CAM within a field force of countervailing powers: the case of Portugal

2.50
Hdl Handle:
http://hdl.handle.net/10547/622568
Title:
CAM within a field force of countervailing powers: the case of Portugal
Authors:
Almeida, Joana ( 0000-0002-1069-1883 ) ; Gabe, Jonathan
Abstract:
This paper examines the extent to which the position of the medical profession and the state towards complementary and alternative medicine (CAM) practitioners has changed since the late 1990s, taking Portugal as a case study. Using Light’s concept of countervailing powers we consider the alliances, interests, rhetorics and degrees of control between these three actors over time, focusing particularly on the extent to which CAM practitioners have acted as a countervailing force in their relationship with the medical profession and the state. It also brings to the fore the position of supra-state agencies concerning CAM regulation. A critical discourse analysis was conducted on data derived from a systematic search of information from the late 1990s until 2015. Our analysis suggests that CAM has emerged as an active player and a countervailing power in that it has been a significant influence in shaping state policy-making. The medical profession, in turn, has changed from rejecting to ‘incorporating’ CAM while the state has acted has a ‘broker’, trying to accommodate the demands and preferences of both actors while simultaneously demonstrating its power and autonomy in shaping health policy. In sum, the history of countermoves of CAM, the medical profession and the state in recasting power relations regarding CAM regulation in Portugal has highlighted the explanatory value of Light’s countervailing power theory and the need to move away from a professional dominance and corporatist approach where CAM has simply been seen as subjugated to the power of the medical profession and the state.
Affiliation:
Royal Holloway, University of London
Citation:
Almeida J, Gabe J (2016) 'CAM within a field force of countervailing powers: the case of Portugal', Social Science and Medicine, 155 (), pp.73-81.
Publisher:
Elsevier
Journal:
Social Science and Medicine
Issue Date:
3-Mar-2016
URI:
http://hdl.handle.net/10547/622568
DOI:
10.1016/j.socscimed.2016.02.044
PubMed ID:
26990177
Additional Links:
https://www.sciencedirect.com/science/article/pii/S0277953616300995
Type:
Article
Language:
en
ISSN:
0277-9536
EISSN:
0277-9536
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorAlmeida, Joanaen
dc.contributor.authorGabe, Jonathanen
dc.date.accessioned2018-04-04T13:41:14Z-
dc.date.available2018-04-04T13:41:14Z-
dc.date.issued2016-03-03-
dc.identifier.citationAlmeida J, Gabe J (2016) 'CAM within a field force of countervailing powers: the case of Portugal', Social Science and Medicine, 155 (), pp.73-81.en
dc.identifier.issn0277-9536-
dc.identifier.pmid26990177-
dc.identifier.doi10.1016/j.socscimed.2016.02.044-
dc.identifier.urihttp://hdl.handle.net/10547/622568-
dc.description.abstractThis paper examines the extent to which the position of the medical profession and the state towards complementary and alternative medicine (CAM) practitioners has changed since the late 1990s, taking Portugal as a case study. Using Light’s concept of countervailing powers we consider the alliances, interests, rhetorics and degrees of control between these three actors over time, focusing particularly on the extent to which CAM practitioners have acted as a countervailing force in their relationship with the medical profession and the state. It also brings to the fore the position of supra-state agencies concerning CAM regulation. A critical discourse analysis was conducted on data derived from a systematic search of information from the late 1990s until 2015. Our analysis suggests that CAM has emerged as an active player and a countervailing power in that it has been a significant influence in shaping state policy-making. The medical profession, in turn, has changed from rejecting to ‘incorporating’ CAM while the state has acted has a ‘broker’, trying to accommodate the demands and preferences of both actors while simultaneously demonstrating its power and autonomy in shaping health policy. In sum, the history of countermoves of CAM, the medical profession and the state in recasting power relations regarding CAM regulation in Portugal has highlighted the explanatory value of Light’s countervailing power theory and the need to move away from a professional dominance and corporatist approach where CAM has simply been seen as subjugated to the power of the medical profession and the state.en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttps://www.sciencedirect.com/science/article/pii/S0277953616300995en
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF-
dc.subjectPortugalen
dc.subjectcomplementary and alternative medicineen
dc.subjectmedical professionen
dc.subjectstateen
dc.subjectcountervailing powersen
dc.subjectprofessions regulationen
dc.subjectpolicy processen
dc.titleCAM within a field force of countervailing powers: the case of Portugalen
dc.typeArticleen
dc.identifier.eissn0277-9536-
dc.contributor.departmentRoyal Holloway, University of Londonen
dc.identifier.journalSocial Science and Medicineen
dc.date.updated2018-04-04T13:20:09Z-
dc.description.noteas before the April 2016 deadline (just!) full text not required for REF. File attached is publishers pdf. Passing metadata only to repository 4/4/18-
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