Dear All
My computer recently crashed and I am weeding out the info requested. I will
send the reference list and abstract to my study. I want to be sure it is
KAK free as it was this little vermin, that caused my woes in the first
place.
To answer Joes points.
Yes I broadly work on Dicke and Ebners principals. I start with the basic
section as in my experience it is the least provocative. To those not using
CTM it is an area approx covering sacrum, buttocks and Lx. Many patients
will obtain peripheral changes just doing this area, including upper limb,
head and face.
The Tx is generally the most provocative and must be handled with care, it
can elicit unwanted reactions eg visceral, lung, nausea etc. In broad terms
I hypothesis/diagnose visceral reactions, eg bowel, bladder, persperation,
heat, 'heart burn' etc, all of which can be influenced one way or another
and many more. I do not say, your problem is with your liver, just that your
digestive problems may be part of the syndrome you are experiencing. These
are after all are components of the autonomic system and can be symptoms to
change in the same way pain, oedema, trophic skin changes etc can be.
I was a little worried recently that on a profiling questionairre, these
reactions are diagnosed as altered psychosomatic reactions, ie suggesting a
strong psychological overlay. Undoubtedly this mechanism plays a part in our
treatment and some patients need to be handled exclusively wtih it, but the
wider nuiances of the autonomic presentation may be being overlooked. This
becomes an impossible argument, as successes with a manual approach my be
labelled as placebo, or the therapist being unwittingly a good amateur
psychologist.
Perhaps the biggest challenge to pyschology is the reversal of a previous
diagnosis; has anyone known this to happen?. Ie a psychologist saying ' you
know I said you were a depressed attention seeker, sorry I was having an off
day, it is this instead. A
100% diagnostic success rate always makes me suspicious.
I do sometimes break the Dicke rules, in the limbs only, if I feel the
autonomic disturbance is relatively stable and not severre. I always tell my
patients my findings/feelings as to their problem and ask their permission
prior to use. To not do so would be professionally dubious from a moral and
perhaps legal perspective. Something, I hasten to add, non physios may not
be operating in this way. The final choice after all, is with the patient,
it is their body afterall.
Hope this answers a few points. Regards Kevin
----- Original Message -----
From: Joseph Beatus <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, November 10, 2000 1:40 PM
Subject: RE: Connective Tissue Massage
> Dear Kevin: In treatment, do you begin with a basic section? do you follow
> Dicke or Ebner's approach to tissue response? Do you diagnose autonomic
&/or
> internal tissue disorders? do you inform the patients re above?
> I considered not teaching the material (introductory only) any longer, but
> your comment is of interest.
> Joe. ps would like ref list MY email: [log in to unmask]
>
>
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