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Bronze-level article

Naturopathy

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Against allopathy
Alternative medicine
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Unproven articles
Naturopathy is a cornucopia of almost every quackery you can think of. Be it homeopathy, traditional Chinese medicine, Ayurvedic medicine, applied kinesiology, anthroposophical medicine, reflexology, craniosacral therapy, Bowen Technique, and pretty much any other form of unscientific or prescientific medicine that you can imagine, it’s hard to think of a single form of pseudoscientific medicine and quackery that naturopathy doesn’t embrace or at least tolerate.
—David Gorski[1]

Naturopathy, or naturopathic medicine, is a field of practice in healing and maintaining health wherein practitioners use various "natural" remedies to treat their patients. The main idea behind naturopathy is that it supposedly helps the body's own self-healing process; this is based on the pre- and pseudo-scientific theory of vitalism, according to which the body has some sort of "energy" that is necessary for one's health. Naturopathic medicine disfavours surgery and drugs, preferring more friendly and fuzzy treatments like herbal medicine or outright woo such as "natural energy fields".

Naturopathy doesn't have any real standards; what therapies one can expect from naturopathic care can vary wildly from practitioner to practitioner,[2] and are very often contradictory. Some naturopaths, like nutritionists, may give quite good advice ("eat fruits and vegetables"), mixed with concepts that have no basis in reality, such as homeopathy, Reiki, unproven supplements, or whatever fad diet they happen to believe in. (It may be noted that the practice of naturopaths themselves selling their patients supplements is widespread and in fact encouraged by naturopathic organizations.[3] No conflict of interest there at all.)

Naturopaths also very frequently claim to be holistic, meaning that they listen to their patients and sympathize with them, rather than just coldly treating them without any regard for their feelings. They "focus on the patient, not the disease." Which is actually pretty accurate, given that more often than not the "treatments" have no effect on the disease anyway.

History[edit]

Benedict Lust

Naturopathy claims ancient roots based on the Hippocrates quote, "vis medicatrix naturae"Wikipedia's W.svg ("the healing power of nature"),[4] but in reality it was cobbled together by a German immigrant to the United States named Benedict Lust. Lust used "Dr." before his name and claimed to have a degree from the New York Homeopathic Medical College in 1901 and a degree in osteopathy in 1902 from the Universal College of Osteopathy in New York,[5] but there was no evidence that he was licensed for anything in the state of New York and he was convicted there of practicing medicine without a licence.[6]

The term "naturopathy" was coined by Lust's colleague, John Scheel, in 1900. Lust popularized the term through his publications, by opening the first naturopathic school (the American School of Naturopathy in New York City), and from the establishment of health resorts known as "Yungborn" in Butler, New Jersey and Tangerine, Florida.[5]

Lust credited several men who preceded him for the development of naturopathy, including Father Sebastian Kneipp (creator of the Water Cure), Friedrich Eduard Bilz (who wrote the book Das Neue Naturheilverfahren (The New Natural Healing) in 1888), and Louis Kuhne (see below).[7]

By 1918, Lust included the following fields of treatment quackery within naturopathy in his book Universal Naturopathic Encyclopedia: electro-medicine, radiology, ozone therapy, magnetic field therapy, light therapy, vibration therapy, milk diet, chiropractic, raw foodism ("apyrtrophy"), fasting, hydrotherapy ("The Water Cure", "astroscopy" (astrological medicine), phrenology, Christian science, iridology, diagnosis by facial expression, and color therapy ("chromopathy").[7] The main ideas during the Lust-era of naturopathy (roughly 1900 to 1945) were all-inclusiveness — all natural "cures" were of value and to be included under the umbrella of naturopathy, and "drugless healing" in the form of strong opposition to the medical establishment.[7]

By 1932, Morris Fishbein had recorded an A-to-Z of quackery that fell within the naturopathy umbrella.[6] The treatments have since mostly fallen out of favor:[6]

  • Aerotherapy — "the patient is baked in a hot oven", and hence treated with hot air
  • Alereos system — treatment with heat and vibrations (with reference to osteopathy and chiropractic
  • Astral healing — an astrological reading followed by "medical" advice
  • Autology — a moderation-in-all things regimen developed by E. R. Moras, M.D., which also ironically recommended the exclusion of physicians
  • Auto-science — psychology, serums, "suggestive therapeutics", and "The Law of Creative Energy"
  • Autotherapy — a self-cure therapy developed by Dr. Charles H. Duncan; examples of "cures" included eating the boiled pus from boils to cure boils, and eating one's own filtered sputum from for tuberculosis
  • Biodynamochromatic diagnosis and therapy — Developed by George Starr White, M.D. F.S.Sc., D.C., Ph.D., LL.D. Disease is diagnosed by a "'sympathetic Vagal Reflex.' To elicit the said phenomenon, the patient faces east or west and his abdomen is thumped until a dull area is found. Then colored lights are thrown on the abdomen and the thumping is continued. A ruby and blue light with associated dullness means one thing and a green light combination another."
  • Christos — a form of "blood washing" that involved purging the intestine by consuming herbal tonics
  • Chromopathy and Chromatherapy — variants on biodynamochromatics (above)
  • Electro-homeopathy — a combination of electrotherapy and homeopathy
  • Electro-naprapathy — a combination of electrotherapy and naprapathic chiropractic
  • Electrotherapy — "The use of electric devices has a definite place in the treatment of disease. It should not be thought, however, that any electrician or machinist is competent to use such methods." One can safely presume that some electrotherapists may have fewer qualifications than an electrician.
  • Geotherapy — application of small pads of earth for treatment of disease
  • Irido-diagnosis — more commonly known nowadays as "iridology"
  • Kneipp Cure — also known as water therapy
  • Limpio comerology — "clean eating" in combination with proprietary preparations, "Q-33" and "Q-34"
  • Pathiatry — a formerly trademarked treatment that combined self-administered "spinal adjustment, traction, manipulation, deep massage, etc."
  • Poropathy — "manipulative surgery" that involved applying lotions applied to the skin which were claimed to be absorbed into the diseased organs, thus treating "internal cancer, cerebrospinal meningitis, epilepsy, tuberculosis of the joints and heart disease".
  • Practo-therapy — naturopaths who use colonics
  • Quartz-therapy — naturopaths who use quartz mercury vapor lamps
  • Sanatology — treats the "two basic causes of all disease": acidosis and toxicosis
  • Somapathy — Developed by Dr. C. H. Murray, "The diagnostician feels around in the place where the nerves emerge from the spinal cord and adjusts them. Then he continues his good effects by applying ice cold, or material heated up to two hundred degrees [Fahrenheit] at the place of adjustment."
  • Spectrocromists — advises individuals to wear garments based on prescribed colors (see color therapy)
  • Vita-O-Pathy — Orrin Robertson, Ph.D., D.M., M.D., developed an amalgam of 36+ surgery-free systems based on geometry, ancient science, philosophy and religion.
  • Zodiac therapy — a combination of aerotherapy, astral healing (see above) and herbs
  • Zonotherapy — Developed by Dr. Fizgerald of Hartford, Connecticut, who divided the body into zones. "For instance, a toothache on the right side may be 'cured' by fastening a little spring around the second toe of the left foot."
An early naturopathic treatment: children getting imprecise doses of radiation for scrofulous (tuberculosis of the lymph nodes)

Lust's views on what is and is not naturopathy leads to irony both during and after the Lust era, when:

  1. Radiation therapy was promoted (natural, though ostensibly a drug) for use by non-physicians despite it being well-known (even before 1917 and even by its naturopathic advocates) that radiation caused cancer.[7][8]
  2. Some modern naturopaths prescribe synthetic pharmaceuticals, including Benadryl,[9] hydrocodone, oxycodone, anabolic steroids, Proscar, Finasteride and Propecia, Clomiphene, Phetermine, DHEA-7 Keto, SSRIs, Phentermine, Adderol, and Fentanyl.[10] These prescriptions would be antithetical to Lust's view of naturopathy.

The 1918 Universal Naturopathic Encyclopedia also includes within it a posthumous book by Louis Kuhne titled, The New Science of Healing or The Doctrine of the Unity of Diseases (pages 223-488). The book contains some remarkable cures treatments that amount to a combination of vitalism, germ theory denialism and antivax.[7] For measles, scarlet fever, diphtheria, smallpox, whooping cough, scrofula (lymphadenopathy), rheumatism, gout, and sciatica, the treatment consists of combinations of friction sitz-baths, cold baths and steam baths.[7] Other ailments that Kuhne claimed could be treated include: cold extremities, hot head, nervous and mental diseases, lung inflammation, tuberculosis, pleurisy, lupus, venereal diseases, bladder and kidney disease, diabetes, uremia, bed wetting, liver disease, gall stones, intestinal diseases, heart disease, dropsy (edema), spinal cord diseases, hemorrhoids, chlorosis (anemia), epilepsy, anemia, epilepsy, agoraphobia, eye and ear diseases, dental diseases, head colds, influenza, throat diseases and goiter, headache and migraine, brain inflammation, typhus, dysentery, cholera, diarrhea, tropical fevers, malaria, yellow fever, leprosy, scabies, worms and parasites, hernia, cancer, wounds, and "diseases of women".[7] The total lack of understanding of disease causes and treatment by Kuhne would seem to be evident simply by his placement of wildly unrelated diseases within the same chapter (e.g., "Epileptic Fits. Agoraphobia", p. 366).[7]

Definition[edit]

The things naturopaths do that are good are not special, and the things they do that are special are not good.
Harriet Hall, MD[11]

As has been noted, naturopathy doesn't really entail anything very specific, and practitioners can run the gamut from slightly dubious lifestyle counselors to completely crazy germ theory denialists.[12][13] Nevertheless, there are some positions which can be considered to be quite common among naturopaths as a whole. There is the appeal to nature, which is ubiquitous (although, as "natural" is a pretty vague term, the conception of which therapies are natural or not can vary depending on the practitioner)[9][14][15]; a distrust of vaccines and other "synthetic" products; use of herbs and vitamins; a tendency to prefer exotic, Eastern medicine (the more expensive and obscure, the better!) such as Ayurveda and traditional Chinese medicine (TCM); and the belief that our bodies are full of toxins like lead and mercury, which need to be purged by means of detoxing or chelation therapy. Ironically, Ayurveda and TCM actually consider mercury, lead, arsenic, and asbestos to be legitimate medical remedies, even as naturopaths wholeheartedly recommend these systems of "medicine". In addition, the American Textbook of Natural Medicine lists Unani (in addition to Ayurveda and TCM) as an acceptable form of naturopathic treatment,[16] even though bloodletting and leeching are integral parts of it (even more so than in Ayurveda and TCM).

Quite a few naturopaths seem to have no problem prescribing pharmaceuticals or synthesized supplements, despite the anti-pharma rhetoric of many. Chelation drugs, Benadryl, colchicine, and various other pharmaceuticals are prescribed by naturopaths on a regular basis.[9][14][17][15] It seems each individual naturopath just arbitrarily mixes and matches "synthetic" and "natural" treatments with no real rhyme or reason, depending on what "feels right". What is a toxic synthetic pharmaceutical for one naturopath may be a perfectly acceptable naturopathic treatment for another. To give just one of many examples, some blast Botox (which, incidentally, is completely natural) as being a horrible poison,[18][19][20] while others use it quite happily.[21][22][23][24]

Licensing[edit]

As of 2017, several states and territories within of the United States, and every province in Canada, license naturopathic physicians.[25] Legislation is pending in several other states within the US.[26] Britt Marie Hermes provides a guide to legislation of naturopathy in US states and Canadian provinces.[27] According to Hermes, as of 2015 Arizona has the "broadest naturopathic scope of practice" and "may be the worst-case scenario of any state licensing pseudoscience as medicine."[28] Problems in Arizona include:

  • Naturopaths have used dangerous treatments under the guise of pseudo-research with the cover of private naturopathic institutional review boards.[28][29]
  • Naturopaths have the ability to write prescriptions for Schedule II drugs, which include opiates and amphetamines.[28][10][30]
  • Naturopaths can perform minor surgery.[28]
  • Naturopaths can administer substances intravenously.[28]

There are currently seven colleges and universities that offer a "ND" (Not Doctor Doctor of Naturopathic Medicine) degree in North America.[31]

Universities that teach naturopathic medicine[edit]

National College of Natural Medicine
Accredited naturopathic schools are disguising the naturopathic education of nonsense as a distinct, and better, form of primary care medicine. Sadly, these schools are getting away with what I consider to be education fraud. The truth is that naturopathic education is riddled with pseudoscience, debunked theories, and experimental medical practices.
—Britt Hermes, naturopathic apostate[32]

Bastyr University, which is accredited by the Western Association of Colleges and Schools offers a Doctorate of Naturopathic Medicine as well as acupuncture and other natural healing degrees. Other accredited universities include — National College of Natural Medicine, Southwest College of Naturopathic Medicine, University of Bridgeport College of Naturopathic Medicine and Canadian College of Naturopathic Medicine. Education does include actual science (general biology and chemistry, anatomy/physiology, physics etc.) but these colleges generally reject vaccinations or the use of actual medicine. In many states the use of naturopaths is restricted or illegal.[citation needed]

Diagnostic practices[edit]

The following is an example of naturopaths trying to make diagnoses based on a case study that was presented at the Institutional Review Board of the International American Naturopathic Clinical Research Institute/Naturopathic Oncology Research Institute/International Naturopathic Clinical Research Institute.[33]

In real medicine, case studies are intended to have an educational purpose, either for medical students or for fellow-doctors; case studies are used to determine a proper diagnosis, differentiate between possible diagnoses and/or to determine a proper course of treatment.[34] Naturopaths also use case studies, but they often look amateurish; compared to medical case studies, they often lack detail and focus. See a comparable medical case study to the naturopathic one below, see "Case Study in Del(17p) Chronic Lymphocytic Leukemia".[35]

Note that all the "Dr."s below are actually NMDs (Naturopathic Medial Doctors) — not actual medical doctors.

Case Presentation:[33]Comments:
Dr. [Cheryl] Hamilton presented the case of a 39-yo clinically obese male patient with a chief complaint of low blood testosterone but high exogenous testosterone use and leukemia. He had a white blood cell count that grew to 50,000. He came in on an already prescribed high dose of testosterone.This is a remarkably vague description of the case compared to an actual medical case study, which normally would include detailed test diagnostics, e.g., for blood and genetics.[35]

Dr. [Robert] Waters said that in testicular tissue a statin interferes with testosterone production.This is true,[36] but it is not clear what relevance it has since the patient was not described as having taken statins.

Dr. [Andrew] Dickens said he is convinced that a high cholesterol is from a low functioning thyroid, and that measuring thyroid levels in the blood is as useless as appraising a car by the amount of gas in the tank. In other words, blood levels of thyroid hormones are simply residual left over from organ uptake. So thyroid is perhaps low. Also, this patient does seem to have burned out adrenals, and I would check his cortisol.Curiously, Dickens gives car analogy, as if he and/or his colleagues do not have a lot of medical expertise. This is not how medical professionals speak to each other when diagnosing patients.[35] Why is Dickens speculating about thyroid levels when a test could have been ordered?

Dr. [Kenneth] Proefrock said please switch the vitamin D2 out to D3. Check his prolactin. The more testosterone that gets pushed into him, the more his liver is going to process it. Plus due to previous breast reduction, he must have been aromatizing a lot of the testosterone. Consider switching him to a ketogenic diet.What the hell is Proefrock[note 1] saying?
  • There was no indication that the patient was even taking vitamin D, why is he saying to switch from D2 to D3? Although there is evidence that vitamin D can prevent some diseases, it is not clear what issue Proefrock thinks that vitamin D would address in this case.
  • Does Proefrock realize that high doses of testosterone can cause liver toxicity?[37] Breast reduction in males causes aromatized testosterone???
  • Low-carbohydrate (ketogenic) diets can lower body weight in the short term, but staying on a low-carbohydrate diet long term can have negative health consequences.

Dr. Proefrock said that for treating leukemia it is a situation of watch and wait. Here is a guy who's always vigilant. No wonder he has such a high WBC count, when you consider that the immune system is the vigilant police force of the body. If he could get somebody to help him work through all of his emotional issues, he may be able to undergo a profound enough transformation to break through his current state.Here we have two bizarre assertions by Proefrock:
  1. "…leukemia it is a situation of watch and wait". In fact there are two kinds of chronic lymphocytic leukemia (CLL), one that is slow growing and may not need immediate treatment, and one that is fast growing and is more serious. The two can be differentiated by a lab test.[38] Proefrock clearly does not know what he's talking about.
  2. That if the patient works "through all of his emotional issues", he will be cured.

Dr. [Glen] Ozalan agreed. He got into this because he is in red alert. Get him over to a Brain State therapy, to help get him out of a sympathetic state over to a parasympathetic state. So he’s gotten into an addictive cycle in the sympathetic state and the adrenal overdrive. In the long run, over 35 years of practice, I have seen the pattern of everything outside of work on transformational levels as only a band aid.Brain state therapy is an unproven experimental therapy used for pain, sleep, stress, gait,[39] none of which are among the patient's symptoms. It is not clear what Ozalen is trying to treat or whether there was even a measurement of adrenal gland function.

Dr. [Andrew] Dickens said that EMF and EMDR all work in such a way to unhook the neurological loops that are self-sustaining.EMF is electromagnetic field. EMDR is Eye Movement Desensitization and Reprocessing.Wikipedia's W.svg EMDR has been recommended for Post-traumatic stress disorderWikipedia's W.svg, a condition that was not one that the patient was known to have. There is currently debate about whether EMDR is effective even for PTSD because the meta-analyses on EMDR were based on poor-quality studies.[40][41]

Dr. Proefrock said that Robert Sapolsky wrote a very good essay, "The Trouble with Testosterone." It's about the psychological problems with excess testosterone. The patient being considered seems to be having this problem. Blood testosterone levels are also a poor indicator of actual testosterone use in the body, a left over residual. 

Dr. Dickens said that a big problem with police forces is sometimes underground steroids.How is this relevant? The patient was prescribed testosterone; it was not stated that he was abusing it.

Dr. Proefrock said, I'm seeing the testosterone as the biggest problem.Unless Proefrock somehow knows that the CLL that the patient has is not the fast growing type, he is wrong.

Dr. [Cheryl] Kollin said, I would look at environmental stuff. Some lead toxicity.Lead does cause several health problems, but — surprise! — the patient's health problems are not among them.

Dr. Proefrock said yes, I have seen high lead in people who are long-term shooters.Is Proefrock saying referring to testosterone users as "shooters", implying that they're abusing the testosterone? This patient was prescribed the drug.

Dr. [Colleen] Huber said that she thinks CLL is one of the more challenging cancers to actually have some effect on; often there seems to be a well-entrenched, chronic, latent pathogen involved. His shingles, the zoster virus; this could be something addressed.Shingles was not mentioned as one of the patient's conditions. There is some evidence that the zoster virus that causes shingles (and chicken pox) is associated with increase risk of hematologic cancers generally, of which CLL is one.[42]

Dr. Waters said, Sometimes stem cells are absent with Agent Orange, to which this patient has been exposed. Most of the people with that have neurodegenerative conditions. In many cases this is the case, even with no dioxin left in them. We do a fat biopsy to see what is going on.Again, we have another piece of information about the patient appear of out of thin air: in this case, past exposure to Agent Orange. TCDD is a human carcinogen that is found in Agent Orange, however it is not specifically known to cause CLL in humans.[43]

Dr. Proefrock mentioned that food poisoning can lead to off the wall blood counts.Infections, such as food poisoning, will increase white blood cell counts. However, the patient was already diagnosed with leukemia, not diagnosed with food poisoning!

See also[edit]

External links[edit]

Notes[edit]

  1. In 2011, Proefrock had his license restricted. "Consent Agreement for License Restriction. Failure to have patient sign 'consent to treat" form, a recognized standard of the naturopathic profession. Harming a patient by performing Prolotherapy treatment into cervical spine region without the required credential qualifying him in this procedure. License restricted to performing Prolotherapy of the extremities until he completes no less than 32 hours of training in Prolotherapy of the spinal region in an approved program."[10]

References[edit]

  1. Here we go again: A bill licensing naturopaths rears its ugly head in Michigan by David Gorski (February 4, 2013) Science-Based Medicine.
  2. "The practices we encountered in our survey of the occupation ranged from the generally supportable to the improbable to the disproved. The list includes: […] Some naturopaths we interviewed laughed at certain items in the list but embraced others that had even less credibility." Naturopathy: A Critical Analysis, Barry L. Beyerstein, PhD, Susan Downie, Quackwatch.
  3. Your Questions Answered, Association of Accredited Naturopathic Medical Colleges.
  4. Canadian Association of Naturopathic Doctors: History of Naturopathic Medicine
  5. 5.0 5.1 Collected Works of Benedict Lust ND, Founder of Naturopathic Medicine (2006) Healing Mountain Publishing. ISBN 1-933350-04-0.
  6. 6.0 6.1 6.2 Fads and Quackery in Healing: An Analysis of the Foibles of the Healing Cults, with Essays on Various Other Peculiar Notions in the Health Field by Morris Fishbein (1932) Blue Ribbon Books, 382 pp.
  7. 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 Universal Naturopathic Encyclopedia, Directory and Buyers' Guide: Year Book of Drugless Therapy for 1918-19 by Benedict Lust (editor and publisher).
  8. Principles of electro-medicine, electrosurgery and radiology: A practical treatise for students and practitioners. With chapters on mechanical vibration and blood pressure technique by Anthony Matijaca (1917). Butler, NJ: Dr. Benedict Lust
  9. 9.0 9.1 9.2 What naturopaths say to each other when they think no one’s listening, Science-Based Medicine, David Gorski. Includes examples of naturopaths using things like Benadryl and hydrochloric acid.
  10. 10.0 10.1 10.2 Disciplinary Action: Naturopathic Physicians Medical Board Arizona Naturopathic Physicians Medical Board
  11. The Skeptic's Dictionary: naturopathy
  12. Germ theory denialism: A major strain in “alt-med” thought, David Gorski, Science-Based Medicine, August 9 2010.
  13. [1]
  14. 14.0 14.1 Natural versus “natural” in CAMworld, Science-Based Medicine, David Gorski.
  15. 15.0 15.1 Sh*t Naturopaths Say, Orac.
  16. Naturopathy Embraces the Four Humors, Jann Bellamy, Science-Based Medicine.
  17. Naturopathic News
  18. Anti-Botox Fillers: The Case Against
  19. Anti-Aging
  20. 9 Tips your Naturopath wants you to know about flawless skin. Tip 5: "My advice would be to avoid Botox as it is the most deadliest poison for the skin."
  21. Botox
  22. [2]
  23. [3]
  24. [4]
  25. Regulated States & Regulatory Authorities The American Association of Naturopathic Physicians
  26. Regulation of Naturopathic Doctors in the United States The American Association of Naturopathic Physicians
  27. Legislative Guide by Britt Hermes (Latest updates: 12 July 2017) Naturopathic Diaries.
  28. 28.0 28.1 28.2 28.3 28.4 The Wild West: Tales of a Naturopathic Ethical Review Board in Arizona by Britt Hermes (13 April 2015) Naturopathic Diaries.
  29. Disciplinary Action: Naturopathic Physicians Medical Board (Last Revised 7/18/2014) Naturopathic Physicians Medical Board
  30. Schedule 2 (II) Drugs Drugs.com
  31. Association of Accredited Naturopathic Medical Colleges
  32. Naturopathic Diaries: Should I go to naturopathic school? June 10, 2015 by Britt Hermes
  33. 33.0 33.1 Minutes – February 13, 2017 Institutional Review Board of the International American Naturopathic Clinical Research Institute/Naturopathic Oncology Research Institute/International Naturopathic Clinical Research Institute (archived from September 18, 2015).
  34. Case Studies with an educational purpose by Julie Solomon (2006) Nature Clinical Practice Rheumatology 2(8):399.
  35. 35.0 35.1 35.2 Case Study in Del(17p) Chronic Lymphocytic Leukemia Physicians' Education Resource (PER)
  36. Statins May Lower Testosterone, Libido: Men With Erectile Dysfunction on Statin Therapy Are Twice as Likely to Have Low Testosterone, Study Finds by Kathleen Doheny (April 16, 2010) WebMD.
  37. The benefits and risks of testosterone replacement therapy: a review by Nazem Bassil et al. (2009) Ther. Clin. Risk. Manag. 5: 427–448.
  38. What Is Chronic Lymphocytic Leukemia? American Cancer Society
  39. AI driven, music-triggered brain state therapy for pain, sleep, stress, gait ApplySci (MIT)
  40. The Evolving Construct of Posttraumatic Stress Disorder (PTSD): DSM-5 Criteria Changes and Legal Implications by Lori A. Zoellner et al. (2013) Psychol. Inj. Law. 6(4):277–289.
  41. A meta-analysis of the contribution of eye movements in processing emotional memories by C. W. Lee & P. Cuijpers (2013) J. Behav. Ther. Exp. Psychiatry. 44(2):231-239. doi: 10.1016/j.jbtep.2012.11.001.
  42. The risk of a subsequent cancer diagnosis after herpes zoster infection: primary care database study by S. J. Cotton et al. (2013) Br. J. Cancer. 108(3):721–726. doi:10.1038/bjc.2013.13.
  43. 2,3,7,8-Tetrachlorodibenzo-para-dioxin, 2,3,4,7,8-Pentachlorodibenzofuran, and 3,3′,4,4′,5-Pentachlorobiphenyl International Agency for Research on Cancer, Monograph 100F.