Ep 30: Chiropractic Cultural Authority, Identity and the Importance for Unity

It's not news that chiropractors worldwide recognize the need for greater respect from the public, other health care professionals and various policymakers. What many people say is the missing key to solve this perceived inequity is our lack of general public trust which would permit our self-governance. When the public fully trusts a profession, then truth is what that profession says it is. The professional group defines itself and, without any fanfare or undue prodding, the public accepts this truth. That is the trust that marks cultural authority. Chiropractors have understood that this is a barrier for many years and many chiropractors have set out to build our cultural authority. In this episode, we speak with Dr. Michael Farrell, a chiropractor from the Buffalo, NY region on that subject.

Links for this show

Michael E. Farrell, II DC - practice website

Building Bridges to Cultural Authority by Arlan Fuhr, DC

How can chiropractic become a respected mainstream profession? The example of podiatry. Donald R Murphy et al

Book: Surviving in Health Care by Dieter F. Enzmann, MD Clearly written by a clinical doctor, this book first helps physicians understand the causes of changes in health care. Then, it explains how to devise a strategy in order to survive and prosper in today's environment. It covers the entire spectrum of medicine, and encourages solutions that meet physicians' individual circumstances. It focuses on useful tactics and specific actions, rather than quick fixes. Shows physicians how to formulate a strategy to survive and prosper. Includes discussion about cultural authority.

Chiropractic Summit


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  • Colin Jenkins

    Replace “scientific community” with “chiropractors” in this quote…

    “If the revolution is to be successful, then this shift will spread so as to include the majority of the relevant scientific community, leaving only a few dissenters. These will will be excluded from the new scientific community and will perhaps take refuge in a Philosophy department. In any case, they will eventually die.” - Chalmers in “What is thing thing called science”.

    I would guess that will have to happen in parallel with standardised evidence based academic education and research, before before cultural authority will emerge.

    i.e. It’s difficult to see innate/philosophical chiropractors embracing an evidence based approach; rather you’ll have to wait until they retire…

    Jul 29, 2011 at 8:38 am
  • Dean McDougall

    Dr. Kinsler,

    I just finished listening to Dr. Farrell’s comments on standardizing our lexicon in chiropractic and I couldn’t agree more. The term subluxation could easily be done away with and replaced with a broader diagnostic categorization as proposed by guidelines such as the 2007 American College of Physicians/American Pain Society, and 2008 Neck Pain Task Force. In my opinion this would streamline diagnostic language for colleges, associations and insurers alike, and allow us to finally start looking at dose-response relationships in a critical manner for each diagnostic category (ie. non-specific low back pain). We would then be able to say to organizations such as the maximized living group that “hey, 40-50 visits over 18 months isn’t actually necessary to improve simple LBP!”

    If the profession’s goal is to move to a more culturally accepted position, then it needs to separate the wheat from the chaff. I feel that standardized treatment timelines, standardized treatment protocols, standardized lexicon, and unified associations is the ONLY way to reach that goal. The foundation is in place for a paradigm shift in chiropractic, but it needs a push. If I could put a little spin on Sir Isaac’s 2nd law: “The [chiropractic profession] remains constant unless the [chiropractic profession] is acted upon by an external force”! ;)

    Feedback anyone?

    P.S: Huge fan of the podcast Dr. Kinsler!!!

    Sep 8, 2011 at 12:23 pm