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Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
January, 2012, Vol. 12, Issue 01
Desexualizing the Touch Experience, Part II
By Cherie Sohnen-Moe
In the March 2011 issue of Massage Today, I wrote about the importance of desexualizing the touch experience and the proactive measures to help prevent clients from crossing your boundaries.I focused on the steps you can take to project a non-sexual image in your marketing materials (business name, email address, brochures, business cards, website) and telephone conversations (creating scripts and handling inappropriate calls). In this follow up, I would like to explore ways to create a safe space and desexualize the massage experience with clients.
Your appearance is an outward representation of your professional standards. Make sure your image projects competence and doesn't sexualize you. Dress appropriately for the working environment, maintain good hygiene, keep jewelry to a minimum, don't wear heavy perfume or cologne, and avoid provocative or revealing attire. Some examples of inappropriate clothing are: tank tops (especially for women); short shorts; shirts that show cleavage; shirts that expose the midriff; shirts that have questionable statements or provocative images; tight pants. Remember, your attire isn't meant to be a distraction or a loud statement.
Office space varies from a room in a professional complex, a free-standing building, a clinic, a spa, to a home office and mobile on-site locations. Many practitioners work in several types of office spaces.
Practitioners often choose an office location based on what's close to where they live or where they can find a good deal. From a marketing perspective, choose a location that's convenient to the majority of your target markets. Most importantly, choose a location where you and your clients feel safe. Check out the location at different times of the day. This is particularly crucial if you plan on being open in the evenings or on weekends. For instance, let's say you are considering renting space in a large complex. During the days there is a constant flow of people in and out of the building. This feels really good to you. You drive by at night and you only see one light shining in a window and a single car in the parking lot. That sight most likely doesn't elicit feelings of safety or comfort.
Establish a professional space. Sight, sound, smell, touch and imagination all have the potential to arouse. Often times practitioners attempt to set up a very relaxing space with dim lights, candles and soft music. These can be wonderful, but they can also send confusing messages — particularly to new clients or people who are in a vulnerable state in terms of their romantic relationships. Ideally, start with the room fairly well-lit and ask clients if they want the light dimmed. You can also offer them an eye pillow. Choose music that is soothing, without being sensual or romantic. You can never know what scent might trigger a sexual response in clients, but in general, avoid heady aromatherapy scents such as rose, musk and patchouli. In general, it's wise to be judicious with scents, as many people have allergies and sensitivities to fragrances.
Create a comfortable, yet professional treatment room. Use high-quality equipment and supplies. Keep extra linens handy for additional draping needs. Consider hanging anatomical charts and other posters that are health related. Limit your displays of personal photos and keepsakes.
When doing outcalls, set up a space that feels like an office. I recommend you have a hard case on rollers that holds your supplies. When you set up the table, also arrange your supplies on top of the case. This helps to make the space look a bit more office-like. Avoid setting up your treatment table in a bedroom unless you are working with an injured or ill client.
General Safety Precautions
If you feel threatened, leave the room and call the appropriate authorities. If you are in a spa or clinic, go directly to the front desk. If you are in a private office, leave the building. If you are doing an outcall session, leave the premises — you can return later, accompanied by someone, for your equipment and supplies. (See the September 2010 Issue of Massage Today, "When a Client Crosses the Line," for detailed information on this safety precautions.)
The manner in which practitioners interact with clients holds many potential cues. Depending on the actual type of hands-on treatment, the specific factors that could allude to sex include: degrees of nudity; the manner of draping; the positioning of the client; the type of touch; and lubricants such as oils and creams.
Many factors effect how a client reacts. Set the tone for professionalism from the outset. Greet clients with a smile and a handshake. Use appropriate language. Make sure that your words can't be easily misconstrued as suggestive. Choose words carefully when describing a client's body and use proper terminology for anatomical structures. Also, be conscious of body language: sometimes just a smile can make a client feel aroused or even scared. Immediately take control of the situation if a client attempts to sexualize a session verbally or physically (see September 2010 Issue for tips); don't let it escalate.
Do thorough pre-treatment interviews on first visits. Discover clients' long-term goals, as well goals for the current session. Work together to determine the course of treatment. Next, explain what is going to be done and why. Obtain written informed consent in the first session and additional consent when changing a treatment plan or working on or near sensitive areas. Keep accurate records and let clients see that you document your sessions. Give explicit instructions regarding the articles of clothing to be removed and the draping procedures. Allow privacy for disrobing.
Express confidence in your work. A hesitant touch could be easily misinterpreted. Apply lubricants with a firm touch and avoid dribbling them. Also, be careful about body contact during sessions. Avoid stray touching or movements. Position yourself in a manner so that only your extremities come in contact with clients' bodies.
Massage therapists are responsible for creating and maintaining a safe environment for clients and themselves. This is done by proactively working to ensure that the touch experience is not sexualized. While the tips in this article can't guarantee that a client won't get sexually aroused or act inappropriately, they set a foundation for a professional, safe, desexualized environment.
Click here for previous articles by Cherie Sohnen-Moe.
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