Despite high levels of usage by patients, a significant barrier to the widespread integration of
complementary and alternative medicine (CAM) into mainstream healthcare is the lack of
acceptable evidence relating to how modalities actually work, and how effective they really
are. This can create problems for CAM practitioners at an interactional level. How they
explain treatment processes to patients, and deal with the introduction of issues which are
often at odds with conventional medical paradigms needs to be approached carefully if …