Throughout history, people faced with complex health conditions that defy simple solutions have pursued unconventional therapies or cures. These are often referred to collectively as complementary and alternative medicine (CAM) (https:// www.britannica.com/science/complementary-and-alternativemedicine), and are considered to be therapies that lie outside the scope of traditional Western medicine. They may include herbal, spiritual, biomedical, surgical, and physical therapies. The field of childhood disability experiences a wide and continually changing variety of CAM. What these therapies usually have in common is some combination of: (1) claims of effectiveness that rely on anecdotes or methodologically unsound ‘research’; (2) explanatory foundations based on questionable biomedical premises; (3) costs borne by the users (not funded by public or insurance schemes); (4) an implication that their effectiveness is related to intensity of treatment (such that treatment ‘failure’ may be the fault of the users); and (5) often, creation of false hope and lost opportunities to pursue other activities. As evidence-informed health professionals, what are our responsibilities when asked to consider CAM? The answers may depend on both the question and the questioner. Consider, for example, possible responses to the following scenarios.

中文翻译：

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补充和替代疗法：我们的责任是什么？

纵观历史，面对复杂的健康状况而无法通过简单的解决方案的人们一直在寻求非常规疗法或治愈方法。这些通常统称为补充和替代医学 (CAM) (https://www.britannica.com/science/complementary-and-alternativemedicine)，被认为是传统西医范围之外的疗法。它们可能包括草药、精神、生物医学、外科和物理疗法。儿童残疾领域经历了广泛且不断变化的 CAM。这些疗法通常具有以下共同点：(1) 依赖轶事或方法论上不健全的“研究”的有效性声明；(2) 基于可疑生物医学前提的解释性基础；(3) 用户承担的费用（非公共或保险计划资助）；(4) 暗示其有效性与治疗强度有关（例如治疗“失败”可能是使用者的过错）；(5) 经常制造虚假的希望并失去从事其他活动的机会。作为有证据的卫生专业人员，当被要求考虑 CAM 时，我们的责任是什么？答案可能取决于问题和提问者。例如，考虑对以下场景的可能响应。当被要求考虑 CAM 时，我们的责任是什么？答案可能取决于问题和提问者。例如，考虑对以下场景的可能响应。当被要求考虑 CAM 时，我们的责任是什么？答案可能取决于问题和提问者。例如，考虑对以下场景的可能响应。