Sunday, February 16, 2014

Chiropractic Survival

I would like to share an essay I wrote for one of my classes a little while back. It was written to help illustrate that chiropractic is going to survive as a unique healthcare option. Not as a replacement of medicine but as another source for us to express our full health and well being.

Enjoy.


Is chiropractic going to survive as a profession? That is an excellent question. A point of view of the ways it would survive are given in the paper by Yvonne Villanueva-Russell entitled Gynecological Neurologists and Other Lessons of History. In this paper the author gives an example of another profession that fell early in its life due to spreading itself to thin and it not truly creating a viable identity. This is not too different to where Chiropractic is today as a profession. There are some in the profession that believe we have an identity crisis, but I think the reality is that they do not want to accept the inborn identity of what Chiropractic really is, the only profession capable and qualified to locate analyze and correct vertebral subluxations.
            To understand how chiropractic is to survive we need to talk about cultural authority. Cultural authority, in current definition, is the authority that society gives to an idea or being that gives them credibility and a place in the culture. Chiropractic has struggled with this through the years because of its “identity crisis.” There are many in the profession that would love to just be another specialty in medicine, and others that want to be the antagonist to medicine and paint medical doctors in a negative light like they were Hitler himself, while there are still others that would simply just like to be completely separate and distinct as a profession. The latter is the only way we can gain cultural authority. If we go with the first way we will just become pawns of the medical doctors. If we choose to be anti medicine then we alienate ourselves from those that support medicine. The path is clear in my eyes, the only way to become a sustainable profession is to cut our ties with other professions and build our own place in society.
Another aspect to gaining cultural authority is to be able to validate what we do by ways of academia. This has also been a big struggle for the chiropractic profession because there are many people in society who claim that what we do is “unscientific.” Lets talk about what is scientific. The Oxford English Dictionary defines the scientific method as: "a method or procedure that has characterized natural science since the 17th century, consisting in systematic observation, measurement, and experiment, and the formulation, testing, and modification of hypotheses.” So what we can see is that at the basis of the scientific method “truth” can never actually be achieved only a hypothesis can be modified and tested again. While I was a researching assistant at the College of Charleston we were taught that a good hypothesis could never be proven, it can only be tested and enhanced when new things findings are found. The only people that say that science brings us facts are the news reporters that love to exaggerate the findings of scientist to make a good story. This is the only way that the public hears about science so they make the obvious conclusion of scientific findings equaling true facts. This is wrong and any researcher that is humble enough will tell you the same. All through history we have seen this trend. One example would be chemistry. The “truth” used to be that there were only four elements, earth, wind, water, and fire, and you could make anything with different combinations of those elements. Then Dmitri Mendeleev came around and came up with the “truth” of 118 elements that were the building blocks of all things. This became the new truth, but later we discovered the “truth” that atoms were made up of even smaller building blocks called electrons, protons, and neutrons. This continues on and on illustrating the point that science is not the end all definition of truth. It is just an evolving pool of knowledge that grows and changes directions like a leaf on the water. It is not the only way to gain knowledge and it should not be the only way to determine if a profession is valid.
In order for us to ultimately survive as a profession is to finally nail down what is our jurisdictional claim. Let me propose what jurisdictional claim we hold innately within our profession. We restore nerve function by adjusting the vertebra. Whether someone calls it the curing of back pain, manipulating the joints, or correcting vertebral subluxations, it makes no difference. We have a corner on the market of restoring nerve function. We need to own that fact and tell the world about it. Too many people are living with decreased nerve function due to vertebral subluxations. We need to narrow our focus to the goal of increasing nerve function and then we will be able to survive as a wonderful profession and not step on the feet of other professions. 
 -Mike E

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