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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REFERENCES
1. Karalliedde L, Senanayake N. Organophosphorous poisoning. Br J Anaes 1989; 63: 736-750. [DOI via Crossref]   
2. Dutoit PW, Maller FO, Ventonder WM, Ungerer MJ. Experiencewith intensive care management of organophosphate insecticidepoisoning. S Afr Med J 1981; 60: 227-229.
3. Saadeh AM, Farsakh NA, Al-Ali MK. Cardiac manifestations of acute carbamate and organophosphate poisoning. Heart 1997; 77: 461-464.
4. Roth A, Zellinger I, Arad M, Atsmon J. Organophosphates and the heart. Chest 1993; 103: 576-582. [DOI via Crossref]    [Pubmed]   
5. Karki P, Ansari JA, Bhandary S, Koirala S. Cardiac and electrocardiographical manifestations of acute organophosphate poisoning. Singapore Med J 2004; 45(8): 385-390.
6. Van Sitterd NJ. Manual Spectrophotometric Method for The Measurement of Erythrocyte and Plasma Cholinesterase (Modified Ellman Method). WHO, Manual of Analytical Methods. Course on Analytical Procedures for Assesment of Exposure to Organophosphorous Pecticides, Cremona, Ýtaly, 2-6 September 1985.
7. Taða S, Dikmen N. Kolinesterazýn Plazma, eritrosit, amnion sývýsýnda incelenmesi ve nöral tüp defektlerinde uygulanmasý. Bilim Uzmanlýðý Tezi. ÇukurovaÜniversitesi Týp Fakültesi, Adana, 1997.
8. Costa LG. Basic toxicology of pesticides. Occup Med 1997; 12: 251.
9. Robey WC, Meggs WJ. Insecticides, Herbicides and Rodenticides. Tintinalli JE, Kelen GD, Stapczynski JS, eds. Emergency Medicine: a Comprehensive Study Guide. 6th Ed. New York: McGraw-Hill Co, 2004; 1134-43.
10. Worek F, Kirchner T, Backer M, Szinicz L. Reactivation by various oximes of human erythrocyte acetylcholinesterase inhibited by different organophosphorus compounds. Arch Toxicol 1996; 70: 497-503. [DOI via Crossref]    [Pubmed]   
11. Weidler DJ. Myocardial damage and cardiac arrhythmias afterintracranial hemorrhage: a critical review. Stroke 1974; 5: 759-64. [DOI via Crossref]    [Pubmed]   
12. Manning GW, Hall GE, Banting. Vagus stimulation and the production of myocardial damage. Can Med Assoc J 1937; 37: 314.
13. Hall GE, Ettinger GH, Banting FG. An experimental productionof coronary thrombosis and myocardial failure. Can MedAssoc J 1936; 34: 9-15.
14. Petroianu G, Toomes LM, Petroianu A, Bergler W, Rufer R. Control of blood pressure, heart rate and haematocrit during high-dose intravenous paraoxon exposure in mini pigs. J Appl. Toxicol. 1998; 18: 293-298.
15. Ludomirsky A, Klein H, Sarelli P, Becker B, Hoffman S, Taitelman U et al. Q-T prolongation and polymorphous (torsade de pointes) ventricular arrhythmias associated with organophsphorus insecticide poisoning. Am J Cardiol 1982; 49: 1654-8. [DOI via Crossref]   
16. Lovejoy FH, Linden CH. Acute poison and drug over dosage. Harrison's Principles of Internal Medicine. 12th ed. New York: Mc Graw-Hill 1991; 2178.
17. Khan IA, Gowda RM. Novel therapeutics for treatment of long-QT syndrome and torsade de pointes. Int J Cardiol 2004; 95: 1-6. [DOI via Crossref]    [Pubmed]   
18. Finkelstein Y, Kushnir A, Raikhlin-Eisenkraft B, Taitelman U. Antidotal therapy of severe acute organophosphate poisoning: A multihospital study. Neurotoxicol Teratol 1989; 11(6): 593-6. [DOI via Crossref]   
19. Kiss Z, Fazekas T. Arrhythmias in organophosphate poisonings. Acta Cardiol 1979; 34: 323-330.
20. Bardin PG, Van Eeden SF, Moolman JA, Foden AP, Joubert JR. Organophosphate and carbamate poisoning. Arch Intern Med 1994; 154: 1433-41. [DOI via Crossref]    [Pubmed]   
21. Aygun D, Doganay Z, Altintop L, Guven H, Onar M, Deniz T, Sunter T. Serum acetylcholinesterase and prognosis of acute organophosphate poisoning. J Toxicol Clin Toxicol 2002; 40: 903-10. [DOI via Crossref]    [Pubmed]   
22. Merill DG, Mihm FG. Prolonged toxicity of organophosphate poisoning. Crit Care Med 1982; 10: 550–1. [DOI via Crossref]   
23. Chuang FR, Jang SW, Lin JL, Chern MS, Chen JB, Hsu KT. QTc prolongation indicates a poor prognosis in patients with organophosphate poisoning. Am J Emerg Med 1996; 14: 451-3. [DOI via Crossref]   
24. Bissbort SH, Vermaak WJ, Elias J, Bester MJ, Dhatt GS, Pum JK. Novel test and its automation for the determination of erythrocyte acethylcholinesterase and its application to organophosphate exposure. Clin Chim Acta 2001; 303: 139-145. [DOI via Crossref]   
25. Lyzhnikov EA, Savina AS, Shepelev VM. Pathogenesis of disorders of cardiac rhythm and conductivity in acute organophosphate insecticide poisoning. Cardiologia 1975; 15: 126-9.
26. Baydin A, Aygun D, Yazici M, Karatas A, Deniz T, Yardan T. Is there a relationship between the blood cholinesterase and QTc interval in the patients with acute organophosphate poisoning. International Journal of Clinical Practice 2007; 61: 927-30. [DOI via Crossref]    [Pubmed]   

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: July 16, 2019]. 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 July 16, 2019]; 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





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