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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, 2013, Vol. 13, Issue 12
Gathering the Right Information: Knowing How to Receive Feedback
By Ben Benjamin, PhD
Receiving feedback can be a stressful experience for all of us. There's always a chance that we'll be told something that hurts or surprises us or that we don't want to hear. While you don't have full control over the way feedback is given, you can still take steps to help move the conversation in a positive direction.If the feedback is unsolicited, notice whether you feel comfortable receiving it in the current situation. If you feel rushed, distracted or upset, ask to postpone the discussion.
As you receive feedback, make an effort to gather the information that will be most useful to you. If the person is not providing all the facts you'd like to hear, ask for them. For example, suppose you ask a client for feedback on your work with them and they respond with an opinion: "You give a great treatment." While this may feel good to hear, it's unclear exactly what the person means. Try asking for more specific details about what they've felt or observed. You'll learn much more from facts such as, "I like your treatment because you give exactly the amount of pressure that I feel I need, when you work deeply you don't hurt me, and I'm never sore after I leave."
When the feedback is critical, work to fully understand what the client is saying before sharing your own thoughts on the issue. Ask the person to give you small amounts of information at a time and paraphrase what they say to verify that what you're hearing is what they intended.
Sample Dialogue: Feedback from a Dissatisfied Client
Client: Oh no, is that it?
Practitioner: Yes, that's the end of the session. It sounds like you're disappointed. Is that right? [Clarifying what the client said.]
Client: Well, yes. I had asked you to focus on my back and you didn't spend much time on my back at all. You just kept working on my feet.
Practitioner: You're right, I did focus more on your feet and I didn't explain why or ask whether that was okay with you. I'm very sorry about that. [Apology] I was using a reflexology technique that's designed to relieve back pain through certain points on your feet. [Clarifying facts.] Does your back feel any better?
Client: Actually, I guess it does. I don't know if it was that foot thing, though.
Practitioner: I'm hearing that you're not sure whether my work on your feet was helpful. Is that right? [Clarifying what the client said.]
Client: Yeah, I can't really see how that would affect my back.
Practitioner: I felt the same way when I first learned about reflexology; it's very counterintuitive to think that working only on your feet could affect a part of your body that's so far away There are a number of different ways I could work on your back and I want to be sure you're comfortable with the methods I use. Would it be helpful for me to give you something to read about reflexology, as well as the other techniques I offer? Then you can make a fully informed decision about the type of treatment you receive. [Proposing a possible solution.]
Client: Yes, I'd like to look at that information.
Practitioner: Great. I'll gather some articles for you. And I want to thank you for speaking up when the treatment wasn't what you expected. [Thanking the client.] If anything about a session is ever disappointing to you or doesn't feel right, please let me know and I'll do my best to address it.
Points to ponder
If this client had not given any feedback, how might their unspoken dissatisfaction have affected the therapeutic relationship? How might the relationship have been affected if the therapist responded defensively?
Editor's Note: Adapted from the new forthcoming edition of The Ethics of Touch by Ben E. Benjamin and Cherie Sohnen-Moe.
Click here for more information about Ben Benjamin, PhD.
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