Slow medicine

Last updated

Slow medicine is a movement calling for change in medical practice which took inspiration from the wider slow food movement. Practitioners of slow medicine have published several different definitions, but the common emphasis is on the word "slow," meaning to allow the medical practitioner to have sufficient time with the patient. Like the slow food movement, slow medicine calls for more balance, countering the over-emphasis on fast processes which reduce quality. [1]

Contents

The Doctor by Luke Fildes (detail) The Doctor by Luke Fildes (detail).jpg
The Doctor by Luke Fildes (detail)

Development of slow medicine

The first mention of slow medicine in print took place in the first decade of the twenty-first century, about fifteen years after the start of the slow food movement in Italy. In the year 2002 an article was published in an Italian medical journal which used the words "slow medicine" [2] to mean an approach to medicine which would allow practitioners sufficient time to evaluate the patient and his or her wider social context, to reduce anxiety, to evaluate new methods and technologies, to prevent premature release from the hospital and also to provide adequate emotional support. [3] Later, in English-language publications, several physicians independently started using the term slow medicine.

A slow medicine society was formed in Italy in the year 2011, and the first Italian national conference on slow medicine took place in Turin, Italy in November, 2011. Since that time, slow medicine societies have been formed in other countries. [4] [5]

Principles of slow medicine

Different medical practitioners emphasize different aspects of medicine when using the term "slow medicine." For some, slow medicine means taking time and not rushing when evaluating a patient. [6] For others, slow medicine is a careful evaluation of medical evidence and a desire not to "overdiagnose" or "overtreat." [7] The original Slow Medicine society in Italy points to three key words of being "measured," "respectful" and "equitable," which focuses on the social and political aspects of medicine. [8] One early practitioner of slow medicine sees the patient in the metaphor of a plant which needs to be nourished and for impediments to be removed in order to allow healing to occur. [9]

See also

Related Research Articles

Alternative medicine is any practice that aims to achieve the healing effects of medicine despite lacking biological plausibility, testability, repeatability or evidence of effectiveness. Unlike modern medicine, which employs the scientific method to test plausible therapies by way of responsible and ethical clinical trials, producing repeatable evidence of either effect or of no effect, alternative therapies reside outside of mainstream medicine and do not originate from using the scientific method, but instead rely on testimonials, anecdotes, religion, tradition, superstition, belief in supernatural "energies", pseudoscience, errors in reasoning, propaganda, fraud, or other unscientific sources. Frequently used terms for relevant practices are New Age medicine, pseudo-medicine, unorthodox medicine, holistic medicine, fringe medicine, and unconventional medicine, with little distinction from quackery.

<span class="mw-page-title-main">Traditional Chinese medicine</span>

Traditional Chinese medicine (TCM) is an alternative medical practice drawn from traditional medicine in China. A large share of its claims are pseudoscientific, with the majority of treatments having no robust evidence of effectiveness or logical mechanism of action.

<span class="mw-page-title-main">Marjoram</span> Perennial herb

Marjoram is a cold-sensitive perennial herb or undershrub with sweet pine and citrus flavours. In some Middle Eastern countries, marjoram is synonymous with oregano, and there the names sweet marjoram and knotted marjoram are used to distinguish it from other plants of the genus Origanum. It is also called pot marjoram, although this name is also used for other cultivated species of Origanum.

<span class="mw-page-title-main">Medicine</span> Diagnosis, treatment, and prevention of illness

Medicine is the science and practice of caring for patients, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.

<span class="mw-page-title-main">Naturopathy</span> Form of alternative medicine

Naturopathy, or naturopathic medicine, is a form of alternative medicine. A wide array of practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as naturopaths. Difficult to generalize, these treatments range from the pseudoscientific and thoroughly discredited, like homeopathy, to the widely accepted, like certain forms of psychotherapy. The ideology and methods of naturopathy are based on vitalism and folk medicine rather than evidence-based medicine, although practitioners may use techniques supported by evidence. The ethics of naturopathy have been called into question by medical professionals and its practice has been characterized as quackery.

<span class="mw-page-title-main">Quackery</span> Promotion of fraudulent or ignorant medical practices

Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman". The term quack is a clipped form of the archaic term quacksalver, derived from Dutch: kwakzalver a "hawker of salve" or rather somebody who boasted about their salves, more commonly known as ointments. In the Middle Ages the term quack meant "shouting". The quacksalvers sold their wares at markets by shouting to gain attention.

<span class="mw-page-title-main">Traditional healers of Southern Africa</span> Practitioners of traditional African medicine in Southern Africa

Traditional healers of Southern Africa are practitioners of traditional African medicine in Southern Africa. They fulfil different social and political roles in the community like divination, healing physical, emotional, and spiritual illnesses, directing birth or death rituals, finding lost cattle, protecting warriors, counteracting witchcraft and narrating the history, cosmology, and concepts of their tradition.

<span class="mw-page-title-main">Prescription drug</span> Medication legally requiring a medical prescription before it can be dispensed

A prescription drug is a pharmaceutical drug that is permitted to be dispensed only to those with a medical prescription. In contrast, over-the-counter drugs can be obtained without a prescription. The reason for this difference in substance control is the potential scope of misuse, from drug abuse to practicing medicine without a license and without sufficient education. Different jurisdictions have different definitions of what constitutes a prescription drug.

<span class="mw-page-title-main">Medieval medicine of Western Europe</span>

In the Middle Ages, the medicine of Western Europe was composed of a mixture of existing ideas from antiquity. In the Early Middle Ages, following the fall of the Western Roman Empire, standard medical knowledge was based chiefly upon surviving Greek and Roman texts, preserved in monasteries and elsewhere. Medieval medicine is widely misunderstood, thought of as a uniform attitude composed of placing hopes in the church and God to heal all sicknesses, while sickness itself exists as a product of destiny, sin, and astral influences as physical causes. On the other hand, medieval medicine, especially in the second half of the medieval period, became a formal body of theoretical knowledge and was institutionalized in the universities. Medieval medicine attributed illnesses, and disease, not to sinful behavior, but to natural causes, and sin was connected to illness only in a more general sense of the view that disease manifested in humanity as a result of its fallen state from God. Medieval medicine also recognized that illnesses spread from person to person, that certain lifestyles may cause ill health, and some people have a greater predisposition towards bad health than others.

<span class="mw-page-title-main">Psychic surgery</span> Pseudoscientific medical fraud

Psychic surgery is a pseudoscientific medical fraud in which practitioners create the illusion of performing surgery with their bare hands and use sleight of hand, fake blood, and animal parts to convince the patient that diseased lesions have been removed and that the incision has spontaneously healed.

<span class="mw-page-title-main">Craniosacral therapy</span> Pseudoscientific alternative medicine technique

Craniosacral therapy (CST) or cranial osteopathy is a form of alternative medicine that uses gentle touch to feel non-existent rhythmic movements of the skull's bones and supposedly adjust the immovable joints of the skull to achieve a therapeutic result. CST is a pseudoscience and its practice has been characterized as quackery. It is based on fundamental misconceptions about the anatomy and physiology of the human skull and is promoted as a cure-all for a variety of health conditions.

<span class="mw-page-title-main">History of alternative medicine</span>

The history of alternative medicine covers the history of a group of diverse medical practices that were collectively promoted as "alternative medicine" beginning in the 1970s, to the collection of individual histories of members of that group, or to the history of western medical practices that were labeled "irregular practices" by the western medical establishment. It includes the histories of complementary medicine and of integrative medicine. "Alternative medicine" is a loosely defined and very diverse set of products, practices, and theories that are perceived by its users to have the healing effects of medicine, but do not originate from evidence gathered using the scientific method, are not part of biomedicine, or are contradicted by scientific evidence or established science. "Biomedicine" is that part of medical science that applies principles of anatomy, physics, chemistry, biology, physiology, and other natural sciences to clinical practice, using scientific methods to establish the effectiveness of that practice.

Dance/movement therapy (DMT) in USA and Australia or dance movement psychotherapy (DMP) in the UK is the psychotherapeutic use of movement and dance to support intellectual, emotional, and motor functions of the body. As a modality of the creative arts therapies, DMT looks at the correlation between movement and emotion.

The slow movement is a cultural initiative that advocates for a reduction in the pace of modern life, encouraging individuals to embrace a more thoughtful and deliberate approach to their daily activities.

<span class="mw-page-title-main">BDORT</span> Alternative medicine diagnostic procedure

The Bi-Digital O-Ring Test (BDORT), characterized as a form of applied kinesiology, is a patented alternative medicine diagnostic procedure in which a patient forms an 'O' with his or her fingers, and the diagnostician subjectively evaluates the patient's health according to the patient's finger strength as the diagnostician tries to pry them apart.

<span class="mw-page-title-main">Energy medicine</span> Pseudo-scientific alternative medicine

Energy medicine is a branch of alternative medicine based on a pseudo-scientific belief that healers can channel "healing energy" into a patient and effect positive results. The field is defined by shared beliefs and practices relating to mysticism and esotericism in the wider alternative medicine sphere rather than any sort of unified terminology, leading to terms such as energy healing or vibrational medicine being used as synonymous or alternative names. In most cases there is no empirically measurable energy involved: the term refers instead to so-called subtle energy. Practitioners may classify the practice as hands-on, hands-off, and distant where the patient and healer are in different locations. Many schools of energy healing exist using many names: for example, biofield energy healing, spiritual healing, contact healing, distant healing, therapeutic touch, Reiki or Qigong.

<span class="mw-page-title-main">Narrative medicine</span> Medical approach

Narrative medicine is the discipline of applying the skills used in analyzing literature to interviewing patients. The premise of narrative medicine is that how a patient speaks about his or her illness or complaint is analogous to how literature offers a plot with characters and is filled with metaphors, and that becoming conversant with the elements of literature facilitates understanding the stories that patients bring. Narrative Medicine is a diagnostic and comprehensive approach that utilizes patients' narratives in clinical practice, research, and education to promote healing. Beyond attempts to reach accurate diagnoses, it aims to address the relational and psychological dimensions that occur in tandem with physical illness. Narrative medicine aims not only to validate the experience of the patient, it also encourages creativity and self-reflection in the physician.

<span class="mw-page-title-main">Qigong</span> Chinese system of coordinated posture and movement, breathing, and meditation

Qigong is a system of coordinated body-posture and movement, breathing, and meditation said to be useful for the purposes of health, spirituality, and martial arts training. With roots in Chinese medicine, philosophy, and martial arts, qigong is traditionally viewed by the Chinese and throughout Asia as a practice to cultivate and balance the mythical life-force qi.

Because of the uncertain nature of various alternative therapies and the wide variety of claims different practitioners make, alternative medicine has been a source of vigorous debate, even over the definition of "alternative medicine". Dietary supplements, their ingredients, safety, and claims, are a continual source of controversy. In some cases, political issues, mainstream medicine and alternative medicine all collide, such as in cases where synthetic drugs are legal but the herbal sources of the same active chemical are banned.

Victoria Sweet is an American physician, author and advocate for what is termed "slow medicine". She is also a historian of medicine who has studied the writings of Hildegard of Bingen, a 12th century German abbess and medical therapist.

References

  1. "Slow Medicine" (PDF). The Journal of Alternative and Complementary Medicine, Volume 14, Number 8, 2008, pp.891–892. Retrieved 6 December 2017.
  2. "Slow Medicine, An International Appeal on Mindful Healthcare". Slow Medicine, Brazil. 4 September 2017. Retrieved 6 December 2017.
  3. Dolara, A (2002). "Invitation to "slow medicine"". Italian Heart Journal. 3 (1): 100–1. PMID   11899567.
  4. "Ten basics of slow medicine". Slow Medicine, Netherlands, website. Retrieved 6 December 2017.
  5. "Slow Medicine, Brazil, website" . Retrieved 6 November 2017.
  6. Sweet, Victoria (2017). Slow Medicine: The Way to Healing.
  7. "Richard Smith: The case for slow medicine". British Medical Journal. 17 December 2012. Retrieved 6 December 2017.
  8. "Slow Medicine Manifesto" (PDF). Slow Medicine, Italy, website. Retrieved 6 December 2017.
  9. Sweet, Victoria (2017). Slow Medicine: The Way to Healing.

Further reading