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East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
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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