[Omeo33] Art 1046 - eCAM, 2009, doi: 10.1093/ecam/nep153
Massimo Saruggia
msarugg a tin.it
Mer 14 Ott 2009 17:46:01 CEST
Lo voglio
Massimo
Inviato da iPhone
Il giorno 14/ott/2009, alle ore 17.36, Gino Santini
<g.santini a ismo.it> ha scritto:
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> SIOMI / Redazione di Omeopatia33
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> The Use of Intuition in Homeopathic Clinical Decision Making: An
> Interpretative Phenomenological Study
> Sarah Brien, Bridget Dibb and Alex Burch
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> While intuition plays a role in clinical decision making within
> conventional medicine, little is understood about its use in
> complementary and alternative medicine (CAM). The aim of this
> qualitative study was to investigate intuition from the perspective
> of homeopathic practitioners; its’ manifestation, how it was recogni
> zed, its origins and when it was used within daily clinical practice
> . Semi-structured interviews were carried out with clinically experi
> enced non-National Health Service (NHS) UK homeopathic practitioners
> . Interpretative phenomenological analysis was used to analyze the d
> ata. Homeopaths reported many similarities with conventional medical
> practitioner regarding the nature, perceived origin and manifestati
> on of their intuitions in clinical practice. Intuition was used in t
> wo key aspects of the consultation: (i) to enhance the practitioner–
> patient relationship, these were generally trusted; and (ii) intuiti
> ons relating to the prescribing decision. Homeopaths were cautious a
> bout these latter intuitions, testing any intuitive thoughts through
> deductive reasoning before accepting them. Their reluctance is not
> surprising given the consequences for patient care, but we propose t
> his also reflects homeopaths’ sensitivity to the academic and medica
> l mistrust of both homeopathy and intuition. This study is the first
> to explore the use of intuition in decision making in any form of c
> omplementary medicine. The similarities with conventional practition
> ers may provide confidence in validating intuition as a legitimate p
> art of the decision making process for these specific practitioners.
> Further work is needed to elucidate if these findings reflect intui
> tive use in clinical practice of other CAM practitioners in both pri
> vate and NHS (i.e. time limited) settings.
>
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