Communication & Medicine, Vol 12, No 1 (2015)

‘Using Chinese medicine in a Western way’: Negotiating integrative Chinese medicine treatment for Type 2 Diabetes

Evelyn Y. Ho, Chelsea Lalancette, Genevieve Leung
Issued Date: 7 Jun 2016

Abstract


Type 2 diabetes affects Chinese Americans at an alarming rate and many Chinese Americans use Chinese medicine principles to deal with their diabetes. In this article, we examine interviews with Chinese medicine practitioners about the best ways to treat diabetes and xiaoke (Chinese medicine’s closest equivalent to diabetes). These interviews were conducted to examine how practitioners would promote a particular form of integrative medicine – in this case, using Chinese medicinal principles to suggest food treatments for diabetes or xiaoke. Our research expands understandings of integrative medicine and Chinese medicine recognizing that in practice, the static categories of Chinese and Western diagnosis and treatment are not very useful for understanding how integration occurs. Instead, Chinese medicine practitioners negotiate between the poles of individual and standardized on one dimension and physical and energetic on another dimension as a way of practicing Chinese medicine and enregistering their professional identities here in the U.S. Examining these interviews from a language and social interaction perspective, we present integration as a performance and enactment of social personae rather than a product. We highlight the need to attend to differences in what oftentimes is treated as a monolithic community of Chinese medicine in the U.S.

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DOI: 10.1558/cam.v12i1.25993

References


Baer, H. A. (2001) Biomedicine and Alternative Healing Systems in America. Madison: University of Wisconsin Press.


Baer, H. A. (2004) Toward an Integrative Medicine. Walnut Creek, CA: Alta Mira.


Barnes, P. M., Bloom, B. and Nahin, R. L. (2008) Complementary and Alternative Medicine Use among Adults and Children: United States, 2007. National Health Statistics Reports 12. Atlanta, GA: Centers for Disease Control and Prevention.


Blommaert, J. (2010) The Sociolinguistics of Globalization. Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511845307


Boon, H., Verhoef, M., O’Hara, D., Findlay, B. and Majid, N. (2004) Integrative healthcare: Arriving at a working definition. Alternative Therapies in Health & Medicine 10 (5): 48–56.


Bourdieu, P. (1990) The Logic of Practice. Stanford, CA: Stanford University Press.


Carbaugh, D. (1996) Situating Selves: The Communication of Social Identities in American Scenes. Albany, NY: SUNY Press.


Carbaugh, D. (2007) Commentary: Six basic principles in the communication of social identities: The special case of discourses and illness. Communication & Medicine 4 (1): 111–115. http://dx.doi.org/10.1515/cam.2007.011


Centers for Disease Control and Prevention (2011) National Diabetes Fact Sheet: National Estimates and General Information on Diabetes in the United States, 2011. Atlanta, GA: Centers for Disease Control and Prevention.


Chun, K. M. and Chesla, C. A. (2004) Cultural issues in disease management for Chinese Americans with type 2 diabetes. Psychology and Health 19 (6): 767–785. http://dx.doi.org/10.1080/08870440410001722958


Covington, M. B. (2001) Traditional Chinese medicine in the treatment of diabetes. Diabetes Spectrum 14 (3): 154–159. http://dx.doi.org/10.2337/diaspect.14.3.154


Gatwood, J., Balkrishnan, R., Erickson, S. R., An, L. C., Piette, J. D. and Farris, K. B. (2016) The impact of tailored text messages on health beliefs and medication adherence in adults with diabetes: A randomized pilot study. Research in Social and Administrative Pharmacy 12 (1): 130–140. http://dx.doi.org/10.1016/j.sapharm.2015.04.007


Halliday, M. A. K. (1978) Language as Social Semiotic: The Social Interpretation of Language and Meaning. Baltimore, MD: University Park Press.


Ho, E. Y. and Bylund, C. L. (2008) Models of health and models of interaction in the practitioner-client relationship in acupuncture. Health Communication 23 (6): 506–515. http://dx.doi.org/10.1080/10410230802460234


Ho, E. Y., Leung, G., Pritzker, S., Han-Lin, C., Hsieh, E., Chan, D., Ting, I., Chen, Y., Huang, S., Ruan, Q. N. and Seligman, H. K. (2015) Creating and pilot testing an integrative Chinese medicine diet for Chinese Americans with type 2 diabetes. Diabetes 64 (Suppl. 1): A623.


Hsu, E. (2008) The history of chinese medicine in the People’s Republic of China and its globalization. East Asian Science, Technology and Society 2 (4): 465–484.


Kaptchuk, T. J. (2000) The Web That Has No Weaver. Second edition. New York: Congdon & Weed.


King, G. L., McNeely, M. J., Thorpe, L. E., Mau, M. L., Ko, J., Liu, L. L., Sun, A., Hsu, W. C. and Chow, E. A. (2012) Understanding and addressing unique needs of diabetes in Asian Americans, native Hawaiians, and Pacific Islanders. Diabetes Care 35 (5): 1181–1188. http://dx.doi.org/10.2337/dc12-0210


Liu, J. P., Zhang, M., Wang, W. and Grimsgaard, S. (2002) Chinese herbal medicines for type 2 diabetes mellitus. Cochrane Database of Systematic Reviews (2). Art No. CD003642. http://dx.doi.org/10.1002/14651858.CD003642


Philipsen, G. (1997) A theory of speech codes. In G. Philipsen and T. L. Albrecht (eds) Developing Communication Theories, 119–156. Albany, NY: SUNY Press.


Pritzker, S. E. (2014) Living Translation. New York: Berghahn Books.


Scheid, V. and MacPherson, H. (eds) (2012) Integrating East Asian Medicine into Contemporary Healthcare. Edinburgh: Churchill Livingstone Elsevier.


Sharf, B. F., Geist Martin, P., Cosgriff-Hernández, K.-K. and Moore, J. (2012) Trailblazing healthcare: Institutionalizing and integrating complementary medicine. Patient Education and Counseling 89 (3): 434–438. http://dx.doi.org/10.1016/j.pec.2012.03.006


Sharf, B. F., Geist-Martin, P. and Moore, J. (2013) Communicating healing in a third space: Real and imagined forms of integrative medicine. In L. M. Harter and Associates (eds) Imagining New Normals: A Narrative Framework for Health Communication, 125–147. Dubuque, IA: Kendall Hunt.


Tong, X.-L., Dong, L., Chen, L. and Zhen, Z. (2012) Treatment of diabetes using traditional Chinese medicine: Past, present and future. The American Journal of Chinese Medicine 40 (5): 877–886. http://dx.doi.org/10.1142/S0192415X12500656


Tracy, K. (2001) Discourse analysis in communication. In D. Schiffrin, D. Tannen and H. Hamilton (eds) Handbook of Discourse Analysis, 728–749. Oxford: Blackwell.


Tracy, K. and Robles, J. S. (2010) Challenges of interviewers’ institutional positionings: Taking account of interview content and the interaction. Communication Methods and Measures 4 (3): 177–200. http://dx.doi.org/10.1080/19312458.2010.505501


Ulett, G. A., Han, J. and Han, S. (1998) Traditional and evidence-based acupuncture: History, mechanisms, and present status. Southern Medical Journal 91 (12): 1115–1120. http://dx.doi.org/10.1097/00007611-199812000-00004


Unschuld, P. U. (1985) Medicine in China: A History of Ideas. Berkeley, CA: University of California.


Unschuld, P. U. (1987) Traditional Chinese medicine: Some historical and epistemological reflections. Social Science & Medicine 24 (12): 1023–1029. http://dx.doi.org/10.1016/0277-9536(87)90018-9


Ward, T. (2012) Multiple enactments of Chinese medicine. In V. Scheid and H. MacPherson (eds) Integrating East Asian Medicine Into Contemporary Healthcare, 55–74. Edinburgh: Churchill Livingstone Elsevier.


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