Elsevier

EXPLORE

Volume 13, Issue 4, July–August 2017, Pages 244-256
EXPLORE

Reflections
What is “Healing”?: Reflections on Diagnostic Criteria, Nosology, and Etiology

https://doi.org/10.1016/j.explore.2017.04.005Get rights and content

This article examines the conceptual history and contemporary usages of the term “healing.” In response to longstanding definitional ambiguity, reflections are offered on what are termed the diagnostic criteria, nosology, and etiology of healing. First, a summary is provided of how healing has been defined within medicine. Second, the dimensionality of healing is discussed. Third, healing’s putative determinants are outlined. For biomedicine, healing mainly concerns repair of wounds or lesions and is unidimensional. For complementary medicine, by contrast, healing has been defined alternatively as an intervention, an outcome, and a process—or all of these at once—and is multidimensional, impacting multiple systems from the cellular to the psychosocial and beyond. Notwithstanding these usages, a review of medical texts reveals that healing is rarely defined, nor is its dimensionality or determinants described. Persistent lack of critical attention to the meaning of “healing” has implications for medical research and practice.

Section snippets

“Diagnostic Criteria”: Definitions of Healing

So, again, the question is posed: what is healing? Upon close inspection, two distinct approaches to answering this question can be identified. One, which we might term the classical approach to defining healing, is based on prevailing usages within biomedicine, both clinical practice and the basic sciences. The other, which can be termed the alternative approach, derives from usages found within the CAM arena and within discussions from substantive areas even further afield, such as among

“Nosology”: Dimensions of Healing

These observations are conditioned not just by how healing is defined, but by how for years it has been typologized, taxonomized, categorized, classified, and generally cut and diced. For CAM, the laxity in defining healing, simultaneously, as an intervention, outcome, process, and so on goes hand in hand with the laxity in its application to describe resolution of every individual, interpersonal, or societal woe. Likewise, for biomedicine, the stringency in defining healing narrowly as just

“Etiology”: Determinants of Healing

To review, we have considered two broad conceptual approaches to the term “healing.” The first approach consists of a couple of usages confined almost exclusively to biomedicine: healing as the repair of tissue wounds, and healing as the recovery from a pathogenic (disease) state. The second approach consists of competing usages found almost exclusively in CAM: healing-as-intervention, healing-as-process, and healing-as-outcome. Moreover, in the CAM context especially, healing is considered to

Conclusions

To summarize, healing is a word and concept that has been and is still subject to a multiplicity of competing and often conflicting usages. In various contexts and by various authors, it may refer to an intervention, the outcome of an intervention, or the process by which the outcome occurs. Each of these is considered by some to define “healing.” One may observe different patterns of usage between biomedical scientists and clinicians, on the one hand, and CAM practitioners and New-Age writers,

References (115)

  • Stedman’s Medical Dictionary

    (2006)
  • Dorland′s Illustrated Medical Dictionary

    (2012)
  • Taber′s Cyclopedic Medical Dictionary

    (2009)
  • Mosby’s Medical Dictionary

    (2017)
  • J.C. Segen

    Concise Dictionary of Modern Medicine

    (2006)
  • A. Antonovsky

    Health, Stress, and Coping: New Perspectives on Mental and Physical Well-Being

    (1979)
  • A. Antonovsky

    Unraveling the Mystery of Health: How People Manage Stress and Stay Well

    (1989)
  • T.R. Freeman

    McWhinney’s Textbook of Family Medicine

    (2016)
  • L. Gordis

    Epidemiology

    (2014)
  • G.D. Friedman

    Primer of Epidemiology

    (2004)
  • K.J. Rothman et al.

    Modern Epidemiology

    (2008)
  • D. Schneider et al.

    Lilienfeld’s Foundations of Epidemiology

    (2015)
  • K.E. Nelson et al.

    Infectious Disease Epidemiology

    (2014)
  • M. Magnus

    Essentials of Infectious Disease Epidemiology

    (2008)
  • J. Giesecke

    Modern Infectious Disease Epidemiology

    (2002)
  • L. Dossey

    Samueli conference on definitions and standards in healing research: working definitions and terms

    Altern Ther Health Med

    (2003)
  • R.P. Zahourek

    Healing: through the lens of intentionality

    Holist Nurs Pract

    (2012)
  • K.M. Boyd

    Disease, illness, sickness, health, healing and wholeness: exploring some elusive concepts

    Med Humanit

    (2000)
  • K. Firth et al.

    Healing, a concept analysis: appendix A

    Glob Adv Health Med

    (2015)
  • Kunz D. Compiler Spiritual Healing: Doctors Examine Therapeutic Touch and Other Holistic Treatments. Wheaton, IL: Quest...
  • A. Young

    Spiritual Healing: Miracle of Mirage?

    (1981)
  • Cited by (0)

    View full text