Bounding Biomedicine: Evidence and Rhetoric in the New Science of Alternative Medicine PDF
Preview Bounding Biomedicine: Evidence and Rhetoric in the New Science of Alternative Medicine
Bounding Biomedicine Bounding Biomedicine Evidence and Rhetoric in the New Science of Alternative Medicine colleen derkatch The University of Chicago Press Chicago and London Colleen Derkatch is assistant professor of rhetoric in the Department of English and vice chair of the Research Ethics Board at Ryerson University in Toronto, Canada. The University of Chicago Press, Chicago 60637 The University of Chicago Press, Ltd., London © 2016 by The University of Chicago All rights reserved. Published 2016. Printed in the United States of America 25 24 23 22 21 20 19 18 17 16 1 2 3 4 5 isbn- 13: 978- 0- 226- 34584- 0 (cloth) isbn- 13: 978- 0- 226- 34598- 7 (e- book) doi: 10.7208/chicago/9780226345987.001.0001 Library of Congress Cataloging-in-Publication Data Derkatch, Colleen, author. Bounding biomedicine : evidence and rhetoric in the new science of alternative medicine / Colleen Derkatch. pages ; cm Includes bibliographical references and index. isbn 978-0-226-34584-0 (cloth : alk. paper)—isbn 978-0-226-34598-7 (e-book) 1. Alternative medicine—United States—History—20th century. 2. Alternative medicine—Research—United States—History—20th century. 3. Medicine— United States—History—20th century. I. Title. r733.d4393 2016 610.28—dc23 2015029053 ♾ This paper meets the requirements of ansi /niso z39.48- 1992 (Permanence of Paper). For Isla and Nathan, “just for.” “[I]f you who are reading this article do not know what rational thinking means, you are beyond help.” rudolph happle, “The Essence of Alternative Medicine: A Dermatologist’s View from Germany” “[Q]uackery never prospers, for if and when it does, it becomes termed medi- cine instead.” roy porter, Quacks: Fakers and Charlatans in English Medicine Contents Acknowledgments xi Introduction 1 CAM Enters Biomedicine 2 Rhetoric at the Fringes of Medicine 5 Mapping Biomedical Boundaries 8 Analyzing a Rhetorical Moment 12 Preview of Chapters 17 1 Evidence, Rhetoric, and Disciplinary Boundaries 21 Biomedicine’s Shifting Terrain: From Intuition and Experience to “Evidence” 24 Quantitative Evidence and Jurisdictional Control 29 Medical- Professional Strategies of Exclusion 35 2 Patrolling Professional Borders 44 Constituting the Medical Profession 47 Peer Review as Professional Self- Regulation 53 Categorizing Complementary and Alternative Medicine 55 CAM à la Carte 62 3 Scientific Methods at the Edge of Biomedicine 68 Idealizing Evidence: Scientific Methods and CAM Research 72 Idealizing Research: The Genre of the Randomized Controlled Trial Report 81 Method as a Boundary Argument 88 Efficacy as a Boundary Object 94 4 Precincts of Care in CAM Research 106 Models of Clinical Practice 110 Regulating Rhetorical Interaction 113 Purifying Placebo Effects 122 Patient Choice across Medical Models 131 Dietary Supplements and Patient Agency 138
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