By Dr. Christopher Kent

A frequent question asked by chiropractors is, “To what extent do intent, attitude, and touch affect the adjustment?” Although these issues may seem unrelated to the technical aspects of subluxation correction, a growing body of evidence suggests that such factors may significantly affect the healing process.

Bunnell [1] conducted a study to determine whether “healing with intent” could be shown to exert an effect on pepsin enzyme activity. The rate of breakdown of egg albumin by a 1% pepsin solution was measured across 20 separate trials. This assessment method was chosen to eliminate the possibility of a placebo effect. The reaction rate of samples “healed with intent” was compared to “unhealed” controls. The samples “healed by intent” demonstrated significantly greater reaction rates than the controls.

Even more striking were the results of a study by Bengston and Krinsley. [2] After witnessing numerous cases of cancer remission associated with a healer who used “laying on of hands,” one of the authors apprenticed in techniques alleged to produce the healing effect. The authors obtained five experimental mice with mammary adenocarcinoma, which had a predicted 100% fatality between 14 and 27 days. These mice were treated using the healing techniques learned by the investigator. The treatments were given one hour per day for one month.

The tumors developed a blackened area, then ulcerated, imploded, and closed. The mice lived their normal life spans. Control mice sent to another city all died within the predicted time frame. Three replications using skeptical volunteer “healers” at two different institutions produced an overall cure rate of 87.9% in 33 experimental mice. Histological studies revealed viable cancer cells through all stages of remission.

When re-injections of cancer were given to the mice in remission, they did not “take,” and the animals remained in remission. The authors conjectured that the treatment might have stimulated an immunological response. The authors reached the following tentative conclusions: “Belief in laying on of hands is not necessary in order to produce the effect; there is a stimulated immune response to treatment, which is reproducible and predictable; and the mice retain an immunity to the same cancer after remission…”

Attitude also matters. Laughter and humor have been shown to have beneficial health effects. Berk [3] et al investigated how humor-associated mirthful laughter modulated certain neuroimmune parameters. 52 healthy men participated in the study. Blood samples were taken 10 minutes before viewing a one hour-long humor video. Additional blood samples were taken 30 minutes into the video, 30 minutes after the viewing was completed, and 12 hours after the viewing.

Increases were found in natural killer cell activity; immunoglobins G and M, with several immunoglobin effects lasting 12 hours after viewing the humor video. Other effects lasting at least 12 hours were increases in leukocyte subsets, and increases in the cytokine interferon gamma. The authors concluded, “Modulation of neuroimmune parameters during and following the humor-associated eustress of laughter may provide beneficial health effects for wellness…”

In a study by Kimata [4], allergy patients who watched a Charlie Chaplin comedy had skin welts shrink, an effect not found in controls who watched weather reports.

Do these studies mean that we should abandon the adjustment and become stand-up comics? Certainly not! I know of nothing that one human being can do for another, which more powerfully affects global well being than the correction of vertebral subluxation.

My point is simply that the very act of touching, inherent in the chiropractic encounter, may exert a beneficial influence. Intent enhances this effect. Furthermore, an upbeat, positive, empathic attitude will benefit your practice members more than a neutral or negative one. In a study published by Di Blasi et al [5], the authors stated, “One relatively consistent finding is that physicians who adopt a warm, friendly, and reassuring manner are more effective than those who keep consultations formal and do not offer reassurance.”

As chiropractors, we touch our patients, and we project an attitude that profoundly affects their well being. We can do so by default, or by design. Focus on your intent to allow the body to express its potential by correcting vertebral subluxations. Then deliver the adjustment with technical certainty.

References

1. Bunnell T: “The effect of ‘healing with intent’ on pepsin enzyme activity.” Journal of Scientific Exploration 1999; Vol. 13, No. 2, Article 1.

2. Bengston WF, Krinsley D: “The effect of the ‘laying on of hands’ on transplanted breast cancer in mice.” Journal of Scientific Exploration 2000; Vol. 14, No. 3, Article 2.

3. Berk LS, Felten DL, Tan SA, et al: “Modulation of neuroimmune parameters during the eustress of humor-associated mirthful laughter.” Alternative Therapies 2000; Vol. 7, No. 2, Pages 62-76.

4. Kimata H: “Effect of humor on allergen-induced wheal reactions.” JAMA 2001; Vol. 285, No. 6, letters.

5. DiBlasi Z, Harkness E, Ernst E, et al: “Influence of context effects on health outcomes: a systematic review.” The Lancet 2001; Vol. 357, No. 9258, Page 757.

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Dr. David Fletcher is actively involved in all aspects of innovation teaching and research connected to the INSiGHT™ scanning technologies. He is widely recognized for his ability to share his expertise in compelling and easy to understand ways.

Dr David is a renowned chiropractor who practiced for many years with his associates in a scan-centric thriving principled family-based practice in Toronto. He is a sought-after teacher mentor and keynote speaker who takes every opportunity to share the wisdom and the power of chiropractic as it is meant to be.

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Dr. David Fletcher
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In Response to Dr. Troeger

Legal boundaries

By Dr. Christopher Kent

Thank you for taking the time to respond to my column, “Duty to diagnose?” which appeared in the May, 2001 issue of The Chiropractic Journal. I am sorry that the article disappointed you. However, the tone of your letter suggests that your disappointment is with the statutory definitions of medicine and chiropractic adopted by various states. Your response, “shoot the messenger,” is inappropriate. Furthermore, your definition of chiropractic is at variance with state law.

I am flabbergasted by your assertion that encouraging compliance with state law borders on “legal malpractice.” Quite simply, if you choose to practice in a given state, and accept the terms and conditions of licensure, you place yourself at risk if you violate them. This is true regardless of whether your state scope of practice is broad or narrow.

Your definition, “Chiropractic is the practice of medicine that encompasses all those practices that do not include the prescription of legend drugs and surgical procedures, unless you practice in Oregon,” is not consistent with the statutory definition of chiropractic in any state. Advising a person to practice in such a manner, with utter disregard for statutes, rules and regulations, and case law would be “bordering on legal malpractice.”

Since you dislike the examples of Michigan and Wisconsin, I will use the statutory definition of chiropractic in your own state, Colorado, to demonstrate that your definition is not applicable. According to C.R.S.12-33-102, Colorado chiropractors are prohibited from practicing colonic irrigation. The term “medicine” is not found in the definition of chiropractic. Furthermore, Rule 7 (1) prohibits chiropractors from engaging in the diagnosis or treatment of cancer. There are other limitations imposed by law, but these will serve to illustrate that a chiropractor in Colorado who practiced using your definition could be subject to discipline.

I have no phobia with the term “medicine.” While a court may take judicial notice of a dictionary definition, such would not prevail over a specific statutory definition. It is a fact that every state has a medical practice act. Law regulates the use of terms such as “physician,” and “medicine.” A tiny handful of states permit use of the term “chiropractic medicine.” The overwhelming majority of states do not. My advice is simple: Comply or be prepared to face the consequences.

Fabricating your own definition of chiropractic, or invoking a quotation from a deceased chiropractic leader, however distinguished, does not change the law. Nor does it diminish your obligation as a citizen to obey the law, or suffer the consequences.

I resent you putting words in my mouth, and justifying your actions by using the term “infer.” Although my position is that the detection and correction of vertebral subluxations are sufficiently complex to support the existence of a separate discipline, I have not sought to impose my will on others. I strongly encourage you to read Concurrent Resolution 46, which provides for a chiropractor’s ability to practice within the scope of state law, while protecting the ability of subluxation-based chiropractors to practice as they wish.

If you choose to practice outside the law, you must be prepared to accept any criminal penalty and/or civil liability resulting from such a decision. That was my message in the article, plain and simple. I feel it is necessary to propagate this position, as many chiropractic students and practicing chiropractors have been misled to believe that they can practice as they wish with impunity.

Scope of chiropractic practice, and use of terms such as “medicine,” are determined by law. This includes, but is not limited to, statutes, rules and regulations, and case law. Wishful thinking, political grandstanding, or the utterances of college and seminar instructors do not determine scope of practice.

Chiropractors should be encouraged to seek legal advice if it is unclear whether a given course of action is in compliance with the law. Those who wish to practice another profession should obtain an appropriate license.

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ABOUT THE AUTHOR

Dr. David Fletcher is actively involved in all aspects of innovation teaching and research connected to the INSiGHT™ scanning technologies. He is widely recognized for his ability to share his expertise in compelling and easy to understand ways.

Dr David is a renowned chiropractor who practiced for many years with his associates in a scan-centric thriving principled family-based practice in Toronto. He is a sought-after teacher mentor and keynote speaker who takes every opportunity to share the wisdom and the power of chiropractic as it is meant to be.

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Dr. David Fletcher
DC FRCCSS(C) – Founder & CEO CLA Inc.
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