Spirit hospitals and “concern with herbs”: A political ecology of healing and being-in-common in Ghana

Abstract

Despite attention to the transformative capacities of “nonhumans” in both political ecology and commons scholarship, analyses remain limited to material realms, ignoring spiritual understandings. This article draws attention to the neglected domain of spirituality and being-in-common in the geographic study of health and disease. In Ghanaian healing contexts, spiritualists move between human and nonhuman domains to gain information and counter witchcraft, enlisting other material and spiritual entities in the process. Herbalists, by contrast, privilege botanical knowledge/practice over disease ontologies. All healers draw from therapeutic plants in assemblage with others (spirits, witches, ancestors, patients) and enact alternative economies. This research contributes to geographic scholarship in several ways. First, I integrate recent commons research into a political ecology of health framework with an eye on affective healing relations in material and spiritual realms. I draw from long-term ethnographic research and indigenous standpoints to understand spirituality in health contexts. Such integration leads to more robust and decolonial political ecologies of health and clearer understandings of how and why healing occurs.