John S. Haller - Böcker

Can Evidence Based Medicine (EBM) and Complementary and Alternative Medicine (CAM) find common ground? A distinguished historian of medicine, John S. Haller Jr., explores the epistemological foundations of EBM and the challenges these conceptual tools present for both conventional and alternative therapies. As he explores a possible reconciliation between their conflicting approaches, Haller maintains a healthy, scientific skepticism yet finds promise in select complementary and alternative (CAM) therapies. Haller elucidates recent research on the placebo effect and shows how a new engagement between EBM and CAM might lead to a more productive medical practice that includes both the objectivity of evidence-based medicine and the subjective truth of the physician-patient relationship. Haller's book tours key topics in the standoff between EBM and CAM: how and why the double blinded, randomized clinical trial (RCT) came to be considered the gold standard in modern medicine; the challenge of postmodern medicine as it counters the positivism of evidence-based medicine; and the politics of modern CAM and the rise of the National Center for Complementary and Alternative Medicine.He conducts an in-depth case study of homeopathy, explaining why it has emerged as a poster-child for CAM, and assesses CAM's popularity despite its poor performance in clinical trials. Haller concludes with hope, showing how new experimental protocols might tease out the evidentiary basis for the placebo effect and establish a foundation for some reconciliation between EBM and CAM.

“Men and women in late nineteenth-century America,” write John S. Haller and Robin M. Haller, “faced a bewildering and conflicting array of roles forced on them by a newly industrialized society.” Nowhere were these roles more sharply drawn than in the area of sexuality. Growing numbers of Victorians found themselves unable to confide in husbands, wives, or relatives on personal matters. Increasingly, they turned to advice columns in newspapers, etiquette books, philanthropic organizations, marriage manuals, private counselors—and to the physician. The peculiar relationship that existed between the physician and his patient enabled the medical profession to exert a powerful influence: the doctor found himself with the responsibility of acting as the arbiter of fashion, the watchman of morals, and the judge of personal needs. And because the medical profession held itself responsible for the moral and spiritual health of the nation, doctors felt it necessary to bring their professional authority to bear against those elements—such as the women’s rights movement—which threatened the stability of society.

In the only book to date to explore the period between the 1859 publication of Darwin’s Origin of Species and the discovery in 1900 of Gregor Mendel’s experiments in genetics, John S. Haller, Jr., shows the relationship between scientific ""conviction"" and public policy. He focuses on the numerous liberally educated American scientists who were caught up in the triumph of evolutionary ideas and who sought to apply those ideas to comparative morality, health, and the physiognomy of nonwhite races. During this period, the natural and social scientists of the day not only accepted without question the genetic and cultural superiority of the Caucasian; they also asserted that the Caucasian race held a monopoly on evolutionary progress, arguing that ""inferior races"" were no more than evolutionary survivors doomed by their genetic legacy to remain outcasts from evolution. Hereditarians and evolutionists believed that ""less fit"" human races were perishing from the rigors of civilization’s struggle and competition. Indeed, racial inferiority lay at the very foundation of the evolutionary framework and, remaining there, rose to the pinnacle of ""truth"" with the myth of scientific certainty.

In this first history of the military ambulance, historian John S. Haller Jr. documents the development of medical technologies for treating and transporting wounded soldiers on the battlefield. Noting that the word ambulance has been used to refer to both a mobile medical support system and a mode of transport, Haller takes readers back to the origins of the modern ambulance, covering their evolution in depth from the late eighteenth century through World War I. The rising nationalism, economic and imperial competition, and military alliances and arms races of the nineteenth and early twentieth centuries figure prominently in this history of the military ambulance, which focuses mainly on British and American technological advancements. Beginning with changes introduced by Dominique-Jean Larrey during the Napoleonic Wars, the book traces the organizational and technological challenges faced by opposing armies in the Crimean War, the American Civil War, the Franco-Prussian War, and the Philippines Insurrection, then climaxes with the trench warfare that defined World War I. The operative word is ""challenges"" of medical care and evacuation because while some things learned in a conflict are carried into the next, too often, the spasms of war force its participants to repeat the errors of the past before acquiring much needed insight. More than a history of medical evacuation systems and vehicles, this exhaustively researched and richly illustrated volume tells a fascinating story, giving readers a unique perspective of the changing nature of warfare in the nineteenth and early twentieth centuries.

Although scorned in the early 1900s and publicly condemned by Abraham Flexner and the American Medical Association, the practice of homeopathy did not disappear. Instead, it evolved with the emergence of holistic healing and Eastern philosophy in the United States and today is a form of alternative medicine practiced by more than 100,000 physicians worldwide and used by millions of people to treat everyday ailments as well as acute and chronic diseases.The History of American Homeopathy traces the rise of lay practitioners in shaping homeopathy as a healing system and its relationship to other forms of complementary and alternative medicine in an age when conventional biomedicine remains the dominant form. Representing the most current and up-to-date history of American homeopathy, readers will benefit from John S. Haller Jr.'s comprehensive explanation of complementary medicine within the American social, scientific, religious, and philosophic traditions.

Although scorned in the early 1900s and publicly condemned by Abraham Flexner and the American Medical Association, the practice of homeopathy did not disappear. Instead, it evolved with the emergence of holistic healing and Eastern philosophy in the United States and today is a form of alternative medicine practiced by more than 100,000 physicians worldwide and used by millions of people to treat everyday ailments as well as acute and chronic diseases.The History of American Homeopathy traces the rise of lay practitioners in shaping homeopathy as a healing system and its relationship to other forms of complementary and alternative medicine in an age when conventional biomedicine remains the dominant form. Representing the most current and up-to-date history of American homeopathy, readers will benefit from John S. Haller Jr.'s comprehensive explanation of complementary medicine within the American social, scientific, religious, and philosophic traditions.

The search for belief and meaning among nineteenth-century intellectuals.The nineteenth century's explosion of scientific theories and new technologies undermined many deep-seated beliefs that had long formed the basis of Western society, making it impossible for many to retain the unconditional faith of their forebears. A myriad of discoveries - including Faraday's electromagnetic induction, Joule's law of conservation of energy, Pasteur's germ theory, Darwin's and Wallace's theories of evolution by natural selection, and Planck's work on quantum theory - shattered conventional understandings of the world that had been dictated by traditional religious teachings and philosophical systems for centuries.Fictions of Certitude: Science, Faith, and the Search for Meaning, 1840-1920 investigates the fin de siÈcle search for truth and meaning in a world that had been radically transformed. John S. Haller Jr. examines the moral and philosophical journeys of nine European and American intellectuals who sought deeper understanding amid such paradigmatic upheaval. Auguste Comte, John Henry Newman, Herbert Spencer, Alfred Russel Wallace, Thomas Henry Huxley, John Fiske, William James, Lester Frank Ward, and Paul Carus all belonged to an age in which one world was passing, while another world that was both astounding and threatening was rising to take its place.For Haller, what makes the work of these nine thinkers worthy of examination is how they strove in different ways to find certitude and belief in the face of an epochal sea change. Some found ways to reconceptualize a world in which God and nature coexist. For others, the challenge was to discern meaning in a world in which no higher power or purpose can be found. As explained by D. H. Myer, 'The later Victorians were perhaps the last generation among English-speaking intellectuals able to believe that man was capable of understanding his universe, just as they were the first generation collectively to suspect that he never would.