resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
AAAOM – The Beginning of the End (Part II)
In 2012, the AAAOM board members met in Chicago for their annual meeting. The goal was to come to a consensus on a long list of issues the AAAOM needed to work on including a functional board and budget.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
November, 2005, Vol. 05, Issue 11
The Inside-Out Paradigm: Survival vs. Quality of Life Part 1
By Dale G. Alexander, LMT, MA, PhD
Editor's Note: Part 2 of Survival vs. Quality of Life will appear in the December 2005 issue of Massage Today, along with a complete list of references.
The survival-oriented prime directives of our biology and nature's endowments for implementing these directives have reached a tipping point in our collective evolution.They now are competing with our capacity for quality of life and have become contributors to many of our most common chronic ailments. Chronic conditions emerge from how human physiology accretively tends to react to stressful and traumatic circumstances, over time. Let us begin by reviewing a distillation of the research of Hans Selye, M.D., who is considered the father of our modern understanding of stress.
Dr. Selye was an endocrinologist, thus, his initial research was launched with the intent to discover the linkages between chemoreceptors, which were potentiated by hormonal influence. What he discovered were central basics of physiology which continue to be guideposts for our profession today. Most notably, he concluded that the inflammatory process was the body's stereotypic biochemical response to a host of ailments which afflict humans: spanning infections, injuries and trauma.
Selye's notion of stereotypic responses and my 25 years of investigation have inspired me to extrapolate that nature has evolved other similar default responses. Physically, all soft tissues do basically one thing, they contract. Contraction both produces motion and inhibits motion. Consequently, in response to stress or trauma our soft tissues contract, sometimes morphing into varying states of contracture or painful spasm. Mentally, when humans are stressed, they tend to dissociate, allowing nature's primitive programming for fight/flight/freeze to take over. More specifically, we distance ourselves from our bodies and present time awareness is diminished. Conscious choice and taking responsibility for the effects of our behavior also diminishes.
Let's expand even further to explore the survival legacy of human experience. As I see it, the prime directives of biology relate to four survival mandates:
Nature's prime directives are designed help to ensure survival and reproduction, to ward off individual death and species extinction. Of course, nature has provided us with specific endowments which assist the completion of these prime directives: The Mind, creates survival-based models of the world; Hormones, crucial to initiating and lubricating physical growth and reproductive maturity, but significantly decrease between the ages of 35 to 55; Righting Reflexes, nature's hedge against pre-mature traumatic death; and Sympathetic Dominance, which governs our primitive responses of fight/flight/freeze.
Now, let's walk through our biological prime directives and nature's endowments beginning with an infant's first task to Fit In. As babies, we must survive the protracted time of our dependency upon our caretakers. We perceive energetically and feel everything around us. We do not distinguish where we end and others begin. Our experience of events is timeless: always and never. Thus, human learning is an inverted pyramid beginning in utero, more reflective of the energetics and emotions of our caretakers than any symbolic capacity to describe or physical ability to act upon our environment. We are immersed in our environment. There is no separation.
As we grow, we learn through association, building a matrix through our five senses. Somewhere between 2 1/2 and 4 years of age we have compiled enough symbolic sets to develop models of our world and can express them through language. These models grow from sets of "do's" and""don'ts" and associated cause and effect relationships. Sadly, the models typically reflect a massive number of motoric inhibitions. The permissions for exploration that do remain are reflected in the""old saw" that humans only use 10% of their mental capacity. More accurately, the Mind consumes 90% of our neural capacity, leaving only the remaining 10% for curiosity, exploration and experimentation in order to fit into our birth family's social grouping.
The Mind is nature's primary endowment for the creation of these models. It's not wrong or bad. Its goal is survival. We are its beneficiaries. However, the mind is not our brain and spinal cord, nor our psyche, and is certainly not our soul or spirit. It's only a sliver of consciousness: a slice of the pie, not the whole pie by itself. The mind gathers the associations compiled in our early life and retroactively "assigns meaning" to these experiences. This is how the basic models which guide our decision making are initially formed.
Our extraordinary capacity to adapt to the circumstances of our upbringing is a mixed blessing, for it leaves us restrained from updating our models of the world as we age. Consequently, we tend to be""perfectly adapted to circumstances in which we no longer live." A corroborating corollary of this notion is reflected in the difficulty we have with changing our first impressions. What seems to expand this enormous restraint and fixity is new sensory experience through touch and movement and emotional discovery.
The basic apparatus of the mind keeps us playing ping pong with the hurts and self-doubts anchored in the past and caroms us forward in time to fret and fume and worry about future scenarios. Much of our energy and creativity is consumed by this ping-pong, yet it's the self-talk familiar to us all.
Anticipation is a wonderful thing when it's harnessed toward positive outcome. However, its dark side can plummet one's body chemistry into the abyss of inflammatory and/or immune suppressing states with the accompanying feelings of anxiety and depression, doing a dirty dance of inner torture with our physiology. The mind does this by commandeering the sympathetic division of the autonomic nervous system to drive the adrenals. This is another link to Dr. Selye's research, which concluded that the adrenals were neurally driven rather than regulated via the hormones of the endocrine system.
The prime directive of Don't Fall generally is accepted as our species singular genetically linked fear. Our large body righting reflexes are sub cortically regulated, (i.e., we don't think about them, they simply take over in times of emergency). Most of the time they transmute a major accident to a minor scrape. However, in my clinical experience, these reflexes tend to be perpetuators of chronic musculoskeletal dysfunction following traumatic episodes.
The endowments of the mind and the righting reflexes together reflect our species' collective genetic genius to be able to adapt to damn near anything. The problem is that once we have adapted, whether to our family of origin and/or to trauma, our mind and our reflexive calibrations resist new experience, new information and expansion beyond the set of parameters that have come to be considered normal. It's usually only when what used to work becomes very dysfunctional and painful that we look to changing the core elements of our being.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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