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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.
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.
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.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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