Define: Holistic
By: Dr. Suzanne LaCombe, December 1, 2007.
Define holistic approaches as those that address the core causes of a health problem rather than the symptoms alone. For example, I can take an aspirin for a headache which my doctor recommended. But why do I get headaches?
I discover that I have an allergy to dust mites. So I get rid of the dust mites. But why do I have an allergy to dust mites? A medical approach points a finger at my genetic heritage and that usually ends my health care for that problem.
However, if I really want to get rid of my allergy, I can opt for shots every week for a year. Progressively, the shots reduce my allergic response. In the end, I no longer have a reaction to dust mites.
A holistic practitioner takes a wider view. She suggests we build up my immunity and, after a very detailed history-taking, she recommends a homeopathic remedy. In the end and after several remedies over a period of a year, I no longer have a reaction to dust mites.
However, because my whole system is working better, I notice that I am sleeping better, I feel calmer, I'm less irritable and I can now eat wheat which I couldn't digest well before.
Define holistic approaches with improvements to your whole system
Holistic or holism1 refers to the fact that a system is more than a sum of its parts. In other words, the system as a whole determines how the parts behave.
i.e. 1 + 1 = 3
So, in the spirit of holism, define holistic health care approaches as those that address the emotional, physical, mental and spiritual2 dimensions which make up the total system of the individual. As such, the individual is best treated as a whole.
A disturbance at one level affects all levels.
The holistic approach is being supported by the growing mountain of research on the mind body connection for numerous health problems. For instance, a lack of social support is correlated with heart disease.3 Indeed, a lack of social support is actually tied with smoking as a risk factor.
Effect a change at one level, and you affect the whole:
"I worked through emotional roadblocks in my therapy; my activation came down; my asthma subsided; my thoughts became clearer and decisions easier; and, I became more aware of my spiritual core."
Contrast this with:
e.g. "I received an inhaler from my doctor for my asthma. I felt more secure in the knowledge that I could always rely on it."
The Medical Model
There's no doubt about it, advances in medical science and the eradication of deadly diseases have afforded us the lifestyle we enjoy today (e.g. without cholera, polio etc.). We depend on medical science for immediate relief.4
e.g. "I got an infection from harmful bacteria, and I received an antibiotic."
e.g. "I broke my arm, it was reset and I got a plaster cast."
The medical model is based on the following principles:
- Disease is the result of an underlying physical process. For example, the identification of a flu virus prompts many people to get flu shots each year. Methods for diagnosis include the testing and analysis of the blood, urine, stool and secretions (e.g. mucosal, pleural, synovial etc.).
- Health problems are treated using medications and surgical interventions. Less attention is paid to the differences in how they might originate (other than saying it was a virus, for instance). If one person is prone to allergies and another to asthma, it is attributed solely to differences in genetic coding, which of course play a role. (A holistic approach might conceptualize how one's experiences influence the way the gene is expressed.)
- Problems that are psychophysiological are treated in the same way as an infection, so the focus of treatment is on reducing the symptoms. In fact, reducing the symptoms is believed to "cure" the problem while ignoring what caused them to begin with.
e.g. "I developed digestive problems and my physician referred me to a surgeon. The surgeon indicated that if my current condition continued to deteriorate that I will need my gall bladder taken out. He suggested we "wait and see" and asked that I return in three months."
But a holistic approach to health care is proactive and starts longs before severe symptoms are evident:
e.g. "I noticed that I was burping long after I ate. I checked with my physician and she felt it might be a problem with my gall bladder. I went to my tradtional Chinese doctor and received acupucture and herbs."
On the other hand, the medical model is often the best solution for acute problems. If I start to have a heart attack for example, I want the medics standing by.
While there are no hard and fast rules, solutions to psychophysiological problems5 are often best approached holistically.
So, a medical model (allopathic) approach looks like this:
e.g. "I got some medication to treat my Irritable Bowel Syndrome."
e.g. "I received an anxiolytic for my anxiety."
This contrasts with a holistic approach which might recommend:
Chinese herbs, yoga and body psychotherapy.
Examples that Define Holistic Health Care:
- Acupuncture
- Reflexology
- Naturopathic Medicine
- QiGong
- Reiki
- Body Psychotherapy (and other therapies that include right brain processes)
How would the medical model work with holistic health care?
So for example, Jack is suffering from symptoms related to
hypertension. He might visit his doctor who diagnoses the problem and
prescribes medication. Jack begins taking the medication but he also
proactively seeks the advice of a qualified homeopath.
Based on his symptom presentation the homeopath recommends a remedy. At the same time, he starts body psychotherapy to root out emotional reasons for the lack of intimacy in his life.
In time, he is able to dispense with his medication as he no longer suffers from hypertension.
A word of caution
Never attempt to mix alternative methods with western medicine on your own. Combining some herbal remedies with pharmaceuticals can create disastrous results. Always seek the help of a qualified health care professional who understands what is contraindicated.
How do you tell whether to use an allopathic or holistic approach for resolving health problems?
I don't think there is any clearly defined answer to this question. I recommend finding the best physician and holistic practitioner you can find.
Many alternative methods are mainstreamed today (e.g. acupuncture, taking supplements) I think we will continue to see an integration of these methods in the future.
What's important is to recognize the strengths of each and to explore how they can be used in tandem.
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Related Topics
The Medical Model and Psychotherapy
Notes
1Holism was first coined 1926 by Jan Christiaan Smuts, a South African military leader, statesman and author of Holism and Evolution, who was also a naturalist and a philosopher. The actual practice of holism dates back to the time of Aristotle (384-322 BC): "The whole is more than the sum of its parts."
2This is reflected by what is inside of us and although often related, is not meant in the religious sense.
3See Falk et al. below.
4This isn't to say holistic remedies cannot provide immediate relief. I depend on my homeopathic tincture for fast relief from sneezing attacks. It's just that a holistic approach generally is not considered a "quick fix". This is how I personally define holistic.
5This often includes problems associated with immune functioning. Psychoneuroimmunology or the study of the brain and immune functioning is an interdisciplinary study that includes immunology, neurology, endocrinology, psychiatry, neurochemistry, neuropharmacology, neurobiology, neuroanatomy.
References
Falk A, Hanson BS, Isacsson S-O, Ostergren P-O. 1992. Job strain and mortality in elderly men: Social network, support, and influence as buffers. Am J Public Health 82:1136-39.
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