cover image Snake Oil Science: The Truth about Complementary and Alternative Medicine

Snake Oil Science: The Truth about Complementary and Alternative Medicine

R. Barker Bausell. Oxford University Press, USA, $35 (324pp) ISBN 978-0-19-531368-0

A biostatistician, author and Senior Research Methodologist at the University of Maryland, Bausell looks at the alternative methods used by more than 36 percent of Americans to treat pain and illness by posing the question, ""Is any complementary and alternative medical therapy more effective than a placebo?"" In short, his answer is no; what, then, is actually happening in patients (and professionals) who swear by the medical utility of such complementary and alternative medicines (""CAMs"") as acupuncture, deep breathing exercises and megavitamin therapy? Step by step, Bausell builds a rigorous case against CAM, beginning with a look at the history of CAMs and placebos, then the ""poorly trained scientists"" and flawed studies (among more than 300 analyzed for this book) that have historically supported CAM's efficacy. A breakdown of the placebo effect's hows and whys follows (are people hardwired for susceptibility?), along with a look at ""high-quality studies"" and ""systematic reviews"" (including an Italian study that finds natural opioid secretion in the brain responsible for the perceived benefits of placebos) which largely support Bausell's answer. Entertaining and informative, with plenty of diverting anecdotal examples, Bausell offers non-professionals and pros a thorough look at the science on CAM, along with a complementary lesson in the methods of good medical research.