In Ethiopia, when people are sick or anxious, they may commission a scroll from a priest or shaman. The scrolls are drawn on goat skin or parchment paper and can be as long as the height of the person who commissions the scroll. The cleric creates a scroll of alternating symbolic images and text prayers, which are believed to ward off evil spirits and restore good health. The scrolls represent a powerful union of medicine through art and prayer. Scroll images range from angels to lions to abstract talismanic designs and patterns. The patient looks at the scroll and recites prayers, and by doing so enters into a healing state.