FROM THE EDITORS. Alternative medicine appears to be the latest catch phrase for a variety of 'therapies' that are claimed to have benefits but which fall outside science based medical procedures. Practitioners of such therapeutic approaches as acupuncture, chiropractic, homeopathy, healing touch and even prayer have been eager to seek cover under the umbrella of alternative medicine in order to give themselves an aura of legitimacy and respectability. In 1992, the National Institutes of Health established the Office for Alternative Medicine, after being prodded by Congress to do so. At about the same time several well known medical schools began to offer courses in alternative medicine. Even though the research sponsored and the teaching conducted usually have a narrow scope, many peddlers of quackery and fraud are extending this new-found appearance of legitimacy over their particular set of ideas. Scientists and medical doctors have been very skeptical about the usefulness and appropriateness of research on alternative therapies sponsored by public funds because in most cases it is very difficult, if not impossible, to design controlled scientific tests of the claims. For example, it has been claimed that touch therapy (the hands-off type) can affect the immune system. The Medical University of South Carolina received a grant for $30,000 to conduct such a study. Whereas well-established procedures are available to ascertain the status of the immune system of any human, the other aspect of the study is much more problematic since the standard double blind test hardly can be used. The procedure is supposed to be effective only when a specially trained 'therapist' manipulates the so-called 'energy field' which is claimed to surround the body of the patient. Therefore, the therapist will know if he/she is conducting therapeutic touch or only shamming (negative control) and because the therapist knows, he/she might communicate consciously or unconsciously to the patient whether or not true or sham treatment is given. And herein lies the crux of the matter: very few of these alternative therapies can be tested scientifically. We have included an article in this issue on the question of healing by prayer. It outlines some of the problems that would be involved if a test of the effectiveness of prayer were to be attempted. We do not wish to deny any believers access to alternative medical therapies should they choose to take their chances with unproven 'cures' But we hope that those who seek alternatives are also availing themselves of science based medical care. However, we do object strongly when money collected from us through taxes and medical insurance is used for 'therapies' that lack scientific backing and indeed in many cases cannot be tested scientifically. The editors can be reached by E-mail at ehemmin@san.rr.com or by FAX at 619-454-1158 ----------------