Drawing on extensive fieldwork in the UK, this book includes over 120 interviews with patients and professionals, plus innovative 'diary' data which, for the first time, provides access to the experiences of CAM users. It gives a systematic analysis of issues such as:
- the development of patient preferences and influences on decision making
- expectations of CAM, and interpretations of 'success'
- the role of varying forms of evidence
- the role of social inequality and inter-professional conflicts in mediating and shaping patients' experiences of cancer and their use of CAMs
- concepts of science and rationality.
Essential reading for students and researchers of medical sociology, complementary and alternative medicine and cancer, the book will also be of use to medical and health professionals, and policy-makers with an interest in complementary and alternative medicine.
Autorentext
Alex Broom is a Lecturer in Health Sociology at the University of Newcastle, Australia.
Philip Tovey is a Reader in Health Sociology at the School of Healthcare, University of Leeds, UK.
Zusammenfassung
The profile of complementary and alternative medicine (CAM) has risen dramatically over the last decade and cancer patients represent its most prolific users. As a result, the NHS and UK cancer services are attempting to develop a wider range of therapeutic options for patients. Despite such developments, little is known about why cancer patients use CAM, its perceived benefits and the perspectives of the doctors and nurses involved. Drawing on extensive fieldwork in the UK, Therapeutic Pluralism includes over 120 interviews with cancer patients and professionals, plus innovative 'diary' data which, for the first time, detail the experiences of CAM users. It gives a systematic analysis of issues such as:The development of patient preferences and influences on decision making Expectations of CAM and interpretations of 'success' in cancer treatment The nature and importance of 'evidence' and 'effectiveness' for patientsThe organisational dynamics involved in integrating CAM into the NHSPathways to CAM and the role of the InternetThe role of oncology clinicians in patients' experiences of cancer and their use of CAMs Therapeutic Pluralism is essential reading for students and researchers of medical sociology, complementary and alternative medicine and cancer. It will also be useful to medical and health professionals, and policy-makers with an interest in complementary and alternative medicine.
Inhalt
List of Illustrations
Acknowledgements
List of Abbreviations
Introduction
Chapter 1: The dialectical tension between individuation and depersonalisation in cancer patients' mediation of therapeutic options
Chapter 2: The role of the Internet in cancer patients' engagement with therapeutic options
Chapter 3: Integrating CAM: A comparative analysis of hospice versus hospital medicine
Chapter 4: Oncologists' and specialist cancer nurses' approaches to CAM and their impact on patient action
Chapter 5: Exploring the temporal dimension in cancer patients' experiences of non-biomedical therapeutics
Chapter 6: The problematic nature of conflating use and advocacy in CAM integration
Conclusion
Bibliography
Index