The increasing popularity of complementary and alternative medicine (CAM) in the West raises profound questions for social scientists, not least because it is as much about consumerism as it is about health care. Although the sociology of CAM is well developed, its geography remains almost wholly unexplored. In this paper we argue that one of the main reasons for this neglect is the fact that (post)medical geography has found it extremely difficult to come to terms with the disconcerting fusion of health care and consumer culture, and its dispersion across a vast array of materials and practices that are often far removed from the established concerns of the subdiscipline. Accordingly, in this paper we approach the dispersed geography of CAM through two key sources of consumer information: a range of ‘popular’ health-related magazines produced for the UK market, contextualized in relation to a sample of twenty-four British-based patient support groups. Specifically, we consider three critical issues that are shaping the mass mediation of CAM: the displacement of efficacy; the abrogation of authority; and the cultivation of anxiety. The paper concludes with a brief consideration of a profoundly geographical problem: the difficulty of constructing effective pathways through a profusion of disparate materials and practices in a context that is literally beyond belief.
AndrewsG, 2002, “Reconceptualising therapeutic landscapes to capture the ‘dispersed’ and ‘everyday’: An approach derived from complementary medicine use by older people” (unpublished manuscript); copy available from Dr Gavin Andrews, Faculty of Nursing, University of Toronto, 50 St George Street, Ontario, Canada M5S 3H4.
3.
AndrewsGHammondR, 2002, “Private complementary medicine in the United Kingdom: A profile of practitioners and their pathways to practice” (unpublished manuscript); copy available from Dr Gavin Andrews at the above address.
4.
AndrewsGPetersEHammondR, 2002, “Receiving money for medicine: Some tensions and resolutions for community-based private complementary therapists” (unpublished manuscript); copy available from Dr Gavin Andrews at the above address.
5.
AnyinamC, 1990, “Alternative medicine in western industrialized countries: An agenda for medical geography”Canadian Geographer3469 – 76.
6.
AstillA, 2001, “I tried it myself …”Here's Health July, pages 52 – 53.
7.
AtkinsonS, 1995, “Restructuring health care: Tracking the decentralization debate”Progress in Human Geography19486 – 503.
8.
BaerH A, 1994, “The drive for professionalisation in British osteopathy”Social Science and Medicine19717 – 725.
9.
BaerH AJenCTanassiL MTsiaCWahbehH, 1998, “The drive for professionalisation in acupuncture: A preliminary view from the San Fransisco Bay area”Social Science and Medicine46533 – 537.
10.
BarthelmeD, 1991, “The glass mountain”, in Sixty Stories Ed. BarthelmeD, (Minerva, London) pp 178 – 182.
BuckinghamL, 2001, “Rise and shine action plan: Kick start your day!”Here's Health October, page 22.
22.
BuddSMillsS, 2000Professional Organisation of Complementary and Alternative Medicine in the United Kingdom: A Second Report for the Department of Health. Complementary Health Studies Programme, University of Exeter, Exeter.
23.
CantSCalnanM, 1991, “On the margins of the medical marketplace? An exploratory study of alternative practitioners' perceptions”Sociology of Health and Illness1334 – 51.
24.
CantSSharmaU, 1998, “Reflexivity, ethnography and the professions (complementary medicine): Watching you watching me watching you (and writing about both of us)”The Sociological Review46244 – 263.
25.
ClarkeD BDoelM A, 1997, “Transpolitical urbanism: Suburban anomaly and ambient fear”Space and Culture213 – 36.
26.
CooperK, 1998Arousing Aromas: Aromatherapy from Daily Indulgences to Hangover Cures (Orion Books, London).
27.
CowardR, 1989The Whole Truth: The Myth of Alternative Medicine (Faber and Faber, London).
28.
CurtisSTaketA, 1996Health and Societies—Changing Perspectives (Arnold, London).
29.
DeleuzeG, 1977, “Intellectuals and power”, in Language, Counter-memory, Practice: Selected Essays and InterviewsFoucaultM, (Cornell University Press, Ithaca, NY) pp 206 – 207.
30.
DeleuzeGGuattariF, 1988A Thousand Plateaus: Capitalism and Schizophrenia (Athlone, London).
31.
DoelM A, 1999Poststructuralist Geographies: The Diabolical Art of Spatial Science (Edinburgh University Press, Edinburgh).
Environment and Planning D: Society and Space2000, “Theme issues: Spaces of performance”18(4 and 5) Eds RoseGThriftN.
38.
EylesJDonovanJ, 1990The Social Effects of Health Care Policy: Experiences of Health and Health Care in Contemporary Britain (Avebury, Aldershot, Hants).
39.
FeatherstoneM, 1982, “The body in consumer culture”Theory, Culture and Society1(2) 18 – 33.
40.
FosterH, 2001, “Expert ways to turn your body clock back 10 years”Best44 (November) 31 – 33.
41.
Foundation for Integrated Medicine, 1997Integrated Healthcare: A Way Forward for the Next Five Years?Foundation for Integrated Medicine, 12 Chillingworth Road, London N7 8QJ.
42.
Foundation for Integrated Medicine, 2000Towards a National Strategy for Research and Development in Complementary and Alternative MedicineFoundation for Integrated Medicine, 12 Chillingworth Road, London N7 8QJ.
43.
FulderSMunroR, 1985, “Complementary medicine in the United Kingdom: Patients, practitioners and consultants”Lancet2542 – 545.
44.
FurnhamABeardR, 1995, “Health, just world beliefs and coping style preferences in patients of complementary and orthodox medicine”Social Science and Medicine401425 – 1432.
45.
GarlickJ, 2001, “A to Z of good health”, in W H Smith Total Guide to Being Fit and Healthy issue 1 (John Brown Contract Publishing, London) pp 18 – 21.
46.
GatrellA, 2001Geographies of Health (Blackwell, Oxford).
47.
GenoskoG, 2000, “The life and work of Félix Guattari: From transversality to ecosophy”, in The Three Ecologies Eds GuattariFGenoskoG, (Athlone, London) pp 106 – 159.
48.
GeslerW, 1984Health Care in Developing Countries (Association of American Geographers, Washington, DC).
49.
GeslerW, 1988, “The place of chiropractic in health care delivery: A case study of North Carolina”Social Science and Medicine26785 – 792.
50.
GeslerW, 1991The Cultural Geography of Health Care (University of Pittsburgh Press, Pittsburgh, PA).
51.
GeslerW M, 1992, “Therapeutic landscapes: Medical issues in light of the new cultural geography”Social Science and Medicine34735 – 746.
52.
GiddensA, 1994, “Living in a post-traditional society”, in Reflexive Modernization: Politics, Tradition and Aesthetics in the Modern Social Order Eds BeckUGiddensALashS, (Polity Press, Cambridge) pp 56 – 109.
53.
GoodC M, 1987Ethnomedical Systems in Africa: Patterns of Traditional Medicine in Rural and Urban Kenya (Guilford Press, New York).
54.
GordonR JNienstedtBGeslerW, (Eds) 1998Alternative Therapies: Expanding Options in Health Care (Springer, New York).
55.
Here's Health 2001, “Healing body wraps: The latest therapies on test”, July, pages 72 – 74.
House of Lords, 2000Complementary and Alternative Medicine 6th report, Select Committee on Science and Technology (The Stationery Office, London).
58.
HowJ, (Ed.), 2000Places to Be: A Compendium of Transformational Holidays and Places to ‘Just Be’ (Coherent Visions, London).
59.
Hythe-CroninC, 2001, “Shamanism for modern living”Here's Health October, pages 76 – 77.
60.
IveF, 2001, “What your muscles can say about your health”Here's Health July, pages 54 – 55.
61.
JacksonPStevensonNBrooksK, 1999, “Making sense of men's lifestyle magazines”Environment and Planning D: Society and Space17353 – 368.
62.
JonesM, 2000Consumers of Complementary Medicine in South Wales: An Ethnographic Study unpublished PhD thesis, School of Social Sciences and International Development, University of Wales Swansea, Swansea, Wales.
63.
JonesKMoonG, 1993, “Medical geography: Taking space seriously”Progress in Human Geography17515 – 524.
64.
KearnsR A, 1993, “Place and health: Towards a reformed medical geography”Place and Health45139 – 147.
65.
KearnsR A, 1995, “Medical geography: Making space for difference”Progress in Human Geography19251 – 259.
66.
KearnsR ABarnettB J, 1997, “Consumerist ideology and the symbolic landscape of private medicine”Health and Place3171 – 180.
67.
KearnsR AJosephA E, 1997, “Restructuring health and rural communities in New Zealand”Progress in Human Geography2118 – 32.
68.
KearnsR AMoonG, 2002, “From medical to health geography: Novelty, place and theory after a decade of change”Progress in Human Geography26605 – 625.
69.
KelnerMWellmanB, 1997, “Who seeks alternative health care? A profile of users of given modes of treatment”Journal of Alternative and Complementary Medicine3127 – 140.
MaberI, 2001, “Rise and shine action plan: Your energising breakfast plan!”Here's Health October, pages 14 – 55.
77.
MadgeC, 1998, “Therapeutic landscapes of the Jola, the Gambia, West Africa”Health and Place4293 – 311.
78.
MassumiB, 1992, “Everywhere you want to be: Introduction to fear”Pli: Warwick Journal of Philosophy4175 – 215.
79.
MatlessD, 2001, “Bodies made of grass made of earth made of bodies: Organicism, diet and national health in mid-twentieth-century England”Journal of Historical Geography27355 – 376.
80.
MayerD, 1996, “The political ecology of disease as one new focus for medical geography”Progress in Human Geography20441 – 456.
ME Association, 1995Alternative Approaches to ME ME Association, 4 Top Angel, Buckingham Industrial Park, Buckingham MK18 1TH.
83.
MillerK, 1998, “The evolution of professional identity: The case of osteopathic medicine”Social Science and Medicine471739 – 1748.
84.
My Weekly, 2001, “Help yourself to better health”, 15 September, number 4579 (unpaginated supplement).
85.
Natural Health and Well-being2001a, “Healthy living focus”, April, pages 6 – 7.
86.
Natural Health and Well-being2001b, “Emotional and spiritual focus”, July, page 41.
87.
NegriA, 1996, “Notes on the evolution of the thought of the later Althusser”, in Postmodern Marxism and the Future of Marxist Theory: Essays in the Althusserian Tradition Eds CallariARuccioD F, (Wesleyan University Press, London) pp 51 – 68.
88.
NettletonS, 1995The Sociology of Health (Polity Press, Cambridge).
89.
PaolucciG, 2001, “The city's continuous cycle of consumption: Towards a new definition of the power over time?”Antipode33647 – 659.
90.
ParrH, 1998, “The politics of methodology in ‘post-medical geography’: Mental health research and the interview”Health and Place4341 – 353.
91.
ParrH, 2002a, “New body-geographies: The embodied spaces of health and medical information on the Internet”Environment and Planning D: Society and Space2073 – 95.
92.
ParrH, 2002b, “Medical geography: Diagnosing the body in medical and health geography, 1999 – 2000”Progress in Human Geography26(2) 240 – 251.
93.
PerecG, 1999, “‘Think/classify’”, in Species of Spaces and Other Piecesrevised edition (Penguin Books, Harmondsworth, Middx) pp 188 – 205.
94.
PhillipsD R, 1990Health and Health Care in the Third World (Longman, Harlow, Essex).
SaksM, 1995Professions and the Public Interest: Medical Power, Altruism and Alternative Medicine (Routledge, London).
97.
SchepersR M JHermansH E G M, 1999, “The medical profession and alternative medicine in the Netherlands: Its history and recent developments”Social Science and Medicine48343 – 351.
98.
ScottA, 1998, “Homoeopathy as a feminist form of medicine”Sociology of Health and Illness20191 – 214.
99.
SelbyA, 2001Marks & Spencer: Home Health Sanctuary: Weekend Plans to Detox, Relax and Energize (Hamlyn, London).
100.
SharmaU, 1992Complementary Medicine Today: Practitioners and Patients (Routledge, London).
101.
SharmaU, 1994, “The equation of responsibility: Complementary practitioners and their patients”, in The Healing Bond: The Patient – Practitioner Relationship and Therapeutic Responsibility Eds BuddSSharmaU, (Routledge, London) pp 82 – 103.
102.
StevensonNJacksonPBrooksK, 2000, “The politics of ‘new’ men's lifestyle magazines”European Journal of Cultural Studies3366 – 385.
103.
StollP, 1998, “Text as conversation: An interpretative investigation of utterances in a women's magazine”Journal of Pragmatics29545 – 570.
ThomasP, 2001Cleaning Yourself to Death: How Safe is Your Home? (Gill and Macmillan, London).
106.
ThriftN, 2000, “Afterwords”Environment and Planning D: Society and Space18213 – 255.
107.
Top Santé2001, “Welcome to Top Santé”, May, page 5.
108.
ValverdeMWhite-MairK, 1999, “‘One day at a time’ and other slogans for everyday life: The ethical practices of Alcoholics Anonymous”Sociology33393 – 410.
109.
VerheijR Ade BakkerD HGroenewegenP P, 1999, “Is there a geography of alternative medical treatment in the Netherlands?”Health and Place583 – 97.
110.
VincentCFurnhamA, 1997Complementary Medicine—A Research Perspective (John Wiley, Chichester, Sussex).
111.
WhewayTRoss-MacdonaldJ, 1998Treasures from The Sanctuary: For the Body (Thorsons, London).
112.
WilesJRosenbergM W, 2001, “‘Gentle caring experience’: Seeking alternative health care in Canada”Health and Place7209 – 224.
113.
WilkinsonI, 1999, “Where is the novelty in our current ‘Age of Anxiety’?”European Journal of Social Theory2445 – 467.
114.
WilliamsA, 1998, “Therapeutic landscapes in holistic medicine”Social Science and Medicine461193 – 1203.
115.
WilliamsA, (Ed.), 1999Therapeutic Landscapes: The Dynamic Between Wellness and Place (University Press of America, Lanham, MD).
116.
WilliamsA, 2000, “The diffusion of alternative health care: A case study of chiropractic and naturopathic practices”Canadian Geographer44152 – 166.
117.
WilsonK, 2003, “Therapeutic landscapes and first nations peoples: An exploration of culture, health and place”Health and Place8 (in press).
118.
WirthD, 1995, “The significance of belief and expectancy within the spiritual healing encounter”Social Science and Medicine41249 – 260.
119.
WolchJPhiloC, 2000, “From distributions of deviance to definitions of difference: Past and future mental health geographies”Health and Place6137 – 157.
120.
Yours Health Plus!2001, “Have a go!”, Autumn, pages 13 – 15.
