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Complementary and alternative medicine in the United States
Integration of complementary and alternative medicine therapies (CAM) with conventional medicine is occurring in hospitals and physicians offices, health maintenance organizations (HMOs) are covering CAM therapies, insurance coverage for CAM is increasing, and integrative medicine centers and clinics are being established, many with close ties to medical schools and teaching hospitals. In determining what care to provide, the goal should be comprehensive care that uses the best scientific evidence available regarding benefits and harm, encourages a focus on healing, recognizes the importance of compassion and caring, emphasizes the centrality of relationship-based care, encourages patients to share in decision making about therapeutic options, and promotes choices in care that can include complementary therapies where appropriate.
Numerous approaches to delivering integrative medicine have evolved. Complementary and Alternative Medicine in the United States identifies an urgent need for health systems research that focuses on identifying the elements of these models, the outcomes of care delivered in these models, and whether these models are cost-effective when compared to conventional practice settings.
It outlines areas of research in convention and CAM therapies, ways of integrating these therapies, development of curriculum that provides further education to health professionals, and an amendment of the Dietary Supplement Health and Education Act to improve quality, accurate labeling, research into use of supplements, incentives for privately funded research into their efficacy, and consumer protection against all potential hazards.
eBook
If it sounds like a quack ... : a journey to the fringes of American medicine
\"A bizarre, rollicking trip through the world of fringe medicine, filled with leeches, baking soda IVs, and, according to at least one person, zombies. It's no secret that American health care has become too costly and politicized to help everyone. So where do you turn if you can't afford doctors, or don't trust them? In this book, Matthew Hongoltz-Hetling examines the growing universe of non-traditional treatments -- including some that are really non-traditional. With costs skyrocketing and anti-science sentiment spreading, the so-called \"medical freedom\" movement has grown. Now it faces its greatest challenge: going mainstream. In these pages you'll meet medical freedom advocates including an international leech smuggler, a gold miner-turned health drink salesman who may or may not be from the Andromeda galaxy, and a man who says he can turn people into zombies with aerosol spray. One by one, these alternative healers find customers, then expand and influence, always seeking the one thing that would take their businesses to the next level--the support and approval of the government\"-- Provided by publisher.
Book
Healing Traditions
The popularity and practice of alternative medicine continues to expand at astonishing rates. InHealing Traditions, Bonnie Blair O'Connor considers the conflicts that arise between the values and assumptions of Western, scientific medicine and those of unconventional health systems. Providing in-depth examples of the importance and benefits of alternative health practices-including the extraordinarily extensive and sophisticated HIV/AIDS alternative therapies movement-O'Connor identifies ways to integrate alternative strategies with orthodox medical treatments in order to ensure the best possible care for patients. In spite of the long-standing prediction that, as science and medicine progressed-and education became more generally available-unconventional systems would die out, they have persisted with undiminished vitality. They have, in fact, experienced a reinvigoration and expansion during the last fifteen to twenty years. In the United States, this renewal is fueled by people representing a wide cross-section of American society, and most of them also use conventional medicine. This eclecticism can result in conflicts between the values and assumptions of Western, scientific medicine and those of unconventional health systems. O'Connor demonstrates the importance of understanding how various belief systems interact and how this interaction affects health care. She argues that through neutral observation and thorough description of health belief systems it is possible to gain an understanding of those systems, to identify likely points of conflict among systems-especially conflicts that may occur in conventional care settings-and to intervene in ways that ensure the best possible care for patients.
eBook
Well : what we need to talk about when we talk about health
\"In a stirring and radical new treatise from one of America's most respected voices in health and medicine, Well examines the subtle factors that determine who gets to be healthy in the United States. Physician Sandro Galea reckons with our country's many fraught relationships--with history, money, pain, and pleasure, which are in turn augmented by factors like luck, compassion, and values--in terms of how they determine the health of those in the world's richest country. Well represents a radical new approach to Americans' ingrained understanding of health. It examines the forces that are not typically part of the health discussion--but should be--and is a clarion call for where the country goes from here\"-- Provided by publisher.
Book
Healing traditions : alternative medicine and the health professions
The popularity and practice of alternative medicine continues to expand at astonishing rates. In Healing Traditions , Bonnie Blair O'Connor considers the conflicts that arise between the values and assumptions of Western, scientific medicine and those of unconventional health systems. Providing in-depth examples of the importance and benefits of alternative health practices—including the extraordinarily extensive and sophisticated HIV/AIDS alternative therapies movement—O'Connor identifies ways to integrate alternative strategies with orthodox medical treatments in order to ensure the best possible care for patients.
In spite of the long-standing prediction that, as science and medicine progressed—and education became more generally available—unconventional systems would die out, they have persisted with undiminished vitality. They have, in fact, experienced a reinvigoration and expansion during the last fifteen to twenty years. In the United States, this renewal is fueled by people representing a wide cross-section of American society, and most of them also use conventional medicine. This eclecticism can result in conflicts between the values and assumptions of Western, scientific medicine and those of unconventional health systems.
O'Connor demonstrates the importance of understanding how various belief systems interact and how this interaction affects health care. She argues that through neutral observation and thorough description of health belief systems it is possible to gain an understanding of those systems, to identify likely points of conflict among systems—especially conflicts that may occur in conventional care settings—and to intervene in ways that ensure the best possible care for patients.
eBook
The Richard and Hinda Rosenthal Lectures -- 2001
The Rosenthal lecture included in this volume explores the world of complementary medicine and its implications for medical research, clinical practice, and policy in the United States.
eBook
Shadow medicine
Can Evidence Based Medicine (EBM) and Complementary and Alternative Medicine (CAM) find common ground? A distinguished historian of medicine, John S. Haller Jr., explores the epistemological foundations of EBM and the challenges these conceptual tools present for both conventional and alternative therapies. As he explores a possible reconciliation between their conflicting approaches, Haller maintains a healthy, scientific skepticism yet finds promise in select complementary and alternative (CAM) therapies. Haller elucidates recent research on the placebo effect and shows how a new engagement between EBM and CAM might lead to a more productive medical practice that includes both the objectivity of evidence-based medicine and the subjective truth of the physician-patient relationship.
Haller's book tours key topics in the standoff between EBM and CAM: how and why the double blinded, randomized clinical trial (RCT) came to be considered the gold standard in modern medicine; the challenge of postmodern medicine as it counters the positivism of evidence-based medicine; and the politics of modern CAM and the rise of the National Center for Complementary and Alternative Medicine. He conducts an in-depth case study of homeopathy, explaining why it has emerged as a poster-child for CAM, and assesses CAM's popularity despite its poor performance in clinical trials. Haller concludes with hope, showing how new experimental protocols might tease out the evidentiary basis for the placebo effect and establish a foundation for some reconciliation between EBM and CAM.
eBook
Pseudo-Science and Society in 19th-Century America
Progressive nineteenth-century Americans believed firmly that human perfection could be achieved with the aid of modern science. To many, the science of that turbulent age appeared to offer bright new answers to life's age-old questions. Such a climate, not surprisingly, fostered the growth of what we now view as \"pseudo-sciences\" -- disciplines delicately balancing a dubious inductive methodology with moral and spiritual concerns, disseminated with a combination of aggressive entrepreneurship and sheer entertainment.
Such \"sciences\" as mesmerism, spiritualism, homoeopathy, hydropathy, and phrenology were warmly received not only by the uninformed and credulous but also by the respectable and educated. Rationalistic, egalitarian, and utilitarian, they struck familiar and reassuring chords in American ears and gave credence to the message of reformers that health and happiness are accessible to all.
As the contributors to this volume show, the diffusion and practice of these pseudo-sciences intertwined with all the major medical, cultural, religious, and philosophical revolutions in nineteenth-century America. Hydropathy and particularly homoeopathy, for example, enjoyed sufficient respectability for a time to challenge orthodox medicine. The claims of mesmerists and spiritualists appeared to offer hope for a new moral social order. Daring flights of pseudo-scientific thought even ventured into such areas as art and human sexuality. And all the pseudo-sciences resonated with the communitarian and women's rights movements.
This important exploration of the major nineteenth-century pseudo-sciences provides fresh perspectives on the American society of that era and on the history of the orthodox sciences, a number of which grew out of the fertile soil plowed by the pseudo-scientists.
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Healing at the Borderland of Medicine and Religion
One of the transformations facing health care in the twenty-first century is the safe, effective, and appropriate integration of conventional, or biomedical, care with complementary and alternative medical (CAM) therapies, such as acupuncture, chiropractic, massage therapy, herbal medicine, and spiritual healing. In Healing at the Borderland of Medicine and Religion, Michael H. Cohen discusses the need for establishing rules and standards to facilitate appropriate integration of conventional and CAM therapies. The kind of integrated health care many patients seek dwells in a borderland between the physical and the spiritual, between the quantifiable and the immeasurable, Cohen observes. But the present environment fails to present clear rules for clinicians regarding which therapies to recommend, accept, or discourage, and how to discuss patient requests regarding inclusion of such therapies. Focusing on the social, intellectual, and spiritual dimensions of integrative care and grounding his analysis in the attendant legal, regulatory, and institutional changes, Cohen provides a multidisciplinary examination of the shift to a more fluid, pluralistic health care environment.One of the transformations facing health care in the twenty-first century is the safe, effective, and appropriate integration of conventional (or biomedical) care with complementary and alternative medical (CAM) therapies, such as acupuncture, chiropractic, massage therapy, herbal medicine, and spiritual healing. Michael H. Cohen discusses the need for establishing rules and standards to facilitate appropriate integration of conventional and CAM therapies. The kind of integrated health care many patients seek dwells in a borderland between the physical and the spiritual. But the present environment fails to present clear rules for clinicians regarding which therapies to
recommend, accept, or discourage, and how to discuss patient requests regarding inclusion of such therapies. Focusing on the social, intellectual, and spiritual dimensions of integrative care and grounding his analysis in the attendant legal, regulatory, and institutional changes, Cohen provides a multidisciplinary examination of the shift to a more fluid, pluralistic health care environment.-->.
eBook