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Why I would recommend complementary or alternative therapies: a physician's perspective.

A H Neims1

  • 1Department of Pharmacology, University of Florida College of Medicine, Gainesville, USA.

Rheumatic Diseases Clinics of North America
|November 26, 1999
PubMed
Summary

Patients use complementary therapies to address modern health challenges, seeking meaning and healing relationships. Evaluating these therapies requires adapting standard clinical approaches due to their complex, individualized nature.

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Area of Science:

  • Integrative Medicine
  • Patient-Centered Care
  • Health Psychology

Background:

  • Modern science and technology present novel health challenges.
  • Patient use of complementary therapies signifies a need for narrative, meaning-making, and relational healing.
  • Some complementary therapies present conceptual conflicts with conventional medicine.

Purpose of the Study:

  • To explore the challenges in evaluating complementary therapies.
  • To understand the patient's drive for meaning and healing through therapy.
  • To assess the applicability of standard clinical investigation to complex therapies.

Main Methods:

  • Analysis of standard clinical investigative approaches.
  • Examination of the nature of objectivity and reductionism in therapy.

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  • Consideration of the challenges in studying slow, mild, and individualized treatments.

    • Main Results:

    • Standard clinical approaches face difficulties when applied to complex, relationship-centered therapies.
    • The inherent nature of some complementary therapies (slow, mild, individual) complicates objective study.
    • Patient needs for storytelling and meaning-seeking are key drivers for complementary therapy use.

    Conclusions:

    • Evaluating complementary therapies necessitates adapting conventional research methodologies.
    • The subjective and relational aspects of healing require nuanced investigation.
    • Understanding patient motivations is crucial for integrating diverse therapeutic modalities.