But phrases fall out of fashion. By the early 1990s, holistic had become alternative, then complementary and alternative (CAM), and finally (for now) integrative. We all understand that the map is not the territory but changes in language signal changes in outlook and emphasis. Subtly and gradually, we have lost something in the process. When we raise the banner of holism, we assert the value of a whole systems paradigm. Endorsing alternative, complementary, or integrative medicine lacks this engaged focus on principles and thus affirms far less.

Personally, I have a positive response to each of these terms. At one time or another, I’ve identified myself and my profession with all of them. But none of the others has the deep resonance of holism, which best conveys the essence of who we are and the beliefs we hold dear.

Holism and Chiropractic

How can chiropractors best embody the tenets of holism? A key first step, ably articulated in this issue by Cleveland Chiropractic College–Los Angeles Director of Research James Brantingham, DC, PhD, is to be vigilant in reminding ourselves that the physical body functions as an integrated whole. Each part of that structure affects every other part, directly or indirectly. Thus, while maintaining and deepening chiropractic’s traditional focus on the structure, function, balance, and mobility of the spine, we must never view it in isolation.

To give just one example, the weight-bearing structures of the lower extremity, particularly the foot and ankle, form the foundation for all that rests upon them, including the spine. Research by Dr. Brantingham’s team at CCCLA is expanding our understanding of the critical role of the extremities in maintaining the body’s structural integrity. What he calls “full kinetic chain adjusting” incorporates a holistic view of the body’s overall musculoskeletal structure.

Structure and Beyond

Building such structural holism into the core of our health worldview is necessary but not sufficient. A comprehensive holism must also account for the widespread functional interactions between musculoskeletal structures and visceral organs via the nervous system and other pathways, as well as the connections between all of these physical structures and our mental, emotional, social and spiritual aspects.

This should come as no surprise to contemporary chiropractors. From D.D. Palmer’s late 19th century recognition of the multi-factorial causation of illness in his pithy “3 Ts” model—trauma, toxins and thoughts—through a variety of iterations culminating in the World Federation of Chiropractic’s 21st century endorsement of the biopsychosocial model of health and illness, chiropractors have always endorsed holism in theory.

From Theory to Practice

But endorsing something in theory does not guarantee its implementation in practice. Consider your own practice and those of other chiropractors you have observed over the years. Think about the treatments given and the content of the doctor-patient conversations. Does our targeted focus on the motion or alignment of spinal joints and other musculoskeletal structures sometimes lead us to lose sight of other key components of health, particularly nonphysical components?