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Last week I wrote about the theory of homeopathy. Homeopathy is the practice of prescribing specially prepared homeopathic remedies made from extremely dilute natural substances. In many cases, a remedy is used to treat the symptoms that a larger dose of the same substance would cause. For instance, chopping onions may cause redness, burning and tearing of the eyes, and a runny nose. A homeopathic preparation of onion (Allium cepa) is used to treat these conditions, such as when they occur due to a cold or allergies.
Today I want to clarify some points and explore homeopathy’s conundrum. First, since people sometimes confuse the terms, homeopathic is different than holistic, which refers to any treatment that aims to consider and support the whole individual. Acupuncture and naturopathic medicine are examples of holistic systems, though most acupuncturists don’t practice homeopathy, and homeopathy is usually a relatively small fraction of what most naturopathic physicians do.
Second, most of the scientific community believes homeopathy is pseudoscience and no more effective than a placebo. Indeed, there are numerous studies that invalidate homeopathy. Advocates of homeopathy point out that the unfavorable studies involve giving subjects a homeopathic remedy matched to a particular symptom or medical condition without utilizing the specificity that’s essential in effective homeopathic diagnosis. Homeopaths contend that when a remedy is matched not only to the dominant symptoms, but the whole picture of the individual, the rate of success is much higher.
As I said in the last article, I’ve witnessed many cases in which homeopathy did nothing useful – though at least it was entirely harmless and without side effects – and I have also witnessed cases in which it was remarkably effective. Could it have been a placebo effect? Sure. But if it was “merely” a placebo effect, it was a profound placebo effect: a perfect medicine that was entirely beneficial, painless to administer, palatable, with zero downside. One should be asking, “How can we reproduce this?”
Homeopathy is vastly popular around the world. Its use is especially prevalent in France, Italy, India, Switzerland, Mexico, Germany, England, and the U.S. 29% of the EU population uses homeopathy on a daily basis. About half of Germans have used homeopathic medicines and about 70% say they are satisfied with its effects.1 History shows us that sheer number of adherents doesn’t make something correct or morally right, but we’re smarter than ever and have more options.
So, what’s going on here? Why do so many people use it if it’s a sham? Well, there are two possibilities. 1) The thousands of practitioners and roughly 200 million people who use homeopathy on a regular basis are fooling themselves. They think homeopathy is useful but it’s just a placebo and/or wishful thinking. Or 2) There is actual benefit to homeopathy which can’t be substantiated by current science and is not accurately reflected by the research.
Trust me, as a scientist, it’s hard to understand its validity, but I also know what I’ve seen. Are there other systems of medicine with higher rates of success? Probably. To be frank, it is not my go-to modality except for a small number of conditions for which I consistently get good results with homeopathic remedies. However, I’m a mediocre homeopath and I have more training and skill in other forms of medicine.
But when it works, it works. And I have seen cases where several medicines were tried but only the homeopathic one succeeded, including numerous instances in which the patient was highly skeptical of homeopathy. If it were a placebo effect, why would the other medicines not have produced a benefit equal to that of homeopathy? Why would a skeptical patient have a placebo effect when the basis for a placebo response is an expectation of benefit? Should science have the ability to invalidate someone’s subjective experience of benefit?
I don’t have the answers to these questions. I know some incredibly intelligent doctors who practice homeopathy, and I have seen it and them derided by the medical mainstream. Skeptics’ concern, they say, is that people might not get effective medical help because they’re using homeopathics instead. I agree that if someone isn’t getting a benefit from a chosen medical modality, it might be useful to consider other options. I also believe it’s everyone’s right to manage their health in whatever way they wish – even if it hastens their demise. For perspective, it’s important to note that, according to a recent Johns Hopkins study, 250,000 Americans die each year due to medical errors, making mainstream medicine the third leading cause of death after heart disease and cancer. I have seen people killed by mainstream medical treatments. A modality’s safety is no small thing.
While there are plenty of people who are averse to biomedicine, we tend to treat the mainstream with a greater degree of respect than is extended to alternative fields. For instance, when we hear that a particular drug or procedure doesn’t work, most people conclude that this particular intervention wasn’t effective. We don’t say, “Well, biomedicine doesn’t work.” In contrast, when an alternative medicine fails to benefit a certain condition, a common conclusion is that the entire modality is worthless. I can’t tell you how many times I’ve seen an author cite a single failed acupuncture study as proof that acupuncture is bunk. It’s an unfortunate reflection of the tendency for the mainstream to squash its rivals, even when they don’t truly threaten it.
It's important, therefore, that we all keep our eyes wide open and practice critical thinking (and not just when it comes to medicine). Be your own advocate, trust your intuition, listen to your body, and don’t assume that just because someone has a degree they know what’s right for you.
Be well,
Dr. Peter Borten
- https://www.hri-research.org/resources/essentialevidence/use-of-homeopathy-across-the-world/ ; https://en.wikipedia.org/wiki/Regulation_and_prevalence_of_homeopathy ; https://homeopathyeurope.org/
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During a particularly hard break-up in my 20s, a friend advised me, “The more present you are during this process, the bigger the present you’ll get out of it.” And though I barely understood what that meant, I gave it a try and an odd thing happened. I saw that I was choosing the big, dramatic grieving process I was going through. And that meant it was optional.
In The Art of Presence, Eckhart Tolle says, “Through thought you cannot possibly grasp what presence is.” But he gives some clues to point us in the right direction. He says it’s there, “when you’re not thinking about the last moment, or looking to the next one.” And he uses phrases like “a state of relaxed alertness” and “a spacious stillness,” to describe it.
Thich Nhat Hanh said, “The most precious gift we can offer others is our presence.”
Our presence is tremendously rare and hugely valuable. Especially in this age of epidemic distraction, it’s increasingly difficult and uncommon to choose a voluntary time-out from technology, data, and our own mental analysis. But unlike the artificial value of a coin that accidentally got stamped with a head on both sides, our presence can do for us what nothing else can. And we can make it more abundant by simply choosing it.
Although it may not put food in our belly, most other problems disappear with presence. The need to fix or relive the past disappears. The need to avoid certain unwanted events in the future disappears. Even if we're working on something now that will benefit us in the future, with our presence, we work on it now in order to work on it now. And that’s enough.
The allure of distraction, which so often threatens our presence, dissolves when we practice being present. Do you know the word obviate? I like to write using words that almost everyone understands, but there’s only one word I can think of that means “to make unnecessary,” and that word is obviate. Learning to deepen our presence obviates the urge for distraction and mental departure from our current reality.
With presence, we perceive all kinds of intelligence and detail that we’re otherwise deaf and blind to. We know when to eat and when to stop eating. We know how to move our body in a way that doesn’t cause pain or injury. Our work becomes more interesting. Our relationships become healthier. We listen better and we feel heard.
With two kids, my presence is requested almost incessantly. I hear the word Papa at least 100 times a day. Often, I hear it ten or more times in quick succession. We all yearn for someone’s total presence with us. These are the moments of connection between what is the same in both of us. Presence uncovers what’s real in this moment. And that’s refreshing, exciting, and affirming.
When we’re all so busy that we see time as a commodity, it can seem that giving our presence to someone else is like giving away our treasure. But are we actually giving something away?
Of course not. When we “give” our presence we gain the present. To withhold our presence means both we and the other person miss out.
So, how can you learn to be more present? It takes practice. If you’re new to this, I don’t recommend making a goal like, “I’m going to be more present from now on.” I don’t want to discourage you, I just want you to be realistic about what you’re up against – a lifetime of habits and a sea of tantalizing distractions.
Try something a bit less ambitious, such as this: Once a day, as you begin some activity – whether it’s buying groceries, playing Candyland, eating a meal, and listening to a friend’s problems – select this activity as an exercise in presence. In your mind, identify what exactly you’re doing – “I’m vacuuming the floor” – and devote yourself to that. Don’t run away in the middle of the activity. This means don’t pick up your phone, don’t depart in your mind to explore other thoughts and ideas, don’t visit the past, don’t anticipate what’s next, don’t judge. Just dwell in the present. Be saturated by the present. Feel everything. Accept everything. And let each next moment come.
Over time, quicker than you might think, you’ll start regaining your attention. You’ll be able to focus on something for more than five seconds. You’ll begin to yearn for this, which will make your practice much easier. And as you start willingly selecting more and more moments to be completely present, you’ll experience an unending offering of presents.
Be well,
Dr. Peter Borten
[post_title] => A Free Pile of Presents Just for You
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After two years of studying plant and soil sciences, my favorite professor, Dr. Barker, offered me a job on the University of Massachusetts farm. Whereas my previous jobs had been things like bagging groceries and washing dishes, this was the first time I was getting paid to do something I was interested in, and under the supervision of someone I looked up to.
I was nervous when I showed up at Bowditch Hall on my first day. Dr. Barker, a white-haired man with a country drawl, introduced me to his assistant, Kathy. Then he handed me the keys to a faded old, blue truck and asked me, “Ever driven a three-on-the-tree?” I had never driven any kind of truck before, much less one with the gearshift on the steering column, but I learned quickly as I drove the three of us – with lots of jerking and stalling – out to the farm.
Standing at the edge of a freshly plowed field, Dr. Barker explained that we were going to use stakes and twine to mark out rows for planting seeds. Kathy and I got to work while he watched. The only trouble was, while I had stakes, a mallet, and a ball of twine, I didn’t have anything to cut the twine with. I thought maybe I had spaced out when someone explained where to find a knife or scissors. Or maybe the professor had told me to bring my own knife and I had forgotten. I was too uncomfortable to say anything.
Wondering if there was some way I could proceed with my task without a cutting tool, I pounded the first stake into the ground. I tied one end of the twine around it, walked the length of the field, pounded in another stake, wrapped the twine around that stake, pulled it taut, and then I just squatted there for a few moments. I considered trying to gnaw through it with my teeth, but dismissed the idea as totally unprofessional. Finally, at the risk of appearing unprepared, I called out to Kathy, who was a dozen paces away, “Do you have a knife?”
“Huh?” she turned around and squinted at me in the bright sun. “Oh.” She ambled over, fished around in her pocket, and passed me a pink disposable lighter.
I interpreted this unexpected response to mean, “I don’t have a knife, but I can see what you need there. You’re going to have to burn through the twine with this. At the ends of every row.” She gave me the lighter in such a matter-of-fact way that I thought it would be too weird to ask for a different explanation.
So, feeling like I didn’t have enough hands, I held the twine straight out from the stake, positioned the flame beneath it, and tried to shield it from the wind with my leg. It blew out a couple times, but I eventually managed to burn through it. Meanwhile Dr. Barker had wandered over to observe me and remarked, “That is the strangest way of doing that I have ever seen.”
“Um. I didn’t have a knife,” I said sheepishly.
“Well, I’ve got a knife you can use.”
“Me too,” offered Kathy.
And that’s how, on the first day of my first important job, I believed I must have convinced my boss that I was an absolute idiot. By the way, if you’re wondering why Kathy handed me that lighter, these were the days when smoking was still quite common. She was a smoker and must have thought I said, “Do you have a light?”
The whole thing turned out to be a good lesson for me. By avoiding an uncomfortable conversation, I ended up in even more discomfort.
I resolved to speak up and break through the tension of misunderstanding in the future. I can’t say I’ve always done this, because it takes bravery, and sometimes I chose to stay in my (dis-)comfort zone. But I can say that I’ve never regretted it. Usually there’s an immediate diffusion of tension, and even when there isn’t, at least the truth is out and there’s an opening for resolution. This is especially true when we bring an attitude of curiosity and aim to understand the other person.
Is there anywhere in your life where you’ve left something unsaid because of your resistance to the discomfort of speaking those words and the feelings that may follow? I want to challenge you to make a communication this week that takes you a bit outside your comfort zone. Even if you have to say, “I’m really nervous about saying this” or you have to hold a friend’s hand while doing it, it’s worth it.
Be well,
Peter
[post_title] => Uncomfortable Conversations: Diffuse the Discomfort by Speaking Up
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Last week I wrote about the theory of homeopathy. Homeopathy is the practice of prescribing specially prepared homeopathic remedies made from extremely dilute natural substances. In many cases, a remedy is used to treat the symptoms that a larger dose of the same substance would cause. For instance, chopping onions may cause redness, burning and tearing of the eyes, and a runny nose. A homeopathic preparation of onion (Allium cepa) is used to treat these conditions, such as when they occur due to a cold or allergies.
Today I want to clarify some points and explore homeopathy’s conundrum. First, since people sometimes confuse the terms, homeopathic is different than holistic, which refers to any treatment that aims to consider and support the whole individual. Acupuncture and naturopathic medicine are examples of holistic systems, though most acupuncturists don’t practice homeopathy, and homeopathy is usually a relatively small fraction of what most naturopathic physicians do.
Second, most of the scientific community believes homeopathy is pseudoscience and no more effective than a placebo. Indeed, there are numerous studies that invalidate homeopathy. Advocates of homeopathy point out that the unfavorable studies involve giving subjects a homeopathic remedy matched to a particular symptom or medical condition without utilizing the specificity that’s essential in effective homeopathic diagnosis. Homeopaths contend that when a remedy is matched not only to the dominant symptoms, but the whole picture of the individual, the rate of success is much higher.
As I said in the last article, I’ve witnessed many cases in which homeopathy did nothing useful – though at least it was entirely harmless and without side effects – and I have also witnessed cases in which it was remarkably effective. Could it have been a placebo effect? Sure. But if it was “merely” a placebo effect, it was a profound placebo effect: a perfect medicine that was entirely beneficial, painless to administer, palatable, with zero downside. One should be asking, “How can we reproduce this?”
Homeopathy is vastly popular around the world. Its use is especially prevalent in France, Italy, India, Switzerland, Mexico, Germany, England, and the U.S. 29% of the EU population uses homeopathy on a daily basis. About half of Germans have used homeopathic medicines and about 70% say they are satisfied with its effects.1 History shows us that sheer number of adherents doesn’t make something correct or morally right, but we’re smarter than ever and have more options.
So, what’s going on here? Why do so many people use it if it’s a sham? Well, there are two possibilities. 1) The thousands of practitioners and roughly 200 million people who use homeopathy on a regular basis are fooling themselves. They think homeopathy is useful but it’s just a placebo and/or wishful thinking. Or 2) There is actual benefit to homeopathy which can’t be substantiated by current science and is not accurately reflected by the research.
Trust me, as a scientist, it’s hard to understand its validity, but I also know what I’ve seen. Are there other systems of medicine with higher rates of success? Probably. To be frank, it is not my go-to modality except for a small number of conditions for which I consistently get good results with homeopathic remedies. However, I’m a mediocre homeopath and I have more training and skill in other forms of medicine.
But when it works, it works. And I have seen cases where several medicines were tried but only the homeopathic one succeeded, including numerous instances in which the patient was highly skeptical of homeopathy. If it were a placebo effect, why would the other medicines not have produced a benefit equal to that of homeopathy? Why would a skeptical patient have a placebo effect when the basis for a placebo response is an expectation of benefit? Should science have the ability to invalidate someone’s subjective experience of benefit?
I don’t have the answers to these questions. I know some incredibly intelligent doctors who practice homeopathy, and I have seen it and them derided by the medical mainstream. Skeptics’ concern, they say, is that people might not get effective medical help because they’re using homeopathics instead. I agree that if someone isn’t getting a benefit from a chosen medical modality, it might be useful to consider other options. I also believe it’s everyone’s right to manage their health in whatever way they wish – even if it hastens their demise. For perspective, it’s important to note that, according to a recent Johns Hopkins study, 250,000 Americans die each year due to medical errors, making mainstream medicine the third leading cause of death after heart disease and cancer. I have seen people killed by mainstream medical treatments. A modality’s safety is no small thing.
While there are plenty of people who are averse to biomedicine, we tend to treat the mainstream with a greater degree of respect than is extended to alternative fields. For instance, when we hear that a particular drug or procedure doesn’t work, most people conclude that this particular intervention wasn’t effective. We don’t say, “Well, biomedicine doesn’t work.” In contrast, when an alternative medicine fails to benefit a certain condition, a common conclusion is that the entire modality is worthless. I can’t tell you how many times I’ve seen an author cite a single failed acupuncture study as proof that acupuncture is bunk. It’s an unfortunate reflection of the tendency for the mainstream to squash its rivals, even when they don’t truly threaten it.
It's important, therefore, that we all keep our eyes wide open and practice critical thinking (and not just when it comes to medicine). Be your own advocate, trust your intuition, listen to your body, and don’t assume that just because someone has a degree they know what’s right for you.
Be well,
Dr. Peter Borten
- https://www.hri-research.org/resources/essentialevidence/use-of-homeopathy-across-the-world/ ; https://en.wikipedia.org/wiki/Regulation_and_prevalence_of_homeopathy ; https://homeopathyeurope.org/
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