The argument that shamanism is the key that unlocks the hidden meaning of rock art continues to provoke debate over three decades after it was first proposed. In a recent article in Antiquity (86: 696–706), David Lewis-Williams and David Pearce defend the argument that nineteenth-century ethnographies provide evidence for a trance dance and shamanic healing that are vital to understanding southern African rock art. In this reply, Anne Solomon challenges the claim that the ethnographic evidence describes shamanism and trance healing and argues that elision of southern San (/Xam) and Kalahari San practices in a single narrative has obscured important differences. The author suggests that there is no evidence that dances or trance states were connected with healing in /Xam society. These confusions, it is argued, undermine key aspects of the shamanistic interpretation of rock art.