by Mateja Mihinjac
Criminologists like to compare crime prevention to disease treatment. The evidence-based proponents, specifically, point out that by failing to adopt the same rigorous scientific method used in medicine to inform policy and practice, criminology lags 150 years behind medical science. However, what these proponents miss is that advances in preventive medicine have moved beyond the traditional understanding of causes and treatment of diseases, also known as allopathic medicine. Today many forms of medical practice are evolving into integrative medicine.
CURE: A ONE SIZE FITS ALL APPROACH?
Prior blogs on ethics and going to the doctor have discussed the poor suitability of methods from physics for studying a complex social phenomena such as crime. This issue is further exacerbated by research that breaks problems into small bits for study – the reductionist approach – and attempts to generalize from those isolated findings.
Generalising from reductionist studies is even more problematic given that the complex environments where crime flourishes tend to mediate the impact of prevention outcomes. For this reason, artificial intelligence expert Jim Manzi is skeptical that an experimental revolution in social science will prove fruitful in addressing intricate social issues.
TREATMENT: INTEGRATIVE CRIME PREVENTION
With little success in treating chronic and complicated diseases using the allopathic model, integrative medicine emerged. Integrative medicine goes beyond simply treating symptoms, but rather deals with underlying factors in a holistic and partnership fashion. Patients assume ownership of their health while under the guidance and support of a health practitioner. Together they devise individualized treatment from a wide range of approaches that deal with a person’s complete physical, mental and social well-being. The ultimate goal is addressing root causes.
In criminology, many so-called evidence-based programs use reductionist experiments with little success. Therefore translating an integrative health care model into crime prevention means that we should be moving away from reductionist approaches and thinking more broadly about creating holistic and sustainable programs for individuals and their communities.
We need to identify multiple approaches that can work together towards achieving immediate prevention outcomes and also address the root causes of crime problems. This means that crime prevention professionals and researchers need to approach the problem by working together in an integrated way to fit solutions to the context, economy and politics of each neighborhood. Further, criminologists need to work with community members in such a way that promotes a two-way exchange of knowledge and a promotion of local ownership over problems.
It seems unjust to denounce current criminological methods as outdated because they lack the same scientific rigor of medical science (which itself is evolving). Instead, we should acknowledge advances made in integrative based medicine.
Crime prevention neglects these breakthrough developments and continues to believe that solutions grounded in reductionist forms of the scientific method will yield universal responses to unique problems. Instead, by drawing from the evolution of medical science into integrative medicine, integrative crime prevention offers a more fruitful path for our future work.