Medical pluralism, mainstream marginality or subaltern therapeutics? Globalisation and the integration of ‘Asian’ medicines and biomedicine in the UK

Journal article


Cant, S. 2020. Medical pluralism, mainstream marginality or subaltern therapeutics? Globalisation and the integration of ‘Asian’ medicines and biomedicine in the UK. Society and Culture in South Asia. 6 (1), pp. 31-51. https://doi.org/10.1177/2393861719883064
AuthorsCant, S.
Abstract

Medical Pluralism refers to the co-existence of differing medical traditions and practices grounded in divergent epistemological positions and based on distinctive worldviews. From the 1970s, a globalised health market, underpinned by new consumer and practitioner interest, spawned the importation of ‘non-Western’ therapeutics to the UK. Since then, these various modalities have co-existed alongside, and sometimes within, biomedical clinics. Sociologists have charted the emergence of this ‘new’ medical pluralism in the UK, to establish how complementary and alternative medicines (CAM) have fared in both the private and public health sectors and to consider explanations for the attraction of these modalities. The current positioning of CAM can be described as one of ‘mainstream marginality’ (Cant 2009): popular with users, but garnering little statutory support. Much sociological analysis has explained this marginal positioning of non-orthodox medicine by recourse to theories of professionalisation and has shown how biomedicine has been able, with the support of the state, to subordinate, co-opt and limit its competitors. Whilst insightful, this work has largely neglected to situate medical pluralism in its historical, global and colonial context. By drawing on post-colonial thinking, the paper suggests how we might differently theorise and research the appropriation, alteration and reimagining of ‘Asian’ therapeutic knowledges in the UK.

KeywordsComplementary and alternative medicine ; Globalisation; Medical pluralism; Subaltern therapeutics
Year2020
JournalSociety and Culture in South Asia
Journal citation6 (1), pp. 31-51
PublisherSAGE Journals
ISSN2393-8617
Digital Object Identifier (DOI)https://doi.org/10.1177/2393861719883064
Official URLhttps://doi.org/10.1177/2393861719883064
Publication dates
Online12 Jan 2020
Publication process dates
Deposited13 Jan 2020
Accepted28 Sep 2019
Accepted author manuscript
File Access Level
Open
Output statusPublished
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