Misunderstanding Suffering: Witchcraft Misconceptions, Myths, And Hidden Reality of Substance Abuse In Black African Communities

This study investigates the myths and misconceptions surrounding witchcraft and their influence on substance abuse, with particular attention to the long-term negative effects on treatment and recovery. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework to ensure transparency, comprehensiveness, and unbiased reporting. A content analysis approach was employed, drawing on literature retrieved from major databases including Google Scholar, Taylor & Francis, Scopus, Web of Science, ScienceDirect, and ResearchGate. Articles published up to 20 February 2025 were considered. The findings reveal that misconceptions about witchcraft significantly hinder effective treatment and rehabilitation. When substance use disorders are attributed to witchcraft by users, families, or communities, psychosocial interventions often fail, and recovery efforts are undermined. Therapy is further hampered by entrenched cultural assumptions that interpret dependency as a spiritual or supernatural issue. Nonetheless, cultural and religious beliefs should not be dismissed but rather acknowledged and integrated into intervention strategies, as many African communities already do. The study concludes that collaboration between professional social workers, traditional healers, and religious leaders is essential to developing effective, culturally sensitive responses to substance dependency. While not universal across Africa, myths and misconceptions about witchcraft are particularly prevalent in communities with limited knowledge and resources. By raising awareness of how such beliefs obstruct recovery, this review contributes to a deeper understanding of the intersection between cultural practices and professional treatment of substance abuse in African contexts.