contacted her personal heal-ing spirit, who revealed himself in a deep, distinct voice and conversed directlywith the young man to diagnose the problem. The healer determined that a com-petitor at his workplace wanted his job and had consulted another curandeiro toarrange a mufukwa spirit to afflict him.

To complicate matters, the help seeker’s father had recently died. The curandeiraindicated that this paternal spirit had withdrawn his protection for his son outof anger because the young man, the eldest son, had not conducted the annualhonorific ceremony on the anniversary of the father’s death. The curandeira thenasked the paternal spirit for patience while she exorcized the demon sent by theman’s co-worker. The process of exorcism was initiated later that day but wouldtake several days or weeks and repeated visits to complete. The patient was advisedthat it might involve confronting the perpetrator at work as well. He was given asteam bath and a razor was used to make small incisions on his chest, into whichmutombo was placed for ongoing protection. At the finish of the first day thehealer asked for 350,000 meticais to cover the exorcism and displayed a copy ofthe AMETRAMO price list, which she kept in her house, to justify the high fee.In a second consultation observed by the author, another male patient complainedof persistent agonizing pain in his lower leg. The curandeira quickly ascertainedagain, through possession by her curing spirit, that a co-worker had used sorcerypowers to place several sharp pieces of wood in the man’s leg to cause ongoingpain. After a lengthy period of preparation, the curandeira used her mouth to suckthe items out of the patient’s leg, removed the pieces from her mouth and showedthem to the patient, asked for her fee, and recommended that the patient return toarrange further protection.

Given the secretive nature of the activities, it is impossible to obtain accurateinformation on how many people consult curandeiros and whether any changehas occurred in recent years. But when interviewed for this research, the Chimoiopresident of AMETRAMO lamented the huge loss of business among his mem-bership, which he attributed to the new churches. He indicated that practice ofsorcery to harm others is grounds for being expelled from AMETRAMO, but heacknowledged that some curandeiros are involved.

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PATTERNS OF RESORT: MONEY, SPIRITS, AND HEALING IN THE CHURCHES

In interviews with recent church converts, prophets, and pastors, the theme ofpayment and legitimacy of treatment repeatedly emerged. But help-seekers alsocomplained that curandeiros incite conflict within families and between neighbors,and then demand huge payments to take out offending spirits and provide ongoingprotection from spirit threats derived from these conflicts. Most conversion storiesinclude extended periods of help-seeking, often for both parent and child healthcomplaints. Church membership is often the latest stop in a long sequence ofseeking help for persistent afflictions such as illness, job loss, money loss, childhealth problems, and marital difficulties that are often perceived to be linked andcaused by a single malign spirit, frequently a chikwambo.

Importantly, a rich and diverse range of healing repetoires, styles, ceremonies,and rituals was observed in Chimoio churches during this research. The initialhealing processes conducted by many prophets, and some pastors, are similarto those of curandeiros in certain respects, suggesting the “syncretism” manyobservers have reported, but other aspects provide a striking and critical contrast.In some cases, prophet healers met privately at first with newcomers to divinethe nature of the spiritual affliction with the help of the Holy Spirit in a mannerreminiscent of curandeiro spirit possession during first consultations. The HolySpirit acting through the prophet could identify the afflicting spirit; determine thesource of the problem, often using local spirit terms; and then begin to drive thespirit out, a process that can take days to achieve. In obvious contrast to traditionalhealing, church pastors and prophets insist that an offending/evil spirit can only bedriven out by the Holy Spirit if the help-seeker becomes a member of the churchand conforms to Christian life accordingly.

While the process is sometimes initiated in private consultations to diagnosethe problem, the actual exorcism of the spirit takes time and normally requiresseveral days of fasting with others on a nearby mountain, combined with collectiveprayer, laying on of hands during church services, and a variety of idiosyncraticceremonies that may include steam baths and enemas. Churches services on Sun-days are normally joyous occasions with dancing, singing, and ecstatic spiritualityfamiliar to Pentecostalism around the world. Collective baptism in nearby riversis often included in a usually raucus, physical, and exhausting ritual process.Normally, a prophet or a pastor will eventually declare that a new member hassucceeded in cleansing the spirit away. The new recruit is counseled that they mustremain faithful and active in the church, however, or the Holy Spirit will withdrawits protection and the affliction will return. In important contrast with curandeiropractices, church help seekers are never advised to confront or challenge a neigh-bor, coworker, or family member who may have sent harm their way. Healingdoes not require the help seeker to engage in the often disruptive and sometimes

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dangerous social conflicts that may underlie afflictions. And payment is normallynot requested for the prophet’s services, nor is it required for the critical continuingsecurity and protection provided by the Holy Spirit. The church healing processescenter on collective action that includes continued social support and mutual aidbelieved to represent the generosity of the Holy Spirit.

Isabel’s story of affliction, help seeking, and her decision to enter a church istypical and worth describing at some length here. She had joined a locally-foundedchurch called Nyasha DzaMwari in Chiteve, or Igreja Apostolica Graca a Deusde Mozambique in Portuguese (The Apostolic Church Thanks to God of Mozam-bique) about three years before the interview. She had been raised as a Catholicin Chimoio, but a series of misfortunes and health problems provoked a sequenceof help-seeking choices that ended with fasting and exorcism in the church.

When I entered this church I had a problem with a bad spirit that was killing my daughter.I went to the hospital when my daughter got sick. My daughter didn’t get better becausethat spirit took away the power of the medicine [levava aquele medicamento] in thehospital. I had to come to this church. So, here when I arrived, he [the pastor] said thischild has a bad spirit and you have to take it out. You have to go to the mountain forthree days without eating anything nor drinking water to see if your daughter survives ornot.

[My health problems] began a long time ago when I was a child. I always had this prob-lem. . . I didn’t marry, I got really skinny, every day I dreamt of bad things, I didn’t wantto go to school because of that spirit. At times I didn’t even want to take a bath, I onlywanted to fight with people, get insulted with people when they did nothing because thatspirit gave bad luck [azares] in whatever way. I did manage to get married, but my husbandthat married me, he worked out but my spirit always abused my husband. He began to drinkand he lost his job [he had been a school teacher] . . . I went to the curandeiro but it wasn’tpossible . . . The curandeiro spoke of the same things [as the church]. ‘You have a bad spirit’but he didn’t manage to take it out, he just took my money. The curandeiro said that thisbad spirit comes from your grandparents that provoked, killed someone a long time ago. . . I conceived a child who was always sick and I went many times [to the curandeiro],but now when I began to pray in these churches I saw that going to curandeiros isn’t goodbecause I always went to curandeiros and some would say pay a million meticais others500,000 meticais. I saw that that isn’t worth it. I had to come here and pray, since cominghere to Nyasha DzaMwari I don’t have problems and I don’t go to the curandeiro anymore.

In Isabel’s narrative, the curandeiro she consults provides the oft-heard de-scription of a chikwambo spirit that has afflicted her for so long. She quotes thehealer:

“I’m seeing this and that, I see a spirit that is chasing you but you haven’t provokedanyone. Who provoked this spirit are your grandparents. A long time ago this person camefrom Zimbabwe and had lots of things, so your grandfather killed that person and tookthose blankets and things. So the spirit of that person who was killed is in your body....thatspirit is returning to the grandchildren because the grandparents have died, so that spiritis continuing to harass you and you’re suffering because of this.” To end this problem youhave to pay a lot of money to curandeiros. You have to bring 500,000 for him to make thespirit go away, but it never works.

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Isabel’s story is typical of many illness narratives as she describes seeking helpat the hospital for both herself and her daughter, and continual frustration whenillness returns.

I went to the hospital, in the hospital it helped at times, they said you don’t have anythingwhat is your problem and I began to explain that I feel headaches, at times my back hurts,at times my ribs hurt, so they said let’s take X-rays, they took them and said your back isokay, but they didn’t know that that spirit comes at night and beats me and the next dayI feel the pain. I took my child [to the hospital] I made a consultation and they said godo an analysis, I arrived there, did the analysis, then they said this child has malaria and Icomplied with everything there. My child, after one week or a few days, got sick again . . .

She comes to see her problems with her husband as linked through spiritualaffliction to these persistent health problems. The pastor’s success at removing thespirit is finally manifested through her husband’s new job and her own success atlocal petty trading.

I had many problems, with children and with me, my husband was drinking a lot and didn’thave a job, he just drank. He never contributed to expenses or anything. When he got somemoney he just drank in the kiosques [small neighborhood bars]. . . . Because I was doing sobadly I always heard and asked about a church called Nyasha dzaMwari. There they havea prophet, when you arrive there if you have a bad spirit they will take it out and you getbetter, so I began to ask where is this church? . . . when I arrived there the pastor told methese things, he said to end all this you have to pray and this spirit will flee . . . I have threeyears [in the church] and up to now I haven’t had any problem. My husband goes to work,he brings home food, I am also working without problems.

Others who described their help-seeking and conversion experiences providedsimilar accounts of their involvement with curandeiros and the problem of pay-ment. In examining the narratives of lay members, however, the meaning of mon-etary payment to the legitimacy of spiritual treatments emerged as a key theme indecisions, as the following selections help illustrate:

When you go to the curandeiro one pays a lot of money, but here [in the church] one doesn’tpay any money. You can fast, pray to God, and your money stays with you. [Woman,Apostolic Faith Mission]

I went to the church to pray, I saw that to stay at home without praying wasn’t helping andwhen you pray you find a lot of family, your family with the church family, you can getsick, and everyone comes to visit you, so you get a lot of family in the church. . . . I can seenow that the church is helping more than when I spent money going to the curandeiro todo I don’t know what. I was spending a lot of money at the curandeiro. . . . 1000 times I’drather be in the church than spend money for the curandeiro. [Woman, Graca Biblica]

When you go to a curandeiro it’s 600,000, 700,000 meticais . . . just to lie, even for just50,000 meticais. Because of this people are fleeing. A mother that doesn’t work, doesn’t doanything [for money] makes a consultation with a healer and pays 50,000, just for a fever.Because of this people are fleeing [curandeiros]. [Woman, Apostolic Faith Mission]

Curandeiros always lie that you were born sick, afterward you go there, he says I’ll cureyou, but you return home, you continue to be sick, a child dies, another child gets sick and

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dies, so you have to go to the curandeiro spending money without any result. [Man, ZionChristian Church]

Bound together with these concerns over payment is a widely shared distrust ofcurandeiros for the conflict they can incite with their diagnoses and recommendedremedies. In interview after interview respondents commented on the dangersthat curandeiros pose to social and family life. The following selections frominterviews are representative.

Curandeiros are not good because they ruin the family, ruin the home, ruin everything. . . They destroy, when you arrive there and they tell you that the person doing sorceryagainst you is so and so, if it happens to be your brother, then you believe this and youhave to get your nerve up, as soon as you see that brother you get into a conflict [fica combarrulho], because of this curandeiros are not good. [Man, Zion Christian Church]

I can go to the curandeiro and he’ll say, senhor Rungo you’re sick and the person doingthis to you is your wife, and then love ends. I can give other examples. I arrive there, hesays you’re sick because your mother did this to you and I start having a conflict with mymother. To avoid this we have to believe in Christ. With the curandeiro, you lose money,lose your family, and you lose support. [Man, Apostolic Church of Mozambique]

The curandeiro said things that aren’t good, he said things that when you see your neighboryou’ll fight, when in fact that’s not the problem. Now in the church there isn’t any of that.The church just treats you until you’re cured. [Woman, Zion Apostle of Mozambique]

The problem is with curandeiros. Because we don’t prohibit medicines, I go to the hospitaland they have medicines there and pills and I don’t know what else. If he says look youhave a wound here take this medicine and you will get better. We can go to the curandeirobut he doesn’t talk like that, he begins to say “come here and tell me about your life.” Soand so hates your family, hates you and gave you this wound. You have to separate from thisfamily or leave that house. . . . With problems with your neighbor, it comes from that houseand you have to resolve the problem with your neighbor family, or whatever family, yourwife’s family. Your family doesn’t like your wife, because of this you’re sick . . . [B]ecauseof this our policy is we don’t go to the curandeiro. [Pastor, Zion Christian Church]

Money and Healing in the Churches: “We’re Poor,We Come to God Without Paying”

The circulation of money in the churches plays a crucial and complex role in thesocial life of the congregations, but functions very differently from payments madeto curandeiros. Church contributions, in principle, are believed by lay-membersto support the membership and are described as a form of redistribution; they arenot linked directly to healing practices, nor are they considered payment for suchhelp. Money in many congregations, however, also constitutes an ever-present,lurking danger that continually threatens to destabilize the collective. Many non-Pentecostals in the community are skeptical of the recent church proliferation andbelieve that entrepreneurial pastors recognize the potential to make money and

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found new churches for profit or to gain sexual access to women. A majorityof the 25 pastors interviewed for this project were otherwise unemployed. Someof those interviewed believed that pastors drew in believers, especially women,through free treatment, but then extracted funds slowly over time through tithes andcontributions. The international Pentecostals, such as Reino de Deus, or Kingdomof God, are reported to require especially high contributions from their members.All churches interviewed in this research requested financial support from theirmembers, in some cases through regular tithing, called dizimos in Portuguese, togenerate church funds. In Sunday service collections a hat or basket is normallypassed and members are asked to donate 1,000 meticais if they have it, thoughmany do not. In most cases, collections during church services are handed to achurch functionary in full view of the congregation, and the total is announced.The congregation breaks into song at that moment to celebrate the generousnessand solidarity of the collective as a manifestation of the Holy Spirit.

Special requests are often made in church services for contributions to memberswho have recently given birth or are suffering especially debilitating illnesses. Inthe women’s groups, financial support, however modest, is often forthcoming tothose in need. One woman member said, “[W]e normally help when someoneis suffering, they [women in the church] come to help with whatever they canin money. The church will take out an amount from the [church] mothers, theytake the money and give it to the mother, even if it’s 10-20,000 meticais, it’s alot. We have a lot of support.” One ZCC pastor explained, “a gift is a gift thatyou take out for your God. That money isn’t to be given to somebody [alguem],it’s only to be used in the church, the group, if it’s necessary to buy a bench,or whatever the church needs.” While this mutual financial assistance appears toprovide a kind of safety net for church members, the defining characteristic of afalse prophet or pastor, not surprisingly, is his theft of church funds or chargingof fees for treatment of health problems. Most pastors handle all transactions withextreme care to avoid appearances of impropriety. In much the same way thatcurandeiros who may appear to be getting wealthy are distrusted, church pastorswho accumulate quickly are also suspect. The fissiparous tendency of many of thechurches is often blamed on disputes over these kinds of collections, as pastorsoften split off to form their own new churches after accusations around theft ofchurch funds.

In spite of these concerns, successful prophets and pastors are adept at main-taining the flow of funds while dissociating offerings from treatment to avoidthe appearance of sales. They then can contrast themselves with curandeiros,whose high fees and socially harmful prescriptions are confirmations of greed andmalicious intent when they sell access to occult powers. Importantly, it can beappropriate for a church member to offer a prophet an item, or even money, in a

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spirit of thankfulness and generosity. One prophet explained the contrast betweena gift and a payment:

The curandeiro demands payment, because where he went to get his powers he had to pay,but when you go to a prophet you don’t pay anything. You go to the mountain [to fast] youdon’t pay. Now, spiritual power is not purchased with money, you treat a person, he getscured, later he might feel that he wants to give me something like a shirt or some corn flourthat’s his choice but you can’t ask him to pay.

Pastors also found theological explanations for the importance of free treatment.One pastor from Nyasha dzaMwari declared,

He [Jesus Christ] cured people, took out the bad spirits, he took them out for free, peoplewere saved in the same way we do it here. A person comes with difficult situations and iscured and doesn’t provide any reimbursement for that help he received. And because it’s freewe say the person is saved thanks to God and to thank him we must pray, convert and thankGod, adore your God, because he has done this for you and you came to be saved, so youhave to recognize God. It’s because of this that many people come here, because it’s done forfree . . .

A pastor from a Zionist church provided a similar explanation:

We allow people to go to the hospital, but not the curandeiro. Our Bible says, come to meeveryone will be saved and no one is going to pay, only by your faith. Afterwards, if abrother [of the church] goes from here to a curandeiro, he’s going to have his money takenin vain. We’re poor, we come to God without paying . . .

There are self-declared church prophets in Chimoio who function quite likecurandeiros by charging money for baptizing help-seekers in the Holy Spirit andexorcizing evil spirits outside formal congregations. Treatment has no connectionto church membership. One prophet-healer had taken the name “Mademonio,”a Chiteve-Portuguese mixed term meaning “demons.” He treated people at hishome using the same tools as the Zion healers (holy water, chords or tambus)but he had no congregation. He claimed that since he did not ask for money hewas not a curandeiro, but many of his clients indicated that payment in fact wasexpected. Prophets who charge fees are often dismissed as curandeiros by otherchurch leaders; payment and what it represents is a defining evaluative criteriumto determine whether a prophet healer is genuine. One pastor stated,

There exist some prophets that work for money, whatever money. This is like a curandeiroand we have a conflict with curandeiros. For example, we receive our brothers [recruits]with a health problem, an illness, we treat them but they don’t pay anything. But thena nearby curandeiro will always complain. He’ll see that the person is cured but didn’tpay anything in the prophet’s house, then he complains that “I’m paying this and I havea paper here from AMETRAMO, etc.” [referring to taxes that curandeiros pay] and that’swhere conflict comes from. But for us, our religion doesn’t allow it, cure a person and afterdemand payment, because we work for God.

Payment indicates that the provider is not working with God’s interests in mind,and that claims to the healing power of the Holy Spirit must be false. Clients

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who pay have not genuinely converted, so healing cannot be successful. One ZCCpastor stated, “a person going down that road is not praying for salvation but is justdoing it for their well-being of their life and nothing more.” Church pastors speakof a distinction between the world, “o mundo,” where one pays for everything,including healing, and life inside the church. But as one pastor put it, when “onegoes to God it’s free and you get better. I had to leave ‘the world’ to go in frontof Jesus . . . when you pay you are no longer saying that you are with Jesus butyou’re in the ‘world.’ ” Transforming the healing relationship into a sale appearsto undermine the legitimacy of the healer, the client’s intentions, and the healingactivity itself.

DISCUSSION

Mozambicans in this region of the country have long been integrated into com-moditized economies through sale of their produce and labor in wider and ofteninternational markets. The modern world had long ago intruded into local commu-nities in the form of new products, media, land expropriation, labor extraction, andpopulation movements. But the economic upheaval of the last ten years marks aqualitatively different, new, and deepened commodification of social and commu-nity life, inextricably bound up with growing social disparity, insecurity, mobility,and to some degree, new fortune for some. The way in which money is exchangedand circulated in this new social environment generates the kind of envy, anxieties,and suspicions around social mobility and accumulation that traditional healershave normally addressed.

The notion of “traditional” healing is itself a product of the modernist imagi-nation and fits well with modernization theory’s dualist approach to development.The recognition of traditional healers by the World Health Organization in 1975and the 1978 Alma Ata Primary Health Care Conference elevated healers fromobscurantist “witch-doctors” to “traditional health practitioners” in the modernliberal consciousness that has oriented subsequent international health practice.Modern biomedicine and public health providers, it was suggested, would do wellto involve, integrate, and train local healers to help deliver modern programs andknowledge to traditional communities. The Mozambique experience describedhere, and the turn to Pentecostal prophet-healers, poses challenges to this simpli-fied but persistent dualism that has informed so much public health practice inthe developing world. Traditional healing had already been substantially modifiedby the intrusion of the modern for some time as it responded to the convulsionsof colonialism and deeper integration within wider markets over at least the last100 years. This is evidenced by the primacy of certain spirit groups, such as chik-wambo, that appear to emanate from the social ruptures created by labor migrationto Rhodesia and South Africa and the new material inequalities they generated. In

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other words, “traditional” healing practices in some sense had already “modern-ized” and provided help-seekers with tools to navigate modern social dilemmas.The rejection of curandeiros and the turn to the Holy Spirit is most likely part of along history of continual change and adaptation in healing practices, philosophies,and ideas in the region. Therapeutic processes, ritual forms, and types of paymentfor healing have likely undergone constant revision in Mozambique’s complexpolitical economic and cultural history. The current moment is an especially im-portant one in central Mozambique, not because modernity has just arrived, butbecause new forms of power relations, class struggles, and market forces havejarred these communities in different ways once again. The rapid withdrawal ofsafety nets, growing inequality, and new pathways to accumulation that charac-terize this particular phase of peripheral capitalism in this specific post-colonialmoment have confounded and distorted previous healing approaches and providedan opening for alternatives.

Processes of globalization and migration have made Pentecostal ideas moreeasily available to these communities, but that is not to say that the popularity ofPentecosals and AICs represents a new plunge into modernity or an immersionin new globalized identities. Curandeiros remain an important source of supportfor many Mozambicans, especially for men seeking fortune and protection. Inthis way, “traditional” healers remain, for some, as relevant and necessary tosurviving and prospering in “modern” Chimoio as church prophets. For others,especially women, curandeiros alienate more than they heal in the new context, andthe Pentecostal message brings a different and dynamic healing experience well-suited to this new marginalization. The new, local, and all-too-real micropolitics(Comaroff and Comaroff 1993) of startling inequities remain the focus of help-seeking processes that are filling the churches.

Rather than situating Pentecostal success within the generalized and supposedlyinevitable processes of transition from “invented” tradition to global modernity, itis argued here that the recent turn to the Holy Spirit in Mozambique underscoresthe social tragedy of the current free-fall free-market experiment: an experimentthat was neither inevitable nor synonymous with modernity. The ongoing recali-bration of traditional healing to new social environments, and the arrival of newcompeting healing discourses in Mozambique, provides additional evidence tosupport Terence Ranger’s warning that “the history of modern tradition has beenmuch more complex than we have supposed” (1993: 82).

NOTES

1. Because of overlap in central tenets and practices, and in spite of some very im-portant differences, this paper treats AICs and Pentecostal Churches as constitutive of ageneral Pentecostal movement. They are similar in their incorporation of key tenets of

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Pentecostalism, including belief in the healing power of the “Holy Spirit,” the authorityof New Testament scripture, ritualized speaking in tongues, ceremonies of baptism, andspiritual explanations for misfortune and illness (Cox 1995). Both groupings of churchestrace their histories to the same early Pentecostals. However, there are important differencesas well. Some of the Pentecostals in Chimoio have international links to global networks,while AICs by definition are linked only to regional groups and are often founded locally.The major perceived distinction between the AICs and more mainstream Pentecostals inChimoio is the use of prophet-healers ( profecia in Portuguese) by AICs to communicatewith the spirit world during the healing process in ways that are often called “syncretistic.”For mainstream Pentecostals, such as the African Assembly of God, this prophet-healingrecalls African traditional healing and is frowned upon. Instead, prayer (summoning theHoly Spirit) and laying-on of hands is used by pastors to heal. There are, however, somewell-known international Pentecostals in Chimoio, such as the Apostolic Faith Mission, thathave recently begun prophet-healing, perhaps as a strategy to gain more members. Two setsof AICs, the Zionists and the Apostolics, use prophetic healing (see extended discussion inPfeiffer 2002). The influence of Pentecostalist ideas among AICs can be traced historicallyto the arrival of Pentecostals from the U.S.-based Apostolic Faith Mission and “Zionist”evangelists from Alexander Dowie’s Zion City, Illinois (who increasingly adopted Pente-costal principles) to South Africa in the early 20th century (see Cox 1995; Comaroff 1985;Sundkler 1961). The terms “Apostolic” and “Zion” appear in the names of many AICs, butit is often difficult to determine historical linkages because of the tendencies toward splitsand local founding of new independent congregations.

2. Evans-Pritchard (1937)famously contended that witchcraft involved an inheritedability and spirit while sorcery could be learned or purchased in many African contexts.This basic distinction appears in Chimoio as well.

3. As Moore and Sanders remind us, Evans-Pritchard’s view differed from thestructural-functionalist Manchester School (Gluckman, Marwick, Turner and others) thatreduced witchcraft to a ‘social strain-gauge’ and pressure valve that helped maintain socialhomeostasis. See further discussion in Moore and Sanders (2001: 6-13).

4. Maxwell (1995) mentions chikwambo spirits in Zimbabwe, and some ethnographyon Shona healing in Zimbabwe refers to chikwambo nyangas who are consulted by clientsseeking retribution from someone who has harmed them, or failed to pay back debt (Gelfandet al. 1985).

ACKNOWLEDGMENTS

This research has been made possible by individual research grants from the Na-tional Science Foundation (BCS-0135860) and the Wenner-Gren Foundation forAnthropological Research (Grant 6784). Additional logistic support was providedby Health Alliance International in Mozambique and the Manica Province HealthDirectorate.

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JAMES PFEIFFER, Ph.D., MPHDepartment of Health ServicesBox 357660School of Public Health and Community MedicineUniversity of WashingtonSeattle, WA, USAE-mail: [email protected]

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