When I started using Bach flower remedies about eight years ago, purely out of curiosity, I did not really expect them to work. I held the widespread, but misguided, belief that if the mode of action of a therapy cannot be explained by current scientific knowledge it cannot be more than a placebo. The ‘placebo effect’ is a good thing, because it stimulates the potential for self-healing, but for a treatment to be accepted as valid it has to do better than placebo.
I was so surprised when I observed how well my friends and relatives responded to the remedies that I went on to qualify as a practitioner. After treating my first 100 clients I carried out a simple audit. Follow-up information was available in 94 cases. Two clients had discontinued treatment due to ‘healing reactions‘. Three said there was no change in their presenting complaints. Three did not take the remedies, but said they had improved after expressing and reframing their problems during the interview. All the other 86 clients reported some improvement in their emotional and/or physical symptoms, and in 33 of them the response was judged (by me) to be very good or excellent. Clients in this group spontaneously said that they felt calmer, more balanced, lighter, more joyful, more peaceful or more in control, usually within the first week of treatment.
While this can no way claim to be a thorough objective evaluation, its results are impressive. Other descriptive reports have also shown positive effects. However, these carry little weight among orthodox healthcare professionals compared with randomised clinical trials, of the kind used to test new drug treatments. A recent review of seven studies which had used this method concluded that ‘the most reliable clinical trials do not show any differences between flower remedies and placebos’.
Do these trials provide a fair test of the remedies? With respect to their authors – for I know from my previous career in academic medicine that carrying out a good research study is not easy – I think the answer is no. Many of them used a standard combination of flowers, usually the Rescue Remedy, instead of an individualised mixture chosen for each subject through discussion with a practitioner. Many of them were carried out on healthy populations, such as students preparing for exams, some of whom probably did not need any remedies and were unmotivated to take them. This is reflected in high drop-out rates, which detract from the validity of the results.
I am convinced from my own experience that wider use of Bach flower remedies could help a great many people, and reduce the over-prescription of pharmaceutical drugs, but they will not be accepted in conventional medical settings until there is more formal evidence that they work. Future research designs need to reflect the way the remedies are used in practice. The participants should have actually requested treatment for the condition under study: anxiety disorder or chronic pain, for example. Personalised remedy mixtures should be given, selected on the basis of the interview discussion which forms an important part of this therapy. Giving placebo alone would not be ethical, but the remedies could be compared with an established treatment such as medication or cognitive behaviour therapy. I would be pleased to hear from any colleagues who are interested to discuss setting up such a study.
6 thoughts on “Bach flower remedies: more than placebo?”
I have myself just discovered flower remedies intending to come into inner balance but yes, how can you tell that the effect has actually come from the flower remedies and not other things i’m doing?
here’s good interview with flower remedies guru Clare Harvey http://www.thebaoliblog.com
Who else to believe, between your emotional opinion and scientific evidence of many studies who said that it will do the same of placebo ??
My son (8yrs) has severe autism, I started giving him bach flower three weeks ago, he is not aware he is taking it so the idea of it being placebo sort of goes out of the window! His anxiety levels have greatly reduced and he is making more self-help decisions for himself instead of throwing a wobbly. He also has the night-time rescue remedy and he now goes to sleep more quickly and sleeps longer with no interruption. Bach flower works!
So pleased to hear that your son is benefiting from the Bach flowers – and yes, your story certainly indicates they are ‘more than placebo’!
I’m personally looking into this right now. Have you had any luck learning more since writing this article? What I’m most interested in, to start, is learning what was used as the placebo in the studies, which also performed better than nothing. Often the placebo can still contain the effective mechanism of the remedy, and people were just wrong about mechanism, while being correct that the remedy works. I’d love a message if you’ve learned anything, because I have also heard from a trustworthy source that these remedies are good, and I’d love to see the scientific evidence.
Best of wishes,
Have you seen this detailed review of the research studies? http://www.bachcentre.com/centre/research.pdf
I haven’t any more to add myself – presumably the placebo mixtures were made of water and brandy without any flower essences, but you’d need to look at all the original articles to check.
Best wishes, Jennifer