Complementary And Alternative Approaches To Biomedicine

WHAT HAPPENED IN KANAZAWA? THE BIRTH OF eCAM This book contains the proceedings of the International Symposium on Complementary and Alternative Medicine, (CAM) which was convened in Kanazawa Japan, November 8-10, 2002. The participants were mainly from Japan, USA, China, France, England, Germany, Taiwan, and India. The world of western medicine is gradually opening its doors to new ways of ap proaching healing. Since many of these approaches began centuries and even millennia ago in Asia, it was entirely appropriate to open our symposium in Kanazawa, a beautiful, traditional city located on the Sea of Japan. Experts from Asia, Europe and the United States gathered together for true discussions on complementary and alternative medicine and its role developing all over the world. As scientists, we listened to historical perspec tives from India, China and Japan, where CAM is still being practiced as it has been for centuries. It is well to mention at the outset that this book will cover a rapidly growing field that has strong advocates but others who are less than enthusiastic. This should be evident by the presentation of chapters that aim to significantly dispel some of the criticisms of pseudoscience and myth that often surround the discipline. It is our purpose to present high quality peer reviewed chapters.

The rapid growth of Complementary and Alternative Medicine (CAM) demands that the public, the medical world, social scientists, the media, and governments pay attention. People are questioning the limits of what modern medicine can accomplish and seeking additional ways to manage their health. While many are enthusiastically adopting complementary and alternative forms of medicine, others are more sceptical. Physicians' attitudes are in transition, and governments are pondering where this increasingly important phenomenon fits into the health care system. The challenge is to keep pace with the changing ways that people view health and illness, take reposibility for themselves, and incorporate CAM into their health care. This text brings together for the first time a wide range of leading North American and European social scientists to identify who uses CAM, why they use it, and how they find out about it. Presenting research from psychology, sociology, anthropology and public health, they alert us to the current context of CAM use and provide new models and techniques for understanding its future place in health care.

At the center of the debate over complementary and alternative medicine--from acupuncture and chiropractic treatments to homeopathy and nutritional supplements--is how to scientifically measure the effectiveness of a particular treatment. Fourteen scholars from the fields of medicine, philosophy, sociology, and cultural and folklore studies examine that debate, and the clash between growing public support and the often hostile stance of clinicians and medical researchers. Proponents and critics have different methodologies and standards of evidence--raising the question of how much pluralism is acceptable in a medical context--particularly in light of differing worldviews and the struggle to define medicine in the modern world. The contributors address both the methodological problems of assessment and the conflicting cultural perspectives at work in a patient's choice of treatment. Sympathetic to CAM, the contributors nonetheless offer careful critiques of its claims, and suggest a variety of ways it can be taken seriously, yet subject to careful scrutiny.

Finding the right criteria to use when judging Complementary and Alternative Medicine (CAM) is essential if it is to stand up to criticism from those concerned about the importance of evidence-based medicine. This edited volume highlights how CAM requires different research tools and techniques from conventional medicine, and examines effective methodologies for accurately assessing CAM. Addressing a problem which is often cited as the reason for a failure to appreciate the potential in CAM approaches to patient care, experts from a wide array of CAM modalities suggest the most effective research methodology for each particular therapy and illustrate how a lack of adherence to that methodology produces a less effective assessment. Disciplines covered include Traditional Chinese Medicine, homeopathy, herbal medicine, craniosacral therapy, qigong and yoga. Providing direction in research and the best criteria to appropriately assess each discipline, this book highlights and responds to the issues underlying research in CAM. It will be of interest to anyone involved in CAM research, in addition to CAM practitioners and students, western medical practitioners looking to include CAM in their treatments, and anyone studying research design and methodology.

Stepping back from the immediate demands of policy-making, this book creates a complex and informative picture of the different social forces at play in the integration of CAM with orthodox medicine.

The widespread use of nonconventional treatments, or complementary and alternative medicine (CAM), and the increasing evidence supporting their therapeutic benefits call for a concerted scientific effort to integrate treatments that work into mainstream medicines. Answering that call is the groundbreaking Complementary and Alternative Treatments in Mental Health Care, a concise, practical reference that reviews the many CAM approaches used in North America and Europe to treat -- or self-treat -- mental health problems, and the history and rationale for a variety of CAM treatments, including the risks and benefits of their integration into mainstream mental health care. Two dozen contributors with both conventional and nonconventional expertise present current information about safe, effective mental health treatments -- including herbals and other natural products, stress management, homeopathy, Ayurveda, and traditional Chinese medicine -- that have not yet been fully examined or endorsed by the institutions of conventional biomedicine. This book: Covers background issues, including conceptual and historical foundations, emerging ideas and trends, safety issues, potential drug interactions and adverse effects, and medical-legal issues pertaining to use of nonconventional treatments in mental health care. Reviews the evidence and offers practical clinical guidelines for the most widely used nonconventional treatments. Twelve chapters cover specific nonconventional modalities or alternative professional systems of medicine currently used to treat mental illness, addressing historical uses of the specified modality, significant recent research findings, unresolved safety issues, and evidence supporting use of the specified approach in common psychiatric disorders, from major depressive and bipolar disorder, schizophrenia, and generalized anxiety disorder to obsessive-compulsive disorder, dementia, and sleep and substance abuse disorders. Practical clinical applications of complementary and alternative approaches are discussed throughout the book. Closes with three appendixes and a subject and author index. Appendix A ranks evidence for the various treatment modalities by major psychiatric disorder and is cross-referenced with the material in Part II. Appendix B lists important Web sites, textbooks, professional associations, and other resources. Appendix C contains a glossary of key terms used in complementary and alternative medicine. Written for both conventionally and nonconventionally trained mental health care professionals, Complementary and Alternative Treatments in Mental Health Care provides both an ideal reference for clinicians whose patients inquire about the uses of many CAM therapies and a critical, balanced review of the nonconventional modalities most widely used in Western countries to treat mental or emotional problems.

This book explores the challenging issues associated with CAM in the context of the social, political and cultural influences that shape people's health.

During the 1990s, an unprecedented number of Americans turned to complementary and alternative medicine (CAM), an umbrella term encompassing chiropractic, energy healing, herbal medicine, homeopathy, meditation, naturopathy, and traditional Chinese medicine. By 1997, nearly half the US population was seeking CAM, spending at least $27 billion out of pocket. Bounding Biomedicine centers on this boundary-changing era, looking at how consumer demand shook the health care hierarchy. Drawing on scholarship in rhetoric and science and technology studies, the book examines how the medical profession scrambled to maintain its position of privilege and prestige, even as its foothold appeared to be crumbling. Colleen Derkatch analyzes CAM-themed medical journals and related discourse to illustrate how members of the medical establishment applied Western standards of evaluation and peer review to test health practices that did not fit easily (or at all) within standard frameworks of medical research. And she shows that, despite many practitioners’ efforts to eliminate the boundaries between “regular” and “alternative,” this research on CAM and the forms of communication that surrounded it ultimately ended up creating an even greater division between what counts as safe, effective health care and what does not. At a time when debates over treatment choices have flared up again, Bounding Biomedicine gives us a possible blueprint for understanding how the medical establishment will react to this new era of therapeutic change.