‘It's all connected, so it all matters’ - the fallacy of osteopathic anatomical possibilism

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2024-02-16 DOI:10.1016/j.ijosm.2024.100718
Diego F. Hidalgo , Andrew MacMillan , Oliver P. Thomson
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Abstract

Anatomy has been a cornerstone of osteopathic theory, practice and identity since the discipline's emergence in the 1800s and continues to be viewed as core knowledge to the present day. The domain of anatomical knowledge has provided seemingly endless rationales and explanations to justify osteopathic diagnosis, assessment and treatment. Moreover, knowledge of anatomy has been foundational for osteopaths' professional identity and conception of healthcare practice. Anatomical possibilism refers to the imagined, exaggerated, implausible and unproven relationships which are claimed to exist between anatomical structures. In persisting with such an approach to theory, practice and reasoning osteopathy may waste time, energy and intellectual capital and as a result fail to take advantage of opportunities to develop more plausible, ethical and person-focused approaches to patient care.

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一切都有联系,所以一切都很重要"--骨科解剖学可能性论的谬误
自 19 世纪骨科出现以来,解剖学一直是骨科理论、实践和特性的基石,直到今天仍被视为核心知识。解剖学知识为整骨疗法的诊断、评估和治疗提供了似乎无穷无尽的理由和解释。此外,它还是骨科医生专业身份和医疗实践概念的基础。解剖学可能性是指在解剖结构之间存在着想象的、夸大的、难以置信的和未经证实的关系。坚持这种理论、实践和推理方法可能会浪费骨病学的时间、精力和智力资本,从而无法利用各种机会开发出更合理、更合乎道德、更以人为本的患者护理方法。
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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
期刊介绍: The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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