resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
August, 2004, Vol. 04, Issue 08
Knowledge and Networks
By Keith Eric Grant, PhD, NCTMB
As an unabashed academic and massage instructor, I've a tendency to look at how we organize and model our accumulated knowledge about the wider context of bodywork. The maps we create have significant effects on how we approach the acquisition and conveyance of knowledge, skills and abilities.
Massage, particularly when defined in an encompassing context of all touch practices, has many different subpractices (see my article, "Swimming Upstream Toward Effective Practice," in the March 2003 issue, www.massagetoday.com/archives/2003/03/13.html.) and many different theories of underlying action.When I periodically hear about someone advocating creation of "massage tiers," I have difficulty understanding how such tiers translate into measurable improvements in our ability to practice across the scope of what we might do. My worry is that such tiers have little to do with improvements, and everything to do with rites of initiation.
The criteria for evaluating the need for training and education, I believe, is that it is objectively needed to produce effective practice, including the technical, business and interpersonal facets. I also believe there is a tendency in our profession to want to use training as a gauntlet to promote commitment, the basis of which is noted by James Atherton in a short review of cognitive dissonance:1 "Ordeal is therefore an effective - if spurious - way of conferring value on an educational (or any other) experience. 'No pain, no gain,'as they say. The more difficult it is to get on a course, the more participants are likely to value it and view it favorably regardless of its real quality." Robert Cialdini makes similar observations in his treatment of social influence.4 Advocating training on such a basis is, I believe, a disservice both to the student and the ultimate consumers. Atherton is correct in noting the often spurious nature of the result.
For a long while, I thought the underlying problem with tiers was simply a factor of inadequate definition and too narrow motivation. Recently, I've realized that the problem is inherent in the broad scope of bodywork - tiers assume that knowledge is structured like a tree, with specialty branches spreading out above a single root. In contrast, massage knowledge forms much more of a web of interconnecting clusters, a shape that looks like a tree only when viewed very close at a single area of entry. In the more interior regions of such a web, the connections branch off to other clusters, eventually reaching other entry points and destroying the illusion of a single tree on which to base the concept of tiers.
Such webs occur throughout knowledge connections, social structures and the structures of life itself. Physicist Mark Newman has organized a gallery of web pictures showing their pervasive occurrence 6 and written an extensive technical review article on research into the structure of networks.5 Barabasi and Bonabeau wrote a recent introductory review,3 and Barabasi has written an excellent lay-oriented book on this research.2
Moving ahead with this idea of networks, consider putting together an online encyclopedia, containing pages for all the pertinent sections of knowledge for everything in massage and bodywork. This shouldn't be too fine-grained: something on the order of the sections in the chapters of a book. Technique sections might have demonstration video clips attached. By looking at the hyperlinks between pages, we would better understand the interconnection between information in different clusters. Areas with a lot of mutual interconnection would be self-defining as a study area. If an area exists that's linked from everywhere, it would pretty much have to be a natural core area.
Things that come to mind are information on touch itself, as Ashley Montagu put it, "The human significance of the skin." Other areas that I see as likely core foundations would be business skills, particularly for those running their own practices, and interpersonal skills. Areas on Western anatomy and physiology would have great emphasis from orthopedic massage but much less direct access from sections on Asian bodywork or energy work.
In summary, our overall knowledge of massage is too diversely connected to be tree-shaped, having a single core and specialty branches. Everything is by some route interconnected, but the density of interconnections varies greatly and creates separate clusters of study. Such a structure captures the paradox of being too diverse to ever appear to have a single root, yet too interconnected to appear totally separate. Massage is thus a totality that thwarts our efforts to compactly define it while greatly rewarding our efforts to pursue its many links.
Editor's Note: Due to the transient nature of the Internet, some links may not be operational.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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