Sunday, May 17, 2009

What is Alternative and Integrative Medicine?

 Rather than focusing on the discussion of the benefits and drawbacks of different modalities such as homeopathy and aromatherapy when compared to the ever changing standard of care through pharmaceuticals and surgery, we can look at the two information processing models that are involved in diagnosis and treatment planning:  Holism and Reductionism.  Both information processing models are equally vital in discerning a correct diagnosis and in developing an effective treatment plan.  


Both models must be used in concert to best navigate a path to optimal health.  And on that path there are many options: pharmacotherapy, nutritional therapy, exercise therapy, aromatherapy and acupuncture to name a few.  When we look at these as options along the path rather than as paths themselves, we are putting the focus on the place where it needs to be:  the patient's needs.  Some patients respond well to pharmacotherapy, some do not, some respond well to aromatherapy, some do not.  The point is that there is a vast array of options for a patient who is seeking optimal health and the patient is the person best qualified to discern what is best for them.  The role of the practitioner is to act as guide and educator to the patient whose life is his own responsibility to care for.


Coming back to the central question that must be effectively addressed by any healthcare provider: why do people choose habits that are detrimental to their health?  This is the core question of addiction, arguably the results of which are the number one public health crisis facing America today.  Addressing this issue requires less of a medical solution than it requires a social solution.  How to we prevent isolation and self-loathing?  This requires a much deeper investigation into our social values and community networks.

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