The Social Construction of the Legitimacy of Christian Healing in Abidjan

Based on ethnographic work conducted recently in the city of Abidjan where religious pluralism and medical pluralism intersect, this paper lays out the foundations of Christian healing legitimacy as perceived by some key stakeholders. Against the background of the legal recognition of biomedicine and traditional medicine which with religious healing constitute the three major healing systems in Abidjan, the paper explores the anchorages of the legitimacy of Christian healing which lacks such explicit legal backing. Data are collected through semi-structured interviews of about 240 religious practitioners, medical professionals and beneficiaries of Christian therapies in the city of Abidjan. The major theoretical framework of this paper is the Weberian theory of the triple sources of legitimation complemented with historical and political economy approaches which attempt to link the development and functioning of therapeutic systems in Côte d'Ivoire with broader political, economic and historical processes. The main argument is that Ivoirians construct the legitimacy of alternative therapies in general, and religious therapies in particular, by building on the perceived limits of biomedicine, and its inability to respond to all their therapeutic needs. From a medical pluralism perspective, the pluralisation of offers signals the plurality of needs which has determined in our Ivoirian ethnographic context the appropriation of biomedicine, the resilience of traditional medicine and the current rise of Christian healing.