Bob Allston,
April, 2000
Most significantly, there is no reference in any of the Arts in Medicine, Arts in Healing or Arts in Healthcare programs to an artist in residence program, which of course is the highly touted core of the Shands Arts in Medicine program, although of course it is possible there is one.
As well, there is no reference or link to founder Mary Lane's site with its high concentration of supernatural phenomenon; although of course I might have overlooked something.
Hopefully, my Web site Mainstreaming Arts in Medicine, that was launched
in April of 1999, had something to do with toning down the rhetoric but
Arts in Medicine still has a long way to go in addressing its relationship
with the therapy professions. For their attempts to establish some kind of
functional differentiation between what they do and what the therapy
professions do is at best strained. And thus the bottom line to the issue
may well be that Arts in Medicine is merely dancing around the fact that
the nich they wish to occupy may already be filled by more acceptable
professions.
Shands Arts in Medicine is the creation of a doctor and nurse at
Shands Hospital where it has been provided with a protected environment
and effective monopoly since its inception in 1991. It was subsequently
brought to Alachua General Hospital, owned by Shands, in 1998, where a
similarly sheltered environment is provided. This protected monopolistic
position in an uncritical environment has allowed AIM to maintain its
unattractive competitive characteristics.
However beyond Shands and Alachua General Hospital, the market niche
occupied by Shands Arts in Medicine is shared in whole or in part by the
competing disciplines of recreation therapy, art therapy, music therapy,
and dance therapy, and to a lesser extent, a number of other professions;
wherein Arts in Medicine is at a serious competitive disadvantage. Thus
Arts in Medicine has spread very little beyond its host institution at
Shands.
In an attempt to expand beyond its sheltered environment at Shands and
AGH, Arts in Medicine has attempted to differentiate itself from its
competing professions by vilifying them, making insupportable claims that
AIM functions differently and better than they do, making claims that
"art" has healing qualities above other competing healing modalities such
as bingo or "outings", and promoting their perception of "art" as having
supernatural healing powers. However, the end result has been to decrease
its appeal rather than increase it.
It has been too heavily hyped and promoted with too much commercialism
to fit within conventional academic/research/scientific norms and
standards; thus rendering it unattractive to educational institutions,
healthcare and other organizations/institutions.
In deference to its anti-science supernatural leanings and fear that
its favored modalities of healing might be thereby discredited, it has
discouraged research people from taking active roles in the organization
and commensurately undertaken almost no research and development. At the
same time however, its competing professions have little or no such
compromising ideology and have undertaken substantial ongoing efforts in
this regard.
This is a real possibility although difficult to evaluate. However, due to
their higher standards, education, research, and less emphasis on
supernatural phenomenon, it is clearly less of a possibility regarding the
therapy professions.
Its various shortcomings effectively limit the populations out of
which it may recruit staff and serious volunteers to only a few percentage
of those from which its competing professions may recruit staff and
volunteers; thus seriously limiting its growth, flexibility, and
potential, compared to them.
AIM has a very complex ideological character-- artistic, scientific,
medical, supernatural, commercial, academic, legal, promotional, research,
etc. However there is no attempt by its founders to explain how many of
these traditionally disparate elements may be expected to function in
ideological or practical harmony in AIM. This problem is far more
negligible for AIM's competing disciplines because for the most part, they
limit their character to elements that traditionally function well
together. Examples of such relationships requiring examination and
explanation are: commercialism v. academic reserve, supernatural v.
scientific, legal requirements v. promotional hype, legal requirements v.
supernatural, and academic v. supernatural.
Arts in Medicine has no ongoing university educational degree program to
produce professional practitioners as do its competing professions. It has
a research arm called CAHRE that was set up to explore research and
education. however, I have not been able to locate any comprehensive site
on education and courses such as are maintained by the therapy professions
and the various academic disciplines in general. The best I could locate
is a CAHRE
Curriculum site that discusses some courses but for the most part it
doesn't state just what subjects they cover, how many there are, who
teaches them, what credits are given for them, or what degree programs
they would apply to; information that would of course be very helpful.
Of course such low standards for any health care discipline in a hospital
will tend to drag the entire hospital as well as other medical disciplines
in the hospital down in the eyes of the public and medical profession;
including those programs that are conscientious about maintaining
standards.
And of course, such low standards are an open invitation for other
disciplines to follow suit. Indeed, why bother with all the tedium and
expense of clinical trials to prove your effectiveness when others
don't?
And these problems might be expected to be the most pronounced regarding
other "alternative medicine" modalities of treatment. For instance, Shands
has an acupuncture unit. Why shouldn't this unit just follow suit,
avoiding research while at the same time making broad insupportable claims
as to its effectiveness?
There are alternative modalities of health care that are both effective
and doing credible research to establish their value in the face of a
skeptical public and medical profession. This applies just as well of
course to AIM's competing "therapy" professions who even without AIM
already have to deal with numerous charlatans out to confuse the public
for personal gain.
In short, an alternative modality of healing such as Arts in Medicine
needs to do just the opposite of what it is doing. That is, it needs to be
making reasonable claims of effectiveness based on the best most credible
research obtainable; far more so than established medical disciplines if
it is to gain the respect and support of the medical profession and
public.
LINK TO
FEBRUARY 2003
UPDATE
PROMOTING SHANDS ARTS IN
MEDICINE
This promotional material would lead one to believe that setting up a
successful Arts in Healing program at a hospital can be done with just
about any recruits out of the local arts community. However, whether this
is true or not, what it fails to mention is that virtually all of the
people it talks about who started the program in this hospital were the
same people who were currently in the program at Shands Hospital, with on
the order of twenty or more years collective experience with the Shands
Arts in Medicine program.ARTS IN MEDICINE AT FLORIDA
STATE UNIVERSITY
FUTURE PLANS FOR FSU ARTS
IN MEDICINE
A LOOK AT RECREATION
THERAPY
PRODUCT DIFFERENTIATION
SUPERNATURAL HEALING POWERS
ARTS IN MEDICINE PEOPLE
GLOBAL DYNAMICS
SUMMARY OF AIM'S COMPETITIVE
SHORTCOMINGS