resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
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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