CJA Vol.36 Issue 3Editorial: What Is This Thing Called Chiropractic? - p81 Biopsychosocial Model of Pain and Its Relevance to
Chiropractors - p82 The Patient-Centred Paradigm: A Model for
Chiropractic Health Promotion and Wellness - p92 Vital Force: An Everlasting Notion for the Original
Stance of Chiropractic - p97 The Professional Qualities of the Chiropractor - p105 Establishment of the Australasian College of
Chiropractors - p109 AHC Chiropractic History Conference - p96 Letters - p 116 Briefly - p117 In Memoriam: Edwin Clifford Webb - p118; Jerome F. McAndrews - p120 ABSTRACTS Biopsychosocial Model of Pain and Its Relevance to Chiropractors HENRY P. POLLARD, KATIE E. HARDY and DEBORAH CURTIN Objective: To present and discuss the biopsychosocial model of pain and its relevance to chiropractors. Data Sources. The current scientific literature was examined using the medlineâ database and mantisâ databases. Study Selection: Searches of the term biopsychosocial in the literature resulted in 1622 journal citations. This number was reduced with additional searches; 112 citations satisfied the final search criteria and pertained to the discussion. Data Extraction: The journals were selected based on relevance to the biopsychosocial model of pain, acute and chronic pain states, operant and cognitive behavioural principles and the human response to stressful stimuli. Discussion is presented on how these principles may relate to chiropractic management in the broader context. Data Synthesis: From the literature, we found that pain has traditionally been reported as an elusive condition with numerous causes. Many variables influence pain behaviours and include the biological, physiological and psychological. These factors appear to be interrelated and provide a basis for a holistic biopsychosocial approach to the management of pain in a patient-centred approach to care. Conclusion: The application of principles inherent in the biopsychosocial model of pain should receive widespread acknowledgement and utilisation by chiropractors. It is only with the appropriate inclusion of mind-body approaches to management that the full impact of pain and disease may be addressed. Further research is warranted to test the usefulness of mind-body approaches in the delivery of chiropractic services. INDEX TERMS: (MeSH) BIOPSYCHOSOCIAL MODEL; OPERANT CONDITIONING; COGNITIVE BEHAVIOUR; AVOIDENCE BEHAVIOUR; DECONDITIONING SYNDROME; STRESS; CHIROPRACTIC. Chiropr J. Aust 2006; 36:82-91. The Patient-Centred Paradigm: A Model for Chiropractic Health Promotion and Wellness MERIDEL I. GATTERMAN The patient-centred paradigm has traditionally provided a model for chiropractic practice that includes promotion of health and wellness. The clash between this holistic paradigm and the reductionist paradigm that characterises the specialist-dominated biomedical model are at the root of the current identity turmoil within the chiropractic profession. This article describes the characteristics of the patient-centred paradigm in relation to chiropractic practice, discusses limitations of evidence-based care that accepts only randomised controlled trials, and advocates competency-based standardisation of instruction in health promotion and wellness as proposed by the Council on Chiropractic Education (CCE). Health promotion and wellness are global priorities and are becoming more important as it becomes apparent that the current “disease care” model isn’t working. Chiropractors are well suited to practise a patient-centred paradigm that provides a model for health promotion and wellness in the patient’s interest. INDEX TERMS: MeSH: CHIROPRACTIC; HEALTH PROMOTION; PATIENT-CENTERED CARE. Chiropr J Aust 2006; 36:92-6. Vital Force: An Everlasting Notion for the Original Stance of Chiropractic CHANTAL JOLLIOT The ancient notion of vital force is a guiding thread to disentangle the features that have been intertwined to form the facets of chiropractic principles. Interpreted as innate intelligence, this notion creates for these principles a symbolic coherence and an original stance. Rather than being obsolete, the notion of vital force is now in vogue and participates in the anthropology of contemporary Western societies. It provides a symbolic framework and a language that represents the wholeness of the person in health and disease, while it supports theories and practices that claim to help people cope with the contingencies of modern life. In a general context of changing health practices, the original stance of chiropractic could reside not only in the efficacy of adjustment, but also in distinct features that nurture the mind. This article should contribute to the discussion of the role of chiropractic in the health care system. INDEX TERMS: ANIMAL MAGNETISM; ANTHROPOLOGY; CHIROPRACTIC IDENTITY; CHIROPRACTIC PRINCIPLES; INNATE INTELLIGENCE; SYMBOLISM; VITAL FORCE. Chiropr J Aust 2006; 36:97-104. Establishment of the Australasian College of Chiropractors PHILLIP EBRALL, KATE QUIGLEY, DUANE PARKINSON, MARY ANN CHANCE and DENNIS RICHARDS This paper describes the establishment of the Australasian College of Chiropractors. The President of the Chiropractors’ Association of Australia (National) Limited, Dr Dennis Richards, is scheduled to announce the formation of the College at the annual general meting of the company in October 2006. The National Board of the CAA has led an extensive process to investigate and develop a submission to establish a professional college for chiropractors in Australasia. The Board approved the principle of the College early in 2005 and established a sub-committee of the Board as the College Management Committee (CMC). The Board recognises that the continued development of the chiropractic profession is more than ever contingent on the very real need to foster a culture of research and scholarship that would support professional development and sees the College as a proactive step in this direction. This paper documents the process of establishing the College and explains its purpose, governance and membership categories. INDEX TERMS: MeSH: CHIROPRACTIC; HEALTH EDUCATION; EDUCATION, CONTINUING; HISTORY, 21ST CENTURY. ICL: CHIROPRACTIC, HISTORY, AUSTRALIA; EDUCATION, CHIROPRACTIC, CONTINUING; EDUCATION, CHIROPRACTIC, AUSTRALIA; PROFESSIONAL ORGANIZATIONS. OTHER: COLLEGE OF CHIROPRACTORS (AUSTRALIA). Chiropr J Aust 2006; 36:109-15. |
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