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Focus on Alternative and Complementary Therapies
Home > FACT > FACT contents > Volume 9 2004 > Volume 9:4 December 2004 > Editorial

Focus Altern Complement Ther 2004; 9: 259–60

The British press and CAM

Edzard Ernst, Katja Schmidt

The Science Media Centre is a London-based charity that aims to increase the public’s awareness of matters related to science. Professor Ernst was recently invited to attend one of its regular ‘press briefings’. The event took place on 2 August 2004 and about 20 journalists attended, including those from all the British broadsheet newspapers. Professor Ernst was given about 15 min to address his audience. He used this time to:

  • outline the work of his unit in applying science to CAM
  • summarise the clinical evidence that shows CAM to be effective
  • present the three most recent articles published by his group.1,2,3

The presentation was followed by about 1 h of questions and discussion, which dealt with a wide range of issues. The journalists were also given three handouts:

  • a recently updated research report4
  • an independent assessment of centres of excellence in CAM research5
  • a position paper on integrative medicine.6

Following the press briefing, the media interest was intense and about 20 radio interviews were given by Professor Ernst and Katja Schmidt during the two ensuing days. On 2 and 3 August, the print media, including Web-based media, published 20 articles that we presently know of. The following is a short analysis of this material.

None of the articles referred to the clinical trial of autogenic training showing that this treatment has positive effects in patients after coronary angioplasty.1 Six articles (30%) mentioned the second paper, a survey indicating that interactions between warfarin and herbal medicines are potentially a cause for concern.2 Four articles (20%) gave brief mentions of the fact that some complementary medicines have been proven to be effective.4 All articles (100%) focused on our third study, suggesting that a considerable proportion of Internet sites on CAM and cancer are potentially misleading for cancer patients.3 In many cases, this was done with alarmist headlines, for instance:

  • ‘Fatal Dangers of Alternative Cancer Cures on the Web’ (The Times, 3 August 2004, p. 10)
  • ‘Beware of Internet’s Bogus Cancer Cures’ (Daily Star, 3 August 2004, p. 12)
  • ‘Web Cures for Cancer Could Kill’ (Metro, 3 August 2004, p. 2)
  • ‘Deadly Danger of the Internet Cures’ (The Daily Telegraph, 3 August 2004, p. 6)

We also assessed the tone of all the press coverage. None of them (0%) was judged as ‘mainly positive’ (i.e. predominantly pointing out the benefits of CAM). Thirteen (65%) were deemed ‘balanced’. Seven (35%) were found to be ‘mainly negative’ (i.e. predominantly pointing out the risks of CAM).

This short analysis might suggest that the British media are selective in reporting ‘bad news’ about CAM. In particular, some of the headlines are disappointingly alarmist. It is important to note that, at the press briefing, Ernst was keen not to create a negative image of CAM and repeatedly referred to positive items (see above). His aim was to create a balanced picture of CAM.

Four years ago, the report by the House of Lords on CAM7 noted the ‘undue influence’ of the press on the public perception of CAM. The CAM movement is largely driven by the consumer, i.e. the public.8 The combination of these facts stresses the importance of objective reporting by the media. Yet objectivity does not seem to be the hallmark of the UK media regarding CAM. A previous analysis9 suggested them to be biased in favour of CAM. The present assessment implies the opposite. In truth, the media seem to want simple, unidirectional messages. Thus headlines like ‘alternative medicine cures cancer’ or ‘fatal dangers of herbal medicine’ prevail. On average, the former, positive messages seem to dominate.9

After many years of dealing with the press on almost a daily basis, we still find it exceedingly difficult to steer them towards more objectivity and to inspire them to show both sides of the coin, which invariably exist but are rarely reported. Journalists and researchers obviously have different interests and it is important for both sides to realise each other’s objectives as clearly as possible. We should try to put these differences to work so that they complement each other in providing a service from which the public can benefit.

References

  1. Kanji N, White AR, Ernst E. Autogenic training reduces anxiety after coronary angioplasty: a randomised clinical trial. Am Heart J 2004; 147: E10.
  2. Smith M, Ernst E, Ewings P et al. Co-ingestion of herbal medicines and warfarin. Br J Gen Pract 2004; 54: 439–41.
  3. Schmidt K, Ernst E. Assessing websites on complementary and alternative medicine for cancer. Ann Oncol 2004; 15: 733–42. [Abstract]
  4. Ernst E. Complementary Medicine. The evidence so far. Internal Report 2004, June (available from Edzard Ernst)
  5. Hentschel C. Profiling ‘centres of excellence’ in CAM research. Complement Ther Med 2002; 10: 46–8. [Abstract]
  6. Ernst E. Disentangling integrative medicine. Mayo Clin Proc 2004; 79: 565–6.
  7. House of Lords Select Committee on Science and Technology. Complementary and Alternative Medicine. 6th report, 1999–2000, London: Stationery Office. 2000; Available at http://www.parliament.the-stationery-office.co.uk/pa/ld199900/ldselect/ldsctech/123/12301.htm
  8. Ernst E. Prevalence of use of complementary/alternative medicine: a systematic review. Bull WHO 2000; 78: 252–7.
  9. Ernst E, Weihmayr T. UK and German media differ over complementary medicine. BMJ 2000; 321: 707.
Edzard Ernst, MD, PhD, FRCP, FRCPEd is Editor-in-Chief of FACT and holds the Laing Chair in Complementary Medicine.
Katja Schmidt, MSc, BSc, CPsychol is an Associate Editor of FACT and Pilkington Research Fellow in Complementary Medicine. Both are based at the Peninsula Medical School, Universities of Exeter and Plymouth, 25 Victoria Park Road, Exeter EX2 4NT, UK.
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