En dépit de la domination économique et culturelle occiden tale sur les peuples du tiers-monde, des formes de thérapeutiques indigènes sont restées vivaces dans beaucoup d'endroits. Et les mouvements de libération nationale ont, pour une part au moins, contribué à leur conférer un regain d'intérêt. Dans ces contextes profondément occidentalisés et urbanisés, les thérapeutiques spiri tuelles indigènes ont prouvé leur efficacité, particulièrement dans les cas où la dislocation des liens sociaux ont accru les souffrances d'origine psychosomatique. Alors que la médecine scientifique occidentale nefournissaitpas d'explication de ces méthodes théra peutiques, des changements et de nouveaux développements sont intervenus dans les paradigmes des sciences de la nature pour ren dre possible une appréciation plus adéquate de telles pratiques tra ditionnelles des peuples du tiers-monde.
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