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Abstract
The study objectives were to investigate the themes characterizing spirituality among people with advanced AIDS in a South African township. In-depth interviews were conducted with a sample of 24 individuals. The participants included eight individuals living with advanced AIDS, twelve paraprofessional caregivers, and four family members. Data were analyzed according to the principles of grounded theory. A number of themes were identified, including positive and negative associations with God, positive and negative associations with the church, positive and negative associations with ancestral spirits, bewitchment, and existential reconciliation with HIV/AIDS. Implications for research and practice are discussed through the lens of social justice.