A Dialogue between Naturopathy and Critical Medical Anthropology:

Baer, Hans A.; C, Beale; Canaway, Rachel; Connolly, Greg

doi:10.1111/j.1548-1387.2012.01203.x

Cited by 9 publications

(7 citation statements)

References 11 publications

(14 reference statements)

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“…Women highly valued their HCPs’ holistic consideration of their own and their baby's health, and having all their experiences and values considered. This holistic approach has previously been identified as an important element of care provided by complementary and integrative medicine practitioners, including their care of pregnant women, as well as woman‐centred midwifery practice . When an accomplished HCP is able to understand a woman's experiences and beliefs and take these into consideration when constructing a plan to optimize her health, a positive therapeutic relationship is supported .…”

Section: Discussionmentioning

confidence: 99%

Women’s health literacy and the complex decision‐making process to use complementary medicine products in pregnancy and lactation

Barnes

Barclay

McCaffery

et al. 2019

Health Expectations

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BackgroundLittle is known about women's decision‐making processes regarding using complementary medicine products (CMPs) during pregnancy or lactation.ObjectivesTo explore the decision‐making processes of women choosing to use CMPs in pregnancy and lactation; and to investigate how women's health literacy influences their decisions.Design, setting and participantsIn‐depth interviews and focus group discussions were held with twenty‐five pregnant and/or breastfeeding women. Data were analysed using thematic analysis.ResultsKey to women's decision making was the desire to establish a CMPs safety and to receive information from a trustworthy source, preferably their most trusted health‐care practitioner. Women wanted positive therapeutic relationships with health‐care practitioners and to be highly involved in the decisions they made for the health of themselves and their children. Two overarching components of the decision‐making process were identified: (a) women's information needs and (b) a preference for CMP use. Women collated and assessed information from other health‐care practitioners, other mothers and published research during their decision‐making processes. They showed a strong preference for CMP use to support their pregnancy and breastfeeding health, and that of their unborn and breastfeeding babies.Discussion and ConclusionsComplex decision‐making processes to use CMPs in pregnancy and lactation were identified. The participants showed high levels of communicative and critical health literacy skills in their decision‐making processes. These skills supported women's complex decision‐making processes.

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Section: Discussionmentioning

confidence: 99%

Women’s health literacy and the complex decision‐making process to use complementary medicine products in pregnancy and lactation

Barnes

Barclay

McCaffery

et al. 2019

Health Expectations

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“…A third of these multimorbid patients had both mental and physical problems. Socioeconomic deprivation produces multimorbidity at a much younger age: “young and middle-aged adults living in the most deprived areas had rates of multimorbidity equivalent to those aged 10–15 older in the most affluent areas” ( 2012 :39). In deprived neighbourhoods, people in their 40s and 50s are as likely to have multiple chronic problems as 60- or 70-year-olds in the average population.…”

Section: Mental Health Beyond the Brainmentioning

confidence: 99%

Depression, Deprivation, and Dysbiosis: Polyiatrogenesis in Multiple Chronic Illnesses

Ecks

2021

Cult Med Psychiatry

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Biomedicine tends to treat “mental” illnesses as if they could be isolated from multiple social and somatic problems. Yet mental suffering is inseparable from complex somatosocial relations. Clinical fieldwork in a deprived area of the UK shows that nearly all the people treated for “depression” are chronically multimorbid, both in their bodies and in their social relations. Mental suffering is co-produced by poverty, trauma, and excessive medication use. Patients’ guts are as imbalanced as their moods. Single vertical treatments make them worse rather than better. In the UK, patients in poorer neighbourhoods do not “lack access” to healthcare. If anything, they suffer from taking too many medications with too little integration. I conceptualize the bad effects of excessive interventions in patients with multiple chronic problems as polyiatrogenesis.

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“…While this portrayal of holism may not be as extensive as depicted within critical medical anthropology in encompassing political, environmental, socioeconomic, and structural forces, it offers an insight into health narratives that have not been extensively explored within the medical research domain. 55 Despite the great scientific progress that has arisen from reductionist enquiry, this paradigm has not led to a satisfactory knowledge of complex phenomena. 56 It is possible that if the management of complex disease is the goal, the incorporation of a systems approach and holistic mindset may be necessary.…”

Section: Themes and Subthemesmentioning

confidence: 99%

The Intersection between Models of Health and How Healing Transpires: A Metaethnographic Synthesis of Complementary Medicine Practitioners' Perceptions

Graham

Steel

Wardle

2021

The Journal of Alternative and Complementary Medicine

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Introduction: This metaethnography provides an interpretative synthesis of complementary medicine (CM) practitioners' perceptions toward their health model and the healing process. CM is commonly described on the basis of its distinction from biomedicine with limited research available on CM practitioners' understanding of what the essence of their practice is and how healing transpires as a result. This is despite the significant patronage of CM and high rates of couse with biomedical services.Materials and Methods: An extensive and systematic search of the literature was conducted across seven databases (AMED, SINAHL, Medline, PsycINFO, PUBMED, Science Direct, and Scopus) with no date, language, or region restrictions applied. The basis for the search was MeSH terms and keywords relating to (1) CM practitioners, (2) perceptions, and (3) healing. A screening process was conducted and articles were identified for inclusion based on their addressing the research question. These articles were then quality appraised. A seven-stage metaethnographic framework was utilized to assist with identifying and interpreting the themes within the data.Results: Following the screening process, merely 10 qualitative studies were identified, which represented practitioner views across 22 CM professions. CM practitioners believe they provide a distinct model of care informed by a traditional shared holistic and vitalistic philosophy. Nonspecific factors, such as an augmented therapeutic relationship, empathy, and patient empowerment, are actively and deliberately incorporated into the treatment process alongside specific interventions and afforded equal valued.Conclusions: This metaethnographic synthesis brings together the perceptions of CM practitioners on how healing transpires within the CM clinical setting. In a context of medical pluralism and aspirational integrative health care, this synthesis highlights the understanding and approach CM practitioners bring to health management and may assist in further defining CM philosophy and practice, and the positioning of CM in the contemporary health care landscape.

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A Dialogue between Naturopathy and Critical Medical Anthropology:

Cited by 9 publications

References 11 publications

Women’s health literacy and the complex decision‐making process to use complementary medicine products in pregnancy and lactation

Women’s health literacy and the complex decision‐making process to use complementary medicine products in pregnancy and lactation

Depression, Deprivation, and Dysbiosis: Polyiatrogenesis in Multiple Chronic Illnesses

The Intersection between Models of Health and How Healing Transpires: A Metaethnographic Synthesis of Complementary Medicine Practitioners' Perceptions

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