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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.
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.
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.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
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.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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."
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
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.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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.
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.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
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!
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.
July, 2006, Vol. 06, Issue 07
Truth: The Golden Thread, Part Two
By John Upledger, DO, OMM
Editor's Note: Part One of "Truth: The Golden Thread" appeared in the June 2006 issue of Massage Today. Visit www.massagetoday.com/archives/2006/07.html.
My primary goal in every therapeutic session is to be a clear facilitator for the patient's self-discovery.As I wrote in my column in the last issue of Massage Today, truthful self-discovery is the Golden Thread that runs through all therapies designed to help patients achieve permanent recovery as well as spiritual growth.
My own therapeutic style involves using physical touch to establish a connection with my patient's nonconscious mind. Other types of therapists might facilitate this connection by other means, but for me it's the act of physically contacting my patient that allows me to establish this connection.
As I blend with a patient through touch, I make every effort to remain open to any perceptions, sensations or insights that might penetrate my conscious awareness. I believe every organ, tissue and cell has its own consciousness, yet their "voices" are usually not within the scope of the patient's conscious awareness. When I remain open as the facilitator, I often receive information from these parts. Their messages might enter my conscious mind as pain in my own body, as visual images, as verbal messages, or sometimes just as a sense of knowing that seems to circumvent usual channels of communication.
For example, our patient with the liver problem from alcohol abuse in part one of this column might cause me to experience discomfort in my own liver. Or, I might see a visual image of a damaged liver, or hear his nonconscious voice telling me his liver is damaged. Then again, I just might inexplicably "know" this patient is a problem drinker due to parent-instilled guilt.
In whatever way I receive the information, my goal is to help the patient through the process of self-discovery. Because what's important here is that he knows what originated the symptoms, why they came about and why these symptoms continue to exist.
However, I don't feel it's in the best interest of the therapeutic process to simply disclose the information as I receive it. If I disclose it prematurely, the patient probably will become defensive, which can impair and even halt the therapeutic process. The possibility also exists that I'm coloring the information with my own biases, prejudices, experiences and projections. On the other hand, if I wait for the process to unfold from the patient, error usually can be avoided. After all, the goal is for the patient to paint his own truthful self-portrait.
So again, I stimulate this process of therapist-patient communication by the act of touching with the sole intent to assist in the healing process. This communication, initially on a nonconscious level, usually emerges into my conscious awareness. Then it's my job to help the patient develop his own awareness of the information received. When the patient is consciously informed, then he can do something about the source problem.
That's why in my own practice, I work hard to reflect a true picture and to be an honest, yet sensitive mirror. Instead of blurting out something like, "I'm getting a message from your liver," I would simply follow the bodily cues that lead me to that area with my hands. Then I might say something like, "Hmm, I feel drawn to this area. I wonder why." If the patient doesn't respond, I might even take it a step further and say, "What do you think this is about?" or "Do you have any thoughts about what might be going on in this part of your body?"
Wherever our dialogue takes us, I never want to lead the conversation or make the patient feel compelled to please me by giving the answers he thinks I want. And he doesn't have to see the truth all at once. But I also don't help perpetuate the illusion, unless it's a rare case in which it seems vital that the patient maintain the illusion. Even then, I only do it for the time necessary for adaptation and growth to occur.
Now, here is another critical point to keep in mind. Even when self-discovery has resulted in genuine self-healing, it may or may not produce a cure or complete elimination of symptoms. True healing goes deeper than symptoms; it involves getting clear about your real identity and your purpose in life.
For this reason, healing sometimes might mean spending the rest of your life in a wheelchair if that is how you can best perform your life task. The important thing is for the patient to recognize this is how it's supposed to be, so he can learn whatever he needs to learn about himself in the process. Similarly, healing might mean recognizing that it's okay to die. It might mean the conflicts and problems posed to the patient have been resolved so he is now free to leave this environment.
Thus, the successful therapeutic process does not necessarily produce comfort, ease, muscular strength, prolonged life, or any of the other things our Western medical tradition holds as evidence of healing. Effective therapy does, however, give the individual patient a clear vision of what it is he or she needs to do, as well as the strength of mind, body and spirit to do it.
Eliminating delusion and self-pity and helping patients prioritize and refocus their lives so they can grow are the ultimate goals of CranioSacral therapy. That's why your most important role in the therapeutic process is your ability to reflect the Golden Thread of truth to your patients. For it truly is the truth that sets us free.
Click here for previous articles by John Upledger, DO, OMM.
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