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The Whole Story: Alternative Medicine On Trial? PDF

191 Pages·2005·0.63 MB·English
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The Whole Story This page intentionally left blank The Whole Story Alternative medicine on trial? TobyMurcott Macmillan ©TobyMurcott2005 Allrightsreserved.Noreproduction,copyortransmissionofthis publicationmaybemadewithoutwrittenpermission. Noparagraphofthispublicationmaybereproduced,copiedortransmitted savewithwrittenpermissionorinaccordancewiththeprovisionsofthe Copyright,DesignsandPatentsAct1988,orunderthetermsofanylicence permittinglimitedcopyingissuedbytheCopyrightLicensingAgency,90Tottenham CourtRoad,LondonW1T4LP. Anypersonwhodoesanyunauthorisedactinrelationtothispublicationmaybe liabletocriminalprosecutionandcivilclaimsfordamages. Theauthorhasassertedhisrighttobeidentifiedastheauthorofthisworkinaccor- dancewiththeCopyright,DesignsandPatentsAct1988 Firstpublished2005by Macmillan Houndmills,Basingstoke,HampshireRG216XSand 175FifthAvenue,NewYork,N.Y.10010 Companiesandrepresentativesthroughouttheworld ISBN-13:978–1–4039–4500–6 ISBN-10:1–4039–4500–4 Thisbookisprintedonpapersuitableforrecyclingandmadefromfullymanaged andsustainedforestsources. AcataloguerecordforthisbookisavailablefromtheBritishLibrary. AcatalogrecordforthisbookisavailablefromtheLibraryofCongress. 10 9 8 7 6 5 4 3 2 1 14 13 12 11 10 09 08 07 06 05 PrintedandboundinChina Dedicatedtothememoryofmyfather, KenMurcott(1939–2004) This page intentionally left blank Contents acknowledgements ix preface xi 1.introduction 1 2.medicine’sconundrum 19 3.theadvocates 35 4.thecritics 52 5.thegoldstandardtarnished 70 6.measuringtheunmeasurable 94 7.hintsofunderstanding 111 8.anewmodel 125 9.theevidenceleads 140 10.conclusion 158 furtherreading 164 index 168 vii This page intentionally left blank acknowledgements Thisbookneededtofeatureawiderangeoftopicsandideasin which I can claim no expertise. Therefore I owe a great many thankstothespecialistswhohavebeensogenerouswiththeir timeandthoughts.WhenIhavegotitright,itistheywhohave madeitso.Anyremainingmistakesaremineandminealone. I have had numerous conversations with many people, either by phone or email, all of whom have contributed in someway–sometimesexplicitlyasacknowledgedinthetext, sometimes by keeping me on the right track. For these con- versations I would like to thank Bernadette Carter, Iain Chalmers, Sabine Clark, Rachel Clarke, Mike Cummings, RobertDingwall,EdzardErnst,JaneGallagher,JennyGordon, GillHudson,JaniceKiecolt-Glaser,KateKuhn,CatherineLaw, Richard Nahin, Robin Lovell-Badge, Alan Marsh, Hannah Mackay, Andrew Moore, Stephen Myers, Ton Nicolai, David Peters, Paolo Roberti, Virginia Sanders, Aslak Steinsbekk, Andrew Vickers, Harald Walach and Graham Ward. I would ix

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Alternative medicine is a fifty billion dollar per year industry, yet it continues to generate strong opposition by the orthodox medical establishment. The Whole Story rounds up the latest evidence on the placebo effect, the randomized control trial, personalized genetic medicine, acupuncture, homeo
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