A Proposal Regarding the Identity of Chiropractic: Embrace the Centrality of the Spine

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ABSTRACT

Objective

To offer the following proposition: the spine is inextricable from and absolutely essential to the identity of the chiropractic profession.

Discussion

In order to determine the identity of the chiropractic profession two separate approaches are made: first, the question is examined philosophically; the profession is defined by determining its essence; what it is, what it is not, and what it is for. Second, the question is examined pragmatically, by determining chiropractic's role in people's lives; how it is defined by the public and what chiropractic practitioners actually do.

Conclusions

Philosophically, chiropractic's essence, boundaries, and purpose are oriented by the spine; practically speaking, the spine is where doctors of chiropractic apply the vast majority of their work. The author suggests that embracing the spine as the center of chiropractic identity does not limit the profession but, rather gives the public and the profession a common referent to define chiropractic's function and value.

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  • Analysis and Adjustment of Vertebral Subluxation as a Separate and Distinct Identity for the Chiropractic Profession: A Commentary

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    When chiropractors identify themselves as back pain specialists, or even spine specialists, they compete not only with medical practitioners, but also with osteopaths, physical therapists, massage therapists, and medicine cabinets in the homes of millions of potential patients. Others have suggested that the chiropractic identity be centered on the spine.8 However, such an identity is vague and also covered by other health professions.

  • Caught in the crosshairs: Identity and cultural authority within chiropractic

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    Claims of cultural authority must be projected in spite of unfavorable stereotypes of chiropractors as “back crackers.” One professional segment has decided to turn the stereotype into a more positive image as “spinal care specialists” (Briggance, 2005; Murphy et al., 2008; WFC, 2005). Briggance (2005) reasons that chiropractic should simply align themselves with the public’s image because that is what chiropractors do, anyway.

Source of support: the author received financial support in the amount of $1,500 from NCMIC Group, Inc. to help cover the cost of production.

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