Chiropractic Philosophy at the Edge

Let’s go back to the Greenbooks from the 1920s and the role they may have played in 20th century biological and systems thinking. I know, I know, you wonder, “Why should we even bother with those old books?” Well, WE SHOULD…and I’ll tell you why.

I made a small point in my last blog post about those books and how they represented an early attempt at an integrated curriculum. A curriculum, mind you, that sought to integrate a systems worldview into biology, while also including links between mind, body, and spirit. An approach like that is not even included in “the mainstream” today. The approach in those early days offered a MORE INTEGRATED educational system than the CCE/NBCE dominated curricula of the 21st century! By reconnecting to that philosophical lineage, we may just help chiropractic to continue to be at the edge of biological and philosophical thought.

The book that really set the tone for the outpouring of texts at the Palmer school in the 1920s was called Philosophy of Chiropractic. This particular Greenbook (volume V), is virtually UNKNOWN to most chiropractic philosophers because of a typo. The first edition of the book was authored by B.J. Palmer in 1909.[1] On the binding of that book was the proper title. The second edition brought in a co-author, John H. Craven. That revised edition came out in 1916. The binder of that book, incorrectly read, “The Science of Chiropractic.” It was reprinted yearly as the book was impossible to keep in stock.[2] (After all, those were the boom years at Palmer College. By 1921, the incoming class was something like 1,200.**)

I wonder how many generations of students of chiropractic philosophy, did not buy the book or did not REALIZE it was actually a philosophy text…but that is another story. In fact, I recently acquired what seems to have been Craven’s copy of the 1st edition. Hopefully scholars with some time on their hands can compare and contrast the differences between editions. To accurately understand the early and seminal ideas from the philosophy, we should be able to DISTINGUISH Craven’s ideas from B.J. Palmer’s.

Another important influence on the early Greenbooks, was the republication of D.D. Palmer’s two books. B.J. edited and published them in 1921 as a second Volume IV.[3] D.D.’s books were generally not available at that point. We can only surmise that access to this version (edited by B.J.) was an inspiration to many.

But what of the other authors who were influenced by Craven and B.J.? Of course, the most well-known is Stephenson, who published volume 14, in 1927,[4] but what of his teachers (like Craven) and their books? And that is at the HEART of the importance of this particular ERA of chiropractic’s philosophy. Recently, I designated it the 3rd Wave of Philosophy in Chiropractic.[5] Several years ago, I just called it the “Collaborative Phase.”[6]

The other main authors from PSC included, James Leroy Nixon,[7] S.L. Burich,[8] Henry Vedder,[9] Mabel Heath Palmer,[10] James Firth,[11] & Arthur Holmes.[12] There is hardly room in this short post to expand on their writing, which is okay, because I have created some EXCERPTS for your enjoyment on this site (just click on the reference links below). Each excerpt explores how these authors incorporated Innate Intelligence in their writings on topics like pathology, chemistry, physiology, anatomy, and law. IMAGINE if we can revisit this idea and develop NEW core curricula that incorporated the perspective of Innate Intelligence into every course?

Even more important in my view, these texts demonstrate how the philosophy of chiropractic was at the leading edge of biological thinking ninety-years ago! Just a glimpse through the applications of systems theory, chaos theory, and complexity theory for medical practices today will demonstrate that fact. The references would take too long. Just go to google scholar and search terms like, “systems theory and medicine,” “chaos theory and heart,” or “complexity theory and illness,” or anything like those terms and you will be inundated with lots of great research.

Is it possible that the philosophy of chiropractic had an impact on the current trends in biological thinking? Just think about it, during those years of the 1920s, B.J.’s radio stations were HEARD all the way to Alaska,[13] there were over a hundred schools over the years,[14] thousands of chiropractors, and even more patients. How might this philosophical approach have impacted American thought? Better still, how might the profession today take ownership of its own philosophical approach and use it to further human knowledge and deepen human experience?

What if the chiropractic adjustment of the vertebral subluxation could be used as a way to demonstrate the physiological implications of some of the latest approaches in theoretical biology? What if we were able to make the appropriate linkages between the leading theories in neurophysiology and heart-rate variability to the philosophy of chiropractic and bring that into the classroom? Or even the boards? The future is bright if we stay at the leading edge, where chiropractic belongs.

Chiropractically yours,

Dr. Simon Senzon…

1. Palmer, B. Philosophy of Chiropractic. 1st ed. Vol. 5. 1909, Davenport: Palmer College of Chiropractic

2. Craven, J. Universal Intelligence, in Philosophy of Chiropractic1920, Palmer College of Chiropractic: Davenport.

3. Palmer, B. ed. The Chiropractic Adjuster; A compilation of the writings of D.D. Palmer. Vol. 4. 1921, Palmer School of Chiropractic: Davenport, IA. *Available as pdf from Chiropracticbooks.

4. Stephenson, R. Chiropractic textbook. 1927, Davenport: Palmer School of Chiropractic.

5. First Generation Chiropractors.

6. Senzon, S. A history of the mental impulse: theoretical construct or scientific reality? Chiropr Hist, 2001. 21(2): p. 63-76.

7. Nixon, J. The spirit of the P.S.C.: A story based on facts gleaned at the chiropractic fountain head. Vol. 14. 1920, Davenport: Palmer  School of Chiropractic.

8. Burich, S. Chiropractic Chemistry. Vol. 11. 1920: Palmer  School of Chiropractic.

9. Vedder, H. Chiropractic Physiology. Vol. 8. 1922, Davenport: Palmer School of Chiropractic.

10. Heath Palmer, M. Chiropractic Anatomy. Vol 9. 1923, Davenport: Palmer  School of Chiropractic.

11. Firth, J. Chiropractic Symptomatology. Vol. 7. 1925, Davenport: Palmer  School of Chiropractic.

12. Holmes, A. Malpractice as Applied to Chiropractors. Vol. 17. 1924, Davenport: Palmer  School of Chiropractic.

13. Keating, J. Chronology of radiophone station WOC: 1922-1932, N.I.O.C. Research, Editor 2008: Phoenix.

14. Fergusan, A. and G. Wiese. How many chiropractic schools? An analysis of institutions that offered the D.C. degree. Chiropr Hist, 1988. 8(1): p. 27-36. (Reprinted by permission of the Association for the History of Chiropractic.)

 

 

 

 

Chiropractic Evolution

In the last century, chiropractic pulled itself up by its bootstraps and BECAME a profession. This unique occurrence had NEVER happened before. An apprentice-style school of healing evolved to become the largest drugless health profession in the world. In the process of this rapid evolution, a culture war of epic proportions was fought.

First, there was D.D. Palmer offering an apprenticeship for $500. Several medical doctors, osteopaths, homeopaths, midwives, and patients studied with D.D. in those early years. The training lasted between two to six months. Palmer issued diplomas, which read, “practice and teach.” His students would soon branch off and open schools, publish texts, and compete with Old Dad Chiro for students and dominance. Challenged by legal statutes, his own son, and the competition, D.D. Palmer developed a philosophy along with the art and science. He hoped to SOLIDIFY his LEGACY.

One of the facts of life, WELL UNDERSTOOD today, but NOT yet established in 1899 (when the first class graduated under D.D.’s tutelage), is that individuals view the world through PERSPECTIVES. This is important because the culture war at the heart of chiropractic’s professionalization is a reflection of these perspectives clashing in various ways.

Before D.D. died of broken dreams, he helped to pioneer NOT ONLY chiropractic, but an ENTIRELY NEW perspective through which to view the world!

To be perfectly clear, I am not writing some RAH RAH, bumper-sticker styled pseudo-philosophy post. I am referring SPECIFICALLY to the fact that D.D. Palmer evolved, in his own consciousness, to view the world through 4th person perspectives. This is sometimes referred to as an “early systems-worldview” or a “pluralistic worldview.” It is also an evolution from a 3rd person perspective.

The western scientific worldview is based on the 3rd person perspective, which includes the ability to see the world through someone else’s eyes. Objective empirical facts are its main purview. A 4th person perspective goes the next step. It takes a wider stance.

For Example:

From the 3rd person, the individual might include the perspectives of his children and parents. From the 4th however, the person may also include consideration of his children’s future and his parent’s past. This perspective includes context, time, as well as whole systems in a holistic way.

Today we take this type of perspective for granted. Since the 1960s, it has become a common worldview (political correctness, civil rights, holistic thinking, etc…). Just a few years ago, research indicated that about 20 million Americans view the world through this perspective. D.D. Palmer was one of the first. He was decades ahead of his time.

I would even argue that chiropractic played an IMPORTANT role in ushering this perspective into the world. (But that is the topic of another post!)

D.D. Palmer understood the body as one hierarchical system, controlled by the nervous system and DEEPLY INFORMED by an organizing intelligence. The expression of this intelligence through matter defined life. Interference to this expression was tantamount to a cosmic disconnect of the life system, resulting in disorganization and dis-ease on many levels: body, mind, and spirit in society and culture.

The medical paradigm has dominated one side of the culture war. The systems and holistic paradigms characterize the other side. Somewhere in between there have always been dogmatic believers on both sides (more fuel for the warfare). On top of that, both sides consider their professional lineage in a direct line to D.D. Palmer, no matter how remote philosophically they may be from his teachings.

Chiropractic EVOLVED into a profession but has not yet embodied the perspectives of its founder. In fact, there are still factions in the profession (some of the most powerful ones) seeking to keep chiropractic limited to the medical-rational perspective rather than evolve. Do we go backwards or do we find a way to include as many perspectives as possible and evolve as D.D. did, as the profession did, and as the future of the profession demands. The gift of being a member of a profession is this; the choice is ours.

 

Future of Chiropractic Curriculum

Have you ever wondered where the chiropractic curriculum developed from? It is quite an amazing story of intrigue, bootstrapping, and warfare. I won’t fill you with too many of the details today (as I am working on a two-hour online course on the history of the CCE…),1 but I would like to share a bit of my vision of what is possible with you.

The first real attempt at an integrated curriculum was pioneered at Palmer College of Chiropractic in the 1920s. The chiropractic greenbooks integrated the philosophy of innate intelligence and the central importance of the vertebral subluxation in human health and dis-ease throughout every course from chemistry to symptomatology, physiology to anatomy. I recently summarized the quotes about innate intelligence from many of these texts written by B.J .Palmer’s staff. The quotes show extraordinary evidence that the philosophy of chiropractic was on its way to becoming the first systems science of human health, rooted in a deep philosophy that explained human physiology as part of an intricate pattern of intelligence expressing through matter itself. 2

Alas, this approach was short lived due to historical circumstance, economics, philosophical and political disputes, and eventually political agendas, which would soon take over the accreditation process in all American chiropractic colleges. B.J. Palmer was voted out of his leadership role of the Universal Chiropractors’ Association (UCA) in 1926. He then started the Chiropractic Health Bureau, which became the International Chiropractors Association (ICA). According to one of chiropractic’s most revered historians, the break within the “straight” chiropractic movement in the 1920s, “had an impact that was significant enough to change the whole course of the chiropractic education and politics for the rest of the century.”3 The remainder of Palmer’s UCA joined with the newly formed ACA (1922), to become the NCA in 1935, which became the modern-day ACA in 1963. The direction of chiropractic education took a decidedly “medical” turn because of these events.

Chiropractic suffered the fate of most of the pioneering approaches to biology in the first half of the twentieth century. Chiropractic’s systems orientation was often overshadowed by a more molecular/medical approach. The brilliant ideas of emergence, holism, organismic biology, and systems theory, which all emerged around the same time as the Palmer greenbooks, were to take a backseat to the developments in molecular biology inspired by Watson and Crick’s discovery of DNA in 1952. The mechanistic approach to biological systems would gain dominance for the rest of the century.4

Chiropractic curriculum reform was undertaken by John Nugent starting in the 1930s, a Palmer graduate from the 1920s. As the NCA Director of Education, Nugent took on the task of reforming the chiropractic schools by modeling Flexner’s approach to reorganizing America’s medical schools. Not only did Nugent encourage many schools to close and merge, go from profit to nonprofit, from no pre-reqs to pre-reqs, from 18 month programs to 36 month programs, but he also led the charge on a standardized curriculum (based on the molecular/medical school curricula) and wrote the first manuals of accreditation.  In 1943, the first handbook of the NCA’s accrediting agency, Nugent wrote, “The chiropractor is a physician -a particular kind of physician, and as such is engaged in the treatment and prevention of disease…” Chiropractors from the philosophical side of the profession were outraged at being referred to as physicians. The new standardized curriculum was modeled after the medical schools. The only significant change was that drug and surgery courses were replaced by chiropractic courses. Nugent was hated by both sides of the profession. In fact, B.J. Palmer referred to Nugent as the anti-Christ. Nugent was also viewed as one of the great reformers of chiropractic education. The CCE of today can be attributed to Nugent’s efforts. 5

Calls for curriculum reform are louder than ever in chiropractic (especially with the recent controversy over the CCE’s lack of accountability to the profession, which resulted in CCE’s being required to comply with 43 violations within a year). Calls for curriculum reform span the profession, from the extreme medical fringe of the profession suggesting we fire all philosophy faculty,6 to a more balanced look at innovative approaches to pedagogy and contemporary content,7 to more visionary approaches.8,9,10  It is time we totally revamp our medical chiropractic education.

What if we start fresh and envision a chiropractic curriculum for the twenty-first century, one that keeps the important elements of the old system of education and develops something totally new? What could that look like?

Well, for starters, all students should have a clear and honest exploration of the history and philosophy of this amazing profession. These courses should be standardized and free from politics and disrespect. All future chiropractors should understand the story that is theirs, the good, the bad, the ugly, as well as the leading edge and at least some of what was left behind.

We should also study chiropractic within the context of the paradigms that it helped to bring forth such as systems theory, holism, complexity theory, autopoiesis, non-linear thermodynamics…all of the important biological models of the 20th century. Students should not just study the linear molecular level of biology but also the 40,000 foot view. How do the systems fit together? What are the latest ideas in theoretical biology? Are those ideas consistent with the philosophy of the body as an intelligent and self-organizing system? If so, why aren’t they being taught? (As an offshoot to these additions, we should include the latest research and theory on subtle energy systems and energy medicine!)11

Of course, central to such a curriculum would be the latest science of vertebral subluxation, the leading models of spinal and neural integrity, chiropractic adjusting, instrumentation, alongside the best techniques of the past, ones that have been honed and refined for decades and mastered by the great artists of this profession.

Most importantly we need an integral model that can tie things together; chiropractic philosophy and science, practice and theory, while also developing systems where people feel nurtured and can grow within a community. The chiropractic campus could become a place where humans develop themselves while studying this great profession and feeling included in a worldwide community. Any future curriculum should model the latest ideas of Integral Education.12

Imagine if students could have all of their courses integrated each quarter, with practical hours that were relevant? Imagine if chiropractic school prepared future chiropractors with the practical and business skills needed for their future? Imagine if social networking were integrated into the curriculum not only for each class or each school, but between all chiropractic students worldwide? (I am sure there are many practicing chiropractors that would love to act as mentors through such a system.) Imagine if chiropractic education was a model for doctoral level training that centered on assisting human beings to be their best, serve at the highest, and live a flourishing life?

There is so much more to be added and subtracted to an ideal curriculum. The future of chiropractic education is bright. We are the profession. We get to set the standard if we can share a vision and move forward together.

*(previously published in LifeWest student newspaper – March 2012)

  1. Online Chiropractic Philosophy and History CE Course
  2. Third Wave of Chiropractic Philosophy
  3. Senzon S. 2003. What is Life? JVSR.
  4. Gibbons, R. 1980. The Rise of the Chiropractic Educational Establishment. In: Who’s who in Chiropractic. P. 346
  5. Gibbons R. 1985. Chiropractic’s Abraham Flexner: the lonely journey of John J. Nugent, 1935-1963. Chiropractic History 5:44-51. *Reprinted by permission of the Association for the History of Chiropractic
  6. Murphy, D, Schneider M, Seaman D, Perle S, Nelson C. How can Chiropractic become a respected mainstream profession? Chiropractic and Osteopathy 2008, 16.10.
  7. Johnson C., Green B. 2010. 100 Years after the Flexner Report: Reflections on its influence on chiropractic education. J Chiro Ed. 24(2).
  8. Kent, C. 2010. A new direction for CCE? Dynamic Chiropractic 28(24).
  9. http://mcqi.org/vitalistic-curriculum/introduction
  10. Senzon, S. 2007. What I Wish I Learned in Chiropractic College. Today’s Chiropractic Lifestyles.
  11. Senzon, S. 2008. Chiropractic and Energy Medicine: A Shared History. J Chiro Hum 15.
  12. http://nextstepintegral.org/resources/integral-education-resources

Chiropractic Games & Distortions of Truth

Do you remember a game from your
childhood called, “telephone operator?”

You know the game; everyone sits in a circle, the first person then whispers in the ear of the person next to them. The whisper makes its way around the circle until the originator of the message receives the final word. The funny part of the game is that the message usually gets morphed as it travels often into an unrecognizable shadow of its original meaning.

When you were a child, this game was probably fun. When it gets played at the professional level, real CONSEQUENCES ensue. This is often the case in the chiropractic peer-reviewed journals.

Let me explain what I mean…

There are at least three messages that have been “whispered” in the chiropractic literature (and I write whispered because most chiropractors DON’T read the literature – unfortunately).

1. The Philosophy of Chiropractic was developed by lawyer Tom Morris.

2. The Subluxation is an untestable entity.

3. Anyone who uses philosophy or subluxation in chiropractic are “Dogmatists.”

The more you tell a message, the more it seems like TRUTH even if it is distorted. The more you pass on a DISTORTED TRUTH, the less truthful it becomes even if there was a kernel of truth in the original message. In a profession, when a distorted truth gets passed on through the literature, it gains in credibility with each new publication! It seems to be TRUER. And this influences accrediting agencies (CCE), boards (FCLB), examiners (NBCE), trade organizations, and eventually legislation.

I plan to discuss these “truths” in more detail in future blogs, and, I have written about them already (most of my articles are posted on this website), and I have developed a series of online courses exploring these issues (SHAMELESS PLUG). But for now, let’s just explore the latest assault on the foundations of chiropractic in the literature…

In a recent article by Keith Simpson in the journal, Chiropractic and Manual Therapies, he describes the five eras of chiropractic, yet he relies on whispered and distorted truths from the literature and he even invents some new ones.

Simpson, who decides to tell us about his credentials in the article (Doctor of Chiropractic and Doctorate of Sociology), takes on all three of the messages above and embraces them whole-heartedly. Not only does he pass on the tired and very distorted interpretation of the philosophy of chiropractic, but he makes up a new distorted truth (which is an obvious mistake, but you might think a Ph.D. and a journal editor would catch it…)

The first tired distorted truth:
“Tom Morris was the architect of the philosophy of chiropractic.”

The new distorted truth:
“Solon Langworthy started the 1922 ACA.”

By now, you might be asking…”What does this have to do with me or my practice?” Or more directly, “Why should I keep reading?
KEEP READING…it relates directly to you and the future of chiropractic!

Remember, these whispers continue through the chiropractic generations precisely because most chiropractors are NOT paying attention to the peer-review literature!

The idea that Tom Morris was the architect of the philosophy of chiropractic is rooted in facts, first espoused in the 1950s by Cyrus Lerner in his unpublished Report. In order to win the first landmark case for chiropractic, philosophy was used as part of the defense; “Chiropractic has a separate and distinct philosophy.” Soon after, B.J. Palmer and even D.D. Palmer wrote and taught about the philosophy as central to chiropractic, one of its three pillars. They also codified philosophical terminology to distinguish the differences between chiropractic and medicine such as adjustment and analysis.

The defense was used thereafter to win 90% of 3,300 cases against chiropractors in the next twenty years. This aspect of the facts has been whispered through the literature by Rehm, Keating, Seaman and several others in the last thirty years. THIS is how it goes from partial fact to distorted truth.

None of these arguments including Simpson take into consideration the FACT that D.D. Palmer had been studying the philosophy of healing for thirty years prior to the Morkibubo case. (I explore these issues in more detail with the actual texts D.D. was studying in two of my books (ANOTHER PLUG)!) Nor do they account for the FACT that the philosophy of chiropractic has many similarities to the 20th century philosophies of biology, philosophies that led to the current trends in systems theory, complexity theory, chaos theory, and other more interesting approaches such as Non Equilibrium Thermodynamics and Subtle Energy Systems. Basically, there were many factors that led to the importance of the philosophy in chiropractic and these dismissivist approaches merely point to ONE and suggest it is EVERYTHING.

You ask, “Why is this important?” Well, by dismissing the philosophy of chiropractic as a relic of an earlier time, when there were not many licensing laws, it gets erroneously argued that we no longer need philosophy because we don’t need that “phony” defense anymore! This of course leads to licensing boards (GCC) and accrediting agencies (CCE) to diminish the need for philosophy and subluxation, which leads to changes of scope and education.

Before I get to the subluxation part, let’s address the new distorted truth

Simpson, WRONGLY asserts that Solon Langworthy (the man credited with writing the first chiropractic textbook and coining the term vertebral subluxation), started the ACA in 1922. This is a mistake and hopefully the journal will publish a retraction. In 1903, Langworthy started The American School of Chiropractic in Cedar Rapids, Iowa. The association he started in 1905 was called the American Chiropractic Association, and was probably an alumni group. It had no relationship to the ACA, which formed in 1922, which later became the NCA, which in 1963 became the ACA of today.

And so you ask, “Who cares about all this history Simon?” Let’s look at the problem and the new whispers that will start from this very scholarly article of Simpson’s. It goes something like this… Since Tom Morris used Langworthy’s textbook to establish chiropractic as separate and distinct, and Morris was the architect of the philosophy, and since Langworthy started the ACA…well…that organization and their beliefs must hold the real flame of chiropractic legitimacy… and the whispers go on.

I will just end this rant by noting that Simpson’s assumption that evidence based practice and subluxation are mutually exclusive does not have any foundation except what is whispered in his carefully chosen references. He misses the important study called How Chiropractors Think and Practice (2003), which shows 88% in North America prefer to keep the term subluxation. He also misses much of the current literature on subluxation and history.

Finally, Simpson uses this tired group of distorted facts to dredge up yet another and another, that somehow philosophical chiropractors and subluxation chiropractors must ALL be following a “dogma” that believes the idea of ONE-CAUSE ONE-CURE and whatever goes with it. For the one cure issue, I refer you to the 2003 study mentioned above, for the worn out use of the term “dogma” in discussing chiropractic and its philosophers, you may just have to take my 12 hour online course, where I go into it in detail. (LAST SHAMELESS PLUG!)

With sincerity,

Dr. Simon Senzon

© 2018 The Institute Chiropractic - Senzon Learning, Inc.