Alternative and complementary approaches in psychiatry: beliefs versus evidence.

Abstract:

:While the legitimacy of medical treatments is more and more questioned, one sees a paradoxical increase in nonconventional approaches, notably so in psychiatry. Over time, approaches that were considered valuable by the scientific community were found to be inefficacious, while other approaches, labelled as alternative or complementary, were finally discovered to be useful in a few indications. From this observation, we propose to classify therapies as orthodox (scientifically validated) or heterodox (scientifically not validated). To illustrate these two categories, we discuss the place, the role, the interest, and also the potential risks of nonconventional approaches in the present practice of psychiatry. :Si bien la legitimidad de los tratamientos médicos se cuestiona cada vez más, se observa un aumento paradójico en las aproximaciones no convencionales, especialmente en la psiquiatría. Con el tiempo, se descubrió que las aproximaciones que la comunidad científica consideraba valiosas eran ineficaces, mientras que otros enfoques, etiquetados como alternativos o complementarios, se descubrieron finalmente como útiles en algunas indicaciones. A partir de esta observación, se propone clasificar las terapias como ortodoxas (validadas científicamente) o heterodoxas (no validadas científicamente). Para ilustrar estas dos categorías, se discute el lugar, el papel, el interés y también los riesgos potenciales de las aproximaciones no convencionales en la práctica actual de la psiquiatría. :Tandis que la légitimité des traitements médicaux est de plus en plus mise en question, on constate une augmentation paradoxale des approches non conventionnelles, notamment en psychiatrie. Avec le temps, des approches qui étaient considérées de valeur par la communauté scientifique se sont révélées inefficaces, tandis que d'autres, étiquetées comme alternatives ou complémentaires, ont été décrites comme efficaces dans quelques indications. À partir de cette observation, nous proposons de classer les traitements soit comme orthodoxes (validés scientifiquement) soit comme hétérodoxes (non validés scientifiquement). Pour illustrer ces deux catégories, nous commentons la place, le rôle, l'intérêt et aussi les risques potentiels des approches non conventionnelles dans la pratique actuelle de la psychiatrie.

authors

Schulz P,Hede V

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

207-214

issue

3

eissn

1294-8322

issn

1958-5969

journal_volume

20

pub_type

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