What do we stand for? The philosophy of chiropractic has to answer internally the questions âWhere are we going?â. and ‘How should we act?’
There is little doubt that the philosophy of chiropractic causes much debate with passionate voices on all sides of the subject. Nonetheless, a philosophy of chiropractic may exist that goes beyond the current philosophical premises of vitalism, holism, naturalism, therapeutic conservatism, and / or humanism.
A philosophy is required which can guide economic and social policy and which takes into account the constantly changing knowledge from science. Such a philosophy should try to consider future scientific thinking, be skeptical of results, and be believable and communicable to potential healthcare consumers. In the search for public acceptance, it is necessary that external actors can understand what the profession stands for and where the profession is leading. There is a need for internal members of the profession to find common ground to foster a growth mentality.
Like all publicly entrusted professions, chiropractic must answer the question âWhere are we going?â Internally. and “How should we act?” and “What is true and what is wrong?” The aim of this essay is to present an operational philosophy of chiropractic that goes beyond the current philosophical premises, to show basic principles and to show an application of these principles.
Political Issues and “Medicine”
There is a need to make a paradigm shift. Rather than thinking in the context of clinical and professional issues, such a philosophy thinks about political issues that can affect a nation through social, political, and economic policies.
The term “medicine” has already aroused a lot of passion among chiropractors. However, the addition of the term “medicine” is used to fully describe the potential of chiropractic as an emerging health care company and provides more clarity along with the concept of competing in the larger health sector. This clarity is valued for not being entangled with past (and controversial) concepts such as âsubluxationâ and âinnate intelligenceâ which have failed to advance the profession and have caused many internal divisions.
An operational definition of a philosophy of chiropractic care can be formulated as a philosophy of a health care profession that includes the patient as the center of care, but can evolve within the wider health community and society through health, politics, society and economy politics.
New philosophy of chiropractic principles
In order to establish a new philosophy in chiropractic, principles must be created that form a framework. The political theorist Russell Kirk (1918-94) defined ten principles as “a body of feeling rather than a system of ideological dogmas”.
These 10 principles can form the necessary framework for the philosophy of the chiropractic profession:
- Moral order human: This rationale suggests that nature is a constant and moral truths are permanent.
- Habit, Convention and Continuity: This principle means that customs enable peaceful coexistence; Convention as a means of avoiding constant disputes over rights and duties and continuity as a means of connecting generation to generation.
- Recipe: Things that have been founded since time immemorial, so that the human mind does not turn into the opposite.
- Wisdom: Public action should be judged on likely long-term consequences, not just temporary benefit or popularity.
- Diversity: Affection for the increasing complexity of long-established social institutions and ways of life.
- Imperfection: Human nature incurably suffers from certain serious defects.
- Freedom and ownership: Freedom and property are closely related.
- Voluntary Community and Involuntary Collectivism: A successful community spirit is created locally and on a voluntary basis. A distant political direction that is centralized and disinterested can become hostile.
- Prudent Restrictions on Power and Human Passions: Just government maintains a healthy tension between the claim of authority and the claim of freedom.
- Persistence and change: The stability of a society is shaped by those lasting interests and convictions that give stability and continuity. Progress is the spirit and body of talents that urge one to reform and improve prudently.
These core principles can serve as the basis for a much wider discussion and debate. The following premises are based on these principles to begin the professional development process:
- Moral order: Moral truths are consistent, guided by solid ethics, for patient care and professional conduct. These moral truths are supported so that people can live in a peaceful society.
- Habit, Convention and Continuity: Recognition and appreciation of longstanding practices, traditions, and respect for social institutions are vital to the general well-being of a nation. At the same time, constant disputes about the rights and obligations of the patient and the rights and obligations of the doctor should be avoided. The current state laws in chiropractic and social respect allow, although they are subject to the profession and are enacted by laws by the citizens, a peaceful coexistence by upholding the law; There are core aspects of the profession that remain consistent i.e. spinal manipulation and the profession of chiropractic medicine with an appreciation for the social contract.
- Recipe: There are those in the history of science and medicine who inspire and encourage research. The basic tenets of science guide the practitioner of chiropractic to avoid opposing acts such as pseudoscience. There is respect and esteem for the founders of a nation and those who made it great, as well as the unique culture and history of a nation.
- wisdom: Public health measures and other measures for the benefit of society and the individual are judged on their likely long-term consequences, not on their popularity or their temporary political advantage. Chiropractic aims to empower the individual and promote basic freedoms.
- Diversity: Affection for the established scientific practices that exist; Diversity in establishing innovative methods for dealing with neuromusculoskeletal diseases is promoted by the scientific method. The chiropractor uses additional diagnostic, therapeutic, pharmacological, and rehabilitation modalities to serve a larger patient population. Chiropractic recognizes that society will have all levels of economic class and that such classifications mean a healthy society.
- Imperfection: Human nature suffers from its own weight from the psychic to the genetic. Because of this imperfection, human biological systems break down and need to be repaired, negating the philosophy of self-healing without choice. Personal responsibility is the key to effective patient care and not depending on the doctor to make a patient a ânew healthyâ. This includes the realization that utopias or utopian measures can never come to fruition.
- Freedom and ownership: Chiropractic advocates personal freedom and the individual right to self-determination of the patient and society as a whole. Chiropractic encourages the ownership of personal property, the accumulation of assets and fortune, and responsibility for that property. She also stands up for the constitutionally guaranteed rights of her nation, advocating property and the individual as a consumer. Chiropractic promotes market-based solutions to complex economic issues and incentives for professional, social and patient growth.
- Voluntary Community and Involuntary Collectivism: Chiropractors stand up for individual human rights, performance, personal responsibility and the power of individual human potential. Chiropractic advocates that the local community voluntarily empowers itself and opposes collectivism, which forces individuals and / or groups to the will of an uninterested and unrepresentative unit.
- Prudent Restrictions on Power and Human Passions: Chiropractors advocate prudent restrictions on the practice of chiropractic; careful reluctance to do what is advertised, practiced, and advocated so that human passions do not hinder progress. Chiropractic advocates limited government that does not restrict personal freedom and promotes the rule of law as no person is above the law.
- Persistence and change: Chiropractic involves the constancy of things inherent in health care operations to ensure stability and continuity; For chiropractic to progress, it must recognize that change is necessary and healthy.
Chiropractic has to be based on principles
Given all the current social, political and economic arguments, it is necessary that the profession is based on principles. The profession must continue to discuss and debate principles that can resonate with the general population, encompassing not only health alone, but also the social, political and economic life of the patient, the profession and the nation.
TIMOTHY MIRTZ, DC, PHD, is Associate Professor and Chair of the Department of Secondary and Physical Education at Bethune-Cookman University in Daytona Beach, Florida. His teaching skills are biomechanics / kinesiology, adapted physical education, motor learning and development as well as elementary methods of physical education. He also teaches postgraduate education through the Florida Chiropractic Physician Association. He can be reached at [email protected]