Alternative Medicine and Self-care

Not just an alternative care source Also an alternative view of responsibility and

personal power in the health/disease debate Centers around the perception of illness and

health as a social not a medical problem

Perception and action

We can ignore the perception and hope it goes away

We can self treat (lots of options here today, both medical and alternative)

See a doctor

Which do you choose?

Depends on concept of self Depends on available resources Depends on knowledge and information Depends on whether we feel like being a

victim or not

Alternative Care

Anathema to medicine—less social control Monopoly eroded by patient actions to seek

self-care and alternative care Cannot control the care to make it medical

because the reason it is sought is to avoid medicine

What is Alternative?

That which is not the standard in the society Varies from culture to culture Depends on availability, cost and social

factors

Why?

Monopoly eroded because We are too scientific Knowledge base dissemination (no secrets) Patient rights Devolution of trust Increased effectiveness of alternative care Increased self care with OTC meds--

autonomy

Options

Health centers for specific issues, example AA and women’s health

Acupuncturists Nutritionists Chiropractors Holistic health Herbalists, aroma, health counselors, and

trainers

Why again?

Makes patient more powerful Makes patient more self reliant Choice Emphasis on health Self-help movements (sells books) Aid societies for victims (examples –Susan

G.Koman, ACTUP, Independent Living) Combines politics and care

Social medical groups

Social entities organized around a disease or social/medical ill

Increasing social networks to cope with illness, promote health

Influences and funds research Influences medical practice

Social Actors

Combine power of individuals to affect medical care Now national campaigns, social support groups,

influence political and medical decisions Culture of social action Emotion, announcement, enactment What is really behind this may be who gets and uses

the money—cynical view

Examples

MDA Feminism and women’s health ACTUP Unicef