resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
March, 2001, Vol. 01, Issue 03
Creativity and Cooperation
By Keith Eric Grant, PhD, NCTMB
Ten evenings of filmmaker Ken Burns's documentary on the history of jazz have impressed me in ways that spill over from the purely musical. Interwoven within the sound clips, biographies, and cultural history were themes on creativity and cooperation. I believe these themes are important to massage as we continue to explore, and struggle with how best to create an attitude and context for our own learning and practice. Using these themes from jazz as a lead-in, I'll give a brief overture to some observations on creativity and cooperation from drawing and systems thinking, leaving more thorough development for future columns.
One theme vividly expressed by the documentary was how much the ability to create and innovate depended on inner drive and on exposure to other innovators in short the creative context. When a situation became stagnant and overly formalized, the cutting edge of innovation moved on to a new source and venue. A second theme expressed throughout the series was the delicate balance between implementing individual agendas and being sensitive to the feedbacks and interactions with the total system of other musicians participating in a session. Wynton Marsalis most clearly gave voice to this balance:
A final theme from jazz that I want to underscore is the respect and acknowledgement given to individual virtuosity, rather than to a common standard. Bandleader Duke Ellington orchestrated his compositions to showcase the particular skills of members of his band, rather than for generic trumpeters, saxophonists, and drummers. As massage therapists, we too will benefit from respecting and giving appreciation to each other's massage skills and approaches, even when they differ substantially from our own goals and practice. Being dismissive and coercive are sour notes.
Playing music requires mastery of individual phrases, which in turn requires mastery of individual notes and relations between them. Slowing down to perceive the details is not unique to music. Art instructor Betty Edwards (Drawing on the Right Side of the Brain) observed that she could talk about drawing or she could draw, but that it was extremely difficult for her to do both at once. She hypothesized that a shift in processing mode was occurring. When she was talking, her mind was operating in a verbal-symbolic mode that largely ignored details. To draw successfully, she needed to shift away from symbols into a mode of perception that attended to the details of lines, shapes and shading. We make this same shift when moving from the concept of a muscle into feeling it take form beneath our fingers, as a client engages it ever so slightly.
Professional negotiators have made parallel observations. The inability to find consensus often stems from becoming stuck in symbolic positions, rather than from irreconcilable differences in actual needs. In debates about massage education, we play out this theme by arguing about the need for hours of education, what I call "round hour syndrome," rather than letting the required hours flow naturally from a determination of the need for specific educational content. When we discuss the need and timing for specific content, the discussion becomes much more concrete and much less postural and divisive.
Jazz improvisation depends on interaction. It is a dynamic process of listening, adding something new, and then listening for the response. At an intuitive level, jazz musicians become masters of systems thinking the acknowledgement of the myriad interconnections and feedbacks between individual components of a total system. Given such feedbacks, you can never change just one thing. Like the musicians in a jam session, all other aspects of a system will respond to any change introduced. If you focus too much on any one area, it's always done at the expense of everything else. Getting the right balance is an art, not a given.
These relatively simple postulates of systems thinking have profound implications for massage education. Massage educators may assume that kinesthetic and interpersonal skills will always be the strengths of entering students. Rather than teaching towards the totality of what we want to produce, we are tempted to simply continue former practices with the application of an enhanced anatomy and physiology "Band-Aid." Not only is this extremely bad thinking from a systems approach, but, as massage attracts a wider range of students, it's often less and less true, even as a first approximation.
Education can act as a filter and an enhancement. Ultimately, our profession will evolve from the details of what we explicitly value and nurture. My hope is that our ears and hearts will be able to hear the value of the melody and the interlacing harmony within our diverse profession. May we remain flexible enough in our personal agendas to listen to each other, and to let those entering our art find their own expression of virtuosity within it.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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