التفاصيل البيبلوغرافية
| العنوان: |
The converging paradigms of holism and complexity: An exploration of naturopathic clinical case management using complexity science principles. |
| المؤلفون: |
Graham, Kim D., Steel, Amie, Wardle, Jon |
| المصدر: |
Journal of Evaluation in Clinical Practice; Jun2023, Vol. 29 Issue 4, p662-681, 20p, 1 Color Photograph, 12 Charts, 3 Graphs |
| مصطلحات موضوعية: |
NATUROPATHY, PATHOGENESIS, AFFECT (Psychology), CONCEPT mapping, INFLAMMATION, BRAIN mapping, DIET, IMMUNE system, NUTRITIONAL requirements, HOLISTIC medicine, PARADIGMS (Social sciences), SYSTEM analysis, INTESTINAL diseases, RESEARCH funding, MEDICAL case management, FATIGUE (Physiology), ANXIETY, PSYCHOLOGICAL stress, ALGORITHMS, SYMPTOMS |
| مصطلحات جغرافية: |
AUSTRALIA |
| مستخلص: |
Rationale: Traditional whole systems of medicine, such as naturopathy, are founded upon holism; a philosophical paradigm consistent with contemporary complexity science. Naturopathic case management is predicated upon the understanding of an intimately interconnected internal physiological and external context of the human organism—potentially indicating a worldview aligned with a complexity perspective. In this study we investigate naturopathic clinical reasoning using a complexity lens with the aim of ascertaining the extent of correspondence between the two. Method: Mind maps depicting case presentations were sought from Australian degree qualified naturopaths. A network mapping was undertaken, which was then analysed in accordance with a complexity science framework using exploratory data analysis and network analysis processes and tools. Results: Naturopathic case schematics, in the form of mind maps (n = 70), were collected, network mapped, and analysed. A total of 739 unique elements and 2724 links were identified across the network. Integral elements across the network were: stress, fatigue, general anxiety, systemic inflammation, gut dysbiosis, and diet. A modularity algorithm detected 11 communities, the primary ones of these representing the nervous system and mood; the gastrointestinal tract, liver, and nutrition; immune function and the immune system; and diet and nutrients. Conclusions: Naturopathic case management is holistic and based on a perspective of an integrated physiology and external context of the human organism. The traditional concept of holism, when subjected to a complexity lens, leads to the emergence of a contemporary holistic paradigm cognisant of the human organism being a complex system. The application of complexity science to investigate naturopathic case management as employed in this study, demonstrates that it is possible to investigate traditional philosophies and principles in a scientific and critical manner. A complexity science research approach may offer a suitable scientific paradigm to develop our understanding of traditional whole systems of medicine. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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