noun: dogma; plural noun: dogmas
a principle or set of principles laid down by an authority as incontrovertibly true.
The definition alone should tell the entire story. Dogmas can be found in any and all walks of life...from philosophy to religion...physics to faith. The real trouble starts when dogmas populate the rehabilitative landscape and begin to infiltrate what would normally be rationale thinking.
Almost everything within the physical world falls under the banner of fact, extrapolation of fact, or theory. However, when it comes to the human organism (with all of its systemic and mechanical complexities) very little can truly be considered a fact or incontrovertibly true with respect to the issue of rehabilitation. Therefore we are left with (at best) extrapolation of fact or theory...which should always be treated with explicit focus and thought.
There is, in fact, no true "best treatment"...nor is there a "best therapy". What is represented is a system of "best fit"...or standardization...that best serves the masses and (more often than not) serves the "authority" that espouses said principles. The human organism is a complex and comprehensive orchestra of chemical, hormonal, neurological, mechanical, and histological activity...it is logistically impossible to expect (let alone claim) one perspective or strategy to service all of these considerations.
"...incontrovertibly true...laid down by an authority..."
Search the history books and they will be riddled with things not so incontrovertible that we spoken by those not so much an authority. Treat everything as extrapolation of fact or theory...truth is relative.