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In other cases, "conventional" medicine is only needed in emergencies or when the safer non-invasive, non-pharmaceutical methods fail. In particular, progesterone, which regulates many of your body's functions, can cause debilitating symptoms when levels are too low or too high. Who would take care of him when they died? Dating from the 1970s, medical professionals, sociologists, anthropologists and other commentators noted the increasing visibility of a wide variety of health practices that had neither derived directly from nor been verified by biomedical science. [159] Since that time, those who have analyzed this trend have deliberated over the most apt language with which to describe this emergent health field. [159] A variety of terms have been used, including heterodox, irregular, fringe and alternative medicine while others, particularly medical commentators, have been satisfied to label them as instances of quackery. [159] The most persistent term has been alternative medicine but its use is problematic as it assumes a value-laden dichotomy between a medical fringe, implicitly of borderline acceptability at best, and a privileged medical orthodoxy, associated with validated medico-scientific norms. [160] The use of the category of alternative medicine has also been criticized as it cannot be studied as an independent entity but must be understood in terms of a regionally and temporally specific medical orthodoxy. [161] Its use can also be misleading as it may erroneously imply that a real medical alternative exists. [162] As with near-synonymous expressions, such as unorthodox, complementary, marginal, or quackery, these linguistic devices have served, in the context of processes of professionalisation and market competition, to establish the authority of official medicine and police the boundary between it and its unconventional rivals. [160] An early instance of the influence of this modern, or western, scientific medicine outside Europe and North America is Peking Union Medical College. [163] [n 16] [n 17] From a historical perspective, the emergence of alternative medicine, if not the term itself, is typically dated to the 19th century. [164] This is despite the fact that there are variants of Western non-conventional medicine that arose in the late-eighteenth century or earlier and some non-Western medical traditions, currently considered alternative in the West and elsewhere, which boast extended historical pedigrees. [160] Alternative medical systems, however, can only be said to exist when there is an identifiable, regularized and authoritative standard medical practice, such as arose in the West during the nineteenth century, to which they can function as an alternative. [165] During the late eighteenth and nineteenth centuries regular and irregular medical practitioners became more clearly differentiated throughout much of Europe and, [166] as the nineteenth century progressed, most Western states converged in the creation of legally delimited and semi-protected medical markets. [167] It is at this point that an "official" medicine, created in cooperation with the state and employing a scientific rhetoric of legitimacy, emerges as a recognizable entity and that the concept of alternative medicine as a historical category becomes tenable. [168] As part of this process, professional adherents of mainstream medicine in countries such as Germany, France, and Britain increasingly invoked the scientific basis of their discipline as a means of engendering internal professional unity and of external differentiation in the face of sustained market competition from homeopaths, naturopaths, mesmerists and other nonconventional medical practitioners, finally achieving a degree of imperfect dominance through alliance with the state and the passage of regulatory legislation. [160] [162] In the US the Johns Hopkins University School of Medicine, based in Baltimore, Maryland, opened in 1893, with William H.

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Publisher: Origin Press (September 21, 2009)


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