Princípios centrais da relação de interagência: uma contribuição para a clínica naturológica / Core principles of the interaction's relationship: a contribution to the naturological clinical practice

Introdução: A Naturologia é um conhecimento que preconiza uma visão ampliada dos processos de saúde e oferece uma perspectiva de promoção e educação para a saúde. Tem sua origem no Brasil nos mesmos movimentos que consolidaram a Naturopatia neste país e no mundo, e suas especificidades são o diálogo entre as racionalidades de saúde como proposta epistemológica e a Relação de Interagência. Relação de Interagência é o nome dado à relação terapêutica na Naturologia. Objetivo: Revisar a literatura sobre a Relação de Interagência para identificar, sumarizar, sistematizar e discutir os princípios centrais que a norteiam, sob uma perspectiva clínica. Percurso metodológico: Foi realizada uma revisão narrativa da literatura, e os achados sobre a Relação de Interagência foram dialogados com saberes de outras áreas. Desenvolvimento: Dentre diversos conceitos citados como norteadores da Relação de Interagência na literatura disponível, 5 princípios centrais foram destacados para fins de sintetização: presença; empatia; integralidade; autonomia; e corresponsabilidade. Estes princípios são apresentados e discutidos ao longo do artigo, e foram feitos apontamentos de aplicação prática quando pertinente.(AU)

Introduction: Naturology is a knowledge that advoctes an enlarged understanding of health processes and a perspective of health promotion and education. Its origins in Brazil are the same movements that have consolidated Naturopathy in this country and in the world. Some specificities are the dialogue between health rationalities as an epistemological proposal and interaction´s relationship. "Interaction´s Relationship". is tha name given to the therapeutic relationship in Naturology. Objective: To review the literature on Interaction´s Relationship and to identify, summarize, systematize and discuss the core principles that guide it from a clinical perspective. Methodological route: A narrative revil of the literature was carried ou, and the findings on an Interaction´s Relationship with dialogues with knowledge from other areas. Development: Among several concepts cited as guiding principles of the Interaction´s Relationship in the literature, five core prominent principles were highlighted for synthesizing purposes: presence; empathy; wholeness; autonomy; and co-responsbility. These core principles were discussed throughout the paper and practical considerations were made.(AU)

Ethical and legal issues in cross-system practice in India: Past, present and future.

Recent changes in policies allowing practitioners of Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) to integrate into the mainstream of healthcare and also allowing practitioners of Ayurveda and Homoeopathy to perform medical termination of pregnancy (MTP) under the proposed amendment to the MTP bill have brought crosssystem practice into the limelight. We evaluate cross-system practice from its legal and ethical perspectives. Across judgments, the judiciary has held that cross-system practice is a form of medical negligence; however, it is permitted only in those states where the concerned governments have authorized it by a general or special order. Further, though a state government may authorize an alternative medicine doctor to prescribe allopathic medicines (or vice versa), it does not condone the prescription of wrong medicines or wrong diagnosis. Courts have also stated that prescribing allopathic medicines and misrepresenting these as traditional medicines is an unfair trade practice and not explaining the side-effects of a prescribed allopathic medicine amounts to medical negligence. Finally, the Supreme Court has cautioned that employing traditional medical practitioners who do not possess the required skill and competence to give allopathic treatment in hospitals and to let an emergency patient be treated by them is gross negligence. In the event of an unwanted outcome, the responsibility is completely on the hospital authorities. Therefore, there is an urgent need to abolish cross-system practice, invest in healthcare, and bring radical changes in health legislations to make right to healthcare a reality.