Separation or synthesis: a holistic approach to therapeutics.

Separation or synthesis: a holistic approach to therapeutics.
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分离或合成:整体治疗方法。

DOI:
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发表时间:
1996
影响因子:
1.3
通讯作者:
K. Kemper
K. Kemper
中科院分区:
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文献类型:
--
作者:
K. Kemper

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在过去的50年里,医疗保健变得更加复杂和专业化。卫生保健机构现在配备了一系列专业医生、社会工作者、心理学家、治疗师和营养师以及全科医生和护士。医院外的提供者类型更加繁多和多样化:医生;护士;护士执业;脊椎按摩师;顾问;针灸师;草药师;精神治疗师;以及营养补充剂,芳香疗法,水晶等的供应商。为了区分他们的“产品”,供应商专注于差异,分化成不同的阵营,如“主流或传统”与“替代或非传统”。“虽然这些二分法很简单,但它们也会产生误导。“另类”的定义很大程度上取决于“主流”的定义;针灸在某种情况下可能是一种另类,但它显然是亚洲社区的传统。曾经被认为是非传统的疗法,如催眠和冥想,已经进入许多主流医疗环境。(See Sugarman的文章“催眠:教孩子自我调节”在1996年1月的儿科评论中。公众想要低成本、安全、有效和个性化的医疗保健。“自然”疗法的从业者通常被认为比忙碌的医生更人性化,技术含量更低。根据一项研究,1990年,近三分之一的美国人使用替代医学疗法。1
Over the past 50 years, health care has grown more complex and specialized. Health-care institutions now are staffed with an array of specialist physicians, social workers, psychologists, therapists, and nutritionists as well as general practitioners and nurses. The types of providers outside of the hospital are even more numerous and diverse: physicians; nurses; nurse practitioners; chiropractors; counselors; acupuncturists; herbalists; spiritual healers; and purveyors of nutritional supplements, aromatherapy, crystals, and more. Intent on distinguishing their "products," providers focus on differences, polarizing into distinct camps such as "mainstream or traditional" versus "alternative or unconventional." Although these dichotomies are simple, they also can mislead. The definition of "alternative" is very dependent on the definition "mainstream"; acupuncture may be an alternative in one setting, but it clearly is traditional within Asian communities. Therapies that once were considered unconventional, such as hypnosis and meditation, have moved into many mainstream medical settings. (See Sugarman article "Hypnosis: Teaching Children Self-regulation" in the January 1996 issue of Pediatrics in Review. ) The public wants health care that is low-cost, safe, effective, and personalized. Practitioners of "natural" therapies often are viewed as more humanistic and less technological than busy physicians. According to one study, in 1990, alternative medical therapies were used by nearly one third of Americans. 1