Pletscher A
Departement Forschung, Kantonsspital Basel-Stadt.
Schweiz Med Wochenschr. 1990 Apr 21;120(16):571-80.
For the success of both alternative and scientific (conventional) medicine, factors such as the psychological influence of the doctor, loving care, human affection, the patient's belief in the treatment, the suggestive power of attractive (even unproven) theories, dogmas and chance events (e.g. spontaneous remissions) etc. play a major role. Some practices of alternative medicine have a particularly strong appeal to the non-rational side of the human being. Conventional medicine includes a component which is based on scientific and statistical methods. The possibility that in alternative medicine principles and effects exist which are not (yet) known to scientific medicine, but which match up to scientific criteria, cannot be excluded. However, up to now this has not been convincingly proven. The difficulties which arise in the elucidation of this problem are discussed in the light of examples from the literature and some experiments of our own.
对于替代医学和科学(传统)医学的成功而言,诸如医生的心理影响、关爱、人情、患者对治疗的信念、有吸引力(甚至未经证实)的理论、教条及偶然事件(如自发缓解)的暗示力量等因素起着重要作用。替代医学的一些做法对人类的非理性层面具有特别强烈的吸引力。传统医学包含基于科学和统计方法的成分。不能排除在替代医学中存在尚未被科学医学所知但符合科学标准的原理和效果的可能性。然而,到目前为止,这一点尚未得到令人信服的证明。结合文献中的例子和我们自己的一些实验,讨论了阐明这一问题时出现的困难。