Abstract

In Romania, as elsewhere, there is persistent controversy surrounding homeopathy wherein various parties try to draw the boundaries of legitimate medical practice. The literature on complementary and alternative medicine features little discussion on the temporal dimensions of controversies surrounding these therapies, focusing mainly on the temporalities of the lived experience of treatment. Yet time is a powerful resource for challenging and gaining legitimacy. In order to capture the use of time as a resource for legitimating or contesting homeopathy, we advance the theory of time work by examining the rhetorical role of different temporalities in this dispute. We find that proponents and users of homeopathy appeal to temporal properties of treatment, such as the longer duration of consultation, and of healing, namely, a specific sequence of symptoms and reactions, stories of failed biomedical treatments followed by successful homeopathic interventions, and stories of durable efficacy. Critics invoke the temporal properties of science, especially a cumulative record of failed attempts to prove homeopathic efficacy beyond placebo, or to causally account for its putative effects. Argumentative time work also involves manipulation of temporal modalities, in which homeopathy is legitimized both through continuity with the past and through breaking away from the past, with an eye to a promised future. At the same time, critics of homeopathy invoke temporal modalities to cast homeopathy as a relic of an unscientific past. This research illustrates the value of "argumentative time work" as a conceptual tool in examining public controversies.

Highlights

  • We examine how homeopathy, a form of “complementary/alternative” medicine (CAM), has been legitimized through temporal tactics in contemporary Romania where it enjoys some popularity among patients, following a worldwide trend

  • Previous studies have addressed some of the temporal dimensions of CAM practices and discourse, noting that a desire for longer consultations may be one of the motives for which patients consult a CAM therapist (Cant and Calnan, 1991) or that the temporal experience of CAM treatments may have its ups and downs (Broom and Tovey, 2008)

  • We have advanced this line of inquiry by identifying seven different types of time work, structured along three dimensions, that contribute to constructing homeopathy’s cultural legitimacy in Romanian public discourse

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Summary

Introduction

We examine how homeopathy, a form of “complementary/alternative” medicine (CAM), has been legitimized through temporal tactics in contemporary Romania where it enjoys some popularity among patients, following a worldwide trend. In contrast to a psychological understanding of justifications as rationalizations, we take inspiration from Boltanski and Thevenot’s (2006) work and see justifications as ways of placing value on people and things This is a fruitful analytical window for approaching the temporal dimensions of cultural legitimacy or how time is used as a justificatory resource for gaining popular support in controversies. Other studies look at the attractiveness of CAM temporalities, positioned in contrast to the short-term quick fix of biomedicine by addressing the deep-seated, long-term causes of disease (Ecks, 2014; Lindquist, 2005) We build on these insights by defining temporality as a resource for cultural legitimation and examine the role of time work in the controversy surrounding homeopathy. Through argumentative time work, the advocates for homeopathy assert cultural congruence between their practices and general values concerning temporality in healthcare

Research methods
Legitimation from the promised future
Findings
Conclusion
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