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Chiropractic: origins, controversies, and contributions
1Center for Alternative Medicine Research, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass 02215, USA.
Archives of Internal Medicine
|November 18, 1998
Summary
Chiropractic, a major alternative medicine profession, faces internal conflict and external opposition. Its core spinal correction theory is debated, but its impact on the patient-physician relationship is significant.
Area of Science:
- Integrative Medicine
- Complementary and Alternative Medicine (CAM)
- Health Policy
Background:
- Chiropractic is a prominent alternative medicine profession in the US healthcare system.
- The profession has a complex societal position marked by internal diversity and external challenges.
- Historical context reveals significant internal strife and opposition from conventional medicine.
Purpose of the Study:
- To provide a comprehensive overview of chiropractic.
- To examine its history, theoretical underpinnings, and professional development.
- To assess the scientific evidence base and its approach to medical practice.
Main Methods:
- Literature review and historical analysis.
- Examination of theoretical frameworks and scientific evidence.
- Analysis of the profession's societal and internal dynamics.
Main Results:
- Chiropractic exhibits a contradictory societal position with internal factionalism and external opposition.
- Despite challenges, the profession has maintained unity and commitment to patient care.
- The central tenet of spinal abnormality correction remains a subject of debate.
Conclusions:
- Chiropractic's core theories are debated, but its influence on the patient-physician relationship is a key contribution.
- The profession navigates a complex landscape of internal and external pressures.
- Further research may clarify chiropractic's role and efficacy in healthcare.