E-ISSN 2577-5669
 

Original Research 


A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context

Ian Coulter, Gery Ryan, Lisa Kraus, Lea Xenakis, Lara Hilton.

Abstract
Background
A critique of Complementary and Alternative Medicine is that its effectiveness is all placebo. In trying to deconstruct the placebo, scholars have looked at the context in the health encounter, identifying specific and non-specific effects in the doctor-patient relationship including communication; cognitive, psychological, and emotional element of the encounter; the meaning response during the encounter; the impact of the context on outcomes; and how the encounter is manipulated through such things as ritual.
Methods
This study used the chiropractic and osteopathic health encounter as a socially constructed space exemplars and used focus groups and a rapid ethnographic observation method in clinics to study the context of the encounter. The objective was to develop a systematic, valid, and rigorous methodology for collecting data about the contexts of health encounters.
Results
The study showed that the clinicians and clinical staff consciously construct social settings and the types of interactions that occur within them. This is done consciously and deliberatively.
Conclusion
The method we describe provided a rich data base on the context of the health encounter and it shows that these are not non-specific effects. The method could be applied to other health encounters in Complementary and Alternative Medicine and health care.

Key words: Complementary and Alternative Medicine; Health encounter; context; non-specific effects; placebo


 
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How to Cite this Article
Pubmed Style

Coulter I, Ryan G, Kraus L, Xenakis L, Hilton L, . A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context. J Complement Med Res. 2019; 10(2): 81-88. doi:10.5455/jcmr.20190118123212


Web Style

Coulter I, Ryan G, Kraus L, Xenakis L, Hilton L, . A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context. http://www.jocmr.com/?mno=26612 [Access: February 15, 2020]. doi:10.5455/jcmr.20190118123212


AMA (American Medical Association) Style

Coulter I, Ryan G, Kraus L, Xenakis L, Hilton L, . A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context. J Complement Med Res. 2019; 10(2): 81-88. doi:10.5455/jcmr.20190118123212



Vancouver/ICMJE Style

Coulter I, Ryan G, Kraus L, Xenakis L, Hilton L, . A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context. J Complement Med Res. (2019), [cited February 15, 2020]; 10(2): 81-88. doi:10.5455/jcmr.20190118123212



Harvard Style

Coulter, I., Ryan, . G., Kraus, . L., Xenakis, . L., Hilton, . L. & (2019) A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context. J Complement Med Res, 10 (2), 81-88. doi:10.5455/jcmr.20190118123212



Turabian Style

Coulter, Ian, Gery Ryan, Lisa Kraus, Lea Xenakis, Lara Hilton, and . 2019. A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context. Journal of Complementary Medicine Research, 10 (2), 81-88. doi:10.5455/jcmr.20190118123212



Chicago Style

Coulter, Ian, Gery Ryan, Lisa Kraus, Lea Xenakis, Lara Hilton, and . "A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context." Journal of Complementary Medicine Research 10 (2019), 81-88. doi:10.5455/jcmr.20190118123212



MLA (The Modern Language Association) Style

Coulter, Ian, Gery Ryan, Lisa Kraus, Lea Xenakis, Lara Hilton, and . "A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context." Journal of Complementary Medicine Research 10.2 (2019), 81-88. Print. doi:10.5455/jcmr.20190118123212



APA (American Psychological Association) Style

Coulter, I., Ryan, . G., Kraus, . L., Xenakis, . L., Hilton, . L. & (2019) A Method for Deconstructing the Health Encounter in Complementary and Alternative Medicine: The Social Context. Journal of Complementary Medicine Research, 10 (2), 81-88. doi:10.5455/jcmr.20190118123212