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{{ClinPsy}} |
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| − | '''Spontaneous remission''' is a catch-all expression for any symptom improvement that is not due to a therapeutic intervention. |
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| + | In [[medicine]], '''spontaneous remission''' is recovery without known reason or cause.<ref name= "mind">{{cite book | last = Bakal| first = Donald A. | title = Minding the Body: Clinical Uses of Somatic Awareness| publisher = Guilford Publications| date = 2001| pages = p 163 | isbn = 978-1572306615 }}</ref> Spontaneous remission are usual in many health disorders <ref name= "oxford">{{cite book | last = Weatherall| first = David | title = Concise Oxford Textbook of Medicine| publisher = Oxford University Press| date = 2000| pages = pp 179,400,437,1031,1067,1084,1345,1390 | isbn = 978-0192628701}}</ref> and are more commonplace than it is generally assumed,<ref name= "mind"/> principally in young people.<ref name= "oxford"/> |
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| − | ==Spontaneous remission and psychological therapy research== |
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| + | ==Studies== |
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| − | Spontaneous remission is a confounding factor in psychotherapy research. If spontaneous remission rates are high then conclusions about a therapies effectiveness are undermined. Improvement could be due to naturally occuring factors alone |
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| + | Studies have shown that cases of spontaneous remission that are not reported outnumber those reported by at least 10 to 1<ref>{{cite book | last = Lerner | first = Michael| title = Choices in Healing: Integrating the Best of Conventional and Complementary Approaches to Cancer| publisher = The MIT Press| date = 1996| pages = p 184| isbn = 978-0262621045}}</ref> and cases related with some disorders have a spontaneous remission rate that appears to be about 1 percent per year.<ref name= "oxford"/> |
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| + | ==Mechanisms== |
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| − | See [[Spontaneous remission and psychological therapy research]] |
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| + | The mechanisms for spontaneous recovery are active in many health disorders<ref name= "oxford"/> and also seem to occur in debilitating and progressive diseases such as cancer and tuberculosis.<ref name= "mind"/><ref>{{cite book | last = Eugene Braunwald| first = T.R. Harrison and | title =Harrison's Principles of Internal Medicine| publisher = McGraw-Hill Education| date = 2002| pages = p 1027| isbn = 978-0071398831}}</ref> In some disorders the mechanisms of spontaneous remission may be impaired but can be re-established with the proper therapy.<ref>{{cite book | last =Donald L. Wise , Debra J. Trantolo , Michael J. Yaszemski , Augustus A. White III| first = Kai-Uwe Lewandrowski | title = Advances in Spinal Fusion: Molecular Science, Biomechanics and Clinical Management| publisher = Marcel Dekker Ltd| date = 2003| pages = pp 619-637 | isbn = 978-0824743109}}</ref> |
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| + | Even if some placebo effects could be observed or caused by spontaneous remission, the two processes are not one and the same.<ref>{{cite book | last = Harrington| first = Anne | title = The Placebo Effect: An Interdisciplinary Exploration| publisher = Harvard University Press| date = 1997| pages = 49,167| isbn = 978-0674669840 }}</ref> |
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| − | ==Spontanous remission in physical medicine== |
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| − | Cases of spontaneous remission are a good example of statistical outliers due to the large numbers of individuals alive and the corresponding incidences of disease. The term [[anecdotal evidence]] is often mentioned by medical researchers in conjunction with cases of spontaneous remission, since such cases seldom are part of a formal scientific study following [[scientific methods]], but are instead described by those who directly experienced the [[healing]] in the form of [[testimony]]. |
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| + | ==Reports== |
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| − | Traditional medical practice ascribes the effect to rationally explainable influences that simply lack observation. Advocates of [[faith healing]] and [[alternative medicine]] contend that the expression is a convenient means for dismissing alternative sources of efficacy. |
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| + | The term [[anecdotal evidence]] is often mentioned by medical researchers in conjunction with cases of spontaneous remission.<ref name= "oxford"/> It refers to the descriptions of remissions by those who directly experienced the process or by those who observed it. |
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| + | Spontaneous remission occurs normally as an established body mechanism.<ref name= "oxford"/> In those cases in which a spontaneous remission is not expected or normally occurring, medical professionals might attribute such occurrence to rationally explainable influences that lacked observation, or [[misdiagnosis]].<ref>[http://findarticles.com/p/articles/mi_m1510/is_n65/ai_8151841/pg_1 Healing, remission, and miracle cures.] [[Whole Earth Review]]. Accessed on [[September 16]], [[2007]].</ref> |
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| + | A published example of unexpected spontaneous remission is that of [[John Matzke]]. At 30 years old, he was diagnosed with [[malignant]] [[melanoma]] in [[1974]]. A chest tumour and [[lung cancer]] were found in [[1984]]. Instead of undergoing immediate treatment, he spent one month [[hiking]], [[meditating]], and eating healthfully (to prepare his body for treatment). Surprisingly, upon his next [[X-ray]] appointment, the tumour had disappeared. He went on to live another 18 years before the cancer recurred in his brain and took his life on [[November 8]], [[1991]].<ref name="disc">[http://discovermagazine.com/2007/sep/the-body-can-stave-off-terminal-cancer-sometimes The Body Can Beat Terminal Cancer — Sometimes.] [[Discover Magazine]]. Accessed on [[September 16]], [[2007]].</ref> |
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== See also == |
== See also == |
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| + | *[[Psychotherapy]] |
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| − | *[[Alternative medicine]] |
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| − | *[[ |
+ | *[[Treatment]] |
| + | |||
| − | *[[Anomalous phenomenon]] |
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| + | ==References== |
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| − | *[[Faith healing]] |
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| + | <references/> |
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| − | *[[Reality shift]] |
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| + | *Eysenck HJ. (1980). A unified theory of psychotherapy, behaviour therapy and spontaneous remission.Z Psychol Z Angew Psychol.188(1):43-56.PMID: 6104879 |
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| − | *[[Scientific method]] |
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| + | |||
| − | *[[Testimony]] |
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| + | [[Category:Medical terms]] |
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[[Category:Diseases]] |
[[Category:Diseases]] |
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| + | [[Category:Remisssion (disorders)]] |
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| + | <!-- |
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| + | [[bg:Спонтанна регресия]] |
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[[de:Spontanheilung]] |
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| + | [[es:remisión espontánea]]==References== |
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| + | --> |
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| + | {{enWP|Spontaneous remission}} |
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Latest revision as of 11:27, 7 March 2010
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In medicine, spontaneous remission is recovery without known reason or cause.[1] Spontaneous remission are usual in many health disorders [2] and are more commonplace than it is generally assumed,[1] principally in young people.[2]
Studies
Studies have shown that cases of spontaneous remission that are not reported outnumber those reported by at least 10 to 1[3] and cases related with some disorders have a spontaneous remission rate that appears to be about 1 percent per year.[2]
Mechanisms
The mechanisms for spontaneous recovery are active in many health disorders[2] and also seem to occur in debilitating and progressive diseases such as cancer and tuberculosis.[1][4] In some disorders the mechanisms of spontaneous remission may be impaired but can be re-established with the proper therapy.[5]
Even if some placebo effects could be observed or caused by spontaneous remission, the two processes are not one and the same.[6]
Reports
The term anecdotal evidence is often mentioned by medical researchers in conjunction with cases of spontaneous remission.[2] It refers to the descriptions of remissions by those who directly experienced the process or by those who observed it.
Spontaneous remission occurs normally as an established body mechanism.[2] In those cases in which a spontaneous remission is not expected or normally occurring, medical professionals might attribute such occurrence to rationally explainable influences that lacked observation, or misdiagnosis.[7]
A published example of unexpected spontaneous remission is that of John Matzke. At 30 years old, he was diagnosed with malignant melanoma in 1974. A chest tumour and lung cancer were found in 1984. Instead of undergoing immediate treatment, he spent one month hiking, meditating, and eating healthfully (to prepare his body for treatment). Surprisingly, upon his next X-ray appointment, the tumour had disappeared. He went on to live another 18 years before the cancer recurred in his brain and took his life on November 8, 1991.[8]
See also
References
- ↑ 1.0 1.1 1.2 Bakal, Donald A. (2001). Minding the Body: Clinical Uses of Somatic Awareness, p 163, Guilford Publications.
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 Weatherall, David (2000). Concise Oxford Textbook of Medicine, pp 179,400,437,1031,1067,1084,1345,1390, Oxford University Press.
- ↑ Lerner, Michael (1996). Choices in Healing: Integrating the Best of Conventional and Complementary Approaches to Cancer, p 184, The MIT Press.
- ↑ Eugene Braunwald, T.R. Harrison and (2002). Harrison's Principles of Internal Medicine, p 1027, McGraw-Hill Education.
- ↑ Donald L. Wise , Debra J. Trantolo , Michael J. Yaszemski , Augustus A. White III, Kai-Uwe Lewandrowski (2003). Advances in Spinal Fusion: Molecular Science, Biomechanics and Clinical Management, pp 619-637, Marcel Dekker Ltd.
- ↑ Harrington, Anne (1997). The Placebo Effect: An Interdisciplinary Exploration, 49,167, Harvard University Press.
- ↑ Healing, remission, and miracle cures. Whole Earth Review. Accessed on September 16, 2007.
- ↑ The Body Can Beat Terminal Cancer — Sometimes. Discover Magazine. Accessed on September 16, 2007.
- Eysenck HJ. (1980). A unified theory of psychotherapy, behaviour therapy and spontaneous remission.Z Psychol Z Angew Psychol.188(1):43-56.PMID: 6104879
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