Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/51378
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dc.contributor.authorEliott, J.en
dc.contributor.authorKealey, C.en
dc.contributor.authorOlver, I.en
dc.date.issued2008en
dc.identifier.citationJournal of Palliative Medicine, 2008; 11(1):58-67en
dc.identifier.issn1096-6218en
dc.identifier.issn1557-7740en
dc.identifier.urihttp://hdl.handle.net/2440/51378-
dc.description.abstractUse of complementary and alternative medicine (CAM) is increasingly common within Western societies, including Australia. This parallels calls for or claims of integration of CAM into mainstream medical practice, with oncology and palliative care specifically nominated as appropriate arenas for integration. However, there is an absence of studies examining patient perceptions of both CAM and CAM users. In this study, 28 adult patients with cancer close to death were interviewed regarding treatment decisions at the end of life, including decisions about CAM. Thematic analysis of transcribed interviews found consistent differences in talk around CAM between 12 users and 16 nonusers of CAM, primarily related to the perceived value of these treatments. Drawing upon a mind–body discourse that holds individuals responsible for their health, users valued CAM for the perceived benefit to physical or psychological well-being and compatibility with a holistic approach to health care, deemed to complement or augment conventional medicine. However, some were selfcritical of their failure to continue with CAM, despite practical and financial difficulties experienced. Nonusers devalued CAM as unable to cure their disease (but did not similarly devalue conventional medicine), and negatively construed CAM users as desperate, or as challenging medical wisdom. Despite increased legitimation and medicalization of CAM, patients assess CAM differently to allopathic medicine, with different (positive and negative) assessments attributable to users. The misperception by many (nonusers) that CAM are intended to cure and available negative moral and social judgments centred around CAM use may deter patient uptake of CAM in areas where they have proven efficacy in symptom control.en
dc.description.statementofresponsibilityJaklin A. Eliott, Colin P. Kealey, and Ian N. Olveren
dc.language.isoenen
dc.publisherMary Ann Liebert, Inc. Publishersen
dc.rights© Mary Ann Liebert, Inc.en
dc.subjectHumans; Neoplasms; Complementary Therapies; Palliative Care; Attitude to Health; Adult; Aged; Middle Aged; Patients; South Australia; Female; Male; Interviews as Topicen
dc.title(Using) complementary and alternative medicine: The perceptions of palliative patients with canceren
dc.typeJournal articleen
dc.identifier.rmid0020080092en
dc.identifier.doi10.1089/jpm.2007.0102en
dc.identifier.pubid43895-
pubs.library.collectionPsychology publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidEliott, J. [0000-0002-3154-4516]en
dc.identifier.orcidOlver, I. [0000-0001-5478-1576]en
Appears in Collections:Psychology publications

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