CJA Vol.28 Issue 2Editorial: Research and the State of the Art The Canadian Genealogy of Daniel David Palmer: An Update American and Australian Chiropractic Practice: A
Comparative Study The Culture of Chiropractic: An Educational
Perspective Commentary: Identifying Non-specific Wellness
Triggers in Chiropractic Care Report from the Eighth Annual the Meeting of the Chiropractic
Research Journal Editors' Council In Memoriam: Irene Lillian Evans, Alan Plint, Kenneth Lindsay Morgan Book Review - Abstracts - Briefly American and Australian Chiropractic Practice: A Comparative Case Study JENNIFER R. JAMISON A small case study of American chiropractors and their patients was undertaken to compare the chiropractic practice behaviours of chiropractors practising on the west coast of North America and Australia. Research Design.. A case study of nine American chiropractors was undertaken. Data was collected by interviewing five Californian and four Oregon practitioners and analysing completed questionnaires from 25 of their patients. Purposive sampling of practitioners was undertaken using a maximum variation strategy. Convenience sampling of patients was performed within five participating practices. Thematic analysis of the interviews was correlated with information derived from the patient questionnaires. This data was compared with a similar study undertaken involving 25 Australian chiropractors and 124 of their patients. Results. Despite apparent discrepancies in the patient sample between the two studies, the similarities between American and Australian chiropractic practice seem greater than the differences. Two differences to emerge were, however the increased emphasis by American chiropractors on active patient participation and the use of written informed consent, particularly by the Californian chiropractors in this study. Conclusion: While generalization is difficult given the size and distribution of the American sample! this preliminary study suggests substantial similarities in chiropractic behaviours which transcends cultural differences. INDEX TERMS: CHIROPRACTIC; INFORMED CONSENT; PATIENT PARTICIPATION. Chiropr J Aust 1998; 28:43-8. The Culture of Chiropractic: An Educational Perspective ANDRIES M. KLEYNHANS Evidence is provided that chiropractors are a cultural group with distinctive characteristics which impact greatly on their education. The culture of chiropractic is defined and explored in the context of education and change, plurality, symbolism and work of a chiropractor. The development of a chiropractic culture is explicated in terms of the controls exerted and resource allocation to the chiropractic curricula and the structural setting of chiropractic education, the ideological and cultural setting in which chiropractic exists and the curricular dimensions of the sociological and cultural foundations of chiropractic. INDEX TERMS: MeSH: AUSTRALIA; CHIROPRACTIC; CULTURE; SOCIOCULTURAL FACTORS; EDUCATION; CURRICULUM. OTHER: RMIT UNIVERSITY. Chiropr J Aust 1998;28:49-64. Commentary: Identifying Non-specific Wellness Triggers in Chiropractic Care JENNIFER R. JAMISON The relationship between conventional and complementary medicine is emerging as a challenging health care issue. In the United Kingdom, interest in this area has resulted in working groups having been set up to consider both the current positions of orthodox, complementary and alternative medicine and to explore how far it would be appropriate and possible for these groups to work more closely together.' Professions and therapies being explored in this investigation include chiropractic, osteopathy, acupuncture, homoeopathy, nutritional, herbal and mind-body medicine. The timeliness of such an endeavour relates both to the increasing community interest in such a pursuit and the emerging paradigm shaft in medical thinking. The biomedical/biomechanical model of determinism, reductionism and dualism is being replaced by the infomedical model characterized by internationalism, holism and monism. The unilinear causality of determinism within the reductionist biomechanical model is being superseded by the cybernetic circularity of mutual causality in an interactive infomedical model. Such changes in thinking promise to transform the face of health care in the twenty- first century. Chiropr J Aust 1998;28:65-9. |
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