Chiropractors' Association of Australia Chiropractic: healthy spine, healthier life

CJA Vol.28 Issue 4

Editorial: An Invitation to Our SWOT Team
Mary Ann Chance and Rolf E. Peters

Psychoemotional Screening in the Chiropractic Clinic
Jennifer R. Jamison

The Best of Books for 1998: A Chiropractor's Reading List
Philllp Ebrall

A Chiropractic Conceptual Framework. Part 2: Beliefs
Andries M. Kleynhans

A Chiropractic Conceptual Framework. Part 3: Values
Andries M. Kleynhans

Commentary: Preparing for Holistic Practice: A Curriculum Consideration
Jennifer R. Jamison


Psychoemotional Screening in the Chiropractic Clinic

JENNIFER R. JAMISON

The influence of psychological factors on treatment outcomes is well recognised. This study explores the usefulness of using two psychological screening tools, the DRAM and the SOC, in chiropractic practice.
Research Methods: Purposive sampling of chiropractic clinics and convenience sampling of patients was undertaken. Data vas collected by means of two patient and one practitioner questionnaires and a practitioner interview! Data was triangulated to ascertain the usefulness of routinely using the DRAM and SOC questionnaires in chiropractic practice.
Results.. Ten chiropractors and 171 patients participated in the study. Of participating patients 18% were acute, 51% chronic, and 31% were maintenance patients. Almost one quarter of patients were categorized as distressed on the DRAM, and these patients tended to have a lower sense of coherence than normal or at-risk patients.
Conclusions: Although a potentially useful tool in particular clinical circumstances routine use of the DRAM questionnaire in chiropractic clinical practice is not recommended. On the other hand, routine use of the manageability component of the SOC deserves consideration, as this may help to identify patients who require longer consultations and may respond better with more practitioner guidance.

INDEXTERMS: MeSH: CHIROPRACTIC; PSYCHOLOGICALTESTS. Other: PSYCHOLOGICAL PROFILE; SCREENING.

Chiropr J Aust 1998: 28:123-6.

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The Best of Books for 1998: A Chiropractor's Reading List

PHILLIP EBRALL

Reviews are presented of a number of books notionally published during 199 :8 A variety of publications for the year were selectively sampled by the author as to whether or not they held relevance to the clinical practice of chiropractic, and four titles were chosen for inclusion in this review. The review comments are prefaced by commentary on aspects of the current general state of publication within the chiropractic profession and the point is emphasized that the demand is strong, but the capacity to supply good writing is limited. The conclusion is made that 1998 has not been a prolific publishing year for works of relevance and interest to the chiropractic profession, but that the works which have been published are of a very high quality and make a strong contribution. The onus is now plainly on the members of the profession to see the value in becoming a bibliophile and to purchase these books for inclusion within their own clinical libraries for the ultimate benefit of the patient.

INDEX TERMS: MeSH: CHIROPRACTIC; AUSTRALIA.

Chiropr J Aust 1998; 28:127-34.

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A Chiropractic Conceptual Framework. Part 2: Beliefs

ANDRIES M. KLEYNHANS

Beliefs relating to chiropractic health care and chiropractic as discipline are examined. A taxonomy is used in order to clarify beliefs as an important part of the chiropractic conceptual framework. Beliefs are classified according to six domains: 1) beliefs about philosophy and chiropractic', 2) philosophical beliefs about the science of chiropractic; 3) philosophical beliefs about the art of chiropractic', 4) beliefs about psychosocial aspects of chiropractic; 5) beliefs about sociocultural aspects of chiropractic', and 6) the personal philosophical beliefs of chiropractors. The beliefs can be seen as a blueprint of major constructs which underpin the culture of chiropractic and give it a unique identity and character. Beliefs are related to philosophy and values. Recommendations are made for future research.

INDEX TERMS: MeSH: CHIROPRACTIC; CULTURE; PHILOSOPHY; SOCIOLOGY. OTHER: BELIEFS; VALUES.

Chiropr J Aust 1998; 28:135-45

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A Chiropractic Conceptual Framework. Part 3: Values

ANDRIES M. KLEYNHANS

Values which are important to chiropractors are influenced by a chiropractic belief system and represent a major component of philosophy in chiropractic. Valued are explored in the context of a chiropractic conceptual framework. A proposed taxonomy for chiropractors' values categorizes these in six categories including: 1) philosophy and chiropractic, 2) chiropractic science, 3) art/practice of chiropractic! 4) sociocultural nd 5) psychosocial aspects of chiropractic and 6) values which relate to the personal belief system of chiropractors. This last domain is not regarded as part of the discipline of chiropractic, merely as part of the personal belief and value systems of individuals qualified in chiropractic. Since values are philosophical constructs, they are classified according to branches or methods of philosophy. Discussion also concerns who determines values, how they relate to beliefs and philosophy, strategic planning by a professional association, and the belief system of individual practitioners. It is shown how values are judged, what society expects and how the understanding of chiropractic values promotes professional cohesion. Data on which core values can be based is used to identify and clarify values in each of the six domains of a chiropractic conceptual framework. Recommendations are made for future research.

INDEX TERMS: MeSH: CHIROPRACTIC; CULTURE; PHILOSOPHY; SOCIOLOGY. OTHER: BELIEFS; VALUES.

Chiropr J Aust 1998; 28:147-58.

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