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African Independent Churches African Medical Journal amafufunyana spirit possession ancestors ancestral spirits baptism baptized belief Black cause Christ Christian client congregation consciousness cult cultural culture-specific syndromes dance disease diviner doctor Durban effective emotional emphasis evil spirits experience factors faith healers function harmony Holy Spirit illness indigenous churches indigenous healers individual infant baptism inyanga iSangoma isazela Jesus Kiernan mystical Ngubane Nguni Ntshobodi Oosthuizen participants patient person pray prayer problems prophet psychological psychotherapy relationship Religion religious rites ritual role sacrament salt salvation Shembe sick social society sorcery South African South African Medical Southern Africa specific Sundkler supernatural symbol theology therapeutic therapist therapy traditional African traditional and modern traditional healer treatment ukusina umoya umthandazi understanding University of Zululand urban Western witchcraft witches world-view worship Xhosa Zande Zion Zion Christian Church Zionist churches Zionist healing Zulu name