Clinical Ecology

Coble, Yank D.

doi:10.1001/jama.1992.03490240073040

Cited by 68 publications

(4 citation statements)

References 29 publications

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“…By the late 1980s, the term clinical ecology became synonymous with dubious efforts to diagnose and treat sick building syndrome, multiple chemical sensitivities, and other ill-defined syndromes. Rather than a generalized working philosophy that underscores the social, economic, political, biological, psychological, and total environmental determinants of health in clinical practice, the term clinical ecology was co-opted to be "defined as the orientation in medicine in which physicians primarily work with patients to uncover the cause-and-effect relationship between their ill health and food or low-level chemical exposure" [24].…”

Section: The Silomentioning

confidence: 99%

“…By the early 1990s, the term clinical ecology disappeared from the discourse found within mainstream medical journals, seemingly banished for good [26][27][28]. Patients within its fold were largely written off with a "definite psychosomatic disorder" [24]. The term holistic medicine also suffered a similar short-term fate-no less saddled to pseudoscience, unproven (and disproven) diagnostic techniques/tests and interventions [29].…”

Section: The Silomentioning

confidence: 99%

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Clinical Ecology—Transforming 21st-Century Medicine with Planetary Health in Mind

Nelson¹,

Prescott

Logan³

et al. 2019

Challenges

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Four decades ago, several health movements were sprouting in isolation. In 1980, the environmental group Friends of the Earth expanded the World Health Organization definition of health, reminding citizenry that, “health is a state of complete physical, mental, social and ecological well-being and not merely the absence of disease—personal health involves planetary health”. At the same time, a small group of medical clinicians were voicing the concept of “clinical ecology”—that is, a perspective that sees illness, especially chronic illness, as a response to the total lived experience and the surroundings in which “exposures” accumulate. In parallel, other groups advanced the concept of holistic medicine. In 1977, the progressive physician-scientist Jonas Salk stated that “we are entering into a new Epoch in which holistic medicine will be the dominant model”. However, only recently have the primary messages of these mostly isolated movements merged into a unified interdisciplinary discourse. The grand, interconnected challenges of our time—an epidemic of non-communicable diseases, global socioeconomic inequalities, biodiversity losses, climate change, disconnect from the natural environment—demands that all of medicine be viewed from an ecological perspective. Aided by advances in ‘omics’ technology, it is increasingly clear that each person maintains complex, biologically-relevant microbial ecosystems, and those ecosystems are, in turn, a product of the lived experiences within larger social, political, and economic ecosystems. Recognizing that 21st-century medicine is, in fact, clinical ecology can help clear an additional path as we attempt to exit the Anthropocene.

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Section: The Silomentioning

confidence: 99%

Section: The Silomentioning

confidence: 99%

Clinical Ecology—Transforming 21st-Century Medicine with Planetary Health in Mind

Nelson¹,

Prescott

Logan³

et al. 2019

Challenges

View full text Add to dashboard Cite

show abstract

“…The approach taken by Randolph and his followers to the etiology and treatment of the wide variety of purportedly environmentally caused diseases and disorders has been considered, in light of lack of scientific evidence, to be pseudoscience by many within the medical community. Thus, MCS has yet to be accepted as a disease entity by such authoritative medical organizations as: the American Academy of Allergy [ 43 , 44 , 45 ], the American College of Physicians [ 46 ], the American College of Occupational and Environmental Medicine [ 47 , 48 ], the American Council on Science and Health [ 49 ], the American Medical Association [ 50 , 51 ], the Royal College of Physicians and Royal College of Pathologists [ 12 , 42 , 52 , 53 , 54 , 55 ]. Despite such repudiation, the term Clinical Ecology has received new impetus in medical movements that stress inter-relationships between the individual, his or her microbiome, and the wide range of social, political, and economic ecosystems that determine an individual’s health [ 56 ].…”

Section: History Of the Mcs Conceptmentioning

confidence: 99%

Multiple Chemical Sensitivity

Zucco

Doty

2021

Brain Sciences

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Multiple Chemical Sensitivity (MCS), a condition also known as Chemical Sensitivity (CS), Chemical Intolerance (CI), Idiopathic Environmental Illness (IEI) and Toxicant Induced Loss of Tolerance (TILT), is an acquired multifactorial syndrome characterized by a recurrent set of debilitating symptoms. The symptoms of this controversial disorder are reported to be induced by environmental chemicals at doses far below those usually harmful to most persons. They involve a large spectrum of organ systems and typically disappear when the environmental chemicals are removed. However, no clear link has emerged among self-reported MCS symptoms and widely accepted objective measures of physiological dysfunction, and no clear dose-response relationship between exposure and symptom reactions has been observed. In addition, the underlying etiology and pathogenic processes of the disorder remain unknown and disputed, although biologic and psychologic hypotheses abound. It is currently debated whether MCS should be considered a clinical entity at all. Nevertheless, in the last few decades MCS has received considerable scientific and governmental attention in light of the many persons reporting this illness. In this review, we provide a general overview of the history, definition, demographics, prevalence, and etiologic challenges in defining and understanding MCS.

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“…The inability of these factors to establish whether a young adult presents a future danger defeats the very purpose of the standard because it leads to sentencing without guidance. 185 Although the standard is meant to guide the jury in determining what punishment to impose on the defendant, if the most commonly used factors fail to establish who does and does not present a future danger, the death penalty is being arbitrarily imposed.1 86 This is exactly the type of punishment that the Eighth Amendment forbids. 8 7…”

Section: The Eighth Amendment Issuementioning

confidence: 99%

Stuck Between Growing up and Grown up: Delaying the Sentencing Phase for Young Adults Facing Capital Punishment in Texas.

Serrano

2021

SSRN Journal

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Clinical Ecology

Cited by 68 publications

References 29 publications

Clinical Ecology—Transforming 21st-Century Medicine with Planetary Health in Mind

Clinical Ecology—Transforming 21st-Century Medicine with Planetary Health in Mind

Multiple Chemical Sensitivity

Stuck Between Growing up and Grown up: Delaying the Sentencing Phase for Young Adults Facing Capital Punishment in Texas.

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