RESUMO
Since its inception, the chiropractic profession has been divided along ideological fault lines. These divisions have led to a profession wide schism, which has limited mainstream acceptance, utilisation, social authority and integration. The authors explore the historical origins of this schism, taking time to consider historical context, religiosity, perpetuating factors, logical fallacies and siege mentality. Evidence is then provided for a way forward, based on the positioning of chiropractors as mainstream partners in health care.
Assuntos
Quiroprática/educação , Terapias Complementares/classificação , Saúde Holística/classificação , Vitalismo/história , Pessoal Técnico de Saúde , Quiroprática/classificação , Quiroprática/história , Quiroprática/tendências , Terapias Complementares/história , Previsões , Necessidades e Demandas de Serviços de Saúde , História do Século XX , Saúde Holística/história , Humanos , Relações Interprofissionais , Filosofia Médica , Sociologia Médica , Estudantes de MedicinaRESUMO
The International Classification of Functioning, Disability and Health (ICF), designed by the WHO, attempts to provide a holistic model of functioning and disability by integrating a medical model with a social one. The aim of this article is to analyze the ICF's claim to holism. The following components of the ICF's complexity are analyzed: (1) health condition, (2) body functions and structures, (3) activity, (4) participation, (5) environmental factors, (6) personal factors, and (7) health. Although the ICF claims to be holistic, it presupposes a monistic materialistic ontology. We indicate some limitations of this ontology, proposing instead: (a) a pluralistic-holistic ontology (PHO) and (b) a multidimensional view of the human being, with individual and environmental aspects, in relation to three levels of reality implied by the PHO. For the ICF to attain its holistic claim, the interactions between its components should be based on (a) and (b).