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'''Integrative medicine''' or '''integrative health''' is a [[neologism]] coined by practitioners to describe the combination of practices and methods of [[alternative medicine]] with conventional medicine.<ref name=BMJ_May/><ref name=What_Is_CAM>[http://nccam.nih.gov/health/whatiscam/ What Is Complementary and Alternative Medicine?] [[National Center for Complementary and Alternative Medicine]]. (Accessed 20 February 2011</ref><ref name=wfubmc/> Some universities and hospitals have integrative-medicine departments.<ref name=wfubmc>[http://www.wfubmc.edu/Center-for-Integrative-Medicine Wake Forest Center for Integrative Medicine]</ref> The term has been popularised by, among others, [[Deepak Chopra]], [[Andrew Weil]] and [[The Prince's Foundation for Integrated Health|Prince Charles]].<ref name=BMJ>{{cite news | title=Prince’s foundation metamorphoses into new College of Medicine | author=Nigel Hawkes | publisher=British Medical Journal | year=2010 | volume=341 | pages=6126 | doi=10.1136/bmj.c6126|url=http://www.bmj.com/content/341/bmj.c6126.full}}</ref> In the UK, the universities of [[University of Buckingham|Buckingham]] and [[University of Westminster|Westminster]] have previously offered courses in integrative medicine, for which they have received much criticism.<ref name=Buckingham>{{cite web|author=David Colquhoun|url=http://www.dcscience.net/?p=2881|title=University of Buckingham does the right thing. The Faculty of Integrated Medicine has been fired.|date=April 1, 2010|publisher=DC's Improbable Science}}</ref><ref name=ScienceDegrees>{{cite journal | url=http://dcscience.net/colquhoun-nature-07.pdf | author=David Colquhoun | journal=Nature | date=March 22, 2007 | volume=446 | issue=22 | pages=373–4|doi=10.1038/446373a | title=Science degrees without the science | pmid=17377563}}</ref><ref name=Giles>{{cite journal | url=http://dcscience.net/giles-nature-2007.pdf | author=Jim Giles | journal=Nature | date=March 22, 2007 | volume=446 | issue=22 | pages=352–3|doi=10.1038/446352a | title=Degrees in homeopathy slated as unscientific}}</ref> Integrative medicine receives the same types of criticisms that are directed at alternative medicine.<ref name=Novella>[http://scienceblogs.com/insolence/2011/01/the_integration_of_pseudoscience_into_me.php The "integration" of pseudoscience into medicine continues apace]</ref><ref name=WP_Novella>{{cite news| url=http://www.washingtonpost.com/wp-dyn/content/article/2009/03/16/AR2009031602139.html | work=The Washington Post | first=David | last=Brown | title=Scientists Speak Out Against Federal Funds for Research on Alternative Medicine | date=17 March 2009}}</ref>
{{POV|date=June 2012}}


Dr. [[Arnold S. Relman]], a former editor of ''[[The New England Journal of Medicine]]'' wrote:
'''Integrative medicine''' or '''integrative health''' is a [[neologism]] coined by practitioners to describe the combination of practices and methods of [[alternative medicine]] with conventional medicine.<ref name=BMJ_May/><ref name=What_Is_CAM>[http://nccam.nih.gov/health/whatiscam/ What Is Complementary and Alternative Medicine?] [[National Center for Complementary and Alternative Medicine]]. (Accessed 20 February 2011</ref><ref name=wfubmc/> Some universities and hospitals have integrative-medicine departments.<ref name=wfubmc>[http://www.wfubmc.edu/Center-for-Integrative-Medicine Wake Forest Center for Integrative Medicine]</ref> The term has been popularised by, among others, [[Deepak Chopra]], [[Andrew Weil]] and [[The Prince's Foundation for Integrated Health|Prince Charles]].<ref name=BMJ>{{cite news | title=Prince’s foundation metamorphoses into new College of Medicine | author=Nigel Hawkes | publisher=British Medical Journal | year=2010 | volume=341 | pages=6126 | doi=10.1136/bmj.c6126|url=http://www.bmj.com/content/341/bmj.c6126.full}}</ref> In the UK, the universities of [[University of Buckingham|Buckingham]] and [[University of Westminster|Westminster]] have previously offered courses in integrative medicine, for which they have received much criticism.<ref name=Buckingham>{{cite web|author=David Colquhoun|url=http://www.dcscience.net/?p=2881|title=University of Buckingham does the right thing. The Faculty of Integrated Medicine has been fired.|date=April 1, 2010|publisher=DC's Improbable Science}}</ref><ref name=ScienceDegrees>{{cite journal | url=http://dcscience.net/colquhoun-nature-07.pdf | author=David Colquhoun | journal=Nature | date=March 22, 2007 | volume=446 | issue=22 | pages=373–4|doi=10.1038/446373a | title=Science degrees without the science | pmid=17377563}}</ref><ref name=Giles>{{cite journal | url=http://dcscience.net/giles-nature-2007.pdf | author=Jim Giles | journal=Nature | date=March 22, 2007 | volume=446 | issue=22 | pages=352–3|doi=10.1038/446352a | title=Degrees in homeopathy slated as unscientific}}</ref>


{{quote|There is no doubt that modern medicine as it is now practiced needs to improve its relations with patients, and that some of the criticisms leveled against it by people such as Weil -- and by many more within the medical establishment itself -- are valid. There also can be no doubt that a few of the "natural" medicines and healing methods now being used by practitioners of alternative medicine will prove, after testing, to be safe and effective. This, after all, has been the way in which many important therapeutic agents and treatments have found their way into standard medical practice in the past. Mainstream medicine should continue to be open to the testing of selected unconventional treatments. In keeping an open mind, however, the medical establishment in this country must not lose its scientific compass or weaken its commitment to rational thought and the rule of evidence.
==Criticism==
Integrative medicine receives the same types of criticisms that are directed at alternative medicine.<ref name=Novella>[http://scienceblogs.com/insolence/2011/01/the_integration_of_pseudoscience_into_me.php The "integration" of pseudoscience into medicine continues apace]</ref><ref name=WP_Novella>{{cite news| url=http://www.washingtonpost.com/wp-dyn/content/article/2009/03/16/AR2009031602139.html | work=The Washington Post | first=David | last=Brown | title=Scientists Speak Out Against Federal Funds for Research on Alternative Medicine | date=17 March 2009}}</ref>


There are not two kinds of medicine, one conventional and the other unconventional, that can be practiced jointly in a new kind of "integrative medicine." Nor, as Andrew Weil and his friends also would have us believe, are there two kinds of thinking, or two ways to find out which treatments work and which do not. In the best kind of medical practice, all proposed treatments must be tested objectively. In the end, there will only be treatments that pass that test and those that do not, those that are proven worthwhile and those that are not. Can there be any reasonable "alternative"?
Dr. [[Arnold S. Relman]], a former editor of ''[[The New England Journal of Medicine]]'' wrote:
{{quote|There are not two kinds of medicine, one conventional and the other unconventional, that can be practiced jointly in a new kind of 'integrative medicine.' Nor, as [[Andrew Weil]] and his friends also would have us believe, are there two kinds of thinking, or two ways to find out which treatments work and which do not. In the best kind of medical practice, all proposed treatments must be tested objectively. In the end, there will only be treatments that pass that test and those that do not, those that are proven worthwhile and those that are not. Can there be any reasonable 'alternative'?<ref name=Relman>[[Arnold S. Relman]]. [http://www.quackwatch.org/11Ind/weil.html A trip to Stonesville.] ''[[The New Republic]]'', Dec 14, 1998.</ref>}}
<ref name=Relman>[[Arnold S. Relman]]. [http://www.quackwatch.org/11Ind/weil.html A trip to Stonesville.] ''[[The New Republic]]'', Dec 14, 1998.</ref>}}


Speaking of government funding studies of integrating alternative medicine techniques into the mainstream, Dr. [[Steven Novella]], a neurologist at Yale School of Medicine, wrote that it "is used to lend an appearance of legitimacy to treatments that are not legitimate." Dr. [[Marcia Angell]], former editor-in-chief of ''[[The New England Journal of Medicine]]'' says, "It's a new name for [[snake oil]]."<ref name=WP_Novella/>
Speaking of government funding studies of integrating alternative medicine techniques into the mainstream, Dr. [[Steven Novella]], a neurologist at Yale School of Medicine, wrote that it "is used to lend an appearance of legitimacy to treatments that are not legitimate." Dr. [[Marcia Angell]], former editor-in-chief of ''[[The New England Journal of Medicine]]'' says, "It's a new name for [[snake oil]]."<ref name=WP_Novella/>
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== See also ==
== See also ==

* [[Disease management (health)]]
* [[Disease management (health)]]
* [[Personalized medicine]]
* [[Personalized medicine]]
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[[Category:Evidence-based medicine]]
[[Category:Evidence-based medicine]]
[[Category:Medical sociology]]
[[Category:Medical sociology]]
[[Category:Pseudoscience]]
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Revision as of 06:33, 26 July 2012

Integrative medicine or integrative health is a neologism coined by practitioners to describe the combination of practices and methods of alternative medicine with conventional medicine.[1][2][3] Some universities and hospitals have integrative-medicine departments.[3] The term has been popularised by, among others, Deepak Chopra, Andrew Weil and Prince Charles.[4] In the UK, the universities of Buckingham and Westminster have previously offered courses in integrative medicine, for which they have received much criticism.[5][6][7] Integrative medicine receives the same types of criticisms that are directed at alternative medicine.[8][9]

Dr. Arnold S. Relman, a former editor of The New England Journal of Medicine wrote:

There is no doubt that modern medicine as it is now practiced needs to improve its relations with patients, and that some of the criticisms leveled against it by people such as Weil -- and by many more within the medical establishment itself -- are valid. There also can be no doubt that a few of the "natural" medicines and healing methods now being used by practitioners of alternative medicine will prove, after testing, to be safe and effective. This, after all, has been the way in which many important therapeutic agents and treatments have found their way into standard medical practice in the past. Mainstream medicine should continue to be open to the testing of selected unconventional treatments. In keeping an open mind, however, the medical establishment in this country must not lose its scientific compass or weaken its commitment to rational thought and the rule of evidence.

There are not two kinds of medicine, one conventional and the other unconventional, that can be practiced jointly in a new kind of "integrative medicine." Nor, as Andrew Weil and his friends also would have us believe, are there two kinds of thinking, or two ways to find out which treatments work and which do not. In the best kind of medical practice, all proposed treatments must be tested objectively. In the end, there will only be treatments that pass that test and those that do not, those that are proven worthwhile and those that are not. Can there be any reasonable "alternative"?

[10]

Speaking of government funding studies of integrating alternative medicine techniques into the mainstream, Dr. Steven Novella, a neurologist at Yale School of Medicine, wrote that it "is used to lend an appearance of legitimacy to treatments that are not legitimate." Dr. Marcia Angell, former editor-in-chief of The New England Journal of Medicine says, "It's a new name for snake oil."[9]

Organisations advocating integrative medicine in the UK have been criticised for promoting unproven complementary treatments.[1]

See also

References

  1. ^ a b James May (12 July 2011). "College of Medicine: What is integrative health?". British Medical Journal. 343: d4372. doi:10.1136/bmj.d4372. PMID 21750063.
  2. ^ What Is Complementary and Alternative Medicine? National Center for Complementary and Alternative Medicine. (Accessed 20 February 2011
  3. ^ a b Wake Forest Center for Integrative Medicine
  4. ^ Nigel Hawkes (2010). "Prince's foundation metamorphoses into new College of Medicine". Vol. 341. British Medical Journal. p. 6126. doi:10.1136/bmj.c6126.
  5. ^ David Colquhoun (April 1, 2010). "University of Buckingham does the right thing. The Faculty of Integrated Medicine has been fired". DC's Improbable Science.
  6. ^ David Colquhoun (March 22, 2007). "Science degrees without the science" (PDF). Nature. 446 (22): 373–4. doi:10.1038/446373a. PMID 17377563.
  7. ^ Jim Giles (March 22, 2007). "Degrees in homeopathy slated as unscientific" (PDF). Nature. 446 (22): 352–3. doi:10.1038/446352a.
  8. ^ The "integration" of pseudoscience into medicine continues apace
  9. ^ a b Brown, David (17 March 2009). "Scientists Speak Out Against Federal Funds for Research on Alternative Medicine". The Washington Post.
  10. ^ Arnold S. Relman. A trip to Stonesville. The New Republic, Dec 14, 1998.