Raaphorst Nadine, Houtman Dick
Erasmus University Rotterdam, The Netherlands
University of Leuven, Belgium.
Health (London). 2016 May;20(3):242-57. doi: 10.1177/1363459315583154. Epub 2015 May 4.
Against the background of studies about the domestication of complementary and alternative medicine into biomedical settings, this article studies how biomedicine is integrated into holistic settings. Data from 19 in-depth interviews with Dutch holistic general practitioners who combine complementary and alternative medicine with conventional treatments demonstrate that they do not believe that conventional biomedicine 'really' cures patients. They feel that it merely suppresses the physical symptoms of a disease, leaving the more fundamental and non-physical causes intact. As a consequence, they use conventional biomedicine for strictly practical and instrumental reasons. This is the case in life-threatening or acute situations, understood as non-physical causes of disease having been left untreated with complementary and alternative medicine for too long. More mundane reasons for its use are the need to take patients' demands for biomedical treatment seriously or to obey authoritative rules, regulations and protocols. The integration of biomedicine into complementary and alternative medicine, then, follows the same logic of domestication of complementary and alternative medicine into biomedicine: it is made subordinate to the prevailing model of health and illness and treated as a practical add-on that does not 'really' cure people.
在关于补充和替代医学融入生物医学环境的研究背景下，本文探讨生物医学如何融入整体医学环境。对19位将补充和替代医学与传统治疗相结合的荷兰整体医学全科医生进行深入访谈的数据表明，他们不相信传统生物医学能“真正”治愈患者。他们认为传统生物医学只是抑制了疾病的身体症状，而更根本的非身体病因并未消除。因此，他们使用传统生物医学纯粹是出于实际和实用的原因。在危及生命或急性情况下就是如此，这些情况被认为是由于补充和替代医学长期未治疗疾病的非身体病因所致。使用传统生物医学的更平常的原因是需要认真对待患者对生物医学治疗的需求，或者遵守权威的规则、规定和方案。那么，生物医学融入补充和替代医学，遵循了补充和替代医学融入生物医学的相同驯化逻辑：它从属于盛行的健康与疾病模式，并被视为一种实际上并不能“真正”治愈人们的附加物。
