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Integrative Medicine: A Bridge between Biomedicine and Alternative Medicine Fitting the Spirit of the Age

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DOI: 10.4236/sm.2012.24057    4,829 Downloads   7,732 Views   Citations

ABSTRACT

Complementary and alternative medicine (CAM) are increasingly used by people in first world countries, almost always in combination with biomedicine. The combination of CAM and biomedicine is now commonly referred to as “integrative medicine” (IM). In Groningen, The Netherlands, we founded a center for integrative psychiatry, offering conventional and complementary mental health care. Like other centers for integrative (mental) health we have mostly received positive reactions although there have been negative and even hostile reactions as well, using phrases like “quackery” and “betrayal”. We will try to illustrate that these polarising qualifications, in which “the good” is being positioned against “the bad” in an over-simplified manner, are unnecessary and not useful. Moreover, it is unlikely that this polarisation will stall the growth of IM. It seems that integration is not only a current tendency in medicine, but also a trend fitting the contemporary spirit of the age in which integration seems to be the most common focus. It can be observed in religion, philosophy, spirituality and psychotherapy as well. This article will discuss the difference between differentiation and integration and will show that the focus on differentiation or integration varies with time, mostly rising as a reaction to each other. The transition from one period to the next is often met with resistance and criticism. If the integrative movement is to survive, it cannot do without differentiation and must find a middle way in which appropriate attention is being paid to keeping the integrated parts sufficiently differentiated and allowing them to keep their own identity.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Hoenders, H. , Appelo, M. & Jong, J. (2012). Integrative Medicine: A Bridge between Biomedicine and Alternative Medicine Fitting the Spirit of the Age. Sociology Mind, 2, 441-446. doi: 10.4236/sm.2012.24057.

References

[1] Anderson, P. (1999). The origins of postmodernity. London: Verso.
[2] Appelo, M. (2011). The multi layered brain. Reflection and discipline in working for change [Het gelaagde brein. Reflectie en discipline bij het werken aan verandering]. Amsterdam: Boom.
[3] Asay, T. R., & Lambert, M. J. (1999). The empirical case of the common factors in psychotherapy: quantitative findings. In M. A. Hubble, B. L. Duncan, & S. D. Miller (Eds.), The heart and soul of change: what works in therapy (pp. 23-55). Washington DC: American Psychological Association. doi:10.1037/11132-001
[4] Baldwin, S. A., Wampold, B. E., & Imel, Z. E. (2007). Untangling the alliance-outcome correlation: Exploring the relative importance of therapist and patient variability in the alliance. Journal of Consulting and Clinical Psychology, 65, 842-852. doi:10.1037/0022-006X.75.6.842
[5] Bertens, H. (1994). The idea of the postmodern: A history. London: Routledge.
[6] Borgemeester, S., Appelo, M. T., & Hoenders, H. J. R. (2008). Complementary and alternative medicine in family practice: Opinions of patients and GP’s [Complementaire en alternatieve geneeswijzen in de huisartsenpraktijk: de mening van huisartsen en pati?nten]. GGz Scientific, 12, 26-32.
[7] Brewin, C. R. (2006). Understanding cognitive behaviour therapy: A retrieval competition account. Behaviour Research and Therapy, 44, 765-784. doi:10.1016/j.brat.2006.02.005
[8] Chung, V. C. H., Hillier, S., Lau, C. H., Wong, S. Y. S., Yeoh, E. K., & Griffiths, S. M. (2011). Referral to and attitude towards traditional Chinese medicine amongst Western medical doctors in postcolonial Hong Kong. Social Science & Medicine, 72, 247-255. doi:10.1016/j.socscimed.2010.10.021
[9] Consortium, T. (2009). URL (last checked 1 February 2012). http://www.imconsortium.org/
[10] Coulter, I. D., & Willis, E. M. (2004). The rise and rise of complementary and alternative medicine: A sociological perspective. Medical Journal of Australia, 180, 587-589.
[11] De Jong, J. T. V. M. (2010). A public health framework to translate risk factors related to political violence and war into multi-level preventive interventions. Social Science & Medicine, 70, 71-79. doi:10.1016/ j.socscimed.2009.09.044
[12] Dijksterhuis, A. (2008). The smart unconsious. Thinking with feeling [Het slimme onbewuste. Denken met gevoel]. Amsterdam: Bert Bakker.
[13] Eisenberg, D. M., Davis, R. B., Ettner, S. L., Appel, S., Wilkey, S., Van Rompay, M. et al. (1998). Trends in alternative medicine use in the United States, 1990-1997. JAMA, 280, 1569-1575. doi:10.1001/jama.280.18.1569
[14] Engel, G. L. (1992). How much longer must medicine’s science be bound by a seventeenth century world view? Psychotherapies and Psychosomatics, 57, 3-16. doi:10.1159/000288568
[15] Ernst, E. (2002). The risk-benefit profile of commonly used herbal therapies: Ginkgo, St. John’s Wort, Ginseng, Echinacea, Saw Palmetto, and Kava. Annals of Internal Medicine, 136, 42-53.
[16] Ernst, E. (2012). College of medicine or college of quackery? British Medical Journal, 343, d4370. doi:10.1136/bmj.d4370
[17] European Parliament (1997). A European approach to non conventional medicines. URL (last checked 1 February 2012). http://assembly.coe.int/main.asp?Link=/documents/workingdocs/doc99/edoc8435.htm
[18] Hirschkorn, K. A., & Bourgeault, I. L. (2005). Conceptualizing mainstream health care providers’ behaviours in relation to complementary and alternative medicine. Social Science & Medicine, 61, 157-170. doi:10.1016/ j.socscimed.2004.11.048
[19] Hoenders, H. J. R., Appelo, M. T., & Milders, C. F. A. (2006). Com- plementary and alternative medicine and psychiatry: Opinions and psychiatrists and patients [Complementaire en alternatieve geneeswijzen en psychiatrie: meningen van pati?nten en psychiaters]. Dutch Journal of Psychiatry, 9, 733-737.
[20] Hoenders, H. J. R., Appelo, M. T., Van den Brink, H., Hartogs, B. M. A., & De Jong, J. T. V. M. (2011). The Dutch complementary and alternative medicine (CAM) protocol. Journal of Alternative and Complementary Medicine, 17, 1-5. doi:10.1089/acm.2010.0762
[21] Hoenders, H. J. R., Willgeroth, F. C., & Appelo, M. T. (2008). Western and alternative medicine: A comparison of paradigms and methods. The Journal of Alternative and Complementary Medicine, 14, 894-896. doi:10.1089/acm.2007.0645
[22] Hoffer, C., & Hoenders, H. J. R. (2010). Complementary, alternative and religious medicine [Religieuze, complementaire en alternatieve geneeswijzen]. In J. T. V. M. de Jong, & S. Colijn (Eds.), Cultural psychiatry (pp. 451-468). Amsterdam: De Tijdstroom.
[23] H?k, J., Wachtler, C., Falkenberg, T., & Tishelman, C. (2007). Using narrative analysis to understand the combined use of complementary and biomedically oriented health care. Social Science & Medicine, 65, 1642-1653. doi:10.1016/j.socscimed.2007.05.031
[24] Hollenberg, D. (2006). Uncharted ground; patterns of professional interaction among complementary/ alternative and biomedical practitioners in integrative health care settings. Social Science & Medicine, 62, 731-744. doi:10.1016/j.socscimed.2005.06.030
[25] Hsiao, A., Ryan, G. W., Hays, R. D., Coulter, I. D., Andersen, R. M., & Wenger, N. S. (2006). Variations in provider conceptions of integrative medicine. Social Science & Medicine, 62, 2973-2987. doi:10.1016/j.socscimed.2005.11.056
[26] Jobst, K. Z. (1998). Toward integrated healthcare: Practical and philosophical issues at the heart of the integration of biomedical, complementary, and alternative medicines. The Journal of Alternative and Complementary Medicine, 4, 123-126. doi:10.1089/acm.1998.4.123
[27] Kabat-Zinn, J. (2003). Mindfulness Based Stress Reduction (MBSR). Constructivism in the Human Sciences, 8, 73-83.
[28] Knaudt, P. R., Connor, K. M., Weisler, R. H., Churchill, L. E., & Davidson, J. R. (1999). Alternative therapy use by psychiatric outpatients. The Journal of Nervous and Mental Disease, 187, 692-695. doi:10.1097/00005053-199911000-00007
[29] Koenig, H. G. (2000). Religion, spirituality, and medicine: Application to clinical practice. JAMA, 284, 1708-1709. doi:10.1001/jama.284.13.1708
[30] Koenig, H. G. (2001). Religion and medicine 4: Religion, physical health and clinical implications. International Journal of Psychiatry in Medicine, 31, 321-336. doi:10.2190/X28K-GDAY-75QV-G69N
[31] Korrelboom, C. W., & Ten Broeke, E. (2004). Integrated cognitive behavioural therapy [Ge?ntegreerde cognitieve gedragstherapie]. Bussum: Coutinho.
[32] Kuipers, T., & Gijsman, H. J. (2006). Response to “Integrated psychiatry” and “Complementary and alternative medicine and psychiatry” [Reactie op “Integrale psychiatrie” en “Complementaire en alternatieve geneeswijzen (CAG) en psychiatrie”]. Dutch Journal of Psychiatry, 48, 981-982.
[33] Lake, J. H. (2007). Textbook of integrative mental health care. New York: Thieme Medical Publishers.
[34] Lake, J. H., & Spiegel, D. (2006). Complementary and alternative treatments in mental health care. Washington DC, London: American Psychiatric Publishing.
[35] Lamme, V. (2010). Free will does not exist: About who is really in charge in our brain [De vrije wil bestaat niet. Over wie er echt de baas is in het brein]. Amsterdam: Bert Bakker.
[36] Lewis, C. A., Maltby, J., & Day, L. (2005). Religious orientation, religious coping and happiness among UK adults. Personality and Individual Differences, 38, 1193-1202. doi:10.1016/j.paid.2004.08.002
[37] Luborsky, L., Rosenthal, R., Diguer, L., Andrusyna, T. P., Berman, J. S., Levitt, J. et al. (2002). The dodo bird verdict is alive and wellmostly. Clinical Psychology: Science and Practice, 9, 2-12. doi:10.1093/clipsy.9.1
[38] Lyotard, J. F. (1979). The postmodern condition: A report on knowledge [La condition postmoderne: rapport sur le savoir]. Paris, France: Minuit.
[39] Oguamanam, C. (2006). Biomedical orthodoxy and complementary and alternative medicine: Ethical challenges of integrating medical cultures. The Journal of Alternative and Complementary Medicine, 12, 577-581. doi:10.1089/acm.2006.12.577
[40] Ottenbacher, K. J., & Hinderer, S. R. (2001). Evidence-based practice. Methods to evaluate individual patient improvement. American Journal of Physical Medical Rehabilitation, 80, 786-796. doi:10.1097/00002060-200110000-00014
[41] Plochg, T., Juttmann, R. E., Klazinga, N. S., & Mackenbach, J. P. (2007). Manual for healthcare research [Handboek gezondheids-zorgonderzoek]. Houten: Bohn Stafleu van Loghum.
[42] Rees, L. & Weil, A. (2001). Integrated medicine. BMJ, 322, 119. doi:10.1136/bmj.322.7279.119
[43] Sackett, D. L., Straus, S. E., Scott Richardson, W., Rosenberg, W., & Haynes, R. B. (2000). Evidence based medicine. Edinburgh: Churchill Livingstone.
[44] Sartre, J.-P. (1965). Existentialism is a humanism [L’existentialisme est un humanisme]. Paris, France: Les Editions Nagel.
[45] Scannell, E. D., Allen, F. C. L., & Burton, J. (2002). Meaning in life and positive and negative well-being. North American Journal of Psychology, 4, 93-112.
[46] Scruton, R. (2006). Modern philosophy: from Descartes to Wittgenstein [Moderne filosofie. Van Descartes tot Wittgenstein]. Utrecht, The Netherlands: Bijleveld.
[47] Steger, M. F., & Frazier, P. (2005). Meaning in life: One link in the chain from religiousness to well-being. Journal of Counseling Psychology, 52, 574-582. doi:10.1037/0022-0167.52.4.574
[48] Stevinson, C. (2001). Why patients use complementary and alternative medicine. In E. Ernst, M. H. Pittler, & B. Wider (Eds.), The desktop guide to complementary and alternative medicine, an evidence based approach. Edinburgh: Mosby, by Hartcourt Publishers Limited.
[49] VandeCreek, L., Rogers, E., & Lester, J. (1999). Use of alternative therapies among breast cancer outpatients compared with the general population. Alternative Therapies in Health and Medicine, 5, 71-76.
[50] Walach, H., Falkenberg, T., Fonnebo, V., Lewith, G., & Jonas, W. B. (2006). Circular instead of hierarchical: Methodological principles for the evaluation of complex interventions. BMC Medical Research Methodology, 6, 29. doi:10.1186/1471-2288-6-29
[51] Walter, G. & Rey, J. M. (1998). The relevance of herbal treatments for psychiatric practice. Australian and New Zealand Journal of Psychiatry, 33, 482-489. doi:10.1046/j.1440-1614.1999.00568.x
[52] Wampold, B. E. (2001). The great psychotherapy debate: Models, methods and findings. Mahwah, NJ: Lawrence Erlbaum Associates.
[53] Wetzel, M. S. (1998). Courses involving complementary and alternative medicine at US medical schools. The Journal of the American Medical Association, 280, 784-787. doi:10.1001/jama.280.9.784
[54] World Health Organization (2003). Traditional Medicine Strategy 2002-2005. URL (last checked 1 February 2012). www.who.int

  
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