Naturopathy

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Naturopathy
pharmaceutical drugs, surgery, and other treatments within evidence-based medicine, not seen as "natural"), comprising widely ranging "nature cures" and any form of alternative medicine that may be labelled as "natural"
Related fieldsAlternative medicine
Original proponentsBenedict Lust; Sebastian Kneipp
MeSHD009324
See alsoHumorism, heroic medicine, vitalism
This article is part of a series on
Alternative medicine
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Conspiracy theories
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Diagnoses

Naturopathy, or naturopathic medicine, is a form of

folk medicine rather than evidence-based medicine, although practitioners may use techniques supported by evidence.[5][6][7] The ethics of naturopathy have been called into question by medical professionals and its practice has been characterized as quackery.[8][9][10][11][12]

Naturopathic practitioners commonly encourage alternative treatments that are rejected by conventional medicine, including resistance to

vaccines for some patients.[13][14][15][16] The diagnoses made by naturopaths often have no basis in science and are often not accepted by mainstream medicine.[8][17]

Naturopaths frequently campaign for legal recognition in the United States. Naturopathy is prohibited in three

U.S. states
(Florida, South Carolina, and Tennessee) and tightly regulated in many others. Some states, however, allow naturopaths to perform minor surgery or even prescribe drugs. While some schools exist for naturopaths, and some jurisdictions allow such practitioners to call themselves doctors, the lack of accreditation, scientific medical training, and quantifiable positive results means they lack the competency of true medical doctors.

History

The term "naturopathy" originates from "natura" (Latin root for birth) and "pathos" (the Greek root for suffering) to suggest "natural healing".[18] Naturopaths claim the ancient Greek "Father of Medicine", Hippocrates, as the first advocate of naturopathic medicine, before the term existed.[18][19] Naturopathy has its roots in the 19th-century Natural Cure movement of Europe.[20][21] In Scotland, Thomas Allinson started advocating his "Hygienic Medicine" in the 1880s, promoting a natural diet and exercise with avoidance of tobacco and overwork.[22][23]

The term naturopathy was coined in 1895 by John Scheel,

hydrotherapy and other natural health practices in Germany by Father Sebastian Kneipp; Kneipp sent Lust to the United States to spread his drugless methods.[26] Lust defined naturopathy as a broad discipline rather than a particular method, and included such techniques as hydrotherapy, herbal medicine, and homeopathy, as well as eliminating overeating, tea, coffee, and alcohol.[1] He described the body in spiritual and vitalistic terms with "absolute reliance upon the cosmic forces of man's nature".[27] According to the Merriam-Webster Dictionary, the first known use of "naturopathy" in print is from 1901.[28]

From 1901, Lust founded the American School of Naturopathy in New York. In 1902, the original North American Kneipp Societies were discontinued and renamed "Naturopathic Societies". In September 1919, the Naturopathic Society of America was dissolved and Benedict Lust founded the American Naturopathic Association to supplant it.[25][29] Naturopaths became licensed under naturopathic or drugless practitioner laws in 25 states in the first three decades of the twentieth century.[25] Naturopathy was adopted by many chiropractors, and several schools offered both Doctor of Naturopathy (ND) and Doctor of Chiropractic (DC) degrees.[25] Estimates of the number of naturopathic schools active in the United States during this period vary from about one to two dozen.[11][24][25]

After a period of rapid growth, naturopathy went into decline for several decades after the 1930s. In 1910, the

United States Department of Health, Education, and Welfare issued a report on naturopathy concluding that naturopathy was not grounded in medical science and that naturopathic education was inadequate to prepare graduates to make appropriate diagnosis and provide treatment; the report recommends against expanding Medicare coverage to include naturopathic treatments.[11][30] In 1977 an Australian committee of inquiry reached similar conclusions; it did not recommend licensure for naturopaths.[31]

Beginning in the 1970s, there was a revival of interest in the United States and Canada, in conjunction with the "holistic health" movement.[25][1] As of 2009, fifteen U.S. states, Puerto Rico, the US Virgin Islands and the District of Columbia licensed naturopathic doctors,[32] and the State of Washington requires insurance companies to offer reimbursement for services provided by naturopathic physicians.[33][34] On the other hand, some states such as South Carolina and Tennessee prohibit the practice of naturopathy.[35][36][37]

In the United States, the Indian Health Service began accepting naturopathic doctors in their clinics and practice in 2013, also making loan repayment available to ND's.[38]

In 2015, a former naturopathic doctor,

skeptics while enraging some proponents of alternative medicine.[41]

  • Sebastian Kneipp c. 1898, a Bavarian priest and forefather of naturopathy[26]
    Sebastian Kneipp c. 1898, a Bavarian priest and forefather of naturopathy[26]
  • Benedict Lust c. 1902, the founder of naturopathy in the U.S.[25]
    Benedict Lust c. 1902, the founder of naturopathy in the U.S.[25]
  • Britt Marie Hermes c. 2016, a former naturopathic doctor and major critic of naturopathic medicine[40]
    Britt Marie Hermes c. 2016, a former naturopathic doctor and major critic of naturopathic medicine[40]

Practice

A patient undergoing a hydrotherapy session
A nutritional supplement of Chromium(III) picolinate, Chromax II
Homeopathic preparations are commonly used by naturopaths.[42][43] The practice is considered a pseudoscience.[44]

In 2003, a report[45] was presented by Kimball C. Atwood, an American medical doctor and researcher from Newton, Massachusetts, best known as a critic of naturopathic medicine, stating among other criticisms that "The practice of naturopathy is based on a belief in the body's ability to heal itself through a special vital energy or force guiding bodily processes internally".[8]

Diagnosis and treatment concern primarily

holistic approach, avoiding the use of surgery and conventional medicines.[11] Naturopaths aim to prevent illness through stress reduction and changes to diet and lifestyle, often rejecting the methods of evidence-based medicine.[5][48]

A consultation typically begins with a comprehensive patient interview assessing lifestyle, medical history, emotional tone, and physical features, as well as physical examination.[1] Many naturopaths present themselves as primary care providers, and some naturopathic physicians may prescribe drugs, perform minor surgery, and integrate other conventional medical approaches such as diet and lifestyle counselling with their naturopathic practice.[1][49] Traditional naturopaths deal exclusively with lifestyle changes, not diagnosing or treating disease. Naturopaths do not generally recommend vaccines and antibiotics, based in part on the early views that shaped the profession, and they may provide alternative remedies even in cases where evidence-based medicine has been shown effective.[10]

Methods

Naturopaths are often opposed to mainstream medicine and take an

antivaccinationist stance.[10]

The particular modalities used by a naturopath vary with training and scope of practice. These may include

exercise, and hydrotherapy. Psychological counseling includes meditation, relaxation, and other methods of stress management.[51]

A 2004 survey determined the most commonly prescribed naturopathic therapeutics in Washington state and Connecticut were botanical medicines, vitamins, minerals, homeopathy, and allergy treatments.[42] An examination published in 2011 of naturopathic clinic websites in Alberta and British Columbia found that the most commonly advertised therapies were homeopathy, botanical medicine, nutrition, acupuncture, lifestyle counseling, and detoxification.[43]

In 2020, a survey of methods used by naturopaths in fourteen countries reported that 27% of clients received acupuncture, 22% homeopathy, 16% "other energetic medicines", and 13.5% were given hydrotherapy. A mean of 4.0 "treatments" were provided to each customer. One-third (33%) of patients consulted with only the naturopath to manage their primary health concern.[52]

Evidence basis

See also: Evidence-based medicine
Equipment for administering large enemas: a bag and a bucket, each holding a gallon. Enemas and colonic irrigation are commonly used by naturopaths for a wide range of medical conditions,[43] for which there are no known health benefits.[53]
A rectal bulb syringe for injecting a small enema
FDA, "Ozone is a toxic gas with no known useful medical application in specific, adjunctive, or preventive therapy."[54]

Naturopathy as a whole lacks an adequate scientific basis,

biochemical pathways, while clinical trials demonstrate poor bioavailability.[57] According to the American Cancer Society, "scientific evidence does not support claims that naturopathic medicine can cure cancer or any other disease".[11] According to Britt Hermes, naturopath student programs are problematic because "As a naturopath [student], you are making justifications to make the rules and to fudge the standards of how to interpret research all along the way. Because if you don't, you're not left with anything, basically".[58]

In 2015, the

Australian Government's Department of Health published the results of a review of alternative therapies that sought to determine if any were suitable for being covered by health insurance; Naturopathy was one of 17 therapies evaluated for which no clear evidence of effectiveness was found.[59]

Kimball C. Atwood IV writes, in the journal Medscape General Medicine,[8]

Naturopathic physicians now claim to be primary care physicians proficient in the practice of both "conventional" and "natural" medicine. Their training, however, amounts to a small fraction of that of medical doctors who practice primary care. An examination of their literature, moreover, reveals that it is replete with pseudoscientific, ineffective, unethical, and potentially dangerous practices.

In another article, Atwood writes that "Physicians who consider naturopaths to be their colleagues thus find themselves in opposition to one of the fundamental ethical precepts of modern medicine. If naturopaths are not to be judged "nonscientific practitioners", the term has no useful meaning".[12]

A former licensed naturopathic doctor, Britt Marie Hermes, states that "any product that is sold by a naturopath almost guarantees that there is no reliable scientific data to support whatever health claims are made,[60] and that while some naturopaths claim to only practice evidence based medicine, "the problem is, all naturopaths in an accredited naturopathic program are required to extensively study homeopathy, herbal medicine, energy healing, chiropractic techniques, water therapy" and other pseudoscientific practices.[58] Hermes further notes that, while some naturopaths claim that their method can be effective treatments for psychological disorders, "no naturopathic treatment has been clinically proven to be safe and effective for bipolar disorder or any other condition."[61]

According to Arnold S. Relman, the Textbook of Natural Medicine is inadequate as a teaching tool, as it omits to mention or treat in detail many common ailments, improperly emphasizes treatments "not likely to be effective" over those that are, and promotes unproven herbal remedies at the expense of pharmaceuticals. He concludes that "the risks to many sick patients seeking care from the average naturopathic practitioner would far outweigh any possible benefits".[62]

The Massachusetts Medical Society states, "Naturopathic practices are unchanged by research and remain a large assortment of erroneous and potentially dangerous claims mixed with a sprinkling of non-controversial dietary and lifestyle advice."[63]

Safety of natural treatments

Naturopaths often recommend exposure to naturally occurring substances, such as

herbs and certain foods, as well as activities they describe as natural, such as exercise, meditation and relaxation. Naturopaths claim that these natural treatments help restore the body's innate ability to heal itself without the adverse effects of conventional medicine. However, "natural" methods and chemicals are not necessarily safer or more effective than "artificial" or "synthetic" ones, and any treatment capable of eliciting an effect may also have deleterious side effects.[11][26][64][65]

Certain naturopathic treatments offered by naturopaths, such as

QuackWatch and the National Council Against Health Fraud has stated that naturopathy is "simplistic and that its practices are riddled with quackery".[26][69] "Non-scientific health care practitioners, including naturopaths, use unscientific methods and deception on a public who, lacking in-depth health care knowledge, must rely upon the assurance of providers. Quackery not only harms people, it undermines the ability to conduct scientific research and should be opposed by scientists", says William T. Jarvis.[70] In the 2018 Australian case against Marlyin Bodnar, who advised a mother to treat her infant son's eczema with a raw food diet which nearly led to the child's starvation death, Judge Peter Berman said, "Well intentioned but seriously misguided advice is, as the facts of this case demonstrate, capable of causing great harm and even death to vulnerable children."[71] Furthermore, Britt Hermes criticizes the "pervasive culture of patient blaming" among naturopathic practitioners, where "when something doesn't work for the patient and the patient is not experiencing all of the positive effects and zero side-effects that are promised with the therapy, it's never because the therapy doesn't work, it's because the patient didn't do something right."[58]

Vaccination

See also: Vaccine hesitancy
Cases of measles from 1938 to 1963 followed a highly variable epidemic pattern, with 150,000–850,000 cases reported per year. A sharp decline followed after the introduction of the first measles vaccine in 1963, with fewer than 25,000 cases reported in 1968. Outbreaks around 1971 and 1977 gave 75,000 and 57,000 cases, respectively. Cases were stable at a few thousand per year until an outbreak of 28,000 in 1990. Cases declined from a few hundred per year in the early 1990s to a few dozen in the 2000s.
Measles cases reported in the United States fell dramatically after the introduction of the measles vaccine.

Many naturopathy practitioners voice their opposition to vaccination. The reasons for this opposition are based, in part, on the early views which shaped the foundation of this occupation.[72] A naturopathy textbook, co-authored by Joseph Pizzorno, recalls anti-vaccine beliefs associated with the founding of naturopathy in the United States: "a return to nature in regulating the diet, breathing, exercising, bathing and the employment of various forces" in lieu of the smallpox vaccine.[73]

In general, evidence about associations between naturopathy and pediatric vaccination is sparse, but "published reports suggest that only a minority of naturopathic physicians actively support full vaccination".[74][75] In Washington state from 2000 to 2003, children were significantly less likely to receive immunizations if they had seen a naturopath.[74] A survey of naturopathic students published in 2004 found that students at the Canadian College of Naturopathic Medicine became less likely to recommend vaccinations to their patients and became more distrustful of public health and conventional medicine as they advanced in the program.[15]

The British Columbia Naturopathic Association lists several major concerns regarding the pediatric vaccine schedule and vaccines in general,[76] and the group's policy is to not advocate for or against vaccines.[77] The Oregon Association of Naturopathic Physicians reports that many naturopaths "customize" the pediatric vaccine schedule.[78]

As of April 25, 2022, a British Columbia government report found that 69.2% of naturopaths reported having received at least two COVID vaccines or receiving a medical exemption. This was much lower than all the other regulated medical professions in the report. The number for two professions – dieticians and physicians/surgeons – was 98%.[79][80]

As of 2016, the American Association of Naturopathic Physicians, which is the largest professional organization for licensed naturopaths in the U.S., is "still discussing its stance on vaccinations".[81]

Practitioners

Naturopath practitioners can generally be categorized into three groups: 1) those with a government issued license; 2) those who practice outside of an official status ("traditional naturopaths"); 3) those who are primarily another kind of health professional who also practices naturopathy.[11][82][83][84][85]

In Switzerland, these divisions fall between those with a federal diploma, those recognized by health insurances, and those with neither federal diploma nor recognition by health insurances. Naturopaths with federal diploma can be divided into four categories: European traditional medicine, Chinese traditional medicine, ayurvedic medicine and homeopathy.[86][87] The number of listed naturopaths (including traditional healers) in Switzerland rose from 223 in 1970 to 1835 in 2000.[88]

Licensed naturopaths

Licensed naturopaths may be referred to as "naturopathic doctors" or "naturopathic physicians" in 26 US states or territories and 5 Canadian provinces.[89] Licensed naturopaths present themselves as primary care providers.[1][49] Licensed naturopaths do not receive comparable training to medical doctors in terms of the quality of education or quantity of hours.[8][17]

In British Columbia, legislation permits licensed naturopaths to use the title "doctor" or "physician".[90] However, section 102 of the bylaw of the College of Naturopathic Physicians of British Columbia (CNPBC), the terms "naturopathic" or "naturopathic medicine" must be included anytime the term doctor or physician is used by a member of the CNPBC.[91][92][93][94]

Education

National University of Natural Medicine trains students in naturopathic medicine who are eligible to become licensed in some jurisdictions in North America.
The herb garden at Bastyr University, another naturopathic program whose graduates can become licensed naturopaths in some North American jurisdictions

Licensed naturopaths must pass the Naturopathic Physicians Licensing Examinations (NPLEX) administered by the North American Board of Naturopathic Examiners (NABNE)[95] after graduating from a program accredited by the Council on Naturopathic Medical Education (CNME).[49][96] Training in CNME-accredited programs includes basic medical diagnostics and procedures such as rudimentary physical exams and common blood tests, in addition to pseudoscientific modalities, such as homeopathy, acupuncture, and energy modalities.[8][12][26][1] These accredited programs have been criticized for misrepresenting their medical rigor and teaching subjects that are antithetical to the best understandings of science and medicine.

pediatric emergencies.[39]

Several schools in North America exist for the study of naturopathic medicine, some accredited by the CNME.[102] The CNME and the Association of Accredited Naturopathic Medical Colleges (AANMC) claim entrance requirements and curricula at accredited colleges are often similar or comparable to those required and offered at conventional medical schools.[103] However, the lack of accreditation by the Liaison Committee on Medical Education may indicate insufficiency of scientific medical training and/or quantifiable positive results, and accordingly it remains disputed whether graduates of medical colleges accredited by the CNME have the competency of Medical Doctors and Doctors of Osteopathy.[17][104]

Naturopathic doctors are not eligible for medical residencies, which are available exclusively for medical doctors and doctors of osteopathic medicine. There are limited post-graduate "residency" positions available to naturopathic doctors offered through naturopathic schools and naturopathic clinics approved by the CNME.[105] Most naturopathic doctors do not complete such a residency,[42] and naturopathic doctors are not mandated to complete one for licensure,[11] except in the states of Utah and Connecticut.[106] Continuing education in naturopathic modalities for health care professionals varies greatly.[50]

Political activity in the United States

Naturopathic practitioners affiliated with the CNME-accredited schools lobby state, provincial, and federal governments for medical licensure and participation in social health programs.

physicians and on having high professional standards.[107][108] Medical societies and advocacy groups dispute these claims by citing evidence of licensed naturopathic practitioners using pseudoscientific methods without a sound evidence basis and lacking adequate clinical training to diagnose and treat disease competently according to the standard of care.[81][108][109][110] Jann Bellamy has characterized the process by which naturopathic practitioners and other practitioners of pseudoscience convince lawmakers to provide them with medical licenses as "legislative alchemy".[111]

Since 2005, the Massachusetts Medical Society has opposed licensure based on concerns that NDs are not required to participate in residency and concerns that the practices of naturopaths included many "erroneous and potentially dangerous claims".[112] The Massachusetts Special Commission on Complementary and Alternative Medical Practitioners rejected their concerns and recommended licensure.[113] The Massachusetts Medical Society states:[63]

Naturopathic medical school is not a medical school in anything but the appropriation of the word medical. Naturopathy is not a branch of medicine. It is a hodge podge of nutritional advice, home remedies and discredited treatments ... Naturopathic colleges claim accreditation but follow a true "alternative" accreditation method that is virtually meaningless. They are not accredited by the same bodies that accredit real medical schools and while some courses have similar titles to the curricula of legitimate medical schools the content is completely different.

In 2015, a former naturopathic doctor, Britt Marie Hermes, who graduated from Bastyr University and practiced as a licensed ND in Washington and Arizona, began advocating against naturopathic medicine.[114][39][115] In addition to opposing further licensure, she believes that NDs should not be allowed to use the titles "doctor" or "physician",[39] and be barred from treating children.[116][117] She states:[118]

Naturopaths aggressively lobby for laws to issue them medical licenses. I would characterize this political effort as a perverted redefinition of the words "physician", "doctor", "medical school", and "residency" in order to mask the inadequacy of the training provided in naturopathic programs. ND students do not realize that they are taking educational shortcuts and therefore do not possess any demonstrable competencies found in modern medicine.

Traditional naturopaths

Hugh Mercer Apothecary in Fredericksburg, Virginia, a pharmacy founded by Hugh Mercer, a Scottish physician, in the mid-18th century. It is now a museum demonstrating 18th Century medical treatments.

Traditional naturopaths are represented in the United States by the American Naturopathic Association (ANA), representing about 1,800 practitioners[119] and the American Naturopathic Medical Association (ANMA).[25]

The level of naturopathic training varies among traditional naturopaths in the United States. Traditional naturopaths may complete non-degree certificate programs or undergraduate degree programs and generally refer to themselves as naturopathic consultants. These programs often offer online unaccredited degrees, but do not offer comprehensive biomedical education or clinical training.

Traditional naturopathic practitioners surveyed in Australia perceive evidence-based medicine to be an ideological assault on their beliefs in vitalistic and holistic principles.[5] They advocate for the integrity of natural medicine practice.[5]

Naturopaths graduating from accredited programs argued in 2002 that their training used evidence-based scientific principles unlike traditional naturopathic programs,[120] but this claim remains inaccurate.[8][26]

Regulation

Naturopathy is practiced in many countries and is subject to different standards of regulation and levels of acceptance. The scope of practice varies widely between jurisdictions, with some covering naturopathy under medical regulation and allowing practitioners to prescribe drugs and perform minor surgery, while other jurisdictions outlaw naturopathy entirely.[citation needed]

Australia

In 1977, a Commonwealth Government inquiry reviewed all colleges of naturopathy in Australia and found that despite having syllabuses appearing to cover the basic biomedical sciences, actual lectures had little connection to those syllabuses and no significant practical work was available. In addition, there did not appear to be significant or systematic coverage of techniques favoured by naturopaths, such as homeopathy, Bach's floral remedies, or mineral salts.[31]

The position of the Australian Medical Association is that "evidence-based aspects of complementary medicine can be part of patient care by a medical practitioner", but it has concerns that there is "limited efficacy evidence regarding most complementary medicine. Unproven complementary medicines and therapies can pose a risk to patient health either directly through misuse or indirectly if a patient defers seeking medical advice." The AMA's position on regulation is that "there should be appropriate regulation of complementary medicine practitioners and their activities".[121]

In 2015, the Australian government found no clear evidence of effectiveness for naturopathy.[59] Accordingly, In 2017 the Australian government named naturopathy as a practice that would not qualify for insurance subsidies, saying this step would "ensure taxpayer funds are expended appropriately and not directed to therapies lacking evidence".[122]

India

In India, naturopathy is overseen by the

Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH); there is a 5½-year degree in "Bachelor of Naturopathy and Yogic Sciences" (BNYS) degree that was offered by twelve colleges in India as of August 2010.[123] The National Institute of Naturopathy in Pune that operates under AYUSH, which was established on December 22, 1986, and encourages facilities for standardization and propagation of the existing knowledge and its application through research in naturopathy throughout India.[124][125]

North America

In five Canadian provinces, seventeen U.S. states, and the

District of Columbia, naturopathic doctors who are trained at an accredited school of naturopathic medicine in North America are entitled to use the designation ND or NMD. Elsewhere, the designations "naturopath", "naturopathic doctor", and "doctor of natural medicine" are generally unprotected or prohibited.[37][83]

In North America, each jurisdiction that regulates naturopathy defines a local scope of practice for naturopathic doctors that can vary considerably. Some regions permit minor surgery, access to prescription drugs, spinal manipulations, midwifery (natural childbirth), and gynecology; other regions exclude these from the naturopathic scope of practice or prohibit the practice of naturopathy entirely.[37][126]

Canada

Five Canadian provinces license naturopathic doctors: Ontario, British Columbia, Manitoba, Saskatchewan, and Alberta.[127][128] British Columbia has the largest scope of practice in Canada, allowing certified NDs to prescribe pharmaceuticals and perform minor surgeries.[129] Ontario also permits prescription from a modified formulary list, following separate examination.[130]

United States

Switzerland

The Swiss Federal Constitution defines the Swiss Confederation and the Cantons of Switzerland within the scope of their powers to oversee complementary medicine.[135] In particular, the Federal authorities must set up diplomas for the practice of non-scientific medicine. The first of such diplomas has been validated in April 2015 for the practice of naturopathy.[86] There is a long tradition of naturopathy and traditional medicine in Switzerland.[136] The Cantons of Switzerland make their own public health regulations. Although the law in certain cantons is typically monopolistic, the authorities are relatively tolerant with regard to alternative practitioners.[87]

United Kingdom

Naturopathy is not regulated in the United Kingdom. In 2012, publicly funded universities in the United Kingdom dropped their alternative medicine programs, including naturopathy.[137]

See also

References

  1. ^ a b c d e f g h i Boughton RJ, Frey B (2005). "Naturopathic Medicine". Gale Encyclopedia of Alternative Medicine (2nd ed.). Gale. Archived from the original on June 24, 2013. Retrieved March 21, 2015.
  2. ISBN 978-1-4614-8540-7
    . within the traditional medical community it is considered to be quackery
  3. ISBN 978-0-19-508209-8
    . Retrieved January 15, 2013. After 1847, when regular doctors organized the American Medical Association (AMA), that body led the war on "quackery", especially targeting dissenting medical groups such as homeopaths, who prescribed infinitesimally small doses of medicine. Ironically, even as the AMA attacked all homeopathy as quackery, educated homeopathic physicians were expelling untrained quacks from their ranks.
  4. ^ Psychotherapy can be evidence based, or pseudoscientific however, see:
  5. ^
    PMID 16646733
    .
  6. PMID 21475465
    .
  7. doi:10.1016/j.aimed.2017.08.003
    .
  8. ^
    PMID 14745386. Archived from the original on March 2, 2013. Retrieved September 4, 2013.(registration required
    )
  9. S2CID 33539406
    .
  10. ^
    ISBN 978-1-4090-8180-7. Archived from the original on February 6, 2016. Retrieved January 27, 2016. many naturopaths are against mainstream medicine and advise their patients accordingly – for instance many are not in favour of vaccination. {{cite book}}: |work= ignored (help
    )
  11. ^
    OCLC 671655748
    .
  12. ^
    PMID 15208545
    .
  13. PMID 15741360
    .
  14. PMID 18674581
    .
  15. ^
    PMID 14670313
    .
  16. ^ Engler BD, Mielczarek EV (2014). "Selling Pseudoscience: A Rent in the Fabric of American Medicine". Skeptical Inquirer. 38 (3).
  17. ^ a b c "Family Physicians versus Naturopaths" (PDF). aafp.org. American Academy of Family Physicians. Archived (PDF) from the original on June 16, 2015. Retrieved July 20, 2015.
  18. ^ a b c d Jarvis WT (January 30, 2001) [copyright 1997]. "NCAHF Fact Sheet on Naturopathy". National Council Against Health Fraud. Archived from the original on September 27, 2011. Retrieved April 17, 2009.
  19. ^ "What is Naturopathy?". College of Naturopathic Medicine website. East Grinstead, England. Archived from the original on September 18, 2010. Retrieved September 16, 2015.
  20. PMID 3287059
    .
  21. ^ Langley S. "History of Naturopathy". College of Naturopathic Medicine website. UK. Archived from the original on August 29, 2012.
  22. ^ "How it all began". Allinson Flour website. Silver Spoon, British Sugar, Associated British Foods. Archived from the original on August 13, 2010. Retrieved September 3, 2008.
  23. PMC 2364871
    .
  24. ^ a b "Report 12 of the Council on Scientific Affairs (A-97)" (PDF). American Medical Association. 1997. Archived from the original (PDF) on November 5, 2013. Retrieved September 3, 2013.
  25. ^
    PMID 11693035
    .
  26. ^
    QuackWatch. Archived
    from the original on April 6, 2011. Retrieved March 21, 2015.
  27. ISBN 978-0-19-534978-8
    . Retrieved September 3, 2013.
  28. ^ "Naturopathy - Definition of Naturopathy by Merriam-Webster". Archived from the original on November 19, 2015. Retrieved October 27, 2015.
  29. ^ a b Beyerstein BL, Downie S (May 12, 2004). "Naturopathy: A Critical Analysis". NaturoWatch. QuackWatch. Archived from the original on March 7, 2009. Retrieved March 21, 2009.
  30. OCLC 3000280
    .
  31. ^
    ISBN 978-0-642-92287-8
    .
  32. ^ a b "Licensed States & Licensing Authorities". American Association of Naturopathic Physicians website. 2009. Archived from the original on November 30, 2009.
  33. ^ "Washington Administrative Code: Title 284, Chapter 43, Section 205: Every category of health providers". Washington State Legislature. August 28, 1999. Archived from the original on October 11, 2011. Retrieved November 19, 2010. (effective)
  34. ^ Minott R (July 3, 1996). "Insuring Alternatives". NewsHour with Jim Lehrer. PBS. Online NewsHour transcript.
  35. ^ a b "Title 40, Chapter 31, Sections 10 & 20". South Carolina Code of Laws (Unannotated), Current through the end of the 2007 Regular Session. South Carolina Legislative Council. Archived from the original on January 12, 2009.
  36. ^ a b State of Tennessee (2013). "Title 63 Professions of the Healing Arts, Chapter 6 Medicine and Surgery, Part 2 General Provisions". Tennessee Code Annotated. Justia. 63.6.205 Practice of naturopathy. Archived from the original on October 7, 2013. Retrieved September 7, 2013.
  37. ^ a b c d e f AMA Scope of Practice Data Series: Naturopaths. American Medical Association (Report). 2009. Archived from the original on June 29, 2016. Retrieved July 30, 2016 – via The Alaska State Legislature.
  38. ^ "https://newsmaven.io/indiancountrytoday/archive/introducing-naturopathic-doctors-to-indian-health-service-clinics-Rn_RipOYh0Kgd9KR-5Ou_A/ Archived October 5, 2019, at the Wayback Machine"
  39. ^ a b c d Senapathy K (May 31, 2016). "Why Is Big Naturopathy Afraid Of This Lone Whistleblower?". Forbes. US. Archived from the original on March 22, 2020. Retrieved September 5, 2017.
  40. ^ a b Thielking M (October 20, 2016). "'Essentially witchcraft:' A former naturopath takes on the field". STAT. Archived from the original on October 25, 2016. Retrieved October 30, 2016.
  41. ^ Devlin H (March 27, 2018). "The naturopath whistleblower: 'It is surprisingly easy to sell snake oil'". Guardian. Retrieved August 23, 2021.
  42. ^
    PMID 15496231
    .
  43. ^
    PMID 21920039
    .
  44. S2CID 143067523. Archived
    from the original on October 29, 2017. Retrieved October 28, 2017.
  45. PMID 14745386
    .
  46. ^ Carroll RT (March 7, 2015). "Naturopathy". The Skeptic's Dictionary. Archived from the original on September 1, 2010. Retrieved March 21, 2015.
  47. doi:10.1111/fct.12125
    .
  48. ^
    ISBN 978-0-8261-1722-9. Archived
    from the original on April 13, 2018. Retrieved September 3, 2013.
  49. ^ a b c "Handbook of Accreditation for Naturopathic Medicine Programs" (PDF). Council on Naturopathic Medical Education. 2007. Archived from the original (PDF) on February 9, 2017. Retrieved November 20, 2010.
  50. ^ a b c d e Hough HJ, Dower C, O'Neil EH (September 2001). Profile of a Profession: Naturopathic Practice (PDF). Center for the Health Professions, University of California, San Francisco. p. 54. Archived from the original (PDF) on October 2, 2008.
  51. ^
    OCLC 174043853
    .
  52. PMID 32070338
    .
  53. PMID 9252839
    .
  54. ^ "Code of Federal Regulations Title 21, Sec. 801.415 Maximum acceptable level of ozone". U.S. Food and Drug Administration. April 1, 2015. Archived from the original on March 4, 2016. Retrieved May 18, 2016.
  55. ISBN 978-0-87975-909-4
    .
  56. ISBN 978-0-87975-761-8
    .
  57. PMID 25569626
    .
  58. ^ a b c "Episode #050, feat. Britt Hermes". The European Skeptics Podcast. November 29, 2016. Archived from the original on September 9, 2018. Retrieved September 15, 2018.
  59. ^ a b Baggoley C (2015). "Review of the Australian Government Rebate on Natural Therapies for Private Health Insurance" (PDF). Australian Government – Department of Health. Archived from the original (PDF) on June 26, 2016. Retrieved December 12, 2015.
  60. ^ Haglage A, Mak T (May 25, 2016). "Trump Vitamins Were Fortified With B.S." The Daily Beast. Archived from the original on January 14, 2021. Retrieved June 24, 2016.
  61. ^ Hermes B (April 2020). "Dubious claims in psychotherapy for youth". Skeptical Inquirer. 44 (2): 50.
  62. ^ Relman AS (April 10, 2002) [January 9, 2001]. "Textbook of Natural Medicine". QuackWatch. Archived from the original on May 11, 2011. Retrieved April 17, 2009.
  63. ^ a b c "MMS Testimony in Opposition to H. 1992 and S. 1205, An Act to Create a Board of Registration in Naturopathy". Massachusetts Medical Society. Archived from the original on May 22, 2016. Retrieved July 30, 2016.
  64. ^ Carroll R (November 26, 2012). "Natural". The Skeptic's Dictionary. Archived from the original on May 14, 2011. Retrieved September 8, 2013.
  65. ^ "NCAHF Position Paper on Over the Counter Herbal Remedies (1995)". National Council Against Health Fraud. 1995. Archived from the original on July 7, 2011. Retrieved April 17, 2009.
  66. ^ National Science Board (January 15, 2002). "Chapter 7 Science and Technology: Public Attitudes and Public Understanding, Section: Belief in Alternative Medicine". Science and Engineering Indicators - 2002. Arlington, VA: Division of Science Resources Statistics, National Science Foundation. Archived from the original on June 16, 2016. Retrieved April 6, 2018.
  67. PMID 17719708. Archived
    (PDF) from the original on January 14, 2021. Retrieved December 10, 2019.
  68. ^ Barrett S (March 28, 2008). "Iridology is Nonsense". QuackWatch. Archived from the original on April 6, 2011. Retrieved September 8, 2013.
  69. ^ "Homeopathy". nhs.uk. October 18, 2017. Archived from the original on May 13, 2020. Retrieved May 21, 2020.
  70. PMID 1643742
    .
  71. ^ Sutton C (April 5, 2018). "Naturopath jailed in starving baby case". news.com.au. Archived from the original on April 24, 2018. Retrieved April 24, 2018.
  72. PMID 11587822
    .
  73. ISBN 978-1-4557-0527-6
    . To understand how revolting these products are, let us just refer to the vaccine matter which is supposed to be an efficient preventive of smallpox. [...] The natural system for curing disease is based on a return to nature in regulating the diet, breathing, exercising, bathing and the employment of various forces to eliminate the poisonous products in the system, and so raise the vitality of the patient to a proper standard of health.
  74. ^
    PMID 19760163
    . Quote is taken from introduction to paper, not from results of research presented in this paper.
  75. PMID 23421987
    .
  76. ^ "BCNA Vaccination Position Paper". British Columbia Naturopathic Association. Archived from the original on July 19, 2014. Retrieved July 15, 2014.
  77. ^ Brown H (December 21, 2007). "Influenza Virus, Vaccination and Naturopathic Practice". Naturopathic Doctor News and Review. Archived from the original on January 14, 2021. Retrieved October 20, 2016.
  78. ^ "Naturopathic Primary Care" (PDF). Oregon Association of Naturopathic Physicians. Archived (PDF) from the original on June 14, 2013. Retrieved July 15, 2014.
  79. ^ Larsen K (May 10, 2022). "Naturopaths, chiropractors least vaccinated of all B.C. health professionals, province says". CBC. Retrieved May 11, 2022.
  80. ^ "Data published on vaccination status of regulated health professions". news.gov.bc.ca. BC Gov News. May 10, 2022. Retrieved May 11, 2022.
  81. ^ a b c d e Robins R (May 17, 2016). "Funded by vitamin makers, naturopaths push to expand in US". STAT. Archived from the original on January 14, 2021. Retrieved May 18, 2016.
  82. ^ "Naturopathy: An Introduction". National Center for Complementary and Integrative Health, National Institutes of Health, United States Department of Health and Human Services. March 2012 [Created April 2007]. Archived from the original on February 23, 2015. Retrieved March 16, 2013.
  83. ^ a b Iowa Board of Medicine (February 7, 2002). "A Policy Statement on Naturopathy". Iowa Department of Public Health, State of Iowa. Archived from the original on April 12, 2013. Retrieved September 1, 2013.
  84. ^ The Platform of the American Naturopathic Association as drawn up by the Golden Jubilee Congress. July 27th – August 2nd, 1947
  85. ^ Naturopathy Work Group. "Traditional Naturopathy Working Session Summary September 23 and October 1, 2008" (PDF). Minnesota Department of Health. Archived from the original (PDF) on July 26, 2011. Retrieved November 20, 2010.
  86. ^ a b "Naturopathe avec diplôme fédéral". CH: State Secretariat for Education, Research and Innovation. Archived from the original on September 4, 2015.
  87. ^ a b "Legal Status of Traditional Medicine and Complementary/Alternative Medicine: A Worldwide Review". World Health Organization. Archived from the original on July 5, 2015. Retrieved July 4, 2015.
  88. ^ "Swiss Federal Statistical Office". Switzerland. Archived from the original on July 8, 2015. Retrieved July 11, 2015.
  89. ^ "Naturopathic Doctors are Now Licensed in Wisconsin". AANMC. February 17, 2022. Retrieved February 21, 2022. Wisconsin has just become the 26th U.S. state/territory to regulate naturopathic doctors.
  90. ^ "Health Professions Act: Naturopathic Physicians Regulation". Victoria, British Columbia: Queen's Printer. October 2008. B.C. Reg. 282/2008 M242/2008. Archived from the original on January 14, 2021. Retrieved August 18, 2016.
  91. ^ "Bylaws of the College of Naturopathic Physicians of British Columbia" (PDF).
  92. ^ "Surrey city councillor and naturopath Allison Patton fined and suspended for calling herself a "physician"". February 13, 2020. Archived from the original on January 14, 2021. Retrieved April 14, 2020.
  93. ^ "Surrey councillor fined, suspended from naturopathy for misusing 'physician' title". February 12, 2020. Archived from the original on January 14, 2021. Retrieved April 14, 2020.
  94. ^ "Complaint filed against Surrey naturopath-turned-councillor who campaigned as 'physician'". Archived from the original on January 14, 2021. Retrieved April 14, 2020.
  95. ^ "About Us". North American Board of Naturopathic Examiners. Archived from the original on October 5, 2013. Retrieved September 3, 2013.
  96. ^ "Naturopathy". NCCIH. Archived from the original on March 31, 2020. Retrieved May 27, 2020.
  97. ^ a b Gorski D (February 21, 2011). "Naturopathy and Science". ScienceBasedMedicine.org. Archived from the original on January 14, 2021. Retrieved March 3, 2016.
  98. ^ Hermes B (March 13, 2015). "ND Confession, Part 1: Clinical training inside and out". Science-Based Medicine. Archived from the original on January 14, 2021. Retrieved July 23, 2016.
  99. ^ Mangan KS (December 2, 1999). "Report Recommends Stripping Naturopathy Council of Its Accrediting Authority". The Chronicle of Higher Education. Archived from the original on January 14, 2021. Retrieved July 23, 2016.
  100. ^ Hermes B (August 29, 2015). "ND Confession, Part II: The Accreditation of Naturopathic "Medical" Education". Science-Based Medicine. Archived from the original on July 10, 2016. Retrieved July 23, 2016.
  101. ^ Society for Science-Based Medicine (2014). Report to the Maryland Board of Physicians Naturopathic Advisory Committee: Recommendations for Naturopathic Regulation (Report). Archived from the original on January 14, 2021. Retrieved July 23, 2016.
  102. ^ "Accredited Naturopathic Medical Schools". Association of Accredited Naturopathic Medical Colleges.
  103. ^ "ND, MD/DO, NP: WHAT'S THE DIFFERENCE?". Association of Accredited Naturopathic Medical Colleges. Retrieved November 15, 2023.
  104. ^ "ND Confession, Part II: The Accreditation of Naturopathic "Medical" Education". Science-Based Medicine. August 30, 2015. Retrieved November 15, 2023.
  105. ^ "Handbook on CNME Postdoctoral Naturopathic Medical Education Sponsor Recognition Process and Standards (2005)" (PDF). Council on Naturopathic Medical Education. Archived from the original (PDF) on June 15, 2006.
  106. ^ "Application for Licensure: Naturopathic Physician" (PDF). Division of Occupational and Professional Licensing, Utah Department of Commerce. State of Utah. February 17, 2012. p. 1. Archived from the original (PDF) on June 29, 2010. Retrieved September 8, 2013.
  107. ^ a b c Carly W (April 29, 2016). "Are we being served by the regulation of naturopaths? Not if patients are still being misled". The Globe and Mail. Archived from the original on January 14, 2021. Retrieved July 23, 2016.
  108. ^ a b "ND vs MD -- Battle Lines Drawn in California". June 3, 2015. Archived from the original on July 25, 2016. Retrieved July 24, 2016.
  109. ^ Frosch D (February 21, 2011). "Licensing Naturopaths Incites Debate in Colorado". The New York Times. Archived from the original on February 2, 2017. Retrieved July 24, 2016.
  110. ^ Lambeck L (May 24, 2016). "New law could let Connecticut naturopathic physicians write prescriptions". Connecticut Post. Archived from the original on August 28, 2016. Retrieved July 25, 2016.
  111. ^ Bellamy J (May 15, 2014). "Legislative Alchemy 2014 (so far)". Science-Based Medicine. Archived from the original on February 20, 2016. Retrieved July 21, 2016.
  112. ^ "Massachusetts Medical Society Testifies in Opposition to Licensing Naturopaths". Massachusetts Medical Society. May 11, 2005. Archived from the original on July 16, 2011. Retrieved April 17, 2009.
  113. ^ The Special Commission on Complementary and Alternative Medical Practitioners (January 2002). "Majority Report of the Special Commission on Complementary and Alternative Medical Practitioners: A Report to the Legislature" (PDF). Massachusetts: The Special Commission on Complementary and Alternative Medical Practitioners. Archived (PDF) from the original on January 21, 2012. Retrieved November 10, 2010.
  114. ^ Hermes B (April 2020). "Beware the Naturopathic Cancer Quack". Skeptical Inquirer. 44 (2): 38–44.
  115. ^ Belluz J (September 2, 2015). "Why one naturopath quit after watching her peers treat cancer patients". Vox. Archived from the original on October 14, 2017. Retrieved June 13, 2017.
  116. ^ Jim Brown (April 10, 2016). "Former naturopathic doctor calls for an end to naturopathic pediatrics". The 180. CBC. Archived from the original on June 12, 2016. Retrieved June 8, 2016.
  117. ^ Kirkey S (April 4, 2016). "Should naturopaths be restricted from treating children after tragic death of Alberta toddler?". National Post. Retrieved June 8, 2016.
  118. ^ Britt H (June 21, 2016). "How A Former Naturopath Can Help Unravel The Trickery Of Alternative Medicine". Science 2.0. Archived from the original on January 14, 2021. Retrieved July 30, 2016.
  119. ISBN 978-0-7876-8286-6. Archived
    from the original on December 3, 2016. Retrieved September 4, 2013.
  120. PMID 11795088
    .
  121. ^ "AMA Position Statement: Complementary Medicine - 2012". Australian Medical Association. August 28, 2012. Archived from the original on April 2, 2015. Retrieved March 21, 2015.
  122. ^ Paola S (October 17, 2017). "Homeopathy, naturopathy struck off private insurance list". Australian Journal of Pharmacy. Archived from the original on January 14, 2021. Retrieved January 11, 2018.
  123. ^ Ministry of AYUSH. Page updated August 21, 2010 AYUSH: Naturopathy Archived 2015-03-06 at the Wayback Machine. Page accessed March 21, 2015
  124. ^ Ministry of AYUSH. Page updated September 23, 2010 AYUSH: National Institute of Naturopathy, Pune Archived 2015-02-20 at the Wayback Machine. Page accessed March 21, 2015
  125. ^ "About: National Institute of Naturopathy". Archived from the original on March 6, 2015. Retrieved March 21, 2015.
  126. ^ "2008 Sunrise Review: Naturopathic Physicians" (PDF). Department of Regulatory Agencies. State of Colorado. January 4, 2008. pp. 18–19. Archived from the original (PDF) on October 2, 2008.
  127. ^ "Questions: Education and Regulation". Canadian Association of Naturopathic Doctors website. Archived from the original on July 6, 2011. Retrieved September 6, 2013.
  128. ^ "History of Naturopathic Medicine". www.cand.ca. Archived from the original on January 14, 2021. Retrieved February 17, 2016.
  129. ^ "B.C. gives naturopaths right to prescribe drugs". CBC News. April 10, 2009. Archived from the original on August 20, 2012. Retrieved September 6, 2013.
  130. ^ a b c "Naturopathic Regulatory Authority General Information Links". The Federation of Naturopathic Medicine Regulatory Authorities. Retrieved November 15, 2023.
  131. ^ "Ley para Reglamentar el Ejercicio de la Medicina Naturopática en Puerto Rico [Law to Regulate the Practice of Naturopathic Medicine in Puerto Rico]" (PDF) (in Spanish). December 30, 1997. Archived from the original (PDF) on October 2, 2008.
  132. ^ "AN ENDANGERED SPECIES NATUROPATHIC DOCTOR IS CLOSE TO EXTINCTION". Orlando Sentinel. September 18, 1986. Retrieved November 17, 2023.
  133. ^ "Review of State Laws Regulating Naturopathy". American Naturopathic Certification Board. Retrieved November 15, 2023.
  134. ^ "Title XXXII REGULATION OF PROFESSIONS AND OCCUPATIONS Chapter 462 NATUROPATHY". Online Sunshine. Florida Legislature. Retrieved November 17, 2023.
  135. ^ "Federal Constitution of the Swiss Confederation". CH. Art. 118a Complementary medicine. Archived from the original on June 21, 2016. Retrieved July 4, 2015. (English translation)
  136. ^ "Swiss take an holistic approach". The Irish Times. Retrieved November 29, 2021.
  137. ^ Bevanger L (January 18, 2012). "UK universities drop alternative medicine degree programs". Deutsche Welle. Archived from the original on January 25, 2012. Retrieved February 5, 2012.

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