In this final 30DoS for 2016, Director of Professional Policy at WCPT - Tracy Bury - writes about the seminal work of David Sackett and how it influenced her critical thinking. The publication of Evidence based medicine: what it is and what it isn’t (Sackett et al) in 1996 was the culmination of a growing discourse on the challenges of integrating research evidence with clinical expertise for the benefit of patients. The authors also referenced EBM’s philosophical origins in mid-19th century Paris whilst describing it as a young discipline. The definition for EBM that was set out is now universally recognised. The importance of clinical experience, competency and judgement were … [Read more...] about Tracy Bury – EBM: What it is and what it isn’t – 30DoS #30
In this post, CPN member Carley King writes about Ian Leslie's article The Sugar Conspiracy. This “long read” article from the Guardian outlines how in 1972, John Yudkin raised concerns about sugar being the greatest danger to our health instead of fat. However, his research findings were ridiculed, and fat continued to be labelled as the likely cause of obesity and the numerous conditions associated with obesity. It outlines how the scientific community embraced a certain school of thought and disregarded any subsequent evidence that suggested otherwise, i.e. saturated fats are particularly bad for your health. It suggests that this tide of movement was predominantly driven by … [Read more...] about Carley King – The sugar conspiracy – 30DoS #18
A recent article in The Conversation explored how training to be a surgeon subtly marginalised women and promoted the idea that surgery was a man's world (link). Surgical training was described as 'powerful, visible, gendered and discriminatory'. Over the last few months I've been writing and thinking a lot about the gendering of physiotherapy. Much of that has revolved around the ways that women masseuses in World War I first came into contact with young male bodies, and the brutal ways they went about rehabilitating them. (The image above is from a classic series of postcards that depicted the dominating and and fearful WWI masseuse - see Carden-Coyne, 2008). Anders Ottosson's … [Read more...] about Does physiotherapy’s hidden curriculum exclude men?
The contents of this post were originally distributed by our friends at ISCHP If you are interested in how an invisible condition can be made visible through creativity, please visit one of the Exhibiting Pain Galleries. In this PhD project, creative representations of living with long-term physical pain are being exhibited to share the creators' experience of their condition. Please see the sites for further information and for the exhibitions: WordPress Blog site, where comments can be given via a Visitor Feedback Form. Or on our Facebook page. Further information about the research can be found on the exhibition sites but you are also welcome to contact me … [Read more...] about Exhibiting Pain: Interpretations of creative representations of life with persistent physical pain
One of the most enjoyable things about in the Critical Physiotherapy Network is the license it gives you to ask questions about the profession that other people might find ridiculous. There's a long history of the study of stupidity and idiocy in philosophy (see Shaw 2016, for example), and I'd like to think we make some small contribution to that with our Network. Look at our Objectives and you will see that it is part of our constitution to develop 'a culture & appreciation for the exploration of all views that deviate from conventional thought & practice in physiotherapy' (Object #4, link). So in the spirit of asking ridiculous questions, I'll confess that for some time now … [Read more...] about Why do things need to work?
Perhaps the greatest mind in the entire history of the world - well in my estimation anyway - once argued that it is the the things that are the most obvious and seemingly benign that we should focus all of our critical attention upon, because these are the things that are doing the best job of concealing the immense power that allows them to become so seemingly obvious in the first place. (If you hadn't realise already, that man is Michel Foucault). Well of all the seemingly obvious, taken-for-granted and largely unchallenged ideas currently pervading physiotherapy, evidence based practice must surely be one of the most obvious ideas needing critical scrutiny. Fortunately, a few … [Read more...] about Is it time to end the tyranny of evidence based practice?
One of our early projects, when we first established the Critical Physiotherapy Network, was to try to write a paper collaboratively. We sent out a call for contributors who would be interested in writing about a theme we thought crossed quite a lot of territories, and seven CPN members responded: Karen Atkinson, Wenche Bjorbækmo, Barbara Gibson, Julie Latchem, Jens Olesen, Jenny Ralls and Jenny Setchell. We set up a basic structure for the paper, and each person added ideas from their own area. The pieces were then slotted into place and the whole paper was then edited to make it coherent and provide a clear narrative structure. The process was remarkably quick, taking only six months … [Read more...] about ‘Connectivity: An emerging concept for physiotherapy practice’ available online