Marginal to Mainstream: Alternative Medicine in America / Edition 1

Marginal to Mainstream: Alternative Medicine in America / Edition 1

by Mary Ruggie
     
 

ISBN-10: 0521542227

ISBN-13: 9780521542227

Pub. Date: 01/31/2004

Publisher: Cambridge University Press

Most users of complementary and alternative medicine (CAM) approach it differently than physicians, because they employ informal knowledge, based on their experiences, beliefs, and values. Mary Ruggie stresses that, although physicians also use informal knowledge from their clinical experience to understand patients and their needs, they rely on formal knowledge,

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Overview

Most users of complementary and alternative medicine (CAM) approach it differently than physicians, because they employ informal knowledge, based on their experiences, beliefs, and values. Mary Ruggie stresses that, although physicians also use informal knowledge from their clinical experience to understand patients and their needs, they rely on formal knowledge, based on science, to understand medicine. Thus, if CAM is going to become a legitimate part of health care, physicians must insist that scientific research prove its safety and efficacy.

Product Details

ISBN-13:
9780521542227
Publisher:
Cambridge University Press
Publication date:
01/31/2004
Edition description:
New Edition
Pages:
232
Product dimensions:
5.98(w) x 8.98(h) x 0.71(d)

Table of Contents

List of Tablesix
List of Acronymsxi
Prefacexiii
1Introducing CAM ... and the Many Questions It Raises1
What Is CAM?3
What Is the Relationship between CAM and Medicine?8
The Many Dimensions of Mainstreaming14
2Understanding CAM: The Problem of Knowledge and the Power of Words19
Knowledge in Contemporary Society20
Changing Names, Changing Definitions27
The Boundaries of CAM and Conventional Medicine30
How the Medical Community Defines CAM32
How the CAM Community Defines CAM35
Putting It Together39
Words and Relationships: Timing and Sequencing41
3The Growth of CAM: Patterns of Use and Meaning43
Who Uses CAM and Why?45
CAM and the Cultural Present: The Juncture between Beliefs, Values, Experience, Ideas, and Practice71
4Physicians: Learning New Ways75
Following or Leading?77
The Corporatization of Health Care84
The Art of Healing95
5Medical Research: Science and Interpretation101
The Scientific Method of Research in Medicine104
Randomization107
Experimental and Control Groups109
Research on CAM121
The Process of Research122
Outcome Measures126
The Fruits of Research128
6Investigating CAM: What Works?130
Science and Innovation136
Herbs: Just Like Drugs?152
Acupuncture: Shams and Placebos156
Physical Manipulation: Still Searching for Placebo160
Mind-Body Therapies: Rendering the Subjective Objective164
Movement Therapies: East Meets West173
Holistic Systems: Do Parts Add Up to Wholes?177
Parts and Wholes180
So, When All Is Said and Done181
7The Road Ahead: Accommodation or Integration?184
CAM: The Whole and Its Parts185
Health and Healing Seekers186
Physicians and Researchers187
Insurance Companies and Delivery Systems193
Integrative Medicine Clinics195
Government198
Final Thoughts200
Bibliography203
Index223

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