Nov 25 2008
Combining Massage and Somatic Education
To successfully combine Massage and Somatic Education requires understanding the differences in the two modalities. Massage is a powerful therapy, which includes affecting tissue repair, releasing trigger points and chronic tension as well as clearing adhesions within the fascia. Somatic Education, on the other hand, is technically not a therapy; it is a method of teaching, using movement and awareness. The primary focus of Somatic Education is enhancing the efficient use of the nervous system.
When combined, these two modalities bring together the best of both worlds. The manual therapy of massage is able to directly affect the soft tissue, releasing restrictions, painful trigger points, etc. Then, the reeducation is able to expand the functional capacity of a persons nervous system. Together these methods can be an all-encompassing approach to assist clients in their search for well being.
Handling and Assessment
If assessment for a Massage Therapist is all-important, then for a Somatic Educator it is everything. In fact the entire session is a process of moving back and forth between assessing, tweaking and reassessing. A subtle shift in an area can create a whole new strategy to emerge midstream. The dynamics of the session is the interplay of two somatic systems giving and receiving feedback. It is about human development. It has been suggested that in a successful session the client, as well as the practitioner, should leave feeling better and more organized.
As in any session always begin with a calm touch. Establish safety and trust through the quality of your voice and hands. The tone of the whole session needs to be set at the very beginning. This includes professionalism, atmosphere, expectations, etc. At the same time be inquisitive, have a beginners mind. Investigate all aspects of the skin, muscles, bones and movements of the joints. Do this as if you are having a conversation with the client through your fingers and hands. Let them know that you are safe and acknowledge them as a unique individual.
Use the initial moments of the session to get a “first impression.” Notice all the different aspects of the client. Consider their breathing, muscle tone, how they respond to small movements. As the session progresses notice and highlight how the client may shift in any way. Is there a softening, lengthening, or an easing of movement? Help the client become aware of these. “The greatest changes occur in the physical body when there is a corresponding change in awareness and attitude.” Moshe Feldenkrais
Initially this investigation may include gentle compressions, slight movements of different joints, palpating the soft tissue with your fingers and hands. Keep a “soft focus” noticing the clients over all respond. Do they try to help with the movement? Do they resist? Is there a restriction in the movement? Does the movement transition to other areas or is it limited to a small area? Is the client tense or do they seem to relax. This exploration will give you the information needed to build a strategy. Though your main focus is assessment, don’t be surprised by the unintentional changes that occur almost immediately. This is why you have to be so attentive. Your chance at a first impression is very short.
The transition into treating an area as opposed to assessing it should be subtle, but clear. In other words, the conversation changes, but the safety of the touch is the same. Watch to see if the tissue responds favorably before becoming determined about which approach to take. Listen for what their body needs and wants. You may need to change strategies several times. Look for the gentlest path to achieve the desired results. If you meet resistance avoid force, use finesse instead. If you get stuck and aren’t making progress, stop and go somewhere else. Avoid getting hypnotized by what the client is hypnotized by. Remind yourself that you are working with a whole person and not just the part they requested help with.
Lastly, it is essential to integrate the work you are doing with the clients entire nervous system. If there is an obvious shift it may help to take your hands off the client for a few cycles of respiration. It is their system that needs to renegotiate the changes that occur. Our constant interruption and probing can actually confuse and muddle the process for them. Instead try directing their awareness to areas where the shift has occurred helping the stay in their body, then proceeding as needed. Lastly, don’t become determined bound to resolve all of their issues. Often times a few clear changes will prompt the process to continue unabated where as too much input can overwhelm and confuse the process. Remember the human organism is designed to self-correct. All we are doing is creating the environment for that to happen.
Arnold Askew is co-founder and owner of Red Mountain Institute for the Healing Arts where he is the senior instructor. He has extensive training in both manual and movement therapies and has been on staff at the Pain and Rehabilitation Institute since 1992. He is a member of the Alabama Board of Massage Therapy and is Nationally Certified in Therapeutic Massage and Bodywork.
http://www.redmountaininstitute.com
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