resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
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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