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Mindfulness meditation as “good medicine”: a new epistemological pluralism in health care
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- 자료유형학술지논문
- 저자명Kaelyn Wiles
- 학회/출판사/기관명Palgrave Macmillan Ltd.
- 출판년도2023
- 언어영어
- 학술지명/학위논문주기Social Theory & Health
- 발행사항Volume 21
- ISBN/ISSN1477-8211
- 소개/요약Scholars have documented tensions that develop as a result of the integration of complementary and alternative medical practices (CAM) into conventional medicine, but few studies have analyzed the process of integration. I use the Mindfulness-Based Stress Reduction program (MBSR), an increasingly popular CAM intervention, as a case study to investigate this process. Drawing on interviews and salient texts, I argue that MBSR leaders (MBSR teachers, doctors, and researchers) have fostered a cultural environment that allows the paradigms of alternative and conventional medicine to coexist: a new epistemological pluralism. Rather than exclusively defining MBSR as either CAM or conventional medicine, MBSR leaders strategically moved back and forth across contradictory epistemological paradigms, enabling them to maintain the integrity of mindfulness and its approach to “healing” while simultaneously conforming to the structural constraints of conventional medical institutions. This study contributes to theoretical research on institutions by suggesting that although this process may look like institutional isomorphism with CAM therapies conforming to the standards of conventional medical institutions, institutional actors’ comfort with contradictions and hybridized views supports institutional heterogeneity and possibly even divergence.
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