Complementary and alternative medicine’s occupational closure in Portuguese healthcare: contradictions and challenges

2.50
Hdl Handle:
http://hdl.handle.net/10547/622591
Title:
Complementary and alternative medicine’s occupational closure in Portuguese healthcare: contradictions and challenges
Authors:
Almeida, Joana ( 0000-0002-1069-1883 )
Abstract:
This article analyses strategies of closure recently enacted by complementary and alternative medicine practitioners in order to achieve occupational control over work domains in healthcare, taking Portugal as an example. A combination of the neo-Weberian occupational closure theory of the professions and Abbott’s jurisdictional vacancy theory is proposed as the framework for analysis. Acupuncture and homeopathy will be presented as case studies. Data are derived from in-depth interviews with 10 traditional acupuncturists and 10 traditional homeopaths. Data analysis suggests that (1) professionalisation, (2) alignment with biomedical science and (3) expressing ‘legitimating values’ of a countervailing nature have been three significant strategies complementary and alternative medicine practitioners have used in an attempt to achieve market closure. It is argued that these strategies are contradictory: some involve allegiances, while others involve demarcation from biomedical science. A further outcome of these strategies is the promotion of complementary and alternative medicine treatments and solutions in everyday life. The success of these strategies therefore, although helping to reinforce the biomedical model, may simultaneously help complementary and alternative medicine to demarcate from it, posing thus challenges to mainstream healthcare.
Affiliation:
University of Bedfordshire
Citation:
Almeida J (2016) 'Complementary and alternative medicine’s occupational closure in Portuguese healthcare: contradictions and challenges', Health, 20 (5), pp.447-464.
Publisher:
SAGE
Journal:
Health
Issue Date:
29-Aug-2016
URI:
http://hdl.handle.net/10547/622591
DOI:
10.1177/1363459316660857
Additional Links:
http://journals.sagepub.com/doi/abs/10.1177/1363459316660857
Type:
Article
Language:
en
ISSN:
1363-4593
EISSN:
1363-4593
Sponsors:
The Portuguese Foundation for Science and Technology and The Foundation for the Sociology of Health and Illness
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorAlmeida, Joanaen
dc.date.accessioned2018-04-11T09:58:09Z-
dc.date.available2018-04-11T09:58:09Z-
dc.date.issued2016-08-29-
dc.identifier.citationAlmeida J (2016) 'Complementary and alternative medicine’s occupational closure in Portuguese healthcare: contradictions and challenges', Health, 20 (5), pp.447-464.en
dc.identifier.issn1363-4593-
dc.identifier.doi10.1177/1363459316660857-
dc.identifier.urihttp://hdl.handle.net/10547/622591-
dc.description.abstractThis article analyses strategies of closure recently enacted by complementary and alternative medicine practitioners in order to achieve occupational control over work domains in healthcare, taking Portugal as an example. A combination of the neo-Weberian occupational closure theory of the professions and Abbott’s jurisdictional vacancy theory is proposed as the framework for analysis. Acupuncture and homeopathy will be presented as case studies. Data are derived from in-depth interviews with 10 traditional acupuncturists and 10 traditional homeopaths. Data analysis suggests that (1) professionalisation, (2) alignment with biomedical science and (3) expressing ‘legitimating values’ of a countervailing nature have been three significant strategies complementary and alternative medicine practitioners have used in an attempt to achieve market closure. It is argued that these strategies are contradictory: some involve allegiances, while others involve demarcation from biomedical science. A further outcome of these strategies is the promotion of complementary and alternative medicine treatments and solutions in everyday life. The success of these strategies therefore, although helping to reinforce the biomedical model, may simultaneously help complementary and alternative medicine to demarcate from it, posing thus challenges to mainstream healthcare.en
dc.description.sponsorshipThe Portuguese Foundation for Science and Technology and The Foundation for the Sociology of Health and Illnessen
dc.language.isoenen
dc.publisherSAGEen
dc.relation.urlhttp://journals.sagepub.com/doi/abs/10.1177/1363459316660857en
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF-
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectcomplementary and alternative medicineen
dc.subjecthealthcareen
dc.subjectjurisdictional vacancyen
dc.subjectoccupational closureen
dc.subjectPortugalen
dc.titleComplementary and alternative medicine’s occupational closure in Portuguese healthcare: contradictions and challengesen
dc.typeArticleen
dc.identifier.eissn1363-4593-
dc.contributor.departmentUniversity of Bedfordshireen
dc.identifier.journalHealthen
dc.date.updated2018-04-11T09:35:14Z-
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