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Discipline, desire, and transgression in physiotherapy practice.

David A Nicholls¹, Dave Holmes

¹School of Rehabilitation and Occupation Studies, AUT University, North Shore Campus, Northcote, Auckland, Private Bag 92006, New Zealand. david.nicholls@aut.ac.nz

Physiotherapy Theory and Practice

|July 7, 2012

Summary

Physiotherapy

Area of Science:

Physiotherapy
Philosophy
Sociology of Health

Background:

Therapeutic touch is central to physiotherapy's professional identity.
Historical analysis reveals how touch techniques shaped the profession.
The sensuality of touch required professional management.

Purpose of the Study:

Critique physiotherapy's historical approach to therapeutic touch.
Examine the influence of disciplinary technologies on professional identity.
Analyze how past practices may constrain current healthcare.

Main Methods:

Postmodern philosophical critique.
Historical examination of physiotherapy practices.
Analysis of disciplinary technologies in massage and physiotherapy.

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Main Results:

Physiotherapy's professional identity is deeply intertwined with specific touch techniques.
The management of touch's sensuality and adoption of disciplinary technologies were key.
1890s disciplinary technologies continue to influence physiotherapy's approach to touch.

Conclusions:

The historical "disciplining" of touch in physiotherapy persists.
This rigid approach may hinder the profession's ability to adapt to modern healthcare needs.
Rethinking therapeutic touch is crucial for 21st-century physiotherapy.