Managing our practice right now is an unfolding process. How do we coordinate our efforts with others in the profession when most of the time we’re working one-on-one with clients? How do we consider the risks and benefits of our actions during this time? For ourselves, our clients, and on behalf of the larger circles we live within, from neighborhood to herd?
To close or not to close?
We’ve employed a mixed ‘strategy’ of having clients cancel as each appointment nears and of canceling sessions ourselves. We’ve been taking it a few days at a time, rather than making a bolder decision to close outright for several weeks to a month. For our circumstance, that’s been workable. I also know of practitioners who have decided to simplify the process by closing for an extended time. Either way works.
It’s most important to understand that this is all of us exercising our boundaries. Our work is best offered and received within a mutually safe relationship. In this we’re a bit different from some HCPs; we have an unusual degree on interface — physical, temporal and emotional — with our clients. So it has to feel right for all involved.
Opening up again: when and how?
I think this will be an interesting and possibly more complex set of decisions. Here’s how I’m thinking about it at this point:
• Making myself available to those whose need is great
Next week, I’m going to see people who are in high need. As alternative health care providers, we can remain open. Whether people’s concerns are long standing or reflect their experience during C-19 time, our work can help: decreasing aches/pains, increasing relaxation and sense of well being, and supporting the immune and autonomic nervous systems. Offering our clients a sense of well being while supporting their health through touch is the heart of what we do.
• Being more vigilant about the practice space
Wiping down surfaces, washing sheets with hottest water, wearing masks if we have any concerns about our health or theirs. (Given the shortage of surgical masks, this week, the CDC has expanded its recommendation to include cloth/homemade masks.)
• I’m getting better at not touching my face
But that has been a hard one for me! So I continue to adjust my habits. I’m sitting on my hands while listening, instead of putting my hand under my chin or touching my closed mouth.
• I’m getting clearer with clients about my needs (though by this point, most people are on board): “If you’re sick, at all, please stay home. Let’s reschedule.”
• Seeing fewer clients in a day than I was before
Touching people in distress, anxiety and fear takes a toll on us. During this time when anxiety is raised, it’s especially important for us to take care of ourselves — even more than usual. Walks, breaks, play, time off, nutrition, sleep, whatever helps you stay balanced and healthy: please do it, and do it some more!
That’s it for now. In a few weeks, we’ll all know more. Take care til then!
Here we are in the land of COVID-19 — such an unusual time! As the onset of social distancing settled, I began taking notes about any number of topics. My aim to begin blogging again, to help clarify my thinking, to share discoveries and insights and to give myself another creative outlet while my usual ones (practice and teaching) are on hold.
Early on, I realized how often in the past several years I’ve complained of not having enough time, spacious time, for all sorts of projects and play time. And here, now I have the time. One such project: a stack of National Geographic, gathered over 8 years time — kept for collaging and such a fun source of wonder and world events. Here’s a fun image that made me chuckle.
What to do with mouth and nose covered? We’ve got eyes and ears!
I love the waiting in this image, the bulk of the hippo under the still, clear surface. It reminds me of times taking baths as a child, submerged and warm, staying in the water til my fingertips wrinkled. As a child, the bath was one of the quiet places, private places that I enjoyed separate from my siblings. And now, I’m doing this work with the body that is so oriented to water imagery, the fluid body and its patterns. Taking baths is one way that I’m staying connected to body, to the fluids and to stillness — as well as the child-like freshness of discovery that comes with healing.
We’re getting ready to travel to Breitenbush Hotsprings for the Pacific Northwest Massage Practitioner’s Retreat on July 13-16, 2018 in Detroit, OR. We’ll be presenting gentle and effective ways to balance the “lozenge” in our torso (a.k.a. the ‘core’) using Myofascial Balancing assessment and manual techniques. The retreat is superbly organized and hosted by Brian Utting’s Pacific Northwest School: http://pnwschool.com/BreitenbushRetreat
Then later in July, we fly east to Walpole, ME to participate in Tom Myers’ Summer Advanced Training series. We’ll be offering Balancing the Face for Structural Integration on July 28-30. This 3-day class focuses on bringing freedom of movement and alignment to the facial bones (including intranasal work), tongue, deep layers of the neck and cranial base and membranes. We’re already seeing registration from the U.S. and several other countries, with many different modalities represented — it’s sure to be a great conversation. Here’s more information:
Hope to see you in either locale!
This spring, I decided to take a series of craniosacral classes taught by my favorite teacher, Lauren Christman. It’s her first time around running a program like this—but, of course, she’s highly experienced in this modality, in teaching, and in curriculum design. I’ve already learned a lot…
Recently, my friend Karen Clay introduced me to a little book of posture and movement cues called Stack Your Bones, by Ruthie Fraser, a Structural Integration practitioner and yoga teacher. It’s a charming book of brief insights, not a narrative. I like it a lot. It’s one of the few books about posture I’ve looked at that doesn’t “rub me the wrong way.”
My favorite idea in the book, so far, is on page 85, entitled Align and energize your body’s inner domes. I’ve long been familiar with aligning inner domes, but I had never considered this final one: “Invite your soft palate, behind the roof of the mouth, to stack on top.” It’s the best idea about balancing the head that I’ve encountered.
In the last month or so, I’ve had the opportunity to teach two classes using an updated model of direct technique, and it’s been quite lovely. I’ve changed 2 distinct things: using a spiral/counter-spiral test to refine any given technique (as I mentioned in my earlier post, The magic of precision), and using a new scheme of categorization for techniques (which I had simply never tried before). The result is that the teaching feels clearer and simpler than ever before.
And it’s so much more: at first, I thought that these changes would only help me teach. Now, I see that the work is better than ever, and I’m finding more “new” moves than I’ve found in years. Amazing.
This year, the WA State Board of Massage enacted a change to our professional credential: from licensed massage “practitioner” to licensed massage “therapist.” Besides the linguistic hitch of remembering to say or type a different word, is there a difference?
There’s Shakespeare’s “What’s in a name? That which we call a rose by any other name would smell as sweet.” (Romeo & Juliet) We could argue that many people already have a vague or simplistic understanding of what massage is, so the name change doesn’t alter the need for public education about the what massage is and isn’t.
When I first heard of the name change, I’ll admit, I inwardly rolled my eyes a bit: ‘here’s another set of administrative editing and reprinting I have to do.’ (Editing, like any other chore, which actually only took about 1/10th the time that my resistance imagined. Ha!) As I’ve been sitting with it, however, I’m now glad for the title change.
While I liked the emphasis on ‘practice’ that our previous title held, I’m glad for the alignment of our title with the intent of our work: therapy. The definition: treatment intended to relieve or heal a disorder. (In another post, I’ll take this a step further: what’s the distinction between orienting to the disorder and orienting to the health within the system.)
Whatever the method — and there are so many good methods that achieve positive change — what we have in common is using our touch (through hands, sometimes forearms or feet!) to help others heal from injuries or insults, expand their body’s expressiveness or strength, and live with a more complete and vital relationship with their bodies. As Marge Piercy writes, in her poem:
To Be of Use
The people I love best
jump into work head first
without dallying in the shallows
and swim off with sure strokes almost out of sight.
They seem to become natives of that element,
the black sleek hand of seals
bouncing like half-submerged balls.
I love people who harness themselves, an ox to a heavy cart,
who pull like water buffalo, with massive patience,
who strain in the mud and the muck to move things forward,
who do what has to be done, again and again.
I want to be with people who submerge
in the task, who go into the fields of harvest
and work in a row and pass the bags along,
who are not parlor generals and field deserters
but move in the common rhythm
when the food must come in or the fire be put out.
The work of the world is common as mud.
Botched, it smears the hands, crumbles into dust,
but the thing worth doing well done
has a shape that satisfies, clean and evident.
Greek amphoras for wind and oil,
Hopi vases that held corn, are put in museums
but you know they were made to be used.
The pitcher cries out for water to carry
and a person for work that is real.
Autumn is the time for making changes — releasing what’s no longer working and reorienting to the simpler versions of all our activities. This year, we’re making the change away from land line: secure email fax service (hooray!) and me shifting calls to my cell phone. I still prefer email for appointments and conversations about classes, but Richard is teaching me about text translation of voice mail!
Lauren’s email: firstname.lastname@example.org
Lauren’s phone: 206-910-1905
Fax number remains the same: 206-708-6210
Looking forward to staying in touch!
Of the qualities that are part of bodywork methods, the one most impressively mysterious to me is the magic of precision. Although there are many types of precision, I want to focus here on directionality. (Unsurprisingly, I’ve learned the most about precision from Judith Aston).
My current version of direct technique (releasing tissue by moving it towards neutral) includes finding a layer with a strong restriction, moving it towards neutral, and then spiraling that layer in the direction that maximizes the sense of opposing the restriction or barrier (spiraling the tissue in the other direction “loses” the sense of meeting the barrier). The remarkable thing about this is that, as the direction of movement finds a perfect match with the barrier, the speed of tissue release dramatically increases. Why? Is it just that the body recognizes an intelligent intervention?
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