Shadow Medicine

The Placebo in Conventional and Alternative Therapies

John S. Haller Jr.

Columbia University Press

Shadow Medicine

Pub Date: July 2014

ISBN: 9780231169042

288 Pages

Format: Hardcover

List Price: $40.00£34.00

Pub Date: July 2014

ISBN: 9780231537704

288 Pages

Format: E-book

List Price: $39.99£34.00

Shadow Medicine

The Placebo in Conventional and Alternative Therapies

John S. Haller Jr.

Columbia University Press

Can Evidence Based Medicine (EBM) and Complementary and Alternative Medicine (CAM) find common ground? A distinguished historian of medicine, John S. Haller Jr., explores the epistemological foundations of EBM and the challenges these conceptual tools present for both conventional and alternative therapies. As he explores a possible reconciliation between their conflicting approaches, Haller maintains a healthy, scientific skepticism yet finds promise in select complementary and alternative (CAM) therapies. Haller elucidates recent research on the placebo effect and shows how a new engagement between EBM and CAM might lead to a more productive medical practice that includes both the objectivity of evidence-based medicine and the subjective truth of the physician-patient relationship.

Haller's book tours key topics in the standoff between EBM and CAM: how and why the double blinded, randomized clinical trial (RCT) came to be considered the gold standard in modern medicine; the challenge of postmodern medicine as it counters the positivism of evidence-based medicine; and the politics of modern CAM and the rise of the National Center for Complementary and Alternative Medicine. He conducts an in-depth case study of homeopathy, explaining why it has emerged as a poster-child for CAM, and assesses CAM's popularity despite its poor performance in clinical trials. Haller concludes with hope, showing how new experimental protocols might tease out the evidentiary basis for the placebo effect and establish a foundation for some reconciliation between EBM and CAM.
Shadow Medicine explores the foundations of both reductionist biomedicine and complementary and alternative medicine. John S. Haller Jr. shows why the former is unable to deal adequately with the placebo effect and the latter cannot judge the efficacy of its individualistic interventions. This book is an important contribution to an understanding of the contemporary health scene and merits a wide audience. Gerry Grob, Rutgers University
Shadow Medicine is authored by a master historian of medicine and represents an exciting voyage through the complex worlds of evidence-based medicine and complementary and alternative therapies. The author, who exercises great objectivity, sees possibilities in the placebo effect eventually serving as a catalyst to create common ground between conventional and alternative therapies. Pascal James Imperato, MD, MACP, SUNY Downstate Medical Center
This provocative book is aimed at challenging the research community, and the questions it raises are important for patients and doctors alike. Publishers Weekly
A great read... Brilliantly presented... ZME Science
Acknowledgments
List of Abbreviations
Introduction
1. Evidence-Based Medicine
Normative Science
Big Pharma
Cochrane Collaboration
Cochrane Complementary Medicine
Ethics and Equipoise
2. Postmodernist Medicine
Psychosomatic Medicine
Spirituality
Open Door
CAM Popularity
American Medical Schools
3. "The Powerful Placebo"
Beecher's Discovery
What and How
Doctor as Drug
The Factor of Trust
The Assumptive World
4. Politics of Healing
Office of Alternative Medicine
Wayne Jonas
Quantitative Methods Working Group
NCCAM
White House Commission
Institute of Medicine Report
The Next Decade
5. Complementary and Alternative Medicine's Challenge: A Case Study
More of Less Is More: Homeopathy
Homeopathic Practice
Matter and Energy
Ships in the Night
To RCT or Not to RCT
The Rebuttal
The Dilemma
6. Reassessment
Appendix: U.S. Centers for the Study of Complementary and Alternative Medicine
Notes
Bibliography
Index

Read the introduction to Shadow Medicine:

About the Author

John S. Haller Jr. is emeritus professor of history and medical humanities at Southern Illinois University Carbondale. His most recent books include The History of American Homeopathy: From Rational Medicine to Holistic Health Care; Swedenborg, Mesmer, and the Mind-Body Complex: The Roots of Complementary Medicine; and The History of New Thought: From Mental Healing to Positive Thinking and the Prosperity Gospel.