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What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
June, 2012, Vol. 12, Issue 06
When a Question is Not a Question
By Ben Benjamin, PhD
If you have a good working relationship with your clients, odds are, it's because you can speak openly to one another. Besides your hands, clear communication is the most effective tool you have to help your clients.By learning some simple steps, you can elicit ways to help them far beyond reducing their muscle tension, anxiety or pain. As in any conversation, the questions you ask are critical to obtaining the information you need to create an honest and effective relationship.
In my new book, "Conversation Transformation: Recognize and Overcome The 6 Most Destructive Communication Patterns," I discuss the four categories of questions that people ask. Two are useful when employed in your practice, and two are not, because they don't provide any useful information. This second type of question only serves your purposes, usually unconsciously, not that of your client. The two types of inquiries that will lead to frustration are leading questions and righteous questions.
You may ask more of these in your daily routine than you realize. These are opinions in question form, implicitly seeking agreement rather than new information, or no information at all. "Doesn't that stretch feel great? All my clients love it." Or, "Don't you think it would be better if you were not sitting at your computer all day? That's the problem most people have." With a leading question, you're conveying to your client that you want agreement with your assessment, rather than learning more about his or her individual needs.
These are attacks in the form of questions, expressing blame or indignation. Although you're not likely to ask a blatant form of a righteous question, like, "What were you thinking?" A more subtle version might be asked without your realizing the impact like, "Don't you realize what all that stress is doing to your body?" Your clients are looking to you for help in dealing with stress or a chronic problem. A righteous question chastises them for their lifestyle or blames them for what they probably realize are stress-inducing practices. These types of questions are likely to make your clients feel worse about themselves when they're coming to you for help and relief. The attacking nature of these questions is usually in the voice tone.
The two types of questions you DO want to ask, because they will elicit the kind of information that might help you to get to know your client better are broad questions and narrow questions. This may sound counter-intuitive, but both of these types of inquiries invite thoughts, proposals, conclusions and opinions that you may not have considered. First, is the open-ended question.
This is the largest possible funnel for information. You define the topic of conversation, but you don't put any limits on what the client might say about the topic. If you ask, "Before we begin the session, tell me how you are feeling?" You may get more insight than you expect. You might also be able to determine what's stressing them that could lead to fear, anxiety or prevent their body from healing an injury. You can narrow a broad question without getting too specific and your client will be able to give you a more specific answer in reply. For instance, you could ask, "Tell me how your new exercise program is going? Or,"How are you feeling about our work together?"
This is a much smaller way to funnel information. The answers are now strictly limited to "yes" or "no," or an isolated piece of data. You are asking for specific information like, "On a scale of 1 to 10 how much pain are you in now as opposed to two weeks ago?" If you turn a narrow question into a leading question, where you "lead" the client to a specific answer, the funnel gets even smaller. "Isn't that injured knee much better?" is a narrow and leading question that leaves only one acceptable answer, agreeing with you. While it's okay to get specific about determining your client's real needs, using broad questions will often help your client open up to you and feel comfortable being honest and forthright. Like most successful relationships, there has to be give and take, and your client needs to feel safe and free from judgment.
Remember, with most leading questions, and all righteous questions, the funnel for information is fairly blocked. Keeping your communication pathways open will serve you well. Open lines of communication are critical to creating a good client-therapist rapport, but they're just as important in all of your relationships.
Click here for more information about Ben Benjamin, PhD.
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