Beruflich Dokumente
Kultur Dokumente
[2] Such
occurrences have since been determined to most likely
be a contact lens-like effect of moisture on the eye.[6]
Bates method Critics of the Bates method not only deny its efficacy,
but go on to cite potential negative consequences for
those who attempt to follow it, namely that they might
overexpose their eyes to sunlight, put themselves and
others at risk by not wearing their corrective lenses
while driving, or neglect conventional eye care,
possibly allowing serious conditions to develop.[5][7]
Underlying concepts
Accommodation
Página 1
for the necessary changes in focus, producing changes that some of his patients experienced "illusions of
of only -0.036 dioptres.[11] lights and colors" sometimes amounting to
"kaleidoscopic appearances" as they "palmed",
Causes of sight problems occurrences which he attributed to his ubiquitous
"strain" and which he claimed disappeared when one
truly relaxed.[15] This phenomenon, however, was
Medical professionals characterize refractive errors
almost certainly caused by Eigengrau or "dark light".
such as nearsightedness, farsightedness, astigmatism,
In fact, even in conditions of perfect darkness, as
and presbyopia (the age-related blurring of near-point
inside a cave, neurons at every level of the visual
vision) as consequences of the eye's shape and other
system produce random background activity that is
basic anatomy, which there is no evidence that any
interpreted by the brain as patterns of light and color.
exercise can alter.[12] Bates, however, believed that [4]
these conditions are caused by tension of the muscles
surrounding the eyeball, which he believed prevents
the eyeball from sufficiently changing shape (per his Visualization
explanation of accommodation) when gaze is shifted
nearer or farther. Bates characterized this supposed Bates placed importance on mental images, as he felt
muscular tension as the consequence of a "mental relaxation was the key to clarity of imagination as well
strain" to see, the relief of which he claimed would as of actual sight.[16] He claimed that one's poise could
instantly improve sight.[1][13] He also linked be gauged by the visual memory of black; that the
disturbances in the circulation of blood, which he said darker it appeared in the mind, and the smaller the
is "very largely influenced by thought", not only to area of black which could be imagined, the more
refractive errors but also to double vision, crossed-eye, relaxed one was at the moment.[17] He recommended
lazy eye, and to more serious eye conditions such as that patients think of the top letter from an eye chart
cataracts and glaucoma.[4][14] His therapies were based and then visualize progressively smaller black letters,
on these assumptions.[1] and eventually a period or comma.[1] But he
emphasized his view that the clear visual memory of
Bates felt that corrective lenses, which he black "cannot be attained by any sort of effort", stating
characterized as "eye crutches", are an impediment to that "the memory is not the cause of the relaxation,
curing poor vision. In his view, "strain" would increase but must be preceded by it",[17] and cautioned against
as the eyes adjust to the correction in front of them. "concentrating" on black, as he regarded an attempt to
He thus recommended that glasses be discarded by "think of one thing only" as a strain.[15]
anyone applying his method.[1]
While Bates preferred to have patients imagine
Treatments something black, he also reported that some found
objects of other colors easiest to visualize, and thus
were benefited most by remembering those, because,
In his writings, Bates discussed several techniques
he asserted, "the memory can never be perfect unless
which he claimed helped patients to improve their
it is easy".[1][17] Skeptics reason that the only benefit to
sight. He wrote that "The ways in which people strain
eyesight gained from such techniques is itself
to see are infinite, and the methods used to relieve the
imagined, and point out that familiar objects, including
strain must be almost equally varied",[13] emphasizing
letters on an eye chart, can be recognized even when
that no single approach would work for everyone. His
they appear less than clear.[4]
techniques were all designed to help disassociate this
"strain" from seeing and thereby achieve "central
fixation", or seeing what is in the central point of vision Movement
without staring. He asserted that "all errors of
refraction and all functional disturbances of the eye
disappear when it sees by central fixation" and that
other conditions were often relieved as well.[1]
Palming Eye
Página 2
mental shifting over an image, Bates wrote, many mention of the supposed benefits from direct sunlight
patients were quickly able to shorten the "shift" to a shining on open eyes.[2]
point where they could "conceive and swing a letter
the size of a period in a newspaper." [18] One who Results
mastered this would attain the "universal swing",
Bates believed.[1]
The purported benefits of Bates' techniques are
generally anecdotal, and their supposed effectiveness
Perhaps finding Bates' concepts of "shifting" and in improving eyesight has not been substantiated by
"swinging" too complicated, some proponents of vision medical research.[3] Several of Bates' techniques,
improvement, such as Bernarr Macfadden, suggested including "sunning", "swinging", and "palming", were
simply moving the eyes up and down, from side to combined with healthy changes to diet and exercise in
side, and shifting one's gaze between a near-point and a 1983 randomized controlled trial of myopic children
a far-point.[1] in India. After 6 months, the experimental groups "did
not show any statistically significant difference in
Sunning refractive status", but the children in the treatment
group "subjectively ... felt relieved of eye strain and
other symptoms."[23]
After Bates
Bates believed that the eyes were benefited by Margaret Darst Corbett
exposure to sunlight. He stated that "persons with
normal sight can look directly at the sun, or at the Margaret Darst Corbett first met Dr. Bates when she
strongest artificial light, without injury or discomfort", consulted him about her husband’s eyesight. She
[19]
and gave several examples of patients' vision became his pupil, and eventually taught his method at
purportedly improving after sungazing—this is at her School of Eye Education in Los Angeles.[24] She was
variance with the well-known risk of eye damage which of the stated belief that "the optic nerve is really part
can result from direct sunlight observation.[4][5][7] of the brain, and vision is nine-tenths mental and one-
tenth only physical."[2][25]
Bates cautioned that, just as one should not attempt
to run a marathon without training, one should not In late 1940, Corbett and her assistant were charged
immediately look directly at the sun, but he suggested with violations of the Medical Practice Act of California
that it could be worked up to. He acknowledged that for treating eyes without a licence. At the trial, many
looking at the sun could have ill effects, but of her students testified on her behalf, describing in
characterized them as being "always temporary" and detail how she had enabled them to discard their
in fact the effects of strain in response to sunlight. He glasses. One witness testified that he had been almost
wrote that he had cured people who believed that the blind from cataracts, but that, after working with
sun had caused them permanent eye damage.[20] In his Corbett, his vision had improved to such an extent that
magazine, Bates later suggested exposing only the for the first time he could read for eight hours at a
white part of the eyeball to direct sunlight, and only for stretch without glasses. Corbett explained in court that
seconds at a time, after allowing the sun to shine on she was practicing neither optometry nor
closed eyelids for a longer period.[21] ophthalmology and represented herself not as a doctor
but only as an “instructor of eye training”. Describing
Eventually Bates concluded that the practice of her method she said "We turn vision on by teaching
sunning should only be done with closed eyelids.[22] the eyes to shift. We want the sense of motion to
Posthumous publications of Bates' book omitted relieve staring, to end the fixed look. We use light to
relax the eyes and to accustom them to the sun."[24]
Página 3
The trial attracted widespread interest, as did the “not Then suddenly he faltered—and the disturbing truth
guilty” verdict. The case spurred a bill in the became obvious. He wasn't reading his address at all.
Californian State Legislature which would have then He had learned it by heart. To refresh his memory he
made such vision education illegal without an brought the paper closer and closer to his eyes. When
optometric or medical licence. After a lively campaign it was only an inch or so away he still couldn't read it,
in the media, the bill was rejected.[26] and had to fish for a magnifying glass in his pocket to
make the typing visible to him. It was an agonizing
The case of Huxley moment.[1]
Página 4
the phenomena reported other than a genuine reversal retinoscopy is not due to any change in refractive
of a refractive error due to the techniques practiced: error.[2] A 1982 study concluded that such occurrences
are best explained as a contact lens-like effect of
• Some cases of nearsightedness are recognized moisture on the eye, based on increased tear action
as due to a transient spasm of the ciliary exhibited by 15 out of 17 subjects who experienced
muscle, rather than a misshapen eyeball. such improvement.[6]
These are classed as pseudomyopia, of which
spontaneous reversal may account for some General research
reports of improvement.[38]
• Research has confirmed that when nearsighted See also: Behavioral optometry and Vision therapy
subjects remove their corrective lenses, over
time there is a limited improvement (termed
In 2004 the American Academy of Ophthalmology
"blur adaptation") in their unaided visual
(AAO) published a review of various research
resolution, even though autorefraction
regarding "visual training",[3] which consisted of "eye
indicates no corresponding change in refractive
exercises, muscle relaxation techniques, biofeedback,
error.[39] This is believed to occur due to
eye patches, or eye massages", "alone or in
adjustments made in the visual system.[40] One
combinations". No evidence was found that such
who has been practicing Bates' techniques and
techniques could objectively benefit eyesight, though
notices such improvement may not realize that
some studies noted changes, both positive and
simply leaving the glasses off would have had
negative, in the visual acuity of nearsighted subjects
the same effect, which may be especially
as measured by a Snellen chart. In some cases noted
pronounced if the prescription was too strong
improvements were maintained at subsequent follow-
to begin with.[1]
ups. However, these results were not seen as actual
• Visual acuity is affected by the size of the reversals of nearsightedness, and were attributed
pupil. When it constricts (such as in response instead to factors such as "improvements in
to an increase in light), the quality of focus will interpreting blurred images, changes in mood or
improve significantly, at the cost of a reduced motivation, creation of an artificial contact lens by tear
ability to see in dim light. This is known as the film changes, or a pinhole effect from miosis of the
"pinhole effect".[6] pupil."[6]
• Some eye defects may naturally change for the
better with age or in cycles (ophthalmologist
In 2005 the Ophthalmology Department of New
Stewart Duke-Elder suggested that this is what
Zealand's Christchurch Hospital published a review of
happened with Aldous Huxley[41]). A cataract
forty-three studies regarding the use of eye exercises.
when first setting in sometimes results in much
They found that "As yet there is no clear scientific
improved eyesight for a short time. One who
evidence published in the mainstream literature
happens to have been practicing the Bates
supporting the use of eye exercises" to improve visual
method will likely credit it for any improvement
acuity, and concluded that "their use therefore remains
experienced regardless of the actual cause.[1]
controversial."[43]
• Some studies have suggested that a learned
ability to interpret blurred images may account
for perceived improvements in eyesight.[6] General criticisms
Ophthalmologist Walter B. Lancaster had this
to say: "Since seeing is only partly a matter of Dead-end
the image on the retina and the sensation it
produces, but is in still larger part a matter of A frequent criticism of the Bates method is that it has
the cerebral processes of synthesis, in which remained relatively obscure, which is seen as proof
memories play a principal role, it follows that that it is not truly effective. Writer Alan M. MacRobert
by repetition, by practice, by exercises, one concluded in a 1979 article that the "most telling
builds up a substratum of memories useful for argument against the Bates system" and other
the interpretation of sensations and facilitates alternative therapies was that they "bore no fruit". In
the syntheses which are the major part of regards to the Bates method, he reasoned that "If
seeing."[29] palming, shifting, and swinging could really cure poor
eyesight, glasses would be as obsolete by now as
horse-drawn carriages."[44] Others, including
philosopher Frank J. Leavitt, have argued that due to
"Flashes of clear vision" Bates' emphasis on relaxation and visualization,
application of his principles would depend heavily on
each individual, as with martial arts and yoga, and that
Bates method enthusiasts often report experiencing the Bates method is therefore not discredited simply
"flashes" of clear vision, in which eyesight momentarily by its failure to become mainstream.[16]
becomes much sharper, but then reverts back to its
previous state.[2] Such flashes are not the result of
squinting, and can occur in one eye at a time or in Corrective lenses and safety
both eyes at once.[42] Observation has suggested that
both the quality and duration of such flashes can be Discarding one's corrective lenses, as Bates
increased with practice, with some subjects holding a recommended, or wearing lenses weaker than one's
substantial improvement for several minutes. Tests of prescribed correction, as some Bates method
such subjects have found that the temporary advocates suggest, poses a potential safety hazard in
improvement in visual acuity is real, but per certain situations, especially when one is operating a
Página 5
motor vehicle.[7] Most teachers of the Bates method 11. ^ Drexler W, Findl O, Schmetterer L,
caution that when driving, one should wear the Hitzenberger CK, Fercher AF. (1 October 1998). "Eye
correction legally required.[7] elongation during accommodation in humans:
differences between emmetropes and myopes.".
Invest Ophthalmol Vis Sci. 39 (11): 2140–7.
Avoidance of conventional treatment PMID 9761293.
12. ^ a b Rob Murphy, Marilyn Haddrill, Gary
One of the greatest potential dangers of faith in the Heiting (May 2009). "The See Clearly Method &
Bates method is that a believer may be disinclined to Other Programs: Do Eye Exercises Improve Vision?".
seek medical advice regarding what could be a sight- AllAboutVision.com. Retrieved 14 May 2009.
threatening condition requiring prompt treatment, 13. ^ a b Bates, William H. (1920). "Chapter 9:
such as glaucoma.[5] Also, children with vision The Cause and Cure of Errors of Refraction". Perfect
problems may require early attention by a professional Sight Without Glasses. New York: Central Fixation
in order to successfully prevent lazy eye. Such Publishing Co. pp. 89–105. ISBN 8890075635.
treatment may include exercises, but which are 14. ^ Bates, William H. (1920). "Chapter 10:
different from those associated with the Bates method, Strain". Perfect Sight Without Glasses. New York:
and parents who subscribe to Bates' ideas may delay Central Fixation Publishing Co. pp. 106–113.
ISBN 8890075635.
seeking conventional care until it is too late.[7] It may
further be necessary for a child at risk of developing 15. ^ a b c Bates, William H. (1920). "Chapter
lazy eye to wear the proper correction.[45] 12: Palming". Perfect Sight Without Glasses. New
York: Central Fixation Publishing Co. pp. 123–135.
ISBN 8890075635.
See also 16. ^ a b c Leavitt, Frank J. (2007). "How to
Save the World: Alternatives to Biomedical
• Iridology Research". Ethics in Biomedical Research:
International Perspectives. Rodopi. pp. 203–207.
• Pinhole glasses
17. ^ a b c Bates, William H. (1920). "Chapter
• Tibetan eye chart
13: Memory as an Aid to Vision". Perfect Sight
Without Glasses. New York: Central Fixation
References Publishing Co. pp. 136–147. ISBN 8890075635.
18. ^ Bates, William H. (1920). "Chapter 15:
1. ^ a b c d e f g h i j k l m n o Gardner, Martin Shifting and Swinging". Perfect Sight Without
Glasses. New York: Central Fixation Publishing Co.
(1957). "Chapter 19: Throw Away Your Glasses!".
pp. 159–171. ISBN 8890075635.
Fads and Fallacies in the Name of Science. Reprint:
Courier Dover Publications. pp. 230–241. ISBN 0- 19. ^ Bates, William H. (June 1920). "Sun-
486-20394-8. gazing". Better Eyesight (New York: Central Fixation
2. ^ a b c d e f g h i Marg, Elwin (April 1952). Publishing Co).
"Flashes of clear vision and negative accommodation 20. ^ Bates, William H. (1920). "Chapter 17:
with reference to the Bates Method of visual Vision Under Adverse Conditions a Benefit to the
training" (PDF). American Journal of Optometry & Eyes". Perfect Sight Without Glasses. New York:
Archives of American Academy of Optometry 29 (4): Central Fixation Publishing Co. pp. 183–197.
167–84. ISBN 8890075635.
3. ^ a b c d e f g Skarnulis, Leanna (5 February 21. ^ Bates, William H. (July 1929). "The Use
2007). "Natural Vision Correction: Does It Work?". of the Sun Glass". Better Eyesight (New York:
WebMD. Archived from the original on June 22, Central Fixation Publishing Co).
2008. Retrieved 14 March 2009. 22. ^ Quackenbush, Thomas R. Relearning to
4. ^ a b c d e f g h Pollack, Philip (1956). See. Berkley: North Atlantic Books, 1997, pp. 229-
"Chapter 3: Fallacies of the Bates System". The 231.
Truth about Eye Exercises. Philadelphia: Chilton 23. ^ Mohan, Madan (1983). "Therapy of
Company. myopia". Indian Journal of Ophthalmology 31 (6):
5. ^ a b c d Chou, Brian (15 September 2004). 741–3. PMID 6676257.
"Exposing the Secrets of Fringe Eye Care". Review of 24. ^ a b Pollack, Philip (1956). The Truth about
Optometry 141 (9). Eye Exercises. Philadelphia: Chilton Company. p. 7.
6. ^ a b c d e "Complementary Therapy 25. ^ Corbett, Margaret Darst (1954). How to
Assessments: Visual Training for Refractive Errors". Improve your Sight. London: Faber and Faber.
American Academy of Ophthalmology. October 2004. pp. 26–27.
Retrieved 6 July 2008.
26. ^ Pollack, Philip (1956). The Truth about
7. ^ a b c d e Grierson, Ian (2000). "Exercises Eye Exercises. Philadelphia: Chilton Company. p. 8.
for Eyes as an Alternative to Glasses". The Eye
27. ^ a b "‘Fifty per cent terrific! fifty per cent
Book: Eyes and Eye Problems Explained. Liverpool
non-existent’: Aldous Huxley and medicine" (PDF).
University Press. pp. 58–60. ISBN 0853237557.
The Ceylon Medical Journal 49 (4): 142–3.
8. ^ a b "Exercise v. Eyeglasses". Time. 15 December 2004.
March 1943.
28. ^ Nugel, Bernfried (2008). Aldous Huxley,
9. ^ Bates, William H. (1920). "Chapter 4: Man of Letters: Thinker, Critic and Artist:
The Truth About Accommodation as Demonstrated Proceedings of the Third International Aldous Huxley
by Experiments on the Eye Muscles of Fish, Cats, Symposium, Riga 2004. LIT Verlag Berlin-Hamburg-
Dogs, Rabbits and other Animals". Perfect Sight Münster. pp. 250. ISBN 9783825890346.
Without Glasses. New York: Central Fixation
29. ^ a b Lancaster, Walter B (31 October
Publishing Co. pp. 38–53. ISBN 8890075635.
1945). "Present Status of Eye Exercise for
10. ^ John Grant (2006). Discarded Science. Improvement of Visual Function" (PDF). The
FFF: Surrey, UK. ISBN 1904332498. Australasian Journal of Optometry 28 (10): 449–
480.
Página 6
30. ^ Smith, Grover Cleveland (1970). Letters Recent articles about the method:
of Aldous Huxley. Harper & Row. pp. 815.
ISBN 070111312X. • Russell S. Worrall OD, Jacob Nevyas PhD, Stephen
31. ^ Murray, Nicholas (2003). "Sorrow". Barrett MD. "Eye-Related Quackery". Quackwatch.
Aldous Huxley: A Biography. Macmillan. pp. 421– • Gale Encyclopedia of Alternative Medicine–Bates
422. ISBN 0312302371. Method entry by Lisa Frick.
32. ^ "I can see clearly now...sort of". Harvard • Drake, Michael (July/August 1983). "Improve Your
Women's Health Watch. 1 July 2003. Vision Naturally with Eye Exercises". Mother Earth
33. ^ Bradley, Robyn E. (23 September 2003). News.
"Advocates see only benefits from eye exercises". • Tomlinson, Cybèle. "20/20 Vision Quest". Yoga
The Boston Globe. Journal.
34. ^ Shin, Annys (6 November 2006). "Seeing
the See Clearly Method for What It Is". Coverage focusing on individual cases:
washingtonpost.com. Retrieved 14 March 2009.
35. ^ Steven M. Beresford, David W. Muris,
Mara Tableman, Francis A. Young. "Clinical • Antonia Orfield, M.A., O.D. (1994). "Seeing Space:
Evaluation of the See Clearly Method" (PDF). pp. 13. Undergoing Brain Re-Programming to Reduce
Retrieved 14 March 2009. Myopia" (PDF). Journal of Behavioral Optometry 5
(5): 123–131.
36. ^ Grosvenor, Theodore (November 1997).
"Book Review". Optometry and Vision Science 74 • "To See or Not to See–Natural Vision Correction".
(11): 880.[dead link] BBC. 27 September 2004.
37. ^ Barendsen, Kristin (20 November 2003). • Robertson, Kate (14 October 2007). "Seeing eye to
"Blind faith". The Prague Post. eye". The Sydney Morning Herald.
38. ^ S Leo, Y Ling, T Wong, B Quah (October
2007). "Report of the National Myopia Prevention Non-English works
and Control Workgroup 2006: A Summary" (PDF).
Singapore: Annals-Academy of Medicine 36 (10):
• Russian book on the Bates method—Automatically
67.
translated by Google
39. ^ Mark Rosenfield, Susan Hong, Sini
George (September 2004). "Blur Adaptation in
Myopes". Optometry and Vision Science 81 (9):
657–662.
doi:10.1097/01.opx.0000144743.34976.da.
PMID 15365384.
40. ^ Konrad Pesudovs, Noel A. Brennan
(1993). "Decreased Uncorrected Vision After a Period
of Distance Fixation with Spectacle Wear" (PDF).
American Academy of Optometry 70 (7): 528–531.
41. ^ Duke-Elder, Stewart (22 May 1943).
"Aldous Huxley on Vision" (PDF). British Medical
Journal: 635–636.
42. ^ Beach, S. Judd (1948). "Myopia Cures".
Transactions of the American Ophthalmological
Society 46: 284–294. PMC 1312764.
PMID 16693476.
43. ^ Rawstron JA, Burley CD, Elder MJ (2005).
"A systematic review of the applicability and efficacy
of eye exercises". J Pediatr Ophthalmol Strabismus
42 (2): 82–8. PMID 15825744.
44. ^ MacRobert, Alan M. (28 March 1979).
"Hocus Focus: modern spiritualism". San Diego
Reader.
45. ^ Donahue, Sean P. (February 2007).
"Prescribing Spectacles in Children: A Pediatric
Ophthalmologist's Approach". Optometry and Vision
Science 84 (2): 110–114.
doi:10.1097/OPX.0b013e318031b09b.
PMID 17299340.
External links
Historical writings:
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