Last week, the National Institute for Health and Care Excellence (NICE) updated its advice on the use of autologous chondrocyte implantation for treating symptomatic articular cartilage defects of the knee (link). Perhaps amid all of the other newsworthy events of last week, this announcement passed you by? In reporting on the announcement, however, the CSP's statement said something interesting. It said; The treatment ... is used to help patients with an articular cartilage defect – or early arthritis in the knee – which tends to affect people in their 20s and 30s, often as result of a sporting injury. But the NICE guidance stresses that surgery should only be considered once … [Read more...] about Physiotherapy as process, not event
There are a lot of physiotherapy books in print, but not many of them engage in the kinds of (post)critical thinking celebrated by the CPN. One exception is Barbara Gibson's superb Rehabilitation: a post-critical approach, published last year by Taylor and Francis. Earlier this week a new review of the book came out in the eminent journal Disability & Society. The review highlights the many radical and important features of the book, and celebrates Barbara's ability to 'extend[s] these discussions and bring[s] a critical eye to bear on concepts that remain under-theorised within the field'. There is a link to the review in the title of the journal above, but if you'd prefer, … [Read more...] about Review of Barbara Gibson’s book ‘Rehabilitation: a post-critical approach’
There are many powerful critical arguments about health professional practice. Anyone who has studied how health professionals came into being, whose interests they served, or how they've adapted to the broader changes happening in society, can't fail to be shaken by the belief that the fight to become the agents of our own destiny is one with many casualties, many of whom are the people we earnestly claim to serve. Perhaps one of the most powerful arguments pertaining to physiotherapy - especially those areas of the practice that relate to long-term illness and disability - comes from disabled people themselves, who, for more than half a century, have been vocal in their criticism of … [Read more...] about Are health professionals parasites?
From October 27-28, 2017, this two-day academic conference at the Berlin Museum of Medical History at the Charité examines the ways in which knowledge and experience of illness and disability circulate within the realms of medicine, art, the personal and the cultural. We invite papers that address this question from a variety of different perspectives, including literary scholarship, comics studies, media studies, disability studies, and health humanities/ sociology/ geography. Keynote speaker: Leigh Gilmore (Wellesley College), Author of The Limits of Autobiography: Trauma and Testimony (2001) and Tainted Witness: Why we doubt what women say about their lives (2017). The PathoGraphics … [Read more...] about Stories of Illness / Disability in Literature and Comics – Berlin, October 27-28 2017
Cast your mind back to your days as a physiotherapy student. Did any of your lecturers ever change what or how they were taught based on the personalities of the people in the class? Was the subject of the session changed from the lesson plan to reflect an individual or group's cultural beliefs and values? My suspicion is probably not, or if it did happen, it didn't happen much when you were learning anatomy, physiology, pathology, kinesiology, biomechanics, assessment or treatment techniques, research methods, or any of the other 'core' subjects in the physiotherapy curriculum. I once shared an office with a lecturer who had very devout faith, and I often wondered how she reconciled … [Read more...] about There is no ‘you’ in physiotherapy
It's quite common these days to see advocates of a more 'holistic' healthcare practice championing the Biopsychosocial (BPS) Model. In areas where healthcare has become increasingly complex - where people's individual values and beliefs can't be avoided, and where people's social context affects their lives so palpably that a biomechanical approach to assessment and treatment is simply inadequate - the BPS model is promoted as a way forward. But is it as sound as people seem to think? The BPS model was initially proposed by George Engel as a ‘unified concept of health and disability’ (Engel 1960) and was based on a very particular form of positivist psychology called General Systems … [Read more...] about Is the Biopsychosocial Model all it’s cracked up to be?
In this post, physiotherapist Hanni Vitelson writes about how a classic children's story became the inspiration for some critical thinking. An advertisement for an anti-freckle cream catches the attention of 9-years old Pippi Langstrump. The sign says: DO YOU SUFFER FROM FRECKLES? Pippi goes straight to the selling lady and says: 'NO!! I don’t suffer from freckles!!' 'But, my dear child, your whole face is covered with freckles!’ says the seller. ‘I know that,’ says Pippi, ‘but I don’t suffer from them. I love them. Good morning.’ This episode appears only in the fuller versions of the book, originally published in Sweden in 1945 by Astrid Lindgren. This ever-fresh 70-years old … [Read more...] about Hannah Vitelson – Pippi gets critical – 30DoS #28