Hailed in the New York Times as "entertaining and immensely educational," Snake Oil Science is not only a brilliant critique of alternative medicine, but also a first-rate introduction to interpreting scientific research of any sort. The book's ultimate goal is to illustrate how the placebo effect conspires to make medical therapies appear to be effective--not just to consumers, but to therapists and poorly trained scientists as well. Bausell explores this remarkable phenomenon and explains why research on any therapy that does not factor in the placebo effect (and other placebo-like effects) will inevitably produce false results. Moreover, as the author shows in an impressive survey of research from high-quality scientific journals, studies employing credible placebo controls do not indicate positive effects for alternative therapies beyond those attributable to random chance. Readers will come away from this book with a healthy skepticism of claims about the latest "miracle cure," be it St. John's Wort for depression or acupuncture for chronic pain.
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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.
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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