dras knowledge

Friday, April 29, 2005

"It works for Me" is the definitive argument for alt med

"It works for me" may be the ultimate and definitive CAM arguemnt.

"I don't care if it is a placeboeffect, it works for me" is a usual comeback.

"What makes therapy legitimate, positive clinical outcomes or culturally acceptable methods of attainment? Who decides?" Kaptchuk: Ann Intern Med.2002 Jun 4;136(11):817-25

So-called Integrative Medicine will continue to make inroads into mainstream medicine using justifications that maybe placebo is not well-understood, but itworks.

"…rather than debunking the placebo as a myth, it might be time to suggest that there is no need to abjure “pleasure” as a degradation of scientific principles and that medicine might well want to adopt an “ethic of pleasing” as one of its most valuable assets. Offering an explicit appeal to a patient’s desire (instead of covertly denying and disavowing its existence in the name of a “scientific” practice) might open up a collaborative dynamic in which we could begin to investigate more creative and effective ways to invoke the human imagination to healing ends." Ed Cohen. The Placebo Disavowed: Or Unveiling the Bio-Medical Imagination. The Yale Journal for Humanities in Medicine. Published: November 26, 2002

In academic circles, you'll recognize T. Kaptchuk as one of more prominently published and opinned on a placebo effect being used in mainstream medicine. D.Eisenberg and D. Moerman and others also should not be left out.

My simple opinion, and possibly a refute to the "it works for me" argument is:

Great! How much does it cost, and who should be paying for it? The individual, nor society has the resources to carry forward any and all things that are merely reported to "work." The best we can do is use science to fish out and predict physiological impacts of interventions, while at the same time, try to understand and advocate the kinds of things that influence an individual's perception of feeling better.

In summary, we need to be wise in order to discover which things truly are the best value.

dras

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