from Medical topics
Published online by Cambridge University Press: 18 December 2014
Introduction
Complementary and alternative medicine (CAM) includes a wide range of practices which do not fit in with the dominant biomedical model of health care and are not commonly provided within conventional medicine settings. In the 1960s CAM was on the fringe of the mainstream, in the 1970s it was positioned as alternative and in the 1990s it became complementary. In the new millennium, the position of CAM has changed again and is moving towards integration with conventional medicine, for example CAM therapies are commonly offered in palliative care and pain clinic contexts. Currently substantial numbers of people are turning to CAM. The prevalence of CAM use increased from 34% to 39% during the 1990s in the general population in the USA (Eisenberg et al., 1998). In the UK 46% of the population can be expected to use one or more CAM therapies in their lifetime and 10% visited a practitioner of an established CAM therapy in 1998 (Thomas et al., 2001). This chapter addresses the nature of these therapies which are proving so popular with patients, how are they regulated, whether they are seen as complementary or an alternative to conventional medicine and how conventional medicine is reacting to the rising popularity of other approaches to health care.
Popular CAM therapies
The most popular CAM therapies in the UK include acupuncture, osteopathy, chiropractic, herbal medicine and homeopathy. Descriptions of these therapies are provided in Table 1.
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