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Focus on Alternative and Complementary Therapies

How do homoeopaths make decisions? An exploratory study in the context of a questionnaire-based proving study

Brien S1, Prescott P2, Owen D3, Lewith G1
1Complementary Medicine Research Unit, University of Southampton, Mailpoint OPH, Royal South Hants Hospital, Brintons Terrace, Off St Mary’s Road, Southampton, SO14 0YG, UK
2Department of Mathematics, University of Southampton, University Road, Southampton, Hants, S017 1BJ, UK
3The Natural Practice, 106 Stockbridge Road, Winchester, Hants, SO22 6RL, UK

Objective

Homoeopaths are traditionally taught to identify pro-vers based on factual evidence in the materia medica. The objective of the study was to determine the degree by which homoeopaths employ clinical experience and/or intuition within a questionnaire-based proving study to enable them to make their proving decision.

Materials and methods

Three experienced independent homoeopathic clinicians/proving researchers rated whether subjects (n = 211) that took part in a questionnaire-based proving study of Belladonna C30, had proved. Decisions were based solely on symptoms reported in the subject’s questionnaire, the raters having no personal contact with the subjects. The degree to which each rater employed clinical experience and/or intuition to enable their decision was recorded. The primary outcome was the process of homoeopathic decision-making.

Results

All raters reported using clinical experience in a higher proportion of subjects than those reported for intuition. Raters 1 and 2 were significantly more likely to classify non-provers (Rater 1, F = 9.3, n = 112, P < 0.001; Rater 2, F = 46.2, n = 71, P < 0.001) using clinical experience, and two raters significantly increased their use of intuition to enable them to classify provers (Rater 2, F = 6.03, n = 76, P = 0.003; Rater 3, F = 5.42, n = 22, P = 0.005). Only rater 3 was significantly more likely to classify provers based on high intuitions’ scores (χ2 = 13.79, df = 2, P < 0.001).

Conclusion

Homoeopaths, provided with factual evidence alone, increased their reliance on intuition to rate a prover. Issues regarding the education of homoeopaths are highlighted.

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