Where is the safety line between ‘evidence based medicine’ and ‘alternative therapy’?
DSS: When they replace conventional treatment. That’s the number one. Second, when the evidence of benefit is weak and the evidence of harm is strong. Some treatments might expose you to some dangers, like Chinese herbal treatments with herbs that may be contaminated. I would be careful about that. The evidence for benefit is not that strong, yet there’s been evidence of harm. If you’re going to pursue that, some people have greatly benefited, make sure that the provider has highly reputable. The other way in which it can hurt is that it’s very expensive for very little proof of benefit, it will you’ll feel despair if you blow all your money in a useless treatment. JD: You’re a professor of psychiatry. Is the failure to meet basic psychological needs for ‘physical’ ailments part of what’s harming US medical care? Is the lack of empathy and lack of interactivity part of what’s turning people away from traditional medicine, even before they’ve exhausted the standard options as you did fi
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