Conventional paradigms of drug treatment present addicts as liars, fabricators, and manipulators until they are truly involved in their recovery process. My ethnographic study engages with and expands upon Foucault's (1988) concept of "games of truth" and De Certeau's (1984) work on "strategies" and "tactics" to illuminate complex and shifting relations between and among staff and clients in a methadone clinic in Toronto, Canada. I suggest the notion of "complicity" in order to address radical instability in these relationships, and I also question commonly held binaries, such as truth and lies, enunciation and action, domination and resistance, that underlie theoretical and addiction treatment realms. In this process, I contribute not only to anthropological theorizing but also to policy making. The staff and clients' multifaceted interpretations of heroin recovery question a single standard of "successful" treatment and point to the need for broader social interventions to address the diverse needs of heroin users.

The aim of this article is to interrogate the pervasive dichotomization of 'conventional' and 'alternative' therapies in popular, academic and medical literature. Specifically, I rethink the concepts such as holism, vitalism, spirituality, natural healing and individual responsibility for health care as taken-for-granted alternative ideologies. I explore how these ideologies are not necessarily 'alternative', but integral to the practice of clinical medicine as well as socially and culturally dominant values, norms and practices related to health and health care in Canada and elsewhere. These reflections address both theoretical and applied concerns central to the study of integration of different medical practices in western industrialized nations such as Canada. Overall, in examining homologies present in both biomedicine and complementary/alternative medicine (CAM), this article rethinks major social practices against binary oppositions by illustrating through literature review that the biomedical and CAM models may be homologous in their original inceptions and in recent cross-fertilizations towards a rigorous approach in medicine. By highlighting biomedicine and CAM as homologous symbolic systems, this article also sheds light on the potential for enhancing dialogue between diverse perspectives to facilitate an integrative health care system that meets multiple consumer needs.

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