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David A. Nicholls - The End of Physiotherapy

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The End of Physiotherapy Physiotherapy is arriving at a critical point in its - photo 1
The End of Physiotherapy
Physiotherapy is arriving at a critical point in its history. Since World War I,physiotherapy has been one of the largest allied health professions and the establishedprovider of orthodox physical rehabilitation. But ageing populations ofincreasingly chronically ill people, a growing scepticism towards biomedicine andthe changing economy of healthcare threaten physiotherapys long-held status.Paradoxically, physiotherapys affinity for treating the body-as-machine hasresulted in an almost complete inability to identify the roots of the professionspresent problems, or define possible ways forward. Physiotherapists need toengage in critically informed theoretical discussion about the professions past,present and future to explore their practice from economic, philosophical, politicaland sociological perspectives.
The End of Physiotherapy aims to explain how physiotherapy has arrived at thiscritical point in its history, and to point to a new future for the profession. Thebook draws on critical analyses of the historical and social conditions that havemade present-day physiotherapy possible. Nicholls examines some of the keydiscourses that have had a positive impact on the profession in the past, butnow threaten to derail it. This book makes it possible for physiotherapists to thinkotherwise about their profession and their day-to-day practice. It will be essentialreading for scholars and students of physiotherapy, interprofessional and communityrehabilitation, as well as appealing to those working in medical sociology, themedical humanities, medical history and health care policy.
David A. Nicholls is Associate Professor in the School of Clinical Sciences, Auckland University of Technology, New Zealand.
Routledge Advances in Health and Social Policy
Titles in this series
Social Development and Social Work Perspectives on Social Protection
Edited by Julie Drolet
Moralising Poverty
The Undeserving Poor in the Public Gaze
Serena Romano
Alcohol, Power and Public Health
A Comparative Study of Alcohol Policy
Shane Butler, Betsy Thom, James Nicholls and Karen Elmeland
The End of Physiotherapy
David A. Nicholls
Forthcoming titles
M-Health in Developing Countries
Design and Implementation Perspectives on Using Mobiles in Healthcare
Arul Chib
Social Policies and Public Action
Lavinia Bifulco
Planning Later Life
Bioethics and Public Health in Ageing Societies
Edited by Mark Schweda, Larissa Pfaller, Kai Brauer, Frank Adloff and Silke Schicktanz
Effective Interventions for Unemployed Young People in Europe
Social Innovation or Paradigm Shift?
Edited by Tomas Sirovatka and Henk Spies
Social Research Methods in Health and Illness
Case-Based Approaches
Constantinos Phellas and Costas Constantinou
The End of Physiotherapy
David A. Nicholls
The End of Physiotherapy - image 2
First published 2018
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN
and by Routledge
711 Third Avenue, New York, NY 10017
Routledge is an imprint of the Taylor & Francis Group, an informa business
2018 David A. Nicholls
The right of David A. Nicholls to be identifi ed as author of this work has been asserted by him in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.
Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identifi cation and explanation without intent to infringe.
Every effort has been made to contact copyright-holders. Please advise the publisher of any errors or omissions, and these will be corrected in subsequent editions.
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
Names: Nicholls, David (David A.), author.
Title: The end of physiotherapy/David Nicholls.
Other titles: Routledge advances in health and social policy.
Description: Abingdon, Oxon; New York, NY: Routledge, 2017. |
Series: Routledge advances in health and social policy
Identifi ers: LCCN 2017007963 | ISBN 9781138673557 (hardback) |
ISBN 9781315561868 (ebook)
Subjects: | MESH: Physical Therapy Specialtyhistory | Physical Therapy
Specialtytrends | Physical Therapy Modalitieshistory | Physical Therapy
Modalitiestrends | Philosophy, Medical | Professional Role | Physical
Therapistspsychology
Classifi cation: LCC RM700 | NLM WB 460 | DDC 615.8/2dc23
LC record available at https://lccn.loc.gov/2017007963
ISBN: 978-1-138-67355-7 (hbk)
ISBN: 978-1-315-56186-8 (ebk)
Typeset in Times New Roman
by Sunrise Setting Ltd, Brixham, UK
For Tom and Ali
Contents
The End of Physiotherapy has been years in the making. For more years than I care to remember, I have been arguing for the profession to break out of its self-imposed shackles and reach its full potential. Along the way, I have been fortunate to have had the advice and support of countless colleagues and students who have shown admirable patience and kindness in sharing their thoughts and ideas, comments and supportive criticisms. I am particularly indebted here to Martin Chadwick, Erik Dombroski, Dave Holmes, Peter Larmer, Jo Fadyl, Filip Maric, Debbie Payne, Amlie Perron, Trudy Rudge, Todd and Caroline Stretton, Rachel Vickery and my friends and co-conspirators in the In Sickness and In Health community. Many thanks go to Richard Horwood, Gwyn Owen, Jenny Setchell and Kate Waterworth, who offered valuable comments, critique and suggestions on various parts of the book. And to my colleagues and friends in the Critical Physiotherapy Network, especially those on the CPN Executive, who prove every day that there is a growing and passionate community of practitioners looking for some new ways to think about our profession. Thanks go to the superb team at Routledge who have supported this book from the outset, especially Emily Briggs and Carolina Antunes. Most especially, I would like to acknowledge and thank Barbara Gibson, whose critique, inspirations, exemplary scholarship, friendship and influence is woven into every line of this book. And finally, to my family, who have walked every step of the way with me. To Sue, my constant companion and partner in everything, this book is ours. To my mother, Irene, and the memory of my father, Michael, and, of course, to Tom and Ali. You are precious beyond measure.
APAAustralian Physiotherapy Association
APTAAmerican Physical Therapy Association
CPACanadian Physiotherapy Association
CSPChartered Society of Physiotherapy
ISTMIncorporated Society of Trained Masseuses
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