Snake Oil Science: The Truth about Complementary and Alternative Medicine - Hardcover

Bausell PhD, R. Barker

Hardcover

ISBN 10: 0195313682 ISBN 13: 9780195313680

Publisher: Oxford University Press, 2007

Synopsis

Every year millions of people flock to complementary and alternative therapists offering a vast array of treatments ranging from acupuncture to biofeedback to urine injections. Millions more purchase over-the-counter alternative medications, such as glucosamine, herbs, and homeopathic remedies. While consumer motivations for turning to complementary and alternative medicine (CAM) vary, there is one common element among them all: a belief in their effectiveness. This belief appears to be prevalent among all elements of society, from scientists and physicians to celebrities such as Prince Charles and Oprah Winfrey to clerical workers and senior citizens.

Do these therapies actually work? And if they work, how do they work? This book is about the science of complementary and alternative medicine, about how that science is conducted, how it is evaluated, and how it is synthesized to arrive at a bottom-line conclusion about whether CAM therapies work. It is also about the phenomenon of the placebo effect, and the extent to which it is at play in a given CAM therapy's efficacy. Are CAM therapies in fact nothing more than creatively packaged placebos? In exploring this question, Barker Bausell provides an authoritative and engaging look at the nature of scientific evidence and at the logical, psychological, and physiological impediments that can confound such evidence in the world of CAM research. Ultimately, the book is not so much opposed to CAM as to the shoddy science upon which CAM claims are based, and in fact it closes with a chapter about how one might maximize the placebo effect that Bausell asserts is the main 'ingredient' of most CAM therapies. For general readers, students, and professionals (e.g., clinicians who are routinely asked by their patients for CAM recommendations), the book is a learned, witty examination not just of the scientific process as it is applied to CAM but also of the wonders of the human mind/body system.

About this title

About the Author

R. Barker Bausell, Ph.D., a professor at the University of Maryland Baltimore, was Research Director of a National Institutes of Health-funded Complementary and Alternative Medicine Specialized Research Center where he was in charge of conducting and analyzing randomized clinical trials involving acupuncture's effectiveness for pain relief. He has also served as a consultant to Prevention and Discover magazines.

Reviews

A biostatistician, author and Senior Research Methodologist at the University of Maryland, Bausell looks at the alternative methods used by more than 36 percent of Americans to treat pain and illness by posing the question, "Is any complementary and alternative medical therapy more effective than a placebo?" In short, his answer is no; what, then, is actually happening in patients (and professionals) who swear by the medical utility of such complementary and alternative medicines ("CAMs") as acupuncture, deep breathing exercises and megavitamin therapy? Step by step, Bausell builds a rigorous case against CAM, beginning with a look at the history of CAMs and placebos, then the "poorly trained scientists" and flawed studies (among more than 300 analyzed for this book) that have historically supported CAM's efficacy. A breakdown of the placebo effect's hows and whys follows (are people hardwired for susceptibility?), along with a look at "high-quality studies" and "systematic reviews" (including an Italian study that finds natural opioid secretion in the brain responsible for the perceived benefits of placebos) which largely support Bausell's answer. Entertaining and informative, with plenty of diverting anecdotal examples, Bausell offers non-professionals and pros a thorough look at the science on CAM, along with a complementary lesson in the methods of good medical research.
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Edition details

• Publisher: Oxford University Press
• Publication date: 2007
• Language: English
• ISBN 10: 0195313682
• ISBN 13: 9780195313680
• Binding: Hardcover
• Edition number: 1
• Number of pages: 324