resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
AAAOM – The Beginning of the End (Part II)
In 2012, the AAAOM board members met in Chicago for their annual meeting. The goal was to come to a consensus on a long list of issues the AAAOM needed to work on including a functional board and budget.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
September, 2012, Vol. 12, Issue 09
Compassion Really Is Good Medicine
By Ann Catlin, LMT, NCTMB, OTR
Some think compassion is an attribute reserved for spiritual leaders. But compassionate presence isn't just reserved for people who travel a moral high ground. It's something we all can cultivate and draw upon when life calls us to the bedside to care for someone in need.For massage therapists, compassionate presence is both a personal quality and a professional skill that has an increasing relevance in today's health care.
There are various definitions of compassion. Benevolence and loving-kindness are other words that describe this heart-centered human experience. All the definitions have, at their core, this commonality: compassion is heartfelt concern for the suffering of another, or one's self, coupled with feeling moved to do something to bring about increased wellbeing for the one who is distressed. I'm sure we can all think of times when we experienced compassion: with a client, with a loved one, with a pet, with the homeless old man on the sidewalk. We would likely all agree that it's good to feel compassion. Scientists are interested in the impact of compassion and they're finding that it's, well, good medicine!
Interestingly, the study of compassion is thriving. The Center for Compassion and Altruism Research and Education within Stanford University's School of Medicine conducts scientific studies of compassion and altruistic behavior. Researchers here are finding that compassion lends itself to being measured. Scientists are looking beyond Western "hard science" — traditional, biological science — to see what they might learn about human behavior and emotions from other paradigms, especially heart-centered ones such as Eastern philosophies. Neuroscientists are using brain studies to look at how compassion affects us biologically.
Antonio Damasio, Professor of Neuroscience at the University of Southern California, reports that emotional states are created by brain activity in the hypothalamus, basal forebrain and brain stem primarily, plus they rely on the release of neural chemicals. For example oxytocin, a peptide, known as the "care and connection" hormone, which is stimulated by touch and physical contact. Evidence also suggests that brain measurements don't show much difference between a person suffering extreme pain and the person who witnesses such an experience in another.
Research conducted by Richie Davidson, founder of the Center for Investigating Healthy Minds at the University of Wisconsin reveals that when people experienced in mediation witness people suffering, MRI scans show increased brain activity in areas related to nurturing and social connection. When people who do not meditate observed the same suffering, their brain activity increased in areas related to more negative emotion such as sadness or aversion, resulting in their wanting to leave the situation. When this second group was taught and practiced loving kindness meditation, their brain scans revealed changes similar to the first group.
A study published in the Journal of Clinical Oncology showed that 40 seconds of compassionate communication from a physician could reduce anxiety among breast cancer patients, as well as increase the patient's confidence in the doctor and positively impacted the doctor-patient relationship. If you've been to a doctor's appointment recently, you've likely noticed the ever-present computer screen in the room and the doctor's attention is focused on the screen for, at least, part of the visit. While I understand the efficiency of electronic documentation in health care, I fear that this procedure is one more insult on an already fragile doctor-patient relationship in modern health care. I appreciate the work of Paul Tournier, a Swiss physician and proponent of "medicine of the person," an attitude emphasizing that attention be given to the holistic nature of health problems. This approach places the person on the same level as technique or theory. It embraces dignity, suffering, intact abilities, acceptance, validation, intuition and purpose. Dr. Tournier encouraged authentic communication with patients and recognized how it could improve the experience for healthcare professionals helping them to find greater satisfaction in their work.
Cultivating Compassionate Presence
For years, I've made the point that compassion is a natural human quality that is omnipresent and that we can bring it forth with intention. Because I'm in the process of cultivating my own awareness, I enjoy finding guidance from the masters. In a conversation between The Dalai Lama and Paul Ekman, a prominent American psychologist and researcher, they agree that compassion is cultivated through training rather than it being a spontaneous emotion. Ekman believes that compassion is different from emotion. He explains that emotions arise spontaneously and that we are born with the capacity to experience a range of emotions. But compassion, he claims, needs to be cultivated if we are to extend it in the world. Once we have integrated compassion into our world view, we are more likely to automatically respond compassionately, even to strangers. With practice, as in meditation, compassion becomes a part of our permanent nature and then arises more spontaneously. There is a myriad of heart-centered mediations. I've modified this one that's taught by Jack Kornfield, a leader in bringing Eastern meditation practices to Western culture. The intention is to bring the mind and heart together.
Practicing Compassion Meditation
Sit comfortably. Be in your body and focus your attention upon your breath. If you wish, place one or both hands upon your heart center. First, you will direct loving kindness to yourself.
Picture two or three people who care about you. Imagine them looking lovingly at you. These might be people in your life now or in the past or even spiritual figures. What would they wish for you? Repeat these simple phrases imagining they were saying them to you.
How does that feel? Notice what arises and remain centered. Try not to judge any thoughts, but simply let them pass through your mind. Most loving kindness meditations use the word "I" where I've used "you." The reason I've suggested it this way is that I've found in my own practice that it's powerful to accept loving attention from others. You can substitute the words so that they resonate for you.
Now picture someone you would like to send compassion to. It might be someone you are close to, a client or a stranger. It might even be someone you are having a challenge with. Repeat the same phrases, directing them to this person. You might even hold a photo of the person in your hands.
Again, sit for a few minutes simply noticing anything that arises. To end, take in a deep, cleansing breath and bring your awareness back into your body. Offer thanks for the experience in whatever way you wish.
Touch is Person-Centered Care
I believe massage therapists have the power to offset the impersonal nature of healthcare today. We carry the torch of Tournier's vision of person centered medical care! Our service is sorely needed in hospitals, eldercare, homecare and hospice where so many people feel lonely, helpless and broken. We can do a lot to offset these feelings and offer a sense of well-being in their place. There are times we can draw upon simple techniques combining compassionate presence with touch. The following focused touch technique can be used anytime you are called to the bedside. Let's say a 72-year-old woman has been coming to you for three years for massage. You get a call from her daughter telling you that your client has had a serious stroke and now she's in the hospital. Could you please visit her there? As you walk through the hospital, you feel nervous and many thoughts are running through your mind. What will she be like? I know I can't massage her like before, so what can I do? Will she be in pain? Will I be sad to see her this way? I feel so bad for her. What should I say?
First, it's important to center yourself before you enter the room. This helps to focus your attention and calm you. You are touching her with your presence and energy just entering the room. So take a deep breath and ground yourself.
As you walk into the room your client (friend) appears to be sleeping. There are monitors attached to her and an oxygen tube at her nose. You might feel a little stunned to take in the scene. It's a normal reaction to be a little shocked. You decide not to wake her but rather sit quietly in the chair across the room and while sitting there you feel sad and a little afraid. This is exactly the kind of situation where the compassion meditation can serve you well. Compassionate presence informs you and leads to the next right action. Now you are ready to offer the gift of your touch.
This simple technique is especially useful when you are with someone who is seriously ill. Focused touch is a powerful expression of compassion when words are lost, creating a sense of well-being and decreasing feelings of loneliness.
Stand at the bedside. Gently place one hand either under her hand or upon the forearm. Then cradle the shoulder with your other hand. Simply hold her while silently saying the compassion meditation, directing the words to your friend. Presence will inform the quality of your touch. To close, slowly release the touch, keeping your attention on your friend. Offer thanks for the experience.
In closing I send these thought to you: May you be well and live your life with ease. Thank you for the opportunity to assist you on your path of service. Pass it forward!
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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