Blogpost from Cath Cruse-Drew Today’s blog is a summary from my notes and the reading list from a lecture given by Dr Silvia Camporesi. I was reminded of it this week by an email requesting subjects for a Stroke research project. Prior to Dr Camporesi’s lecture, I didn’t think enough about the difficulties around subject selection, and although I have much left to learn, I hope a summary of one aspect of subject selection is helpful to Physios who may be clinically orientated and not involved in research design. The concept of vulnerability in research bioethics emerged in the Belmont report in 1979, following the establishment of a National Commission which was itself a response to … [Read more...] about Vulnerability in research ethics
A friend of mine works with young people who are first- or second-generation migrants to New Zealand. Her job is to equip them with the skills they'll need to run campaigns, advocate for their communities, and improve the lives of the people around them. They're 'therapists' of a sort. She has a simple way of knowing whether someone is doing the right thing or not. She asks "Are you kicking up, or kicking down?" By 'kicking up', she means agitating against those people with power, the ones in positions in authority. All too often people find it easier to kick down: taking aim at the people who are easy targets, because they're vulnerable, less powerful, less fortunate. It's the … [Read more...] about Kicking up, not kicking down
Think about how much time you spent learning about the 'normal' body in physiotherapy school. Think about how much time you spend in clinical practice assessing people to see what's 'abnormal.' And all of those clinical trials that develop sensitive, reliable and valid measures of activity, bodily function, movement and pain; all based on some universal notion of normality. Tests and measures have to assume that there is one universal normal for them to be universal. So, in principal, a score of 13 on the Modified Borg Scale means the same thing in Afghanistan as it does in Alaska, and a BMI of 28 is obese no matter where you live. Physiotherapists learn the principal of … [Read more...] about New: Normals
This post was published earlier on Michael Rowe's blog. Micheal is a member of the Critical Physiotherapy Network and has given permission to reproduce his blogpost here. David Nicholls at Critical Physiotherapy recently blogged about how we might think about access to physiotherapy education, and offers the metaphor of a gated community as one possibility. The staff act as the guards at the gateway to the profession and the gate is a threshold across which students pass only when they have demonstrated the right to enter the community. This got me thinking about the metaphors we use as academics, particularly those that guide how we think about our role as examiners. David’s … [Read more...] about Are we gatekeepers, or locksmiths?
Patient centredness is becoming a widely used, but poorly understood, concept in medical practice. It may be most commonly understood for what it is not—technology centred, doctor centred, hospital centred, disease centred (Miller, 2001: 322). There are a lot of practitioners and professional bodies that claim that their practice is patient centred. And why not. If people expect this to be stated as a defining feature of health professional practice today, why wouldn't you say it? After all, we work with patients don't we? We treat people every day. How could we not be patient centred? But isn't it interesting that this needs stating at all? Because how could health care not be patient … [Read more...] about Why physiotherapy is not patient centred
The latest edition of the South African Journal of Occupational Therapy includes some papers theorizing OT in ways that might be interesting for people interested in theorizing physiotherapy practice. The links connect you with full access versions of the articles. Thanks to Frank Kronenberg for the link. Guest editorial: Theorising about human occupation Ramugondo, EL; Galvaan, R; Duncan, E text in English · pdf in English Theorising social transformation in occupational science: The American Civil Rights Movement and South African struggle against apartheid as 'Occupational Reconstructions' Frank, Gelya; Muriithi, Bernard Austin Kigunda abstract in English · text in … [Read more...] about Theorizing therapy: Latest research from South Africa
In yesterday's post I mentioned the Hybrid Pedagogy site and the work they had done to define what it means to be critical in education. As a critical physiotherapy network, it's probably important that we do the same thing and articulate how we think we are critical, because there are so many different meanings for the word, it could easily be misleading. Critical can mean: Intensive care and the physiotherapy that is given to people in life-threatening situations Critically and systematically analysing the quality and content of research articles These are almost certainly the approaches to criticality most familiar to physiotherapists today. The first is a very specialised field of … [Read more...] about Being critical