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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