resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
May, 2001, Vol. 01, Issue 05
Using Space, Time and Energy
By Keith Eric Grant, PhD, NCTMB
If you can walk, you can dance; if you can talk, you can sing
- Dinka Sudan proverb
As a physicist, this title tempts me to lead you into a discussion of the origin and development of the universe.Instead, I will delve into the ways we perceive and use the personal universes we create. Understanding more about how our clients occupy, move and perceive their bodies can help us to better facilitate their well-being and achievement of their embodied potential.
Cultural Perceptions of Space and Time
From the multicultural perspective of anthropologist Edward T. Hall (The Hidden Dimension, The Silent Language, The Dance of Life), there is great diversity in how we create our reality and communicate it nonverbally. Within the range of these cultural differences lie differences of our family backgrounds and personal temperaments. These differences shape our expectations for the use of space, time and energy/effort.
Hall explores the cultural differences in how we surround ourselves with bubbles of individual space. We have distinct separations that we find comfortable for the increasingly close categories of public, social, personal, and intimate contact. Our bubbles can range from being substantial in the United States and northern Europe to being much smaller to almost nonexistent in Mediterranean, Latin American, and Arab cultures. Not surprisingly, frequency of casual touch often varies inversely to the perceived need for separation. Interactions that mix different cultural definitions of personal space can leave one party feeling invaded, while the other feels unexpectedly rebuffed and dismissed. Respecting boundaries can be far from a simple matter, because the unwritten rules of nonverbal coexistence vary from person to person and culture to culture. Vigilant awareness and the flexibility to respond quickly to nonverbal feedback are often required of us.
Hall also focuses on cultural differences in our use of time. Monochronic time is linear, tangible, and divisible. In monochronic time, events are scheduled one item at a time and this schedule takes precedence over interpersonal relationships. In contrast, polychronic time supports the simultaneous occurrence of many things, intense involvement with people, and an emphasis on completing interpersonal transactions that supercedes fixed schedules. People in polychronic cultures often conduct business in the middle of a central room with multiple interactions intertwined, rather than in private offices. The different views of time and context between monochronic and polychronic cultures create major differences in the steps to establishing rapport and in expectations for how it will subsequently be reinforced - important considerations as the new census reveals the diversity of our potential clients.
Personal Embodiment in Space, Time, and Energy
Now I want to return to a theme that I brushed briefly across last month. Dance instructors Constance Schrader (A Sense of Dance) and Sandra Cerny Minton (Body & Self: Partners in Movement) both look at the body and movement in terms of space, time, and energy/effort. Schrader illuminates why understanding these concepts is important to our massage work:
Let's consider working with a partner on the table (female, in this example). What are her feelings and awareness of the space she occupies? (Ask her). How does that differ from what she might like to feel? How can you pace her current sense of space, and how could you, via your touch and movements, lead her toward a new sense of body and space?
Now consider time. What is your partner feeling about time? What tempo and rhythm is she displaying in her breathing and small, unconscious movements. How smoothly does she transition from one movement to the next? How can you convey to her a sense of your understanding and pacing of her current relationship to time? How might you then lead her to a better equilibrium? What tempo do you want to initially approach her with? In the continuum of movement, does her current relationship with time feel chaotic or coherent to you?
As your partner "rests on the table," what is her feeling of energy and effort in lying there? What was the quality of effort in her movements before lying down? How would you communicate your awareness, understanding, and empathy for where she is in her relationship to effort or energy? How might you then lead her, via your touch and nonverbal communication, toward a state of relaxed and focused ease?
None of these questions has a "right" answer, yet they are important parts of how we interact with a client. By such exercises, we focus kinesthetically and interpersonally in our bodies to develop both awareness and skills. It's a process of moving away from our verbal-visual minds into that kinesthetic world of vulnerability, empathy, and ultimately, connection and humanity.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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