nondisclosure, common reasons were “It wasn’t important for the doctor to know” (61 percent), “The doctor never asked” (60 percent), “It was none of the doctor’s business” (31 percent), and “The doctor would not understand” (20 percent). Fewer respondents (14 percent) thought that their doctor would disapprove of or discourage CAM use, and just 2 percent thought that the doctor might not continue as their provider if the doctor knew that the patient had received some sort of CAM therapy. The respondents judged CAM therapies to be more helpful than conventional care for the treatment of headache and neck and back conditions, but they considered conventional care to be more helpful than CAM therapy for treatment of hypertension. Adults who use both CAM and conventional medicine appear to value both and tend to be less concerned about their medical doctors’ disapproval than they are about their doctors’ inability to understand or incorporate CAM therapy use within the context of their medical management (Eisenberg et al., 1998).

Paramore (1997) analyzed data from a national database composed of survey data for 3,450 individuals. The survey indicated that in 1994 approximately 10 percent of the adult population (25 million individuals) had seen a professional for at least one of four CAM therapies: chiropractic,