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My presentation was set as a counterpoint to the presentation by Lawrence Schneiderman, M.D., “Alternative Medicine or Alternatives to Medicine.”’ In this talk, Dr. Schneiderman vigorously critiqued CAM on the basis of evidence-based science as opposed to what he called “the collective romantic fantasy” of CAM. will challenge this science-versus-CAM view on the basis of several limits to science. My thesis here is: (1) the basic methods of science are as appropriate to the study of CAM as they are to (...) |
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Science provides the most important set of tools for the evaluation of complementary and alternative medicine. Nonetheless, there are important limits in science that constrain its ability to evaluate CAM effectively. Some are the limits encountered by science in conventional medical research. Others are peculiar to this controversial topic. The most important limits are not those inherent within the basic methods of science, but rather within the culture of science — the particular ways that scientific knowledge, theory, and method are (...) |
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One problematic aspect of the rationality of medical practice concerns the relation between expert knowledge and non-expert knowledge. In medical practice it is important to match medical knowledge with the self-knowledge of the individual patient. This paper tries to study the problem of such matching by describing a model for technological paradigms and comparing it with an ideal of technological rationality. The professionalised experts tend to base their decisions and actions mostly on medical knowledge while the rationality of medicine also (...) |
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In this paper I argue that evidence based medicine (EBM) offers a more transparent system of knowledge and medical care than complementary medicine (CM). While an individual’s choice to use CM should be respected, users of this form of medicine, nevertheless, risk loss of autonomy. This loss of autonomy is an outcome of CM’s offering fewer transparent possibilities for informed patient consent In both EBM and CM patients risk physical harm(s) but science gives EBM patients the benefit of being able (...) |
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The discussion about complementary and alternative medicine is sometimes rather heated. “Quackery!” the cry goes. A large proportion “of unconventional practices entail theories that are patently unscientific.” “It is time for the scientific community to stop giving alternative medicine a free ride. There cannot be two kinds of medicine — conventional and alternative. There is only medicine that has been adequately tested and medicine that has not, medicine that works and medicine that may or may not work.” “I submit that (...) |
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The discussion about complementary and alternative medicine is sometimes rather heated. “Quackery!” the cry goes. A large proportion “of unconventional practices entail theories that are patently unscientific.” “It is time for the scientific community to stop giving alternative medicine a free ride. There cannot be two kinds of medicine — conventional and alternative. There is only medicine that has been adequately tested and medicine that has not, medicine that works and medicine that may or may not work.” “I submit that (...) |
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Complementary and alternative medicine has become an important section of healthcare. Its high level of acceptance among the general population represents a challenge to healthcare professionals of all disciplines and raises a host of ethical issues. This article is an attempt to explore some of the more obvious or practical ethical aspects of complementary and alternative medicine. |
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