While the growth in usage and practice of varying forms of complementary and alternative medicine (CAM) continues apace, social science has increasingly turned to CAM's often individualistic approach to health and illness. CAM has been perceived as both partly a cause of and a response to the well-documented ideology in modern healthcare of 'individual responsibility for health'. This occasionally manifests in a 'victim-blaming' ideology amongst both orthodox and CAM practitioners alike. These issues emerged as key themes in an ethnographic study of a Centre for spiritual healing in the North of England. By drawing upon a range of qualitative data gained through the researcher's participation at this healing centre, I argue that the healers' focus on individual responsibility for health is not so much a part of the current socio-political health ideology of 'victim-blaming', rather, it is illustrative of an important contemporary social phenomenon: the movement towards the subjectification and personalisation of public life.

Ideas about lay and expert knowledge increasingly underscore debates within qualitative health research. In this article, the authors develop an exploratory synthesis of two qualitative studies in which they critique the lay-expert divide, suggesting instead a spectrum of knowledge(s) about health and scientific issues. In the original studies, the researchers examined food risks and alternative medicine, and they shared an interest in the lay-expert knowledge relationship. Reinterpreting each study in the light of the other led to greater conceptual development. Three mutual themes emerged and are presented with discussion of their contribution to wider theoretical debates. This worked example indicates that researchers can achieve valuable additional conceptual development through the cross-fertilization of ideas across qualitative studies united not by common health topics but by shared conceptual concerns.

a b s t r a c t This article reports on fi ndings from a study of the accounts of people participating in music therapy as part of a programme of complementary and alternative medicine (CAM) in supportive cancer care. The article outlines the perceived effects of music therapy, which shares many characteristics with CAM therapies as well as offering a distinct contribution as a creative therapy. Hence in this article we draw on theories and writings from the sociology of CAM as well as those relating to music, healing and aesthetics in order to explore participants' accounts. The importance of identity and the role of creativity in processes of individuation are key themes emerging from the analysis.While music and creativity are often seen uncritically as resources for health and well-being, we draw attention to the challenges and complexity of diverse responses to music, framed by personal biographies that are in turn often situated within socially constructed notions of aesthetics. We argue that in research on music therapy, as well as other CAM therapies, issues of identity can be key to an understanding of questions of therapeutic impact.

The authors consider the applicability of broader schemas that attempt to define and explore the role and significance of spirituality.

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