MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

pseudo-science

Advocates of so-called alternative medicine (SCAM) often sound like a broken record to me. They bring up the same ‘arguments’ over and over again, no matter whether they happen to be defending acupuncture, energy healing, homeopathy, or any other form of SCAM. Here are some of the most popular of these generic ‘arguments’:

1. It helped me
The supporters of SCAM regularly cite their own good experiences with their particular form of treatment and think that this is proof enough. However, they forget that any symptomatic improvement they may have felt can be the result of several factors that are unrelated to the SCAM in question. To mention just a few:

  • Placebo
  • Regression towards the mean
  • Natural history of the disease

2. My SCAM is without risk
Since homeopathic remedies, for instance, are highly diluted, it makes sense to assume that they cannot cause side effects. Several other forms of SCAM are equally unlikely to cause adverse effects. So, the notion is seemingly correct. However, this ‘argument’ ignores the fact that it is not the therapy itself that can pose a risk, but the SCAM practitioner. For example, it is well documented – and, on this blog, we have discussed it often – that many of them advise against vaccination, which can undoubtedly cause serious harm.

3. SCAM has stood the test of time
It is true that many SCAMs have survived for hundreds or even thousands of years. It is also true that millions still use it even today. This, according to enthusiasts, is sufficient proof of SCAM’s efficacy. But they forget that many therapies have survived for centuries, only to be proved useless in the end. Just think of bloodletting or mercury preparations from past times.

4 The evidence is not nearly as negative as skeptics pretend
Yes, there are plenty of positive studies on some SCAMs This is not surprising. Firstly, from a purely statistical point of view, if we have, for instance, 1 000 studies of a particular SCAM, it is to be expected that, at the 5% level of statistical significance, about 50 of them will produce a significantly positive result. Secondly, this number becomes considerably larger if we factor in the fact that most of the studies are methodologically poor and were conducted by SCAM enthusiasts with a corresponding bias (see my ALTERNATIVE MEDICINE HALL OF FAME on this blog). However, if we base our judgment on the totality of the most robust studies, the bottom line is almost invariably that there is no overall convincingly positive result.

5. The pharmaceutical industry is suppressing SCAM
SCAM is said to be so amazingly effective that the pharmaceutical industry would simply go bust if this fact became common knowledge. Therefore Big Pharma is using its considerable resources to destroy SCAM. This argument is fallacious because:

  1. there is no evidence to support it,
  2. far from opposing SCAM, the pharmaceutical industry is heavily involved in SCAM (for example, by manufacturing homeopathic remedies, dietary supplements, etc.)

6 SCAM could save a lot of money
It is true that SCAMs are on average much cheaper than conventional medicines. However, one must also bear in mind that price alone can never be the decisive factor. We also need to consider other issues such as the risk/benefit balance. And a reduction in healthcare costs can never be achieved by ineffective therapies. Without effectiveness, there can be no cost-effectiveness.

7 Many conventional medicines are also not evidence-based
Sure, there are some treatments in conventional medicine that are not solidly supported by evidence. So why do we insist on solid evidence for SCAM? The answer is simple: in all areas of healthcare, intensive work is going on aimed at filling the gaps and improving the situation. As soon as a significant deficit is identified, studies are initiated to establish a reliable basis. Depending on the results, appropriate measures are eventually taken. In the case of negative findings, the appropriate measure is to exclude treatments from routine healthcare, regardless of whether the treatment in question is conventional or alternative. In other words, this is work in progress. SCAM enthusiasts should ask themselves how many treatments they have discarded so far. The answer, I think, is zero.

8 SCAM cannot be forced into the straitjacket of a clinical trial
This ‘argument’ surprisingly popular. It supposes that SCAM is so individualized, holistic, subtle, etc., that it defies science. The ‘argument’ is false, and SCAM advocates know it, not least because they regularly and enthusiastically cite those scientific papers that seemingly support their pet therapy.

9 SCAM is holistic
This may or may not be true, but the claim of holism is not a monopoly of SCAM. All good medicine is holistic, and in order to care for our patients holistically, we certainly do not need SCAM.

1o SCAM complements conventional medicine
This argument might be true: SCAM is often used as an adjunct to conventional treatments. Yet, there is no good reason why a complementary treatment should not be shown to be worth the effort and expense to add it to another therapy. If, for instance, you pay for an upgrade on a flight, you also want to make sure that it is worth the extra expenditure.

11 In Switzerland it works, too
That’s right, in Switzerland, a small range of SCAMs was included in basic health care by referendum. However, it has been reported that the consequences of this decision are far from positive. It brought no discernible benefit and only caused very considerable costs.

I am sure there are many more such ‘arguments’. Feel free to post your favorites!

My point here is this:

the ‘arguments’ used in defense of SCAM are not truly arguments; they are fallacies, misunderstandings, and sometimes even outright lies. 

 

The ‘Münster Circle‘ is an informal association of multi-disciplinary experts who critically examine issues in and around so-called alternative medicine (SCAM). We exist since June 2016 and are the result of an initiative by Dr Bettina Schöne-Seifert, Professor and Chair of Professor and Chair of Medical Ethics at the University of Münster.

In the past, we have published several documents which have stimulated discussions on SCAM-related subjects. Yesterday, we have published our ‘MEMORANDUM INTEGRATIVE MEDICINE‘. It is a critical analysis of this subject and will hopefully make some waves in Germany and beyond.

Here is its English summary:

The merging of alternative medicine and conventional medicine has been increasingly referred to as Integrative (or Integrated) Medicine (IM) since the 1990s and has largely replaced other terms in this field. Today, IM is represented at all levels.

IM is often characterised with the thesis of the ‘best of both worlds’. However, there is no generally accepted definition of IM. Common descriptions of IM emphasise:

– the combination of conventional and complementary methods,

– the holistic understanding of medicine,

– the great importance of the doctor-patient relationship,

– the hope for optimal therapeutic success,

– the focus on the patient,

– the high value of experiential knowledge.

On closer inspection, the descriptions of IM show numerous inconsistencies. For example, medicine in the hands of doctors is stressed, but it is also emphasised that all relevant professions would be involved. Scientific evidence is emphasised, but at the same time, it is stressed that IM itself includes homeopathy as well as other unsubstantiated treatments and is only ‘guided’ by evidence, i.e. not really evidence-based. It is claimed that IM is to be understood as ‘complementary to science-based medicine’; however, this implies that IM itself is not science-based.

The ‘best of both worlds’ thesis impresses many. However, if one investigates what is meant by ‘best’, one finds that this term is not interpreted in nearly the same way as in conventional medicine. Many claims of IM are elementary components of all good medicine and thus cannot be counted among the characterising features of IM. Finally, it is hard to ignore the fact that the supporters of IM use it as a pretext to introduce unproven or disproven modalities into conventional medicine. Contrary to promises, IM has no discernible potential to improve medicine; rather, it creates confusion and entails considerable dangers. This cannot be in the interest of patients.

Against this background, it must be demanded that IM is critically scrutinised at all levels.

________________________

 

Bioenergy (or energy healing) therapies are among the popular alternative treatment options for many diseases, including cancer. Many studies deal with the advantages and disadvantages of bioenergy therapies as an addition to established treatments such as chemotherapy, surgery, and radiation in the treatment of cancer. However, a systematic overview of this evidence is thus far lacking. For this reason, German authors reviewed and critically examined the evidence to determine what benefits the treatments have for patients.

In June 2022, a systematic search was conducted searching five electronic databases (Embase, Cochrane, PsychInfo, CINAHL and Medline) to find studies concerning the use, effectiveness, and potential harm of bioenergy therapies including the following modalities:

  • Reiki,
  • Therapeutic Touch,
  • Healing Touch,
  • Polarity Therapy.

From all 2477 search results, 21 publications with a total of 1375 patients were included in this systematic review. The patients treated with bioenergy therapies were mainly diagnosed with breast cancer. The main outcomes measured were:

  • anxiety,
  • depression,
  • mood,
  • fatigue,
  • quality of life (QoL),
  • comfort,
  • well-being,
  • neurotoxicity,
  • pain,
  • nausea.

The studies were predominantly of moderate quality and, for the most part, found no effect. In terms of QoL, pain, and nausea, there were some positive short-term effects of the interventions, but no long-term differences were detectable. The risk of side effects from bioenergy therapies appears to be relatively small.

The authors concluded that considering the methodical limitations of the included studies, studies with high study quality could not find any difference between bioenergy therapies and active (placebo, massage, RRT, yoga, meditation, relaxation training, companionship, friendly visit) and passive control groups (usual care, resting, education). Only studies with a low study quality were able to show significant effects.

Energy healing is as popular as it is implausible. What these ‘healers’ call ‘energy’ is not how it is defined in physics. It is an undefined, imagined entity that exists only in the imagination of its proponents. So why should it have an effect on cancer or any other condition?

My team conducted 2 RCT of energy healing (pain and warts); both failed to show positive effects. And here is what I stated in my recent book about energy healing for any ailment:

Energy healing is an umbrella term for a range of paranormal healing practices. Their common denominator is the belief in a mystical ‘energy’ that can be used for therapeutic purposes.

  • Forms of energy healing have existed in many ancient cultures. The ‘New Age’ movement has brought about a revival of these ideas, and today energy healing systems are amongst the most popular alternative therapies in the US as well as in many other countries. Popular forms of energy healing include those listed above. Each of these are discussed and referenced in separate chapters of this book.
  • Energy healing relies on the esoteric belief in some form of ‘energy’ which is distinct from the concept of energy understood in physics and refers to some life force such as chi in Traditional Chinese Medicine, or prana in Ayurvedic medicine.
  • Some proponents employ terminology from quantum physics and other ‘cutting-edge’ science to give their treatments a scientific flair which, upon closer scrutiny, turns out to be but a veneer of pseudo-science.
  • The ‘energy’ that energy healers refer to is not measurable and lacks biological plausibility.
  • Considering its implausibility, energy healing has attracted a surprisingly high level of research activity. Its findings are discussed in the respective chapters of each of the specific forms of energy healing.
  • Generally speaking, the methodologically best trials of energy healing fail to demonstrate that it generates effects beyond placebo.
  • Even though energy healing is per se harmless, it can do untold damage, not least because it significantly undermines rational thought in our societies.

As you can see, I do not entirely agree with my German friends on the issue of harm. I think energy healing is potentially dangerous and should be discouraged.

As mentioned previously, Nikil Mukerji and I recently published a paper entitled WHY HOMOEOPATHY IS PSEUDOSCIENCE (Synthese (2022) 200:394). Here is its abstract:

Homoeopathy is commonly recognised as pseudoscience. However, there is, to date, no systematic discussion that seeks to establish this view. In this paper, we try to fill this gap. We explain the nature of homoeopathy, discuss the notion of pseudoscience, and provide illustrative examples from the literature indicating why homoeopathy fits the
bill. Our argument contains a conceptual and an empirical part.

In the conceptual part, we introduce the premise that a doctrine qualifies as a pseudoscience if, firstly, its proponents claim scientific standing for it and, secondly, if they produce bullshit to defend it, such that, unlike science, it cannot be viewed as the most reliable knowledge on its topic. In the empirical part, we provide evidence that homoeopathy fulfils both criteria. The first is quickly established since homoeopaths often explicitly claim scientificity.

To establish the second, we dive into the pseudo-academic literature on homoeopathy to provide evidence of bullshit in the arguments of homoeopaths. Specifically, we show that they make bizarre ontological claims incompatible with natural science, illegitimately shift the burden of proof to sceptics, and mischaracterise, cherry-pick, and misreport the evidence. Furthermore, we demonstrate that they reject essential parts of established scientific methodology and use epistemically unfair strategies to immunize their doctrine against recalcitrant evidence.

To my BIG  surprise, it impressed Karl Lauterbach, the German health minister, who even tweeted favorably about it.

Prof. Karl Lauterbach @Karl_Lauterbach

Diese Studie von zwei ausgewiesenen Experten zum Thema #Homöopathie ist lesenswert. Zeigt noch einmal sehr klar: eine gefährliche Pseudowissenschaft.

(This paper on homeopathy by two renowned experts is worth reading. It shows once again very clearly: a dangerous pseudoscience)

Yesterday, it was reported that Health Minister Karl Lauterbach (SPD) wants to put the financing of homeopathic treatments by statutory health insurers to the test. “Although homeopathy is not significant in expenditure volume, it has no place in a science-based health policy,” Lauterbach told SPIEGEL. “That is why we will examine whether homeopathy can be removed as a statutory benefit.”

In addition to their standard statutory benefits, the health insurance funds offer so-called statutory benefits, which they use to attract customers. Many health insurers also offer homeopathic medicines, although there is no scientific evidence for their effectiveness beyond the placebo effect.

Lauterbach had repeatedly and sharply criticized this funding system as a member of the Bundestag. In 2019, he called for health insurers to be banned from co-financing homeopathy. Since his appointment to Minister of Health, however, Lauterbach has so far kept a low profile in this direction.

_________________________________

WATCH THIS SPACE!

I recently came across the ‘Sutherland Cranial College of Osteopathy’.

Sutherland Cranial College of Osteopathy?

Really?

I know what osteopathy is but what exactly is a ‘cranial college’?

Perhaps they mean ‘Sutherland College of Cranial Osteopathy’?

Anyway, they explain on their website that:

Cranial Osteopathy uses the same osteopathic principles that were described by Andrew Taylor Still, the founder of Osteopathy. Cranial osteopaths develop a very highly developed sense of palpation that enables them to feel subtle movements and imbalances in body tissues and to very gently support the body to release and re-balance itself. Treatment is so gentle that often patients are quite unaware that anything is happening. But the results of this subtle treatment can be dramatic, and it can benefit whole body health.

Sounds good?

I am sure you are now keen to become an expert in cranial osteopathy. The good news is that the college offers a course where this can be achieved in just 2 days! Here are the details:

This will be a spacious exploration of the nervous system.  Neurological dysfunction and conditions feature greatly in our clinical work and this is especially the case in paediatric practice. The focus of this course is how to approach the nervous system in a fundamental way with reference to both current and historical ideas of neurological function.  The following areas will be considered: 

    1. Attaining stillness and grounding during palpation of the nervous system. It is within stillness that potency resides and when the treatment happens. The placement of attention.  
    2. The pineal and its relationship to the tent, the pineal shift.
    3. The relations of the clivus and the central importance of the SBS, How do we assess and treat compression?
    4. The electromagnetic field and potency.
    5. The suspension of the cord within the spinal canal, the cervical and lumbar expansions.
    6. Listening posts for the central autonomic network.
Hawkwood College accommodation

Please be aware that accommodation at Hawkwood will be in shared rooms (single sex). Some single rooms are available on a first-come-first-served basis and will carry a supplement. Requesting a single room is not a guarantee that one will be provided.

£390.00 – £490.00

29 – 30 APRIL 2023 STROUD, UK
This will be a spacious exploration of the nervous system. Neurological dysfunction and conditions feature greatly in our clinical work and this is especially the case in pediatric practice.

_________________________

You see, not even expensive!

Go for it!!!

Oh, I see, you want to know what evidence there is that cranial osteopathy does more good than harm?

Right! Here is what I wrote in my recent book about it:

Craniosacral therapy (or craniosacral osteopathy) is a manual treatment developed by the US osteopath William Sutherland (1873–1953) and further refined by the US osteopath John Upledger (1932–2012) in the 1970s. The treatment consists of gentle touch and palpation of the synarthrodial joints of the skull and sacrum. Practitioners believe that these joints allow enough movement to regulate the pulsation of the cerebrospinal fluid which, in turn, improves what they call ‘primary respiration’. The notion of ‘primary respiration’ is based on the following 5 assumptions:

  • inherent motility of the central nervous system
  • fluctuation of the cerebrospinal fluid
  • mobility of the intracranial and intraspinal dural membranes
  • mobility of the cranial bones
  • involuntary motion of the sacral bones.

A further assumption is that palpation of the cranium can detect a rhythmic movement of the cranial bones. Gentle pressure is used by the therapist to manipulate the cranial bones to achieve a therapeutic result. The degree of mobility and compliance of the cranial bones is minimal, and therefore, most of these assumptions lack plausibility.

The therapeutic claims made for craniosacral therapy are not supported by sound evidence. A systematic review of all 6 trials of craniosacral therapy concluded that “the notion that CST is associated with more than non‐specific effects is not based on evidence from rigorous RCTs.” Some studies seem to indicate otherwise, but they are of lamentable methodological quality and thus not reliable.

Being such a gentle treatment, craniosacral therapy is particularly popular for infants. But here too, the evidence fails to show effectiveness. A study concluded that “healthy preterm infants undergoing an intervention with craniosacral therapy showed no significant changes in general movements compared to preterm infants without intervention.”

The costs for craniosacral therapy are usually modest but, if the treatment is employed regularly, they can be substantial.

______________________________

As the college states “often patients are quite unaware that anything is happening”. Is it because nothing is happening? According to the evidence, the answer is YES.

So, on second thought, maybe you give the above course a miss?

Have you ever wondered how good or bad the education of chiropractors and osteopaths is? Well, I have – and this new paper promises to provide an answer.

The aim of this study was to explore Australian chiropractic and osteopathic new graduates’ readiness for transition to practice concerning their clinical skills, professional behaviors, and interprofessional abilities. Phase 1 explored final-year students’ self-perceptions, and this part uncovered their opinions after 6 months or more in practice.

Interviews were conducted with a self-selecting sample of phase 1 participant graduates from 2 Australian chiropractic and 2 osteopathic programs. Results of the thematic content analysis of responses were compared to the Australian Chiropractic Standards and Osteopathic Capabilities, the authority documents at the time of the study.

Interviews from graduates of 2 chiropractic courses (n = 6) and 2 osteopathic courses (n = 8) revealed that the majority had positive comments about their readiness for practice. Most were satisfied with their level of clinical skills, verbal communication skills, and manual therapy skills. Gaps in competence were identified in written communications such as case notes and referrals to enable interprofessional practice, understanding of professional behaviors, and business skills. These identified gaps suggest that these graduates are not fully cognizant of what it means to manage their business practices in a manner expected of a health professional.

The authors concluded that this small study into clinical training for chiropractic and osteopathy suggests that graduates lack some necessary skills and that it is possible that the ideals and goals for clinical education, to prepare for the transition to practice, may not be fully realized or deliver all the desired prerequisites for graduate practice.

Their conclusions in the actual paper finish with these sentences, in the main, graduate participants and the final year students were unable to articulate what professional behaviors were expected of them. The identified gaps suggest these graduates are not fully cognizant of what it means to manage their business practices in a manner expected of a health professional.

In several ways, this is a remarkable paper – remarkably poor, I hasten to add. Apart from the fact that its sample size was tiny and the response rate was low, it has many further limitations. Most notably, the clinical skills, professional behaviors, and interprofessional abilities were not assessed. All the researchers did was ask the participants how good or bad they were at these skills. Is this method going to generate reliable evidence? I very much doubt it!

Imagine, these guys have just paid tidy sums for their ‘education’ and they have no experience to speak of. Are they going to be in a good position to critically evaluate their abilities? No, I fear not!

Considering these flaws and the fact that chiropractors and osteopaths are not exactly known for their skills of critical thinking, I find it amazing that important deficits in their abilities nevertheless emerge. If I had to formulate a conclusion from all this, I might therefore suggest this:

A dismal study seems to suggest that chiropractic and osteopathic schooling is dismal. 

PS

Come to think of it, there might be another fitting option:

Yet another team of chiro- and osteos demonstrate that they don’t know how to do science.

This randomized clinical trial (RCT) tested whether acupuncture is effective for the prevention of chronic tension-type headaches (CTTH). The researchers recruited 218 participants who were diagnosed with CTTH.

  • The participants in the intervention group received 20 sessions of true acupuncture (TA group) over 8 weeks. The acupuncture treatments were standardized across participants, and each acupuncture site was needled to achieve deqi sensation. Each treatment session lasted 30 minutes.
  • The participants in the control group received the same sessions and treatment frequency of superficial acupuncture (SA group)—defined as a type of sham control by avoiding deqi sensation at each acupuncture site.

The main outcome measure was the responder rate at 16 weeks after randomization. Followed-up was 32 weeks. A responder was defined as a participant who reported at least a 50% reduction in the monthly number of headache days (MHDs).

The responder rate was 68.2% in the TA group (n=110) versus 48.1% in the SA group (n=108) at week 16 (odds ratio, 2.65; 95%CI, 1.5 to 4.77; p<0.001); and 68.2% in the TA group versus 50% in the SA group at week 32 (odds ratio, 2.4; 95%CI, 1.36 to 4.3; p<0.001). The reduction in MHDs was 13.1±9.8 days in the TA group versus 8.8±9.6 days in the SA group at week 16 (mean difference, 4.3 days; 95%CI, 2.0 to 6.5; p<0.001), and the reduction was 14±10.5 days in the TA group versus 9.5±9.3 days in the SA group at week 32 (mean difference, 4.5 days; 95%CI, 2.1 to 6.8; p<0.001). Four mild adverse events were reported; three in the TA group versus one in the SA group.

The authors concluded that the 8-week TA treatment was effective for the prophylaxis of CTTH. Further studies might focus on the cost-effectiveness of the treatment.

Our study showed that deqi sensation could enhance the effect of acupuncture in the treatment of chronic TTH, and the effect of acupuncture lasted at least 6 months when the treatment was stopped,” said co-investigator Ying Li, MD, PhD, The Third Hospital/Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Why am I not convinced?

Assuming that all the findings are correctly reported, the study does not at all show that the treatment was effective. It merely demonstrates that those patients who knew that were receiving TA told the researcher that they improved more than those who knew they has sham acupuncture. The difference in outcomes is not in the least surprising: patients’ knowledge of having had the verum leads to a placebo effect and to social desirability (patients giving the researchers positive responses simply because they were thankful for being looked after). Patients’ knowledge of having had the sham treatment leads to disappointment and thus worse outcomes.

But this is not the only reason why I am skeptical about this study. The authors claim they achieved deqi at every treatment. That is 20 treatments in 110 patients or 2 200 deqis! I think someone might be telling porkies here. Deqi cannot reliably be elicited on every single occasion. I, therefore, feel that perhaps the authors of this trial were a bit more than generous when writing up their study, and I am reminded of the recent report claiming that more than 80% of clinical trial data from China are fabricated.

WHAT?

Biblical naturopathy?

Yes, it is not a hoax; it does exist!

It’s another so-called alternative medicine (SCAM) that is new to me.

This website explains what it is all about:

The Biblical Naturopathic Philosophy is based on the following principles:

Do no harm
God has designed the body to be self-healing
Recognize the healing power of nature as designed by God
Recognize the supernatural healing power of God
The natural and supernatural work together
God has made provision for recovery of sickness
Identify the cause and source
Involve the total person (body, soul, spirit)
Support the body rather than treat symptoms
Health is maintained through Biblical patterns and principles

What do we believe?

We believe the Bible is the inspired, inerrant Word of God. (2 Tim. 3:16-17; 2 Pet. 1-20).
We believe God is the Creator and Sustainer of the universe. (Gen. 1; John 1:3; Col. 1:16; Heb. 1:3).
We believe Jesus is both Lord and Christ, to the glory of God the Father. (Acts 1:9-11; 2:36; Phil. 2:9-11).
We believe that whosoever will confess with their mouth that Jesus is Lord and believes in their heart God raised Him from the dead shall be saved. (Rom. 10:9-10; Acts 2:21; 1 John 1:12).
We believe that the Holy Spirit is sent by Jesus to indwell, empower, teach, guide and comfort believers. (Luke 12:12; Rom. 8-11; John 16:13; Acts 1:7-8, 9:31).
We believe that the Lord Jesus’ death, burial, and resurrection from the dead provided for the healing of the spirit, soul, and bodies of all peoples.
We believe in the imminent return of Jesus Christ, who will come to rule as King upon the earth with the saints. (Acts 1:9-11; 1Thess. 4:13-5:2; Rev. 19:11-21, 22:20).

And this is what they offer in terms of coursework:

COUNSELING

CNS101 Christian Counseling
Covers ethics, foundations of faith, makeup of man, motivational gifts and personality, Faith-Based Therapy™, leading someone into salvation, identity / position / purpose / significance in Christ, scriptural concordance, basics of counseling, opening a counseling center, recognizing mental illness, initial forms and assessments, value of nutrition, and legal issues.

CNS102 Advanced Christian Counseling
Covers stress, co-dependency, self-esteem, anger, forgiveness, premarital and marriage counseling, divorce, family issues, blended families, depression, suicide, grief / loss, anxiety, obsessive-compulsive, sexual abuse, sexual addictions, and reality disassociation.

CNS103 Drug & Alcohol Recovery (GOD14®)
Provides an overview of drug and alcohol education, sin and disease of alcoholism, identifying the addict, AA and NA, scriptural steps, relapse and enabling, family dynamics, steps to breaking physical and psychological addiction, prescription drugs, screening, neurotransmitters, chemistry rebalancing, recovery flowchart, detox categories, and forms and assessments.

BIBLICAL

BIB210 Ministerial Ethics
All ministers should hold themselves above reproach. This course will challenge as well as encourage spiritual ethics beyond a secular view.

BIB220 Ecclesiastical Ordinances 
This course outlines the duties required of ministers such as baptism, funerals, weddings, etc. The course is designed to prepare the licensed or ordained minister to structure and carry out ministerial duties.

BIB230 Doctrinal Foundations 
The foundations of the Christian faith are scripturally established. Every minister should be able to give an account of what they believe and why. This course is designed to assist rather than to indoctrinate.

BIB270 Biblical Naturopathy
What is a Biblical naturopathic doctor; Biblical philosophy of healing; Creation and makeup of man; Scriptural principles for understanding and restoring health; Causes of disease; Things that block healing; History of naturopathy; Naturopathic tenets / axioms; Forefathers of health and healing; The mind & heart of God – It is God who heals; Health in America; Introduction to the techniques of health evaluation; Introduction to the healing modalities; Genetics, predispositions, generational curses; Biblical examples of natural healing; Physical to spiritual analogies; Foods of the Bible; Emotions and organs.

BIB280 Understanding & Improving Health
Health in America, History of Nutrition; Water and Sunshine; What is Protein?; What are Carbohydrates?; What are Fats, Oils, and Fatty Acids?; Issues with Sugar, Milk, Soy, MSG, Aspartame, and Genetically Modified Foods; Dietary Guidelines; Diets and Dieting; and Nutritional Deficiencies; Exercise; Biblical Principles and Perspectives; Confronting Sickness and Disease; Practical Support.

BIB290 How to  Pray for  Healing
Understanding who we are in Christ; The authority of the believer; The role of faith in prayer; The benefit of confession; Praying for guidance; How to pray for physical healing; Praying for Inner Healing; A balanced approach to understanding deliverance; Understanding spiritual warfare.

BIB300 Biblical Freedom Techniques
Forgiveness; Generational curses; Demonic influences; Demonic influences for sickness; Evil spirits as a cause of sickness; Biblical examples; Types of spirits; Strongholds; How do you know?; How to remove evil spirits; Inner healing.

DIET AND GENERAL WELLNESS

DGW310 Biblical Eating
Biblically speaking, are there certain foods best not eaten? What does the Bible have to say about diet and why? God has said plenty about the diet best suited for His creation.

DGW320 Biblical Health Principles
Times have changed, but the Bible and its principles have not. Learn basic principles that can be applied for maintaining health while understanding some of the changes to our foods. Have we become addicted to certain foods? This course teaches how to have a healthy diet and live healthy in a not-so-healthy world.

DGW330 Wellness with Weight Loss
For many, losing weight is a never-ending struggle — especially since our bodies are designed to keep weight on at all costs; it’s a matter of survival. But a medical revolution is under way, showing us how to work with our bodies instead of against them to ignite the natural fat-burning furnaces that lie dormant within us. Drawing on the cutting-edge science of nutrigenomics — how food talks to our genes — Dr. Mark Hyman has created a way of losing weight by eating the right foods, which in turn sends the right messages to our bodies.  In this easy-to-follow eight-week plan based on each individual’s unique genetic needs, Dr. Hyman explains how to customize your personal weight-loss program with menus, recipes, shopping lists, and recommendations for supplements and exercise. Ultimately, you will rebalance and stabilize your metabolism — an UltraMetabolism — to maintain weight loss and enjoy lifelong health.

NUTRITION

NUT410 Digestion & Enzymes
Digestion Enzyme therapy is an emerging successful alternative for restoring health. Learn the basics of digestion along with how enzymes work and the benefits to immune function, pain reduction, mood stabilization, and mental clarity, and more. Discover the inexpensive yet highly effective digestive enzymes needed to restore digestive, neurological, and behavioral health.

NUT420 Nutrition 1
This is a comprehensive course that will guide you to achieve and maintain a high level of health and fitness through careful dietary planning and nutritional supplements. The elements of health are discussed along with recommendations for a multitude of conditions. This course is also a guide to various alternative remedies and therapies.

NUT430 Nutrition 2
This course provides a thorough resource and reference to natural supplements, herbs, and homeopathic remedies as well as relating them to all the major ailments and health conditions. The information is thoroughly documented by scientific data and research.

NUT435 Biblical Eating and Clinical Nutrition
What is food?; Protein, fats, carbohydrates; Foods of today; Biblical foods and diets; Food sources of vitamins and minerals; Vitamins and deficiency symptoms; Minerals and deficiency symptoms; Amino acids; Enzymes; Neutraceuticals; Synthetic verses whole food vitamins; Nutritional deficiencies as a cause of diseases; Diets and individualism; Nutrition deficiency questionnaire; Therapeutic clinical nutrition

NUT440 Emotional Biochemistry
Learn how to screen for emotional and behavioral symptoms. Recognize the mental and physical clues that indicate biochemical imbalances, particularly in the brain. This course teaches natural ways of dealing with physiological causes of depression, anxiety, paranoia, anger, emotional instability, and addictions to prescription and non-prescription drugs.

NUT450 Hair Tissue Mineral Analysis
This course teaches more than just knowing the levels of good and toxic minerals in the body from hair tissue analysis. How do you balance the levels and what do the ratios mean? Hair analysis can also reveal immune system problems, emotional trends, cellular energy levels, glucose intolerance, kidney and liver stress, adrenal and thyroid activity and more.

BOTANICAL

BOT510 Herbs of the Bible
What herbs were used in Bible times? The herbs of the Bible are reviewed in light of their past and present uses. Precautions are also explained.

BOT520 Herbal Pharmacy
This is a comprehensive course reviewing the best herbs for healing, including complete herb forms, benefits, parts used, side effects, dosages and remedies for hundreds of ailments.

BOT530 Nutritional Herbology
This course teaches the nutritional components of herbs and how to determine an herb’s medicinal property. You will also learn the active chemical(s) behind an herb’s use that makes it effective. Classification of herbs and which herbs are commonly used for certain body systems is covered.

BOT540 Way of Herbs
This course blends the Eastern, European, and American Indian herbal healing traditions. Learn the three functions of herbs and the eight traditional methods of herbal therapy. Included are detailed descriptions and dosages of over 140 western herbs and 31 Chinese herbs.

BOT550 Herbals Systems
This course covers the Chinese and Ayurvedic classification of herbs and foods, and the classification of over 400 medicinal herbs available in the west, according to properties and actions. The preparation and processing of herbs is also covered.

BOT555 Leaves of the Tree (Revelation 22:2) Herbology
Comprehensive course covering the use of herbs; herb forms, benefits, parts used, side effects, dosages and recommendations for ailments; Classification of herbs and which herbs are commonly used for certain body systems.

BOT560 Aromatherapy
Science is now confirming that essential oils have healing properties for most physical and emotional conditions. This course is a hands-on guide to the understanding and use of essential oils.

ALTERNATIVE OR ANALYTICAL STUDIES

AAS610 Biblical Strategies
Is there a spiritual strategy for overcoming sickness? What choices are available when faced with terminal illnesses? This course reveals traditional as well as non-traditional natural strategies for defeating sickness and regaining health, particularly if facing death.

AAS620 Parasitology
How prevalent are parasites? What tests are available to determine if you have parasites? What role do they play in allergies, fatigue, bowel disorders, and immune function? What are the latest drugs, treatment, and herbal remedies?

AAS630 Energetic Testing
This course is a basic guide to bio-kinesiology and nutritional therapy using muscle response testing. Learn antidotal therapies using vitamins, minerals, herbs, amino acids, and homeopathic remedies.

AAS645 The Lamp of the Body 1 (Matt. 6:22) Sclerology (Basic and advanced)
Sclerology is easy to learn. Sclerology is the study of the red lines in the white of the eyes and how they relate to stress-patterns in a person’s health. What is a person’s predisposition to disease? What is the hidden cause of symptoms? What will the health challenges be five years from now? The lines in the sclera change as health conditions change. Thus Sclerology is an excellent way to confirm that a natural therapy is working. Are cold hands and feet a circulatory, thyroid, constitutional-vitality, or immunological    problem? What is the key to losing weight? Is it glucose metabolism, the endocrine glands, the liver, or an allergy pattern? Is chronic fatigue attributed to a chronic infection, a weak endocrine system (thyroid/adrenals), an exhausted immune system, a liver weakness? The answer is reflected in the sclera!

AAS655 The Lamp of the Body 2 (Matt. 6:22) Iridology (Basic and advanced)
Anatomy & Physiology of the Eye; Topography/mapping; Physical Integrity Evaluation; Color Constitutional Types & Subtypes; Specific Iris Structure Irregularities; Specific Iris Pigmentation Irregularities; Misc. Signs; Collarets Signs; Syndromes; Sclera & Conjunctiva Signs; Deviation in Contraction Furrows; Exceptions to the Rules; Case Studies; Combination of Signs; Introduction to Time Risk; Iridology practice suggestions.

AAS665 The Body Electric (Genesis 2:7) – Energetic Response Testing
Our bodies, made from the dust of the earth, are very electric. Using electro-magnetic principles it is possible to determine which areas of the body are stressed and what nutrients are needed. Step-by-step hands-on training is provided in how to use and integrate Energetic Response Testing. – Brief History; Preliminaries Before Testing; The Arm Technique; Ways of Verifying a Weak Response; Why Does it Work?; Twelve Things That Can Block the Body’s Ability to Heal; Terms and Techniques; Correcting “Reversed Polarity”; Correcting “Switching”; Correcting “Blocked Regulation”; Response Testing Points (organs, glands, systems, nutritional).

AAS670 Serum Blood Analysis
This course presents an analytical system of blood chemistry and CBC analysis that focuses on physiological function as a marker of health. Optimal values are presented that increase our ability to detect dysfunction long before disease manifests. This course covers an in-depth coverage of 52 blood tests, 62 patterns of functional disorders, and 11 nutrient deficiencies, as well as correlating non-invasive in-office functional tests.

AAS685 Functional Analysis
Functional testing without labs: pH, tongue, fingernails, face, and body signs; Functional testing with laboratory assessments: hair, blood, urine, saliva, neurotransmitters, and hormones; Heavy metals; Food sensitivities; Strategies and applications.

NATUROPATHIC

NAT710 Naturopathic Heritage and Future
This course is the primer on principles and practice of naturopathy. It covers the history of naturopathy, its philosophy, the laws of disease and cure, and explains the modalities used by naturopaths.

NAT720 Homeopathy
Homeopathy is a natural, safe, inexpensive, and highly effective complement to any modality as well as to conventional medicine. You will learn the laws of homeopathy, how to assess illness, identify clues that point to the right remedy, individualize the remedy, and how to know when medical treatment is required.

NAT730 Detoxification
We live in a toxic world. This course outlines the steps needed to thoroughly detoxify and cleanse your body through fasting, juicing, oxygen therapy, exercise, heat therapy, colon cleansing, kidney cleansing, liver cleansing, and herbal detoxification.

NAT735 Cleansing the Temple
Why detox?; A cause of disease; Elimination organs/channels; Levels of detoxification; Lymph system; Fasting/exercise; Detox side effects; Avoiding a healing crisis; Foods to assist/avoid; Heavy metals; Pathogens; Infrared sauna; Ionic foot baths; Coffee enemas.

NAT740 Anatomy
Illustrated with detailed colored drawings, this course is a road map to the human body. With descriptive text, this course will educate you about the position and basic functions of all the organs and systems of the body.

NAT750 Functional Anatomy
An advanced level of anatomy is presented with more detailed information of the organs and bodily systems. With 210 color illustrations depicting all organs and systems, this course covers basic principles with special emphases on function.

NAT755 Fearfully and Wonderfully Made – Anatomy and Physiology
Basic anatomy and physiology; Understanding the Pathology of sickness and disease, Common disease conditions (this course meets the requirements for certification with International Iridology Practitioner’s Association).

NAT760 Reflexology
Reflexology is a unique system of foot massage, which can treat and prevent a wide variety of ailments. This course covers the history of reflexology, interpreting the feet, basic techniques, the treatment sequence, and an understanding of the meridian system.

NAT770 Naturopathic Jurisprudence
This course covers the legal guidelines for unlicensed practitioners. Learn what your rights are, what the constitution has to say, and what to do if legal disputes arise. Some topics included are insurance, licensing verses certification, correct and incorrect usage of words, and legal consent and disclaimer forms.

NAT775 Establishing a Naturopathic Ministry
Starting a practice; Setting up a business; Operating as a ministry; Legalities; Ethics; Referrals; Evaluation forms; Assessments; Record keeping; Accounting and inventory; Taxes; Advertising; Vendors; Equipment; Business management, Practice management, Introduction to flower essences, Introduction to homeopathy, Introduction to essential oils, Conducting an evaluation, Disorders, Therapeutic Applications, Unusual conditions.

_____________________________

Chad Hayes who has studied the subject in some detail has published an excellent article about Biblical Naturopathy which is well-worth reading. Here are his conclusions:

So what is biblical naturopathic medicine? It’s untrained, unqualified, unlicensed practitioners that believe their religion makes them immune from government oversight. It’s people that think two individuals signing a contract to call something what it’s not prevents them from being subject to laws designed to keep people safe. It’s delusional people that don’t want to be held accountable for the things they do, doing things they shouldn’t. It’s people that are so arrogant to think that their holy book, written thousands of years before we discovered germ theory, during a time when seizures and schizophrenia were attributed to demonic possession, by authors that never intended for it to be used as a medical text, gives them superior knowledge to those of us who respect our patients enough to spend years actually studying medicine and who are willing to be held accountable for our actions. It’s biblical literalists that disingenuously omit the abortion potion recipe provided by the LORD in Numbers 52 from their biblical naturopathy curriculum, while voting for legislators who put the lives of their constituents at risk by criminalizing abortion and putting a bounty on the heads of pregnant people and the physicians that have devoted their careers to caring for them.

__________________________

In a nutshell:

Biblical Naturopathy is yet another SCAM that I recommend avoiding.

Why?

Because it is dangerous nonsense.

One of my previous posts was about a press release announcing a ‘WORLDWIDE DECLARATION’, and I promised to comment about the actual declaration. This post firstly reproduces this document and secondly provides a few comments on it. Here is the document:

DEFINITIONS

Traditional, complementary and integrative healthcare (TCIH) refers to the respectful collaboration between various systems of healthcare and their health professionals with the aim of offering a person-centred and holistic approach to health.

ABOUT US

We represent a worldwide community of users and health professionals of TCIH with a large diversity of backgrounds and experiences with a common commitment to the advancement and
promotion of TCIH.

THE HEALTHCARE WE DESIRE

• Focuses on the whole person, including physical, mental, social and spiritual dimensions
• Is patient-centred and supports self-healing and health creation
• Is participative and respects individual choices
• Is evidence-based by integrating clinical experience and patient values with the best available research information
• Respects cultural diversity and regional differences
• Is an integral part of community and planetary health
• Uses natural and sustainable resources that are respectful of the health of our planet
• Integrates traditional, complementary and biomedical practices in a supportive and collaborative manner

We appreciate the benefits of conventional / biomedicine. At the same time we recognize its limitations, including:

• The insufficient therapeutic options that biomedicine provides, especially for chronic / non-communicable diseases (NCDs)
• Frequent side effects of biomedical treatments and rising antimicrobial resistance
• Fragmentation of care from increased specialization and the limits of a disease-based model

We are inspired by countries that are successfully integrating TCIH into their healthcare systems. However, we are concerned about:

• Countries that prevent, limit or undervalue the practice of TCIH
• Uninformed or unbalanced media reporting of TCIH
• Insufficient public funding of TCIH research
• Risk of reduced availability of TCIH and unregulated practices in some countries

OUR CALL TO ACTION

All countries

• Ensure full access to TCIH as part of the right to health for all
• Include TCIH into national health systems
• Provide accreditation of TCIH healthcare professionals in accordance with international training standards to ensure high quality care
• Ensure access and safety of TCIH medicines through specific regulatory pathways
• Fund research on TCIH and disseminate reliable information on TCIH to the public

All healthcare professionals

• Foster respectful collaboration between all healthcare professions towards achieving a person-centred and holistic approach to healthcare

_____________________________

And here are my comments.

  • “TCIH”: in the realm of so-called alternative medicine it seems popular to create a new name for the subject at hand; this one is yet another one in a long line of innovations – sadly, it is as nonsensical as most of the previous ones.
  • Person-centred and holistic approach to health: all good healthcare has these qualities.
  • We represent a worldwide community: really? Who exactly are you then, and what is your ligitimization?
  • Whole person, including physical, mental, social and spiritual dimensions: all good healthcare has these qualities.
  • Patient-centred and supports self-healing and health creation: all good healthcare has these qualities.
  • Respects individual choices: all good healthcare has these qualities.
  • Evidence-based: either they do not know what this term means or they are deliberately misleading the public.
  • Integral part of community and planetary health: all good healthcare has these qualities.
  • Natural and sustainable resources that are respectful of the health of our planet: like Rhino horn and similar ingredients of TCM products?
  • Insufficient therapeutic options that biomedicine provides: yes, conventional medicine is far from perfect, but adding something even less perfect to it cannot improve it.
  • Frequent side effects of biomedical treatments and rising antimicrobial resistance: yes, conventional medicine is far from perfect, but adding something even less perfect to it cannot improve it.
  • Full access to TCIH as part of the right to health for all: the ‘right to health for all’ means the right to the most effective therapies not the right to the most bizarre quackery.
  • Accreditation of TCIH healthcare professionals: giving respectability to every quack would not render healthcare better or safer but worse and more dangerous.
  • Access and safety of TCIH medicines through specific regulatory pathways: regulating access to unproven treatments is nothing less than a recipe for disaster.
  • Research on TCIH: yes in some areas, research might be worthwhile, but it must be rigorously testing TCIH and not promoting it uncritically.
  • Disseminate reliable information on TCIH to the public: thank you! This is my main aim in writing the ~2500 posts on this blog. Yet I do often get the impression that this gets disappointingly little support – and frequently the exact opposite – from enthusiasts of TCIH.

I reported about the activities of Eurocam before (see here) and I was distinctly underwhelmed with this quackery lobby group. Now they have published a press release about a ‘worldwide declaration’ in favor of integrated medicine. Here is my translation of the press release (I will comment on the actual declaration at a later stage):

With a declaration, Eurocam and the European Federation of Homeopathic Patient’s Association, among others, call for an open scientific discourse, more research funds, and more promotion of young researchers in the field of integrative medicine. The declaration is supported by the German Central Association of Homeopathic Physicians and the Homeopathy Research Institute (HRI), among others. Integrative medicine combines conventional and complementary elements in health care for the benefit of patients. The goal is patient-centred and holistic health care. Already 130 organisations have committed themselves to these goals in the medical care of the population in the Declaration.

Integrative medicine integrates complementary and conventional methods

In addition, the Declaration advocates health care that takes the whole person into account in its psychological, mental, social and spiritual dimensions. Integrative medicine in the sense of the Declaration is patient-centred and supports the body’s own regulatory abilities. In addition, it is participatory and respects individual decisions with regard to medical care. It is committed to the evidence of medical procedures, which is based on experience, patient preferences and research findings. It incorporates cultural diversity and regional differences as well as the concepts of community health and planetary health. Integrative medicine uses natural and sustainable resources and integrates complementary and conventional medical procedures.

Integrative medicine: Opportunities especially for chronic diseases and side effects

The supporters of the Declaration see opportunities for integrative medicine above all in chronic and non-communicable diseases, as well as in the frequent side effects of conventional therapies and increasing antibiotic resistance. Conventional medicine is characterised by fragmentation and divisional thinking within medical care, as well as by the increasing specialisation of the health professions. The holistic view of the patient is thus left out. Against this backdrop, the Declaration advocates anchoring integrative medicine as a legal entitlement in health care and integrating it into national health care systems. International training standards should be adapted with integrative medicine in mind, and research projects should be promoted. At the same time, balanced and high-quality patient information is needed.

________________________________

This press release requires a few short comments, in my view:

  • “Integrative medicine combines conventional and complementary elements in health care for the benefit of patients.” Anyone who cares to research for longer than 10 minutes will find that very often the complementary elements are unproven and disproven treatments.
  • “The goal is patient-centred and holistic health care.” By integrating unproven and disproven treatments into routine care, medicine cannot become more patient-centred but must get less effective and more expensive.
  • “The Declaration advocates health care that takes the whole person into account in its psychological, mental, social and spiritual dimensions.” Any good healthcare aims at doing this.
  • “Individual decisions with regard to medical care” are respected in all forms of healthcare.
  • “Side effects of conventional therapies and increasing antibiotic resistance” are regrettable phenomena and much research is going on to minimize them. So-called alternative medicine (SCAM) has not yet been shown to offer a single solution to these problems.
  • “The holistic view of the patient is left out” in conventional medicine. One of the most popular fallacies with SCAM advocates is the strawman fallacy.

I find the text almost comical. It reveals thought processes that lack even the most fundamental rules of logic. One really does get the impression that it had been written by people who are deplorably naive, misinformed, and quite frankly stupid.

 

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