resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
September, 2002, Vol. 02, Issue 09
By Steve Capellini, LMT
Author's Note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
Uh-oh. This is one of the hardest decisions you've had to make for a long time. You've only been the supervisor of the spa therapists for a few months, and already you're being asked to fire somebody! The situation came about swiftly, as these things do, and now suddenly the entire staff is looking at you to see what you'll do. It's crisis time.
A Case of Harassment
One of the male therapists under your supervision has been accused of sexual harassment by several female guests. Management, of course, says to get rid of him right away, but you're inclined to investigate further and see if it's not as black and white as they might think. It might be a mistake, you feel, to engage a knee-jerk reaction in such a delicate situation. Tact and discretion are called for, so I totally agree with you. One thing is certain - maintaining the integrity of your spa and your profession is a top priority. Your decisions and actions, in close coordination with those of the owners and the spa director, are critical at this juncture.
There are several steps to take as you proceed gingerly through these dangerous waters.
Get the Whole Picture
In emotionally charged situations like this, hysterics often rule. You're going to be bombarded from all sides by people who believe fiercely in their own version(s) of the story. Don't let one point of view sway you, especially in the beginning. At times it may be a struggle, but, in my view, it's best to remain impartial, perhaps even seeming aloof, as the various parties bring you their points of view. After all, you're being called upon to function somewhat like a judge in this situation.
Supervisor First, Therapist Second
You're also now acting as a supervisor, not a therapist. When you decided to accept this position, you knew there would be times when you would be pitted against your former colleagues. This is one of those situations. The therapists on staff are looking at you with their own agendas. Some hope that you recommend firing the therapist, because they don't want the taint of scandal hanging over their workplace. Some may feel their in competition with this therapist and would like to see him gone. Others hope that you recommend not firing him, because they feel it's too easy for people to wrongly accuse therapists these days, and that our profession should be protected against unfounded attacks.
Know one thing: After you make your decision and pass your recommendations onto the spa director, you are not going to be popular with everyone in both camps. Sides will be chosen. Lines will be drawn. It's part of the price you pay for becoming a decision maker. And now that you're in that situation, how can you be sure you're making the best decision? You can never be 100% sure, but the best thing you can do is follow the precepts of justice and reasonableness as they've been handed down to you. Then act from your heart.
Look at the Law
To form an objective, well-thought-out opinion in this situation, you need to know what is legal and illegal in your state. Believe it or not, rules change from place to place regarding draping and precise conduct, although we all have the same ethical guidelines to follow, as laid down by massage industry associations. Know these guidelines and the law well. In addition, it may help to understand more broad-based statutes regarding sexual misconduct in general.
Recent years have seen a rampant increase in accusations of sexual harassment, some of which have been more founded than others, and many of which cannot conclusively be proven one way or the other. When it's a question of two people in a room alone, it's a matter of one person's word against another's. I've seen large judgments against respectable men in diverse fields, based solely on the word of a young woman who may or may not have had revenge or vindictiveness as a prime motivation.
A Personal Experience
I feel comfortable giving you this advice, Lou, because I dealt with similar situations on two occasions. Once, while supervisor at a large resort spa, I was called into the spa director's office in the middle of a busy afternoon and asked to pull one of the therapists off the floor. He was handcuffed and led away by two officers, and I had to cover for his remaining clients that day myself. A woman who'd been a guest of the spa several weeks earlier had called the authorities and accused this therapist of rape. He left the profession in disgrace.
More recently, I was called to mediate in a case with accusations that were less severe, but nonetheless quite troublesome. A therapist at the spa at which I was consulting had been accused of "potentially inappropriate behavior" by several women over time. I met with him and the general manager of the property once, and it seemed we had the situation under control. There had been some misunderstanding, the therapist pleaded. He would be more careful about draping, decorum, and modesty in the future. He was a highly praised therapist at the spa and we didn't want to lose him. When two more women complained, however, we had no choice. He had to go.
In my opinion, the bottom line in these situations boils down to one essential question: Has a guest complained? If so, something is wrong -- end of story -- regardless of how sincere the therapist may appear while professing innocence.
Don't get me wrong. I'm not trying to be prudish on this issue. I understand that some couples who met first as therapist/client in a massage encounter have ended up getting married. Attractions do happen. We can't turn off our humanity in the massage room. However, whatever attractions may surface need to be taken out of the massage room and into an acceptable arena before they are acted upon.
Spa therapists, especially males, have to be especially careful these days. Guests come to your resort expecting to relax, have a great time, and be given the royal treatment. Perhaps some of them let their guard down a little. It is unfair to take advantage of that relaxed attitude by instigating any unwanted sensual scenario. At the very least, the therapist in question is guilty of insensitivity, and the situation needs to be dealt with in a firm, swift manner.
I look forward to hearing how you've dealt with your particular situation. Until then, take care of yourself.
Click here for previous articles by Steve Capellini, LMT.
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