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'''Bach flower therapy''' is an [[unproven health treatment]] that, according to a U.K. Parliament study, asserts that [[flower]]s contain the life force of a plant and that this is then imprinted into water through "sun infusion", producing a [[plant extract]] that is diluted before administration. This is then used to create remedies, which are usually ingested by the patient, and are purported to help them let go of "negative thoughts".<ref name=UKselect-Ch2>{{citation
'''Bach flower therapy''' is an [[unproven health treatment]] which asserts that [[flower]]s contain the life force of a plant, and that this life force can be imprinted into water through "sun infusion". The resulting  [[plant extract]] is diluted to create remedies, which are usually ingested by the patient, and are purported to help them let go of "negative thoughts".<ref name=UKselect-Ch2>{{citation
  | url = http://www.parliament.the-stationery-office.co.uk/pa/ld199900/ldselect/ldsctech/123/12302.htm
  | url = http://www.parliament.the-stationery-office.co.uk/pa/ld199900/ldselect/ldsctech/123/12302.htm
  | author = Select Committee appointed to consider Science and Technology, U.K. Parliament  
  | author = Select Committee appointed to consider Science and Technology, U.K. Parliament  
Line 10: Line 10:
  | url = http://www.bachcentre.com/centre/drbach.htm  
  | url = http://www.bachcentre.com/centre/drbach.htm  
  | title = Our founder, Dr Edward Bach
  | title = Our founder, Dr Edward Bach
  | publisher = Bach Centre}}</ref> The 38 specific plants, and the emotional states for which they are indicated, are listed on the [[Bach flower therapy/Catalogs|Catalogs subpage]].
  | publisher = Bach Centre}}</ref> The 38 specific plant remedies that he devised, and the emotional states for which they are indicated, are listed on the [[Bach flower therapy/Catalogs|Catalogs subpage]].


There is no rational or scientific basis for believing that Bach flower therapy would have any effects beyond those that are induced by suggestion - i.e. [[placebo]] effects, and it is not something that has been considered worthy of any serious scientific attention. There have been a few assessments of its effects on patients, and it is thought to probably be safe.<ref>{{citation
There is no rational or scientific basis for believing that Bach flower therapy would have any effects beyond those that are induced by suggestion - i.e. [[placebo]] effects, and it is not something that has been considered worthy of any serious scientific attention. There have been a few assessments of its effects on patients, and it is thought to probably be safe.<ref>Ernst E (2010) Bach flower remedies: a systematic review of randomised clinical trials ''Swiss Med Wkly'' 140:w13079. doi: 10.4414/smw.2010.13079 PMID 20734279</ref><ref>{{citation
  | title = Bach Flower Remedies for psychological problems and pain: a systematic review
  | title = Bach Flower Remedies for psychological problems and pain: a systematic review
  | author = Thaler K ''et al.''
  | author = Thaler K ''et al.''
Line 23: Line 23:
}}}</ref>
}}}</ref>


For healing rituals generally, their effectiveness in evoking benefits from the placebo effect depends on getting patients to believe in the possibility of their efficacy. Different healing rituals appeal to different patient groups according to how open they are to mystical, religious, or quasi scientific explanations, but in all cases the suggestive power is bolstered by an elaborate explanatory narrative the purpose of which is to convey a sense of apparent profundity to the ritual.
For healing rituals generally, their effectiveness in evoking benefits from the placebo effect depends on getting patients to believe in the possibility of their efficacy. Different healing rituals appeal to different patient groups according to how open they are to mystical, religious, or quasi scientific explanations, but in all cases the suggestive power is bolstered by an elaborate explanatory narrative the purpose of which is to convey a sense of apparent profundity to the ritual.<ref>Whalley B, Hyland ME (2009) One size does not fit all: motivational predictors of contextual benefits of therapy ''Psychol Psychother'' 82:291-303 PMID 19288979</ref> In the case of Bach flower therapy, there is some evidence that spirituality as a personality trait might heighten responsiveness to this therapy <ref>Hyland ME ''et al.'' (2006) Spirituality predicts outcome independently of expectancy following flower essence self-treatment ''J Psychosom Res'' 60:53-8 PMID 16380310</ref>


==Bach therapy and phytotherapy==
==Bach therapy and related healing rituals==
While Bach remedies are derived from plants, the principle is different than [[phytotherapy]] (i.e., herbalism). Herbalism assumes the existence of significant healing ingredient(s) in the plant extract
While Bach remedies are derived from plants, the principle is different than [[phytotherapy|herbalism]]. Whereas herbalism assumes the existence of significant healing ingredient(s) in the plant extract, and thus presents a quasi-scientific narrative explanation, Bach remedies are given a mystical, or supernatural narrative. Bach uses the term "signature", said to be related to the "signatures" of [[Paracelsus]], invoking the authority of an ancient wisdom. The remedies are said to work on a mental level that transfers the "vibrations" or signature; the vibrations resonate with inherent vibrations believed to be in human cells. According to Bach practitioners, the remedies do not have detectable levels of active chemicals.<ref name=BachPrinciple>{{citation
 
Bach remedies, however, are more related to the "signatures" of [[Paracelsus]]; Bach indeed uses the term "signature". The remedies work on a mental level that transfers the "vibrations" or signature; the vibrations resonate with inherent vibrations believed to be in human cells. According to Bach practitioners, the remedies do not have detectable levels of active chemicals.<ref name=BachPrinciple>{{citation
  | title = The Principles of Bach Essence
  | title = The Principles of Bach Essence
  | url =http://www.bachflowertherapy.com/fundamentalsbachflowertherapy/principleofflowerremedies/index.php }}</ref>  Independent microchemical analysis does not appear to be available.
  | url =http://www.bachflowertherapy.com/fundamentalsbachflowertherapy/principleofflowerremedies/index.php }}</ref>  Independent microchemical analysis does not appear to be available.
==Bach therapy and aromatherapy==
While there may seem to be a similarity in that flowers contain essential oils, the preparation methods are quite different. Bach extracts use, in chemical terms, [[solvent extraction]], while essential oils are usually extracted with steam [[distillation]].


==Bach therapy and homeopathy==
[[Aromatherapy]] is a similar unscientific healing ritual, and also makes use of flowers as a source of aromatic oils, but the preparation methods are different. Bach extracts use, in chemical terms, [[solvent extraction]], while essential oils are usually extracted with steam [[distillation]].
Bach flower therapy and [[homeopathy]] have similarities in that they involve remedies intended to improve a [[vitalism|''vital force'']], and they both have a concept of potentizing. At that point, they diverge significantly. Preparation of the remedies, however, is different. Bach remedies are not selected using the homeopathic principle of the Laws of Similars.  
 
==Preparation of Bach remedies==
Bach flower therapy and [[homeopathy]] claim to improve a [[vitalism|''vital force'']], and they both have a concept of potentizing. At that point, however, they diverge. Preparation of the remedies is different, and Bach remedies are not selected using the homeopathic principle of the Laws of Similars. A Bach remedy is chosen to treat a particular psychological causes of illness. For example, the flower 'impatiens' is used to treat impatience and irritability, and 'mimulus' is used to treat timidity.
 
Bach remedies are prepared using precise methods specified by Bach, and which are also described in the ''British Homeopathic Pharmacopeia'' as used to prepare homeopathic ''mother tinctures''. This is an atypical use of the term "tincture" in the terminology of herbalism and pharmacy, which use the term for  an alcoholic, not aqueous, extract.  Only flowers that grow naturally in the wild are used, and remedies are prepared using either the "sun method" or the "boiling method". In the sun method, fresh, fully opened flower heads are floated on pure spring water in a glass bowl and left for a few hours in the sun; in the boiling method, branches and leaves are boiled in water for half an hour. The plant matter is then removed, leaving the water (the "mother tincture") which, according to Bach, retains the "vibrations" of the flower. The mother tincture is then mixed with brandy, and either diluted with water for a remedy to be taken orally, or applied directly to pulse points such as the wrists, temples and behind the ears.  


The  means of Bach remedy preparation uses a method, described in the ''British Homeopathic Pharmacopeia'', that is used to prepare homeopathic ''mother tinctures''. One involves extraction using [[ethanol]], of a specific type of [[brandy]] and extracting with sunshine, while the other involves boiling the flowers with water. Once extracted, however, the tincture is used in a very different manner than in homeopathy.<ref name=BachPrep>{{citation
Once extracted, the tincture is used in a very different manner than in homeopathy.<ref name=BachPrep>{{citation
  | title = The Production of Bach Flower Essences
  | title = The Production of Bach Flower Essences
  | url =http://www.bachflowertherapy.com/fundamentalsbachflowertherapy/productionofbachflowerremedies/index.php }}</ref>
  | url =http://www.bachflowertherapy.com/fundamentalsbachflowertherapy/productionofbachflowerremedies/index.php }}</ref> There is dilution, but to what homeopaths call a 5X dilution, which gives a much higher concentration than used in homeopathy.<ref name=BachTheory>{{citation
==Bach potentizing==
There is dilution, but to what homeopaths call a 5X dilution, which gives a much higher concentration than used in homeopathy.<ref name=BachTheory>{{citation
  | title = The Theory of Bach Flower Therapy
  | title = The Theory of Bach Flower Therapy
  | url =http://www.bachflowertherapy.com/fundamentalsbachflowertherapy/theoryofbachflowerremedies/index.php }}</ref>
  | url =http://www.bachflowertherapy.com/fundamentalsbachflowertherapy/theoryofbachflowerremedies/index.php }}</ref>
==Efficacy testing==
<ref>Halberstein RA ''et al.'' (2010) When less is better: a comparison of Bach Flower Remedies and homeopathy ''Ann Epidemiol'' 20:298-307 PMID 20097577</ref>
Tbere are a limited number of trials, with small samples; only abstracts were available for this article. They primarily dealt with anxiety.  One double-blinded [[randomized controlled trial]], comparing a Bach extract against [[placebo]], reduced situational anxiety in a group of 111 patients.<ref name=Halberstein/>
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 09:09, 28 January 2011

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Bach flower therapy is an unproven health treatment which asserts that flowers contain the life force of a plant, and that this life force can be imprinted into water through "sun infusion". The resulting plant extract is diluted to create remedies, which are usually ingested by the patient, and are purported to help them let go of "negative thoughts".[1] The practice was originated and developed by English homeopath Edward Bach (pronounced "Batch", 1886–1936).[2] The 38 specific plant remedies that he devised, and the emotional states for which they are indicated, are listed on the Catalogs subpage.

There is no rational or scientific basis for believing that Bach flower therapy would have any effects beyond those that are induced by suggestion - i.e. placebo effects, and it is not something that has been considered worthy of any serious scientific attention. There have been a few assessments of its effects on patients, and it is thought to probably be safe.[3][4] Like other healing rituals that work through the power of suggestion, it may have some benefits in relieving anxiety, with some consequential health benefits. [5]

For healing rituals generally, their effectiveness in evoking benefits from the placebo effect depends on getting patients to believe in the possibility of their efficacy. Different healing rituals appeal to different patient groups according to how open they are to mystical, religious, or quasi scientific explanations, but in all cases the suggestive power is bolstered by an elaborate explanatory narrative the purpose of which is to convey a sense of apparent profundity to the ritual.[6] In the case of Bach flower therapy, there is some evidence that spirituality as a personality trait might heighten responsiveness to this therapy [7]

Bach therapy and related healing rituals

While Bach remedies are derived from plants, the principle is different than herbalism. Whereas herbalism assumes the existence of significant healing ingredient(s) in the plant extract, and thus presents a quasi-scientific narrative explanation, Bach remedies are given a mystical, or supernatural narrative. Bach uses the term "signature", said to be related to the "signatures" of Paracelsus, invoking the authority of an ancient wisdom. The remedies are said to work on a mental level that transfers the "vibrations" or signature; the vibrations resonate with inherent vibrations believed to be in human cells. According to Bach practitioners, the remedies do not have detectable levels of active chemicals.[8] Independent microchemical analysis does not appear to be available.

Aromatherapy is a similar unscientific healing ritual, and also makes use of flowers as a source of aromatic oils, but the preparation methods are different. Bach extracts use, in chemical terms, solvent extraction, while essential oils are usually extracted with steam distillation.

Preparation of Bach remedies

Bach flower therapy and homeopathy claim to improve a vital force, and they both have a concept of potentizing. At that point, however, they diverge. Preparation of the remedies is different, and Bach remedies are not selected using the homeopathic principle of the Laws of Similars. A Bach remedy is chosen to treat a particular psychological causes of illness. For example, the flower 'impatiens' is used to treat impatience and irritability, and 'mimulus' is used to treat timidity.

Bach remedies are prepared using precise methods specified by Bach, and which are also described in the British Homeopathic Pharmacopeia as used to prepare homeopathic mother tinctures. This is an atypical use of the term "tincture" in the terminology of herbalism and pharmacy, which use the term for an alcoholic, not aqueous, extract. Only flowers that grow naturally in the wild are used, and remedies are prepared using either the "sun method" or the "boiling method". In the sun method, fresh, fully opened flower heads are floated on pure spring water in a glass bowl and left for a few hours in the sun; in the boiling method, branches and leaves are boiled in water for half an hour. The plant matter is then removed, leaving the water (the "mother tincture") which, according to Bach, retains the "vibrations" of the flower. The mother tincture is then mixed with brandy, and either diluted with water for a remedy to be taken orally, or applied directly to pulse points such as the wrists, temples and behind the ears.

Once extracted, the tincture is used in a very different manner than in homeopathy.[9] There is dilution, but to what homeopaths call a 5X dilution, which gives a much higher concentration than used in homeopathy.[10] [11]

References

  1. Select Committee appointed to consider Science and Technology, U.K. Parliament (21 November 2000), Chapter 2: Disciplines examined, Definitions of the Various CAM Therapies, Complementary and Alternative Medicine
  2. Our founder, Dr Edward Bach, Bach Centre
  3. Ernst E (2010) Bach flower remedies: a systematic review of randomised clinical trials Swiss Med Wkly 140:w13079. doi: 10.4414/smw.2010.13079 PMID 20734279
  4. Thaler K et al. (2009), "Bach Flower Remedies for psychological problems and pain: a systematic review", BMC Complementary and Alternative Medicine 9: 16, DOI:10.1186/1472-6882-9-16
  5. Halberstein R et al. (January 2007), "(Abstract) Healing With Bach® Flower Essences: Testing a Complementary Therapy", Complementary Health Practice Review 12: 3-14, DOI:10.1177/1533210107300705}
  6. Whalley B, Hyland ME (2009) One size does not fit all: motivational predictors of contextual benefits of therapy Psychol Psychother 82:291-303 PMID 19288979
  7. Hyland ME et al. (2006) Spirituality predicts outcome independently of expectancy following flower essence self-treatment J Psychosom Res 60:53-8 PMID 16380310
  8. The Principles of Bach Essence
  9. The Production of Bach Flower Essences
  10. The Theory of Bach Flower Therapy
  11. Halberstein RA et al. (2010) When less is better: a comparison of Bach Flower Remedies and homeopathy Ann Epidemiol 20:298-307 PMID 20097577