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News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
December, 2012, Vol. 12, Issue 12
Dealing with Clients Who Put Themselves Down
By Ben Benjamin, PhD
Anyone working in the helping professions is bound to encounter individuals who are highly self-critical, continually describing themselves as flawed or deficient in some way. As massage therapists, we might hear clients say, "I'm horribly out of shape" or "I know I should stop being so lazy and take better care of myself."
There are two types of problems with this type of thinking. The most obvious problem is an emotional one. Having negative thoughts about oneself tends to generate negative emotions — sadness, frustration, hopelessness and even despair.
Less obvious are the practical consequences. When people blame or attack themselves, they make it more difficult to understand and resolve the challenges they're facing. Vague, accusatory generalizations like, "I've been irresponsible" or "I'm so out of shape," distract the person from the specific facts that they feel badly about, such as not exercising at all for the past week, or being unable to climb stairs without getting out of breath. It starts to seem as though they need to make a profound, global transformation either in their personality (somehow becoming a responsible person) or in their body (somehow becoming "in shape"). That's a daunting prospect.
In our role as health care practitioners, we have an opportunity to help our clients approach these issues in a more constructive way. To do that, we need to resist the temptation to simply disagree with them ("No, you're doing great") or to criticize their thinking ("You're way too hard on yourself"). These responses can either lead to an argument ("You're just saying that to make me feel better") or give the person more fuel to attack themselves ("You're right; I need to have a more positive attitude. I've always had low self-esteem").
Instead, our task is to refocus the conversation. Help the person to identify the specific facts that are bothering them, and then problem-solve what they could do about them. Suppose they've fallen behind on exercising. You might help them to consider which factors in their life have supported regular exercise (such as having a workout partner or setting a regular time to exercise each day), and which have stood in their way (perhaps their workout partner moved away, or a work commitment has interfered with their regular exercise time). With these specifics in mind, they'll have a much easier time coming up with solutions — such as finding a new workout partner, setting a new time to exercise and so on.
Encourage your client to come up with these ideas themselves rather than simply giving your own suggestions. In that way, you can help them shift from feeling helpless and ineffective to being empowered to make positive changes in their life. In my own practice, I've often found that gently guiding individuals to strategize about their problems — rather than simply blaming themselves for them — is one of the greatest contributions I can make to their long-term health and well-being.
Click here for more information about Ben Benjamin, PhD.
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