resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
June, 2006, Vol. 06, Issue 06
Truth: The Golden Thread, Part One
By John Upledger, DO, OMM
One element shared by all effective healing methods is the process of leading the patient through honest and truthful self-discovery. In my experience, this "Golden Thread" is necessary for the initiation and continuation of self-healing, because it is only through self-healing (as opposed to curing) that patients can experience both permanent recovery and spiritual growth.
Before exploring the issues of self-discovery and self-healing, let's examine the differences between healing and curing.Surprisingly, both words share essentially the same dictionary definitions: that of being a method or course of treatment that aims to restore health. Yet the definitions don't capture the implications the two words have in today's health care world.
Healing often refers to what is done by the patient or the patient's body to resolve a problem of the body, mind or spirit. Curing usually refers to what a physician or therapist does to the patient. Thus, we frequently speak of patients needing to heal themselves after a disease has been cured. Surgically removing the gallbladder, for instance, might cure the gallbladder disease. But the patient must then heal the wound and adapt to the organ's absence in order to achieve full digestive-system function.
The reason we need to clarify the difference between healing and curing is quite simple: Effective therapy, whatever its outer form, initiates, facilitates and supports the patient's own healing efforts; whereas the curing process provides a more temporary and perhaps only palliative effect. Although curing might remove the symptoms of a disease from the outside, so to speak, it usually leaves the underlying causes of the symptoms untouched.
For example, a physician might cure hemorrhoids by surgically removing them. However, if the hemorrhoids are secondary to liver congestion due to chronic alcohol abuse, the problem will not be healed until the patient resolves the underlying reason for the alcohol abuse. Perhaps it would even be better for the surgeon to leave the hemorrhoids intact to remind and motivate the patient to pay attention to the alcohol abuse. In this way, the real cause of the problem might be eradicated.
One of my friends, a general surgeon with more than 30 years of experience once confided to me that, in retrospect, he felt most of the surgeries he had performed might better be classified as excisions of the vocal apparatuses of his patients' inner selves. By removing certain organs or tissues, he believed he was eliminating the bodily voices that were trying to focus attention on the source problem.
Going back to our patient with the hemorrhoids, if they are removed, yet the alcohol abuse continues, the inner self has no choice but to select another organ as an attention-getter. The next target might be the gallbladder, which the surgeon might then need to remove because it becomes full of stones.
So, now we have a heavily drinking patient without hemorrhoids or a gallbladder who still has little or no idea why he's abusing alcohol. Perhaps he's using it to escape feelings of guilt one of his parents instilled in him when he was a child. Whatever the case, if the issue is left unexplored and the abuse continues, eventually the liver function will once again falter.
When such a case of deterioration continues, the inner voice of the body's wisdom will feel an increasingly urgent need to contact the patient's conscious mind. You might even see varicose veins develop in the esophagus. Now the situation is life-threatening, requiring internal medicine specialists and surgeons to co-manage the process. Once the veins are surgically dealt with, there might be little remaining that can be removed except the liver itself, in which case a transplant would be necessary. Usually, though, the internist must support the abused liver until death takes over.
Now, let's backtrack a bit. Somewhere along the line, a psychiatrist might have been called in to deal with the alcohol abuse. Or perhaps by now the patient is believed to be suicidal. In either case, most of the drugs prescribed by the psychiatrist will probably have both mind-altering and hepato-toxic (liver-poisoning) qualities. So the inner voice has even less of a chance to communicate with the drug-compromised mind about the reason for the alcohol abuse. And the liver function will be further impaired due to the toxic nature of the drugs.
What might we expect from such a scenario? Most likely, premature death. The cause would probably be recorded as liver failure due to alcohol abuse. But from our perspective, it might be just as accurate to say the patient died from a hemorrhoidectomy thoughtlessly performed without having searched for an underlying message. Or, we might consider the death due to the second excision of the inner voice that was attempting to speak through the gallbladder.
Becoming aware of this inner voice is what I mean by self-discovery that leads to self-healing. In the case I just outlined, treatment not only failed to make the patient aware of the inner voice, it ultimately suppressed it. This led to a self-perpetuating cycle of deterioration.
Short of a miracle, the process probably was irreversible once the varicose veins developed in the esophagus and the brain was numbed with mind-altering drugs. After all, what chance does the inner voice have against an onslaught of modern surgical technology and psychopharmacology?
Of course, a myriad of health approaches and philosophies have been created in response to the failure of traditional curative methods. Therapeutic massage, meditation, exercise, nutritional therapy, herbal therapy, homeopathy, acupuncture, manual medicine, rebirthing, counseling, primal scream, CranioSacral Therapy, SomatoEmotional Release and biofeedback, to name a few. Although outwardly different, each of these systems facilitates the self-discovery that leads to self-healing.
When considering how the process of self-discovery works, it's important to remember our self-image constantly is changing. It seems the closer our perception of self approaches the truth, the deeper becomes our capacity for self-healing. When there is a close correspondence between self-image and trust, our self-healing power may be virtually unlimited, capable of producing the "miracle cure."
That's why, as a therapist, your main responsibility is to help the patient develop a truer (more accurate) self-image. You must become an accurate reflecting mirror - a medium through which the patient's real self can be perceived more clearly. You must be an unbiased facilitator, understanding the patient's true self-image might not be compatible with your preconceived notion of the problem.
When you release any ego-based tendency you might have to engage in dogmatic symptom classification, you can become a clear, reflecting medium that ultimately permits no illusion, delusion, camouflage or facade. Then, and only then, can you and your patient both discover the truth.
As a facilitator, you also must not force too much perception of truth at one time. Otherwise, you run the risk that the patient will turn away from his own reflections. You must be a very sensitive mirror, reflecting only as much as the patient is able to deal with at any given moment. Still, you must reflect enough to prevent stagnation and keep the self-discovery process moving forward.
The art of therapy is in sensing how rapidly the process can move without turning the patient away, and in allowing the patient to make his own discoveries. This requires you to avoid suggestion and leading. It also involves connecting with the patient at a nonconscious level. The process of self-discovery might continue with or without words. I wish you well as you continue to weave the Golden Thread throughout your therapy.
Editor's Note: Part Two of "Truth: The Golden Thread" will appear in the July issue of Massage Today.
Click here for previous articles by John Upledger, DO, OMM.
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