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Chapter 1 - the study and practice of osteopathy Chapter 1-1
A deep ocean studies Revised version of a lecture held in 1982
in a basic course of the Sutherland Cranial Teaching Foundation in
Alexandria, Virginia.
To what you have done so far in your practice to connect with
what you will learn during this week, now a huge transition must
stattfi ends. Our main task as a teacher is to help you in this,
this bridge to cross as comfortable as possible. At the same time I
have to tell you, however, also point out that what we are going to
do this week, especially hard work.
As a part of the bridge that we use to make this transition, I
have listed on the chalkboard the four basic osteopathic principles
that have been taught you in college:
1. The body is a unit.2. The body possesses self-regulating
mechanisms.3. Structure and function to each other in a
reciprocalrelationship. 4. A resonable treatment is based on the
understanding ofthe self-regulating body mechanisms and the
reciprocal relationship between structure and function in the
body.
These are basic principles that you already know your entire
dental profession; first you have it belongs in your first year at
an osteopathic college. We all agree that the beautiful statements.
But how many of you realize, while you listen to these allegations
and read that we are talking about a living mechanism? In our
education, in which we have only seen things in a dead, lying on
the autopsy table body behavior, bring most of us feel with that we
can do with it what we want.
In the coming work week but we are talking about a living body
as a unit, a vibrant self-regulating mechanism, a living structure
and function, which are in reciprocal relationship with each other,
as well as a rating based on this understanding, lively treatment.
These mechanisms have been revived, they are healthy. That's why we
here today
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I-17
allow enbaren their own infallible Potency to off - to bring
this health pattern to light.
To operate in this way, we need deep into another sea of
Understanding plunge and allow the physiological function in the
patients to train us in the truest sense of the word. We want to
learn about: Where is this patient's health? How do I get them to
light? The body physiology of the patient instructs us literally.
The doctor who lives in my patients has trained me in the last
eight years, and still I'm a student. This is a part of the
transition, we have to accomplish. We want to learn, these
mechanisms, both in us and in our
Patient work, to feel and to be aware of their. Lawful to you
during this week, if you're the patient to feel this mechanism at
work, at the same time trying to feel during the student treated as
the same mechanisms working in you. So you can begin to sense
function.
In order to achieve the objectives set out here, you have to go
through three learning steps, the first is the most difficult.
First you have to accept that the anatomic-physiologic function is
alive in you and in your patients, already in motion, available for
your findings and use that fact. You have to accept this fact -
close your eyes, exceeds that limit and Hope that there is still a
floor under your feet when you put on the other side of the border.
Suddenly you are of secondary importance in relation to this
matter, in which you are working. The boss is inside. He is both in
you and in your patients. As a practitioner you're going to
understand this fact and use.
Second, we need to study the details of the
anatomic-physiological mechanism in living body. We must understand
that the living anatomical and physiological details of the primary
respiratory mechanism, the craniosacral mechanism, no separate
functional units, which have to be studied separately. We add these
details add to the anatomy and physiology that we have learned in
school. In my first lesson with Dr. William Garner Sutherland I
told him I had not come to his Way we work, learn, but to my
knowledge of anatomy and physiology to the craniosacral expanding
mechanism through which we had not learned anything in college. Dr.
Sutherland was the one who gave the our profession, and now we will
give it to you further. You are here in order to continue your
studies of the anatomy and physiology of the living body, and that
includes the Primary respiratory mechanism.
I-19
Chapter 1-2 Students for a lifetime
Revised transcript of a lecture given in 1986 in the framework
of a
Educators of the Sutherland Cranial Teaching Foundation in
Philadelphia, Pennsylvania.
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What is a treater? The role of the practitioner is to serve
humanity. The science of osteopathy has its origins in which off
enbarenden Structure and function of the individual. This is
expressed as one of the Body physiology inherent mechanism of
motility, mobility and a fluid Drive has. It represents itself as
an experience from inside the patient and as a learned himself,
trained, palpation artistry in the practitioner. The work of AT
Still gave us the science of osteopathy. The work of WG Sutherland
gave us the primary respiratory mechanism with its detailed anatomy
and physiology, not as one of Dr. Schaff Stills en separated unit,
but as an integrated in the science of osteopathy share.
Following important point we need to bear in mind: From the time
of their discoveries accepted Still and Sutherland the science of
Osteopathy as a basic living law of body physiology and To be need
for a lifetime student of authority that the lively Body physiology
inherent. They ceased to be doctors and have become students. Your
search was completed, they had osteopathy found and were now for
the rest of their lives students of this science. Dr. Still and Dr.
Sutherland were to eternal student, as well as all clinicians who
follow in their footsteps, needed fi shall find consent to seek use
of the same living laws for their service to humanity.
However, we are not here to remind us of the work of Still or
Sutherland. We are here to be students of the laws of the mechanism
was discovered. These laws are accessible, they are an off ener
room. Still and Sutherland were to students and gave something of
itself. They gave those who followed them, the work - but gave them
only hints, in the knowledge that those subsequent handler itself
also students of this I-21
and in each individual case showed them the body by what he
tried to do it yourself, the appropriate diagnostic procedures and
treatment program.
What's new in the science of osteopathy? The answer is simple:
the next patient who comes to the door and previously had been
everywhere and tried everything. The body physiology is the
teacher, the attending is the student. The mechanism of the body
physiology has many doors, to make experimental experiences in the
service of better health. As a physician and a student at the same
time you erschaff st on understanding this mechanism based
techniques by you visualize first what should be in this area in
your opinion, and then depending on how you understand the
mechanism in each case and in each individual patient , those
techniques develop. In other words: you will be granted a lot of
room for experimentation, as long as you obey the laws of
osteopathic science. Results you get is proportional to your
knowledge and your sense of touch to be refined. We as students of
the body physiology, as doctors can use the body physiology in
treating each patient and are used by it. The future is bright for
all who choose to study the works of Dr. Still and Dr. Sutherland
and apply.
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Many Thanks. I-23
Steps:
1. Say the living mechanism in you and in patients. Life always
tried to express health. 2. Give yourself to a result of this
affirmation. Understand that what the mechanism tells you is true.
3. Develop palpation skills. The body is smarter than you, so learn
from him.
The first step is the hardest, but also the essential, in order
to understand and take advantage of living mechanisms of health.
Find and learn the mechanisms of the living function first in
yourself; will you lead them to understand your patients.
The second step is to be an observer of living functions while
working. Give yourself to the patient.
The third step requires of you that you are developing a vibrant
Palpationskunst. Palpation is the tool that uses the handler to
read what the primary doctor is doing in each of us to bring about
health from the inside. Learn the function as to feel inside, not
just smaller or larger movements.
Did you think you come in this course, to gather information?
Palpation skills to develop? To be knowledgeable in terms of
services to your patients with their problems?
No, you got to be the work that you're going to understand and
use in your service to the patient.
I-25
gene, as one would even solve this situation. Your they want to
support it, herauszufi ends that their own strength is good, no
matter how limited they may seem. In this way, the volunteers
support the caller is to use their own resources and express their
feelings in a more constructive manner. Finally, teaches the "Help"
method that it is good, empathize and clarify that it's important
to you, what happens to the person seeking help. The contact and
the person himself are important to you.
These are the principles and skills that make this "help" method
so effective. This type of verbal contact requires an education,
but the basic principles are easy to learn and we can all apply in
our lives.
As I now speak so here I would like that you listen to what's
going on in your head, if anyone asks for help. An important point
to pay attention to this, is the need, your own feelings about the
person with whom you are talking to know exactly these people
really as to who he is, to accept - someone who deserves respect
just as itself. Listen to him and answers, without judging. People
feel much freer in the presence of other people, which they
accepted as silent as they are. It is your task to just stay
relaxed,
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in fact if anything happens. Just to be present in such an
atmosphere, is salutary. Actually, it is these faces, listening
response, and not an active, Shunting showcased reaction that can
operate an osteopathic treatment.
The psychotherapist Carl Rogers expresses in his book
Development of the personality of something similar. He writes that
help does not consist of giving, but of pieces basically. He shows
us that we can help others, if we know how to show our real
feelings, without judging, and by strength Hilfebedrft warm
encounter as people who are just as valuable as we who think we're
healthy. Others respond to the esteem in which we give them, by
gain confidence and begin to help themselves.
We have now built a bridge by a volunteer helper who works with
the help of talks to a doctor who has worked in the osteopathic
science. Remember: If a patient comes into your practice, it
entails a body physiology that seeks your help. Instead of teaching
the patient that help verbally, we will learn to palpate and
silently to examine the body physiology. Learn silent to work with
this patient, by I-27
work. You will begin to help the patient, and you do not have to
think about it or talk about it. Your only need to be aware you are
listening by her and she feels literally using your palpatory
skill. Works very quietly
with the patient, are silent partners, active listeners.
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I-29
I recognize that the patient has the same mechanism as me. Only
then, I ask the patient in the treatment room. Then I do what has
to be always done. I work here, without thinking of what I hope to
achieve for that patient e. I just start to work.
This small, coming out of my heart greeting, which I acknowledge
myown silence in patients is a silent acknowledgment that she is
alive. An invisible acknowledging or realizing that. Even if you
treat 45 patients in one day, you can take you time for this very
moment, in order to connect to a point of stillness within
yourself, and then with the same point in the patient. Because then
- no matter how you work with the individual patient - it happens
45 times a day that you have recognized in you and in the patient
something that will silence ttzen the treatment program Unters.
What is this something, I do not know, and that's not even
important. It's simply, stand out for identifi with a mechanism
that exists in each of us, and to use one's. This silence is Will
guide you in terms of what specific at this Day to do. And I am
convinced that the patient it does not have to consciously
participate. I treat many patients who do not have the slightest
idea what I'm doing, and it still like it because they feel that
something is happening in them. It feels to them as if finally a
treater has recognized some of them and try to help them. Sometimes
they suspect that I'm doing anything at all, but in the end they
know that I'm doing something, because their clinical picture
changes.
So this contact is a silent confirmation, and it also gives me a
moment of rest between patients. If you have a case that really
takes along to you - and some do - you do not want all this garbage
to take to the next patient. If it is possible to take you then a
little more time for this process. Take a three-quarter minute to
you sit down somewhere and let it just herausfl ow from you, it
flushes out. Ye have forgotten then when they leave the treatment
room, you know not even the name. Then you let be quite calm and
asks the next patient to come into the room. Even if it is not a
difficult case, you can watch if the patient is to make aware
quietly, that something has happened, while he was in the treatment
room. You must not say a word about it. This is simply a silent
exchange between my silence and the silence of the patient - the
name does not matter, techniques do not matter, not I-31
Chapter 1-6 Relax, there's no hurry
The mechanism has no problems
Revised version of a lecture held in 1986 as part of a basic
course of the Sutherland Cranial Teaching Foundation in
Philadelphia, Pennsylvania.
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I you would like an interesting story about one of my
Experiences with Dr. Will Sutherland. During a course for doctors
in Denver, C olorado, one of the participants brought a patient
with the advice, who had developed epilepsy as a result of a
tractor accident and in whose treatment he progressed his feeling
after not really. He therefore asked Dr. Sutherland to investigate
these patients and see what you could do to help him.
Dr. Sutherland, a very silent guy who never used words than
necessary, examined the patient, eventually turned to the doctor
and said, "I think you are on the right track, you make just the
good work continues . "When Sutherland got up to return to his
chair, the practitioner said," Dr. Sutherland, a quick question,
please. What would You do, if the patient had a seizure while you
are trying to help him, "Dr. Sutherland simply said," Do not block
him, "and moved on. Well, I was coincidentally at a place from
where I could see the whole audience, and looked in thirty
uncomprehending faces. "You block it," was all he said. He expected
that we go back to the mechanisms of our patients and herausfi ends
what he meant. He was just a great man who taught you something
about the mechanism by leaving it to the mechanism to inform
you.
So we can be relaxed and cheerful and aufh ren to worry about
it. We must accept the fact that life is already at work both in
the practitioner as the patients and so we can relax as well. We're
not going anywhere, and your patients also to be there. The patient
must take responsibility and appear with you. And patients will not
run, unless you treat them really bad. They are I-33
his work. If there is a dysfunction pattern -. For example, a
problem of okzipitomastoidalen area in the skull base - Man, that's
actually a problem. But this dysfunction between the occipital and
mastoid Pars does not realize that it is a problem. You must be
beschft IGT with being a okzipitomastoidale dysfunction. So we have
to go to this dysfunction and ask quietly: "Look, it may be that
you enjoy life like that, but the body in which you live, it does
not enjoy so much. Well, will not you consider to allow me to touch
you with my hands so that you change your state and aufh Oerst to
be a so-called complex dysfunction? "
We have the right, the privilege, and to understand ourselves in
the mechanism, this okzipitomastoidale dysfunction in patients. We
have a okzipitomastoidalen mechanism in our own mind, perhaps
having no dysfunction; but we can use this mechanism, we study, we
understand out. And we will certainly understand him even better
once we get our hands on the person who comes to us, lay.
Exactly the mechanisms that are to be healthy, they also which
are able to express one's health. They work and are in constant
motion; Always working towards the same goal, which is also in us.
We are fighting - we live - to express ourselves in health. That
whatever you ask us, everything that the next patient who enters
our practice, will say to us is, "I would like to be healthy,
doctor, and it has been said to me that you and the
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mechanisms in themselves understand me that will allow me to
health zurckzufi ends. "We must not hurry this. We can answer: "For
the present treatment, we have X minutes. What is possible, we will
do. We'll give a little suggestion here and there a small
suggestion; and then take the home and make it work. Do you live
alone your daily life, follow a few suggestions, come back next
week, and we will continue in our efforts to help each of us. "In
silence, the patient connects speak with the mechanism in me and in
silence Treff e I with the mechanism in patients. We are trying
quietly to work in an atmosphere in which we exchange ideas and
capabilities, and then we'll go quietly from there. When you go
from this course back home, all these mechanisms will work in you
to the mechanisms in the patient; and the two of you it will be
fun. All Good.
I-35
aufnehmt her contact with this patient, contact your own
SutherlandFulkrum and the silence.
Let us come back to earth. When you return to your home
practice, this knowledge should be a part of what is available to
you to meet the patient's needs. Not projected it outward - the
patient himself will show to try out what you have learned you
need. It's like when you learn for a final exam. Man studying like
crazy, stuffed all sorts of information to himself and is not sure
how it goes. You just studying, reading and lets it penetrate its
essence. Then you throw all textbooks out the window goes to the
exams and somehow fl ows forth the information that you need for
the exam.
So let this course a few days penetrate your being before you
try to use everything - and used it in a relaxed manner. Let the
knowledge of the movement of the temporal bones, the pattern of the
cranial base, individual, specifi c, membranous joint dysfunctions,
the condyles of the occiput, the fluid dynamics of living
fluctuation, the rocking motion of a reciprocal tension membrane,
the articulated movement of the skull and the Os sacrum between the
ilia Ossa - let these things easy for a few days penetrate your
being. Adds these new diagnostic tools gradually added. When you
are back home, the patients who come into your consulting room, the
same ones that have already been dealt with her in the x years of
your practice; and if they have not yet benefited from this
treatment approach will not make much difference a few more
days.
I-37
Dr. Still was in developing the science of osteopathy his
Creator closer than reinstoff royal breathing; he was guided by a
spiritual or mental fulcrum, as Dr. Sutherland.
If we, as students of the science of osteopathy, really want to
understand osteopathy, we will need to fi nd, our knowledge of the
Godhead, which orients us to the center, to reawaken, to turn them
into our spiritual fulcrum, which leads us and learn to have in our
daily work the Creator in mind to feel and use. Thanks to its
knowledge and its application of the science of osteopathy gave us
Dr. Sutherland
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Signposts, which we can follow. However, let us for a moment
this resolute way of thinking in 1900 with today's science compare.
I recently the recently published article by a famous science moth
read, in which he tried and spiritual science Liche truths
together. His conclusion is that science and spirituality are not
incompatible, but that the great truths of these two areas are, so
to speak, more or less parallel. In other words, both are moving
towards that unknown understanding that is necessary for the
well-known understanding. I'm not really agree with this idea. How
can you conclude that this is a science Liche truth and the other a
spiritual truth? Because I trust more a science ler which his
science comprehensive understanding comes through a Spiritual
Guidance and not by attempting to build a separate
super-structure.
I like the idea of a biologist and science Jewellers, who made
this remark in a discussion about the phenomena of life: "It is a
fact that the life science s are not only much more complicated
than the science s, but also a much larger symbol space have; and
they go further in the exploration of the universe of science as
the
Science s. While you are using all natural science data and your
explanation basics, then go far beyond that and include an even
greater amount of data and additional explanation foundations that
offer no less, but in a sense, even more scientific probability.
The point here is that all known material processes and explanatory
principles on living Organisms en zutreff, only a limited number
but not living systems. "When osteopathic concept, and this
includes the cranial area, is about a living system. Dr. Sutherland
said, "The cranial work is not a special, separate from the science
of osteopathy area. The truth is a lot of I-39
per takes in response to its internal and external environment
to its voluntary and involuntary actions. And with these factors we
can learn to feel through the use of our thinking, feeling, seeing,
knowing fingers.
If we put our hands on a patient who is in good health, we feel
a general sense of well exploitation ends. We feel the respiratory
cycle of his breathing. We feel the flexion and extension of his
running in the midline structures in their function. We feel the
alternating external and internal rotation of its bilateral
structures in their function. We feel any voluntary movements this
person and many involuntary movements of various organ systems
within the body. If our hands are on his head, we can feel the
movements of the cranial mechanism tion joint mechanism, the vast
movements of the reciprocal tension membrane and the fluctuation of
the cerebrospinal fluid as an integrated radio. Throughout the body
is something tangible that today in the Anatomy and physiology
texts is normally not mentioned: a general Uten Tidenbewegung the
entire body, a Hereinfl and out Ebben. It is as if the whole,
acting as a unit body reacts to a force similar to that which moves
the tides of the ocean. It is a rhythmic movement within all
Krperfl uids. She's on her quiet way Krft strength than any other
physiological function within the physical mechanism, important and
powerful than the breathing
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cycle, the voluntary or involuntary movements or any of the
other movements that we normally take into consideration. Our
expert touch learns to recognize all of these factors that work
together as an integrated feature in each we examined body part.
This is a rhythmic Tide in the physiological interaction with their
highest known element and their inherent potency.
If we go deeper in our understanding of the physical mechanisms,
we learn that any normal functioning of the individual body units -
there were bones, ligaments, membranes, fascia, organs or fluids -
apparently carried out by means of free-floating, automatically
changing Fulkren. The Sutherland fulcrum which is located where the
falx meets the tentorium, is a free-floating, automatically to
changing fulcrum for the reciprocal tension membrane. The sternal
end of the clavicle is a osseous fulcrum for the functioning of the
entire upper extremity. The Atlas is used in childbirth than
osseous fulcrum for Partes condylares of the occipital bone. It
I-41
To clarify this thought further, he adds: "D he is the breath of
life in the tide of the cerebrospinal fluid, the principle of the
primary
respiratory mechanism underlying." Next he gave us as we develop
thinking, feeling, seeing, knowing fingers
detailed instructions to the Tide bring down to its point Still,
their break-rest period to check their function in the body
physiology. It is important to know that we are in our efforts to
learn how to control the tide, are not limited to the craniosacral
mechanism. If we are looking at a body portion balance in tissue
and fluid element, while we detect a disease or a pathological
state s, we learn how to bring the tide in their balance point or
Fulkrumbereich. When we do this, a transmutation process stattfi
ends, which resolves the mechanics of dysfunction, pathology
corrects and restores health for that person. This is the designed
by the master mechanic healing principle that works in our
patients; and we can develop and see how it works in the tissues of
patients our perception as a handler inside and workstations.
So far I have referred to the functioning of the Tide in the
body and to the many Fulkren who work in the body physiology. Now
it's time to talk about something else that Dr. Sutherland gave us
on the way to deepen our understanding. This is the silence of the
tide - not the up-and-down fluctuation of its waves, but the
silence that nds the fulcrum point within the Tide fi. There is a
potency within this silence. The term silence confused when trying
to understand this kind of work, perhaps our thinking. How can
there be a potency or power or energy in the silence? Dr.
Sutherland described the pictorially: If you transfer a vibration
on a glass of water, you can watch how to form a still point in the
center of Wasseroberfl che. He pointed out that this is a fulcrum
point within the water glass, and compared him to the fulcrum
point, which we achieve when we the fluctuation of the
cerebrospinal fluid during the compression of the fourth ventricle
(or any other technique for controlling the Tide) bring down their
still point." It is the silence of the Tide, which we are seeking ,
"he pfl EGTE to say, because in that silence is the Potency of the
Tide.
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Those of us who had to be there when he about this happiness Th
ema said, were able to experience how the entire classroom was
noticeably quiet. Dr. Sutherland made us aware and mentioned that
this huI-43
following action. We need to understand the mechanism of this
silence and use in treating our patients. It is not necessary that
we fully understand what it is or where it comes from or where it
goes after it had us in this moment of benefits - the silence of
the tide in the body physiology.
So far I have talked about feature, the free-floating,
automatically changing fulcrum and the Tide, the silence and the
potency that operate within all these facets in the body
physiology. It seems as if I'm trying to develop a theological
hypothesis to explain this kind of work. However, this is not the
case. I'm just trying to show you that the Creator of the human
body and its mechanisms is more than a passive concept, of which
only we speak, without believing in it and to use it.The science of
osteopathy heard daily, active benefits of the Creator. Osteopathy
is an acquired art, not just a science; and I like the quote that I
read somewhere: " Be at peace with God, who and what ever he is in
your opinion. And whatever they may be your wishes and desires in
this noisy confusion of life: " Be in harmony with your soul. "
Therefore, we need in our daily practice working tools for
understanding and using a Spiritual Fulkrums.
What is one of these tools? First, a practitioner needs to
develop in my opinion, an objective perception. He was the anatomy,
physiology and pathology and know all the integrated, related to
each other and with themselves functional sequences that ends
stattfi between all these elements of the body physiology. He must
be capable of diagnostic and prognostic To evaluate knowledge and
to determine, from the first examining the patient until its
release from treatment. He should be able to bring in every patient
the changes that causes the use of potency in the tissue, with the
objective progress towards normalcy and recovered compensation in
connection. And he should be guided in each case, treatment of the
objective findings in determining the procedure.
Second, the clinician should have a subjective perception of the
potential that lies in the application of healing principles
described herein. And he should be able to feel, what is the chance
to turn the pathology of the patient, and the extent to which a
recovery within the tissue units is possible. It has to do with the
subjective phenomenon of life itself and takes on the changes
taking place in the patient's subjective changes in part, I-45
ments that I hear in my practice on hufi gsten, are: " He has
not done anything, but ... " or " All he did was to put his hands
on me and sit there, and when he had finished, it went better for
me. " It's always important to establish and allow a good
relationship with the patient, that the internal physiological
function of their own, never erring Potency brings as motive power
for the correction, rather than a force applied from the outside
blind.
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If you have reached good results in someone who already had
various other treatments behind her, including sometimes osteopathy
using manipulation, then you will of this patient and this patient
like to send his or her friends. It is interesting to see how these
potential patients are prepared for their services. The new patient
is said: " If you go to my osteopath, was not surprised about his
type of treatment. You'll think he does nothing, but it will you be
better off if he's done with the treatment; and when he says he
wants to see you again, stick with it, and it will ensure that
you're well again. " I have a very fine gentleman as a patient who
has already sent me a lot of other patients, and which says he, "
go to my osteopath with the magic hands. I do not know how he does
it, but he can help you. "
Your patients come back and send their friends because they
achieve good results in case of problems that could be solved
either by medicine, physiotherapy or some other form of examination
or testing. Then, when further develop your skills, you will get
more and more complex cases; People who have been everywhere and
still need help for your problems.And just when you think that this
is now the most difficult case at all, comes a new patient who can
appear just before lying all cases. If you, as the main force for
diagnosis and treatment uses the infallible Potency, the complex
cases attracts as flowers attract bees. That is the reason, why
this kind of work is always interesting.There is always something
new to learn from the physiological body of the patient. Growing
understanding - that is what the clinician needs to be able to help
the patient.
" You come back to: cause , "said Dr. Sutherland. " If you
understand the mechanism, the technique is simple. " Think for a
moment about what these two statements mean for osteopaths. In this
world of consequences pile up in the problem cases that come to us
in the practice, consequences to follow until these consequences
totally drown out the causal factor, ie the original injury or
illness that caused the syndrome. Now I-47
Skepticism be observed in one patient and creates in this type
of work an interesting challenge.
In addition, the practitioner should have an objective and a
subjective consciousness as well as a thinking, seeing sentient,
knowing sense of touch feature. The following concise set of Dr.
Sutherland summarizes all these qualifiers cations together: " If
you understand the mechanism, the technique is simple. " And it's
easy. This was and is the science of osteopathy as Dr. Still, Dr.
Sutherland, and many other leading capacities have formulated and
practiced in our profession. Today we are concerned with the
traditional by Dr. Sutherland truths and their demonstration.
Now we must consider what all this means for us and for our
practical work now and in the future. We need every service out
there today within our highly qualifi ed profession. We need our
hospitals, our surgeons, internists, pediatricians, gynecologists,
psychiatrists and all other departments. Each area of modern
medicine is important for the routine care of our patients. There
are, however, not only for all these areas space, but also for
somewhat beyond Going. We need at least 2,000 women and
-
men who take the time to learn the necessary material in order
to use the truths of Still and Sutherland in their daily practice.
They told me that not every practitioner is able to acquire these
specific skills that you have to pay to be particularly gifted.
This opinion I am not. I think the practitioner needs perseverance,
time, and has to spend a lot of work to learn this skill and
science. Who is willing, time and effort into the basic requirement
" be still and know "investing, which can bring a closer to the
Creator as a pure substance royal breathing, is on this path
inevitably an advocate and practical user of the principles given
to us by Dr. AT Still and Dr. WG Sutherland were mediated. Off en
said I would like to see how 2,000 men and women to exercise this
kind of osteopathy because those osteopaths will be many thousands
of patients to services, which you have said elsewhere: " We have
done for you everything is possible. You will have to learn to live
with this problem. " A high percentage of these numerous people can
be led to a much higher level of health but, as is available in
their present condition are available. Such patients, which can
help me at heart. So you get stuck, you need the help of osteopaths
with Skills in the said areas. At present there are in America but
only I-49
sent me many years ago in response to a letter in which I
referred to certain aspects of osteopathy in the cranial region.
However, his response includes the entire body physiology in the
science of osteopathy. I quote him verbatim:
" I am closer than my breath the creator of the cranial
mechanism ... The patient closer is the creator of his or her
cranial mechanism ... 7 My thinking, sentient, seeing, knowing
fingers out on smart way of Magisterial mechanic who created this
mechanism , It does not matter how you interpret, as long as you
mentally contact with the overhead line has like a streetcar. "
Let me repeat that: ' It does not matter how you interpret, as
long as you mentally contact with the overhead line has like a
streetcar . "
-
Chapter 1 - the study and practice of osteopathy Chapter 1-1
A deep ocean studies Revised version of a lecture held in 1982
in a basic course of the Sutherland Cranial Teaching Foundation in
Alexandria, Virginia.
To what you have done so far in your practice to connect with
what you will learn during this week, now a huge transition must
stattfi ends. Our main task as a teacher is to help you in this,
this bridge to cross as comfortable as possible. At the same time I
have to tell you, however, also point out that what we are going to
do this week, especially hard work.
As a part of the bridge that we use to make this transition, I
have listed on the chalkboard the four basic osteopathic principles
that have been taught you in college:
1. The body is a unit. 2. The body possesses self-regulating
mechanisms. 3. Structure and function to each other in a reciprocal
relationship. 4. A vernnft owned treatment is based on the
understanding of the self-regulating body mechanisms and the
reciprocal relationship between structure and function in the
body.
These are basic principles that you already know your entire
dental profession; first you have it belongs in your first year at
an osteopathic college. We all agree that the beautiful statements.
But how many of you realize, while you listen to these allegations
and read that we are talking about a living mechanism? In our
education, in which we have only seen things in a dead, lying on
the autopsy table body behavior, bring most of us feel with that we
can do with it what we want.
In the coming work week but we are talking about a living body
as a unit, a vibrant self-regulating mechanism, a living structure
and function, which are in reciprocal relationship with each other,
as well as a rating based on this understanding, lively treatment.
These mechanisms have been revived, they are healthy. That's why we
here today
-
I-17
allow enbaren their own infallible Potency to off - to bring
this health pattern to light.
To operate in this way, we need deep into another sea of
Understanding plunge and allow the physiological function in the
patients to train us in the truest sense of the word. We want to
learn about: Where is this patient's health? How do I get them to
light? The body physiology of the patient instructs us literally.
The doctor who lives in my patients has trained me in the last
eight years, and still I'm a student. This is a part of the
transition, we have to accomplish. We want to learn, these
mechanisms, both in us and in our
Patient work, to feel and to be aware of their. Lawful to you
during this week, if you're the patient to feel this mechanism at
work, at the same time trying to feel during the student treated as
the same mechanisms working in you. So you can begin to sense
function.
In order to achieve the objectives set out here, you have to go
through three learning steps, the first is the most difficult.
First you have to accept that the anatomic-physiologic function is
alive in you and in your patients, already in motion, available for
your findings and use that fact. You have to accept this fact -
close your eyes, exceeds that limit and Hoff e that there is still
a floor under your feet when you put on the other side of the
border. Suddenly you are of secondary importance in relation to
this matter, in which you are working. The boss is inside. He is
both in you and in your patients. As a practitioner you're going to
understand this fact and use.
Second, we need to study the details of the
anatomic-physiological mechanism in living body. We must understand
that the living anatomical and physiological details of the primary
respiratory mechanism, the craniosacral mechanism, no separate
functional units, which have to be studied separately. We add these
details add to the anatomy and physiology that we have learned in
school. In my first lesson with Dr. William Garner Sutherland I
told him I had not come to his Way we work, learn, but to my
knowledge of anatomy and physiology to the craniosacral expanding
mechanism through which we had not learned anything in college. Dr.
Sutherland was the one who gave the our profession, and now we will
give it to you further. You are here in order to continue your
studies of the anatomy and physiology of the living body, and that
includes the Primary respiratory mechanism.
I-19
Chapter 1-2 Students for a lifetime
Revised transcript of a lecture given in 1986 in the framework
of a
Educators of the Sutherland Cranial Teaching Foundation in
Philadelphia, Pennsylvania.
-
What is a treater? The role of the practitioner is to serve
humanity. The science of osteopathy has its origins in which off
enbarenden Structure and function of the individual. This is
expressed as one of the Body physiology inherent mechanism of
motility, mobility and a fluid Drive has. It represents itself as
an experience from inside the patient and as a learned himself,
trained, palpation artistry in the practitioner. The work of AT
Still gave us the science of osteopathy. The work of WG Sutherland
gave us the primary respiratory mechanism with its detailed anatomy
and physiology, not as one of Dr. Schaff Stills en separated unit,
but as an integrated in the science of osteopathy share.
Following important point we need to bear in mind: From the time
of their discoveries accepted Still and Sutherland the science of
Osteopathy as a basic living law of body physiology and To be need
for a lifetime student of authority that the lively Body physiology
inherent. They ceased to be doctors and have become students. Your
search was completed, they had osteopathy found and were now for
the rest of their lives students of this science. Dr. Still and Dr.
Sutherland were to eternal student, as well as all clinicians who
follow in their footsteps, needed fi shall find consent to seek use
of the same living laws for their service to humanity.
However, we are not here to remind us of the work of Still or
Sutherland. We are here to be students of the laws of the mechanism
was discovered. These laws are accessible, they are an off ener
room. Still and Sutherland were to students and gave something of
itself. They gave those who followed them, the work - but gave them
only hints, in the knowledge that those subsequent handler itself
also students of this I-21
and in each individual case showed them the body by what he
tried to do it yourself, the appropriate diagnostic procedures and
treatment program.
What's new in the science of osteopathy? The answer is simple:
the next patient who comes to the door and previously had been
everywhere and tried everything. The body physiology is the
teacher, the attending is the student. The mechanism of the body
physiology has many doors, to make experimental experiences in the
service of better health. As a physician and a student at the same
time you erschaff st on understanding this mechanism based
techniques by you visualize first what should be in this area in
your opinion, and then depending on how you understand the
mechanism in each case and in each individual patient , those
techniques develop. In other words: you will be granted a lot of
room for experimentation, as long as you obey the laws of
osteopathic science. Results you get is proportional to your
knowledge and your sense of touch to be refined. We as students of
the body physiology, as doctors can use the body physiology in
treating each patient and are used by it. The future is bright for
all who choose to study the works of Dr. Still and Dr. Sutherland
and apply.
-
Many Thanks. I-23
Steps:
1. Say the living mechanism in you and in patients. Life always
tried to express health. 2. Give yourself to a result of this
affirmation. Understand that what the mechanism tells you is true.
3. Develop palpation skills. The body is smarter than you, so learn
from him.
The first step is the hardest, but also the essential, in order
to understand and take advantage of living mechanisms of health.
Find and learn the mechanisms of the living function first in
yourself; will you lead them to understand your patients.
The second step is to be an observer of living functions while
working. Give yourself to the patient.
The third step requires of you that you are developing a vibrant
Palpationskunst. Palpation is the tool that uses the handler to
read what the primary doctor is doing in each of us to bring about
health from the inside. Learn the function as to feel inside, not
just smaller or larger movements.
Did you think you come in this course, to gather information?
Palpation skills to develop? To be knowledgeable in terms of
services to your patients with their problems?
No, you got to be the work that you're going to understand and
use in your service to the patient.
I-25
gene, as one would even solve this situation. Your they want to
support it, herauszufi ends that their own strength is good, no
matter how limited they may seem. In this way, the volunteers
support the caller is to use their own resources and express their
feelings in a more constructive manner. Finally, teaches the "Help"
method that it is good, empathize and clarify that it's important
to you, what happens to the person seeking help. The contact and
the person himself are important to you.
These are the principles and skills that make this "help" method
so effective. This type of verbal contact requires an education,
but the basic principles are easy to learn and we can all apply in
our lives.
As I now speak so here I would like that you listen to what's
going on in your head, if anyone asks for help. An important point
to pay attention to this, is the need, your own feelings about the
person with whom you are talking to know exactly these people
really as to who he is, to accept - someone who deserves respect
just as itself. Listen to him and answers, without judging. People
feel much freer in the presence of other people, which they
accepted as silent as they are. It is your task to just stay
relaxed,
-
in fact if anything happens. Just to be present in such an
atmosphere, is salutary. Actually, it is these faces, listening
response, and not an active, Shunting showcased reaction that can
operate an osteopathic treatment.
The psychotherapist Carl Rogers expresses in his book
Development of the personality of something similar. He writes that
help does not consist of giving, but of pieces basically. He shows
us that we can help others, if we know how to show our real
feelings, without judging, and by strength Hilfebedrft warm
encounter as people who are just as valuable as we who think we're
healthy. Others respond to the esteem in which we give them, by
gain confidence and begin to help themselves.
We have now built a bridge by a volunteer helper who works with
the help of talks to a doctor who has worked in the osteopathic
science. Remember: If a patient comes into your practice, it
entails a body physiology that seeks your help. Instead of teaching
the patient that help verbally, we will learn to palpate and
silently to examine the body physiology. Learn silent to work with
this patient, by I-27
work. You will begin to help the patient, and you do not have to
think about it or talk about it. Your only need to be aware you are
listening by her and she feels literally using your palpatory
skill. Works very quietly
with the patient, are silent partners, active listeners.
-
I-29
I recognize that the patient has the same mechanism as me. Only
then, I ask the patient in the treatment room. Then I do what has
to be always done. I work here, without thinking of what I hope to
achieve for that patient e. I just start to work.
This small, coming out of my heart greeting, which I acknowledge
myown silence in patients is a silent acknowledgment that she is
alive. An invisible acknowledging or realizing that. Even if you
treat 45 patients in one day, you can take you time for this very
moment, in order to connect to a point of stillness within
yourself, and then with the same point in the patient. Because then
- no matter how you work with the individual patient - it happens
45 times a day that you have recognized in you and in the patient
something that will silence ttzen the treatment program Unters.
What is this something, I do not know, and that's not even
important. It's simply, stand out for identifi with a mechanism
that exists in each of us, and to use one's. This silence is Will
guide you in terms of what specific at this Day to do. And I am
convinced that the patient it does not have to consciously
participate. I treat many patients who do not have the slightest
idea what I'm doing, and it still like it because they feel that
something is happening in them. It feels to them as if finally a
treater has recognized some of them and try to help them. Sometimes
they suspect that I'm doing anything at all, but in the end they
know that I'm doing something, because their clinical picture
changes.
So this contact is a silent confirmation, and it also gives me a
moment of rest between patients. If you have a case that really
takes along to you - and some do - you do not want all this garbage
to take to the next patient. If it is possible to take you then a
little more time for this process. Take a three-quarter minute to
you sit down somewhere and let it just herausfl ow from you, it
flushes out. Ye have forgotten then when they leave the treatment
room, you know not even the name. Then you let be quite calm and
asks the next patient to come into the room. Even if it is not a
difficult case, you can watch if the patient is to make aware
quietly, that something has happened, while he was in the treatment
room. You must not say a word about it. This is simply a silent
exchange between my silence and the silence of the patient - the
name does not matter, techniques do not matter, not I-31
Chapter 1-6 Relax, there's no hurry
The mechanism has no problems
Revised version of a lecture held in 1986 as part of a basic
course of the Sutherland Cranial Teaching Foundation in
Philadelphia, Pennsylvania.
-
I you would like an interesting story about one of my
Experiences with Dr. Will Sutherland. During a course for doctors
in Denver, C olorado, one of the participants brought a patient
with the advice, who had developed epilepsy as a result of a
tractor accident and in whose treatment he progressed his feeling
after not really. He therefore asked Dr. Sutherland to investigate
these patients and see what you could do to help him.
Dr. Sutherland, a very silent guy who never used words than
necessary, examined the patient, eventually turned to the doctor
and said, "I think you are on the right track, you make just the
good work continues . "When Sutherland got up to return to his
chair, the practitioner said," Dr. Sutherland, a quick question,
please. What would You do, if the patient had a seizure while you
are trying to help him, "Dr. Sutherland simply said," Do not block
him, "and moved on. Well, I was coincidentally at a place from
where I could see the whole audience, and looked in thirty
uncomprehending faces. "You block it," was all he said. He expected
that we go back to the mechanisms of our patients and herausfi ends
what he meant. He was just a great man who taught you something
about the mechanism by leaving it to the mechanism to inform
you.
So we can be relaxed and cheerful and aufh ren to worry about
it. We must accept the fact that life is already at work both in
the practitioner as the patients and so we can relax as well. We're
not going anywhere, and your patients also to be there. The patient
must take responsibility and appear with you. And patients will not
run, unless you treat them really bad. They are I-33
his work. If there is a dysfunction pattern -. For example, a
problem of okzipitomastoidalen area in the skull base - Man, that's
actually a problem. But this dysfunction between the occipital and
mastoid Pars does not realize that it is a problem. You must be
beschft IGT with being a okzipitomastoidale dysfunction. So we have
to go to this dysfunction and ask quietly: "Look, it may be that
you enjoy life like that, but the body in which you live, it does
not enjoy so much. Well, will not you consider to allow me to touch
you with my hands so that you change your state and aufh Oerst to
be a so-called complex dysfunction? "
We have the right, the privilege, and to understand ourselves in
the mechanism, this okzipitomastoidale dysfunction in patients. We
have a okzipitomastoidalen mechanism in our own mind, perhaps
having no dysfunction; but we can use this mechanism, we study, we
understand out. And we will certainly understand him even better
once we get our hands on the person who comes to us, lay.
Exactly the mechanisms that are to be healthy, they also which
are able to express one's health. They work and are in constant
motion; Always working towards the same goal, which is also in us.
We are fighting - we live - to express ourselves in health. That
whatever you ask us, everything that the next patient who enters
our practice, will say to us is, "I would like to be healthy,
doctor, and it has been said to me that you and the
-
mechanisms in themselves understand me that will allow me to
health zurckzufi ends. "We must not hurry this. We can answer: "For
the present treatment, we have X minutes. What is possible, we will
do. We'll give a little suggestion here and there a small
suggestion; and then take the home and make it work. Do you live
alone your daily life, follow a few suggestions, come back next
week, and we will continue in our efforts to help each of us. "In
silence, the patient connects speak with the mechanism in me and in
silence Treff e I with the mechanism in patients. We are trying
quietly to work in an atmosphere in which we exchange ideas and
capabilities, and then we'll go quietly from there. When you go
from this course back home, all these mechanisms will work in you
to the mechanisms in the patient; and the two of you it will be
fun. All Good.
I-35
aufnehmt her contact with this patient, contact your own
SutherlandFulkrum and the silence.
Let us come back to earth. When you return to your home
practice, this knowledge should be a part of what is available to
you to meet the patient's needs. Not projected it outward - the
patient himself will show to try out what you have learned you
need. It's like when you learn for a final exam. Man studying like
crazy, stuffed all sorts of information to himself and is not sure
how it goes. You just studying, reading and lets it penetrate its
essence. Then you throw all textbooks out the window goes to the
exams and somehow fl ows forth the information that you need for
the exam.
So let this course a few days penetrate your being before you
try to use everything - and used it in a relaxed manner. Let the
knowledge of the movement of the temporal bones, the pattern of the
cranial base, individual, specifi c, membranous joint dysfunctions,
the condyles of the occiput, the fluid dynamics of living
fluctuation, the rocking motion of a reciprocal tension membrane,
the articulated movement of the skull and the Os sacrum between the
ilia Ossa - let these things easy for a few days penetrate your
being. Adds these new diagnostic tools gradually added. When you
are back home, the patients who come into your consulting room, the
same ones that have already been dealt with her in the x years of
your practice; and if they have not yet benefited from this
treatment approach will not make much difference a few more
days.
I-37
Dr. Still was in developing the science of osteopathy his
Creator closer than reinstoff royal breathing; he was guided by a
spiritual or mental fulcrum, as Dr. Sutherland.
If we, as students of the science of osteopathy, really want to
understand osteopathy, we will need to fi nd, our knowledge of the
Godhead, which orients us to the center, to reawaken, to turn them
into our spiritual fulcrum, which leads us and learn to have in our
daily work the Creator in mind to feel and use. Thanks to its
knowledge and its application of the science of osteopathy gave us
Dr. Sutherland
-
Signposts, which we can follow. However, let us for a moment
this resolute way of thinking in 1900 with today's science compare.
I recently the recently published article by a famous science moth
read, in which he tried and spiritual science Liche truths
together. His conclusion is that science and spirituality are not
incompatible, but that the great truths of these two areas are, so
to speak, more or less parallel. In other words, both are moving
towards that unknown understanding that is necessary for the
well-known understanding. I'm not really agree with this idea. How
can you conclude that this is a science Liche truth and the other a
spiritual truth? Because I trust more a science ler which his
science comprehensive understanding comes through a Spiritual
Guidance and not by attempting to build a separate
super-structure.
I like the idea of a biologist and science Jewellers, who made
this remark in a discussion about the phenomena of life: "It is a
fact that the life science s are not only much more complicated
than the science s, but also a much larger symbol space have; and
they go further in the exploration of the universe of science as
the
Science s. While you are using all natural science data and your
explanation basics, then go far beyond that and include an even
greater amount of data and additional explanation foundations that
offer no less, but in a sense, even more scientific probability.
The point here is that all known material processes and explanatory
principles on living Organisms en zutreff, only a limited number
but not living systems. "When osteopathic concept, and this
includes the cranial area, is about a living system. Dr. Sutherland
said, "The cranial work is not a special, separate from the science
of osteopathy area. The truth is a lot of I-39
per takes in response to its internal and external environment
to its voluntary and involuntary actions. And with these factors we
can learn to feel through the use of our thinking, feeling, seeing,
knowing fingers.
If we put our hands on a patient who is in good health, we feel
a general sense of well exploitation ends. We feel the respiratory
cycle of his breathing. We feel the flexion and extension of his
running in the midline structures in their function. We feel the
alternating external and internal rotation of its bilateral
structures in their function. We feel any voluntary movements this
person and many involuntary movements of various organ systems
within the body. If our hands are on his head, we can feel the
movements of the cranial mechanism tion joint mechanism, the vast
movements of the reciprocal tension membrane and the fluctuation of
the cerebrospinal fluid as an integrated radio. Throughout the body
is something tangible that today in the Anatomy and physiology
texts is normally not mentioned: a general Uten Tidenbewegung the
entire body, a Hereinfl and out Ebben. It is as if the whole,
acting as a unit body reacts to a force similar to that which moves
the tides of the ocean. It is a rhythmic movement within all
Krperfl uids. She's on her quiet way Krft strength than any other
physiological function within the physical mechanism, important and
powerful than the breathing
-
cycle, the voluntary or involuntary movements or any of the
other movements that we normally take into consideration. Our
expert touch learns to recognize all of these factors that work
together as an integrated feature in each we examined body part.
This is a rhythmic Tide in the physiological interaction with their
highest known element and their inherent potency.
If we go deeper in our understanding of the physical mechanisms,
we learn that any normal functioning of the individual body units -
there were bones, ligaments, membranes, fascia, organs or fluids -
apparently carried out by means of free-floating, automatically
changing Fulkren. The Sutherland fulcrum which is located where the
falx meets the tentorium, is a free-floating, automatically to
changing fulcrum for the reciprocal tension membrane. The sternal
end of the clavicle is a osseous fulcrum for the functioning of the
entire upper extremity. The Atlas is used in childbirth than
osseous fulcrum for Partes condylares of the occipital bone. It
I-41
To clarify this thought further, he adds: "D he is the breath of
life in the tide of the cerebrospinal fluid, the principle of the
primary
respiratory mechanism underlying." Next he gave us as we develop
thinking, feeling, seeing, knowing fingers
detailed instructions to the Tide bring down to its point Still,
their break-rest period to check their function in the body
physiology. It is important to know that we are in our efforts to
learn how to control the tide, are not limited to the craniosacral
mechanism. If we are looking at a body portion balance in tissue
and fluid element, while we detect a disease or a pathological
state s, we learn how to bring the tide in their balance point or
Fulkrumbereich. When we do this, a transmutation process stattfi
ends, which resolves the mechanics of dysfunction, pathology
corrects and restores health for that person. This is the designed
by the master mechanic healing principle that works in our
patients; and we can develop and see how it works in the tissues of
patients our perception as a handler inside and workstations.
So far I have referred to the functioning of the Tide in the
body and to the many Fulkren who work in the body physiology. Now
it's time to talk about something else that Dr. Sutherland gave us
on the way to deepen our understanding. This is the silence of the
tide - not the up-and-down fluctuation of its waves, but the
silence that nds the fulcrum point within the Tide fi. There is a
potency within this silence. The term silence confused when trying
to understand this kind of work, perhaps our thinking. How can
there be a potency or power or energy in the silence? Dr.
Sutherland described the pictorially: If you transfer a vibration
on a glass of water, you can watch how to form a still point in the
center of Wasseroberfl che. He pointed out that this is a fulcrum
point within the water glass, and compared him to the fulcrum
point, which we achieve when we the fluctuation of the
cerebrospinal fluid during the compression of the fourth ventricle
(or any other technique for controlling the Tide) bring down their
still point." It is the silence of the Tide, which we are seeking ,
"he pfl EGTE to say, because in that silence is the Potency of the
Tide.
-
Those of us who had to be there when he about this happiness Th
ema said, were able to experience how the entire classroom was
noticeably quiet. Dr. Sutherland made us aware and mentioned that
this huI-43
following action. We need to understand the mechanism of this
silence and use in treating our patients. It is not necessary that
we fully understand what it is or where it comes from or where it
goes after it had us in this moment of benefits - the silence of
the tide in the body physiology.
So far I have talked about feature, the free-floating,
automatically changing fulcrum and the Tide, the silence and the
potency that operate within all these facets in the body
physiology. It seems as if I'm trying to develop a theological
hypothesis to explain this kind of work. However, this is not the
case. I'm just trying to show you that the Creator of the human
body and its mechanisms is more than a passive concept, of which
only we speak, without believing in it and to use it.The science of
osteopathy heard daily, active benefits of the Creator. Osteopathy
is an acquired art, not just a science; and I like the quote that I
read somewhere: " Be at peace with God, who and what ever he is in
your opinion. And whatever they may be your wishes and desires in
this noisy confusion of life: " Be in harmony with your soul. "
Therefore, we need in our daily practice working tools for
understanding and using a Spiritual Fulkrums.
What is one of these tools? First, a practitioner needs to
develop in my opinion, an objective perception. He was the anatomy,
physiology and pathology and know all the integrated, related to
each other and with themselves functional sequences that ends
stattfi between all these elements of the body physiology. He must
be capable of diagnostic and prognostic To evaluate knowledge and
to determine, from the first examining the patient until its
release from treatment. He should be able to bring in every patient
the changes that causes the use of potency in the tissue, with the
objective progress towards normalcy and recovered compensation in
connection. And he should be guided in each case, treatment of the
objective findings in determining the procedure.
Second, the clinician should have a subjective perception of the
potential that lies in the application of healing principles
described herein. And he should be able to feel, what is the chance
to turn the pathology of the patient, and the extent to which a
recovery within the tissue units is possible. It has to do with the
subjective phenomenon of life itself and takes on the changes
taking place in the patient's subjective changes in part, I-45
ments that I hear in my practice on hufi gsten, are: " He has
not done anything, but ... " or " All he did was to put his hands
on me and sit there, and when he had finished, it went better for
me. " It's always important to establish and allow a good
relationship with the patient, that the internal physiological
function of their own, never erring Potency brings as motive power
for the correction, rather than a force applied from the outside
blind.
-
If you have reached good results in someone who already had
various other treatments behind her, including sometimes osteopathy
using manipulation, then you will of this patient and this patient
like to send his or her friends. It is interesting to see how these
potential patients are prepared for their services. The new patient
is said: " If you go to my osteopath, was not surprised about his
type of treatment. You'll think he does nothing, but it will you be
better off if he's done with the treatment; and when he says he
wants to see you again, stick with it, and it will ensure that
you're well again. " I have a very fine gentleman as a patient who
has already sent me a lot of other patients, and which says he, "
go to my osteopath with the magic hands. I do not know how he does
it, but he can help you. "
Your patients come back and send their friends because they
achieve good results in case of problems that could be solved
either by medicine, physiotherapy or some other form of examination
or testing. Then, when further develop your skills, you will get
more and more complex cases; People who have been everywhere and
still need help for your problems.And just when you think that this
is now the most difficult case at all, comes a new patient who can
appear just before lying all cases. If you, as the main force for
diagnosis and treatment uses the infallible Potency, the complex
cases attracts as flowers attract bees. That is the reason, why
this kind of work is always interesting.There is always something
new to learn from the physiological body of the patient. Growing
understanding - that is what the clinician needs to be able to help
the patient.
" You come back to: cause , "said Dr. Sutherland. " If you
understand the mechanism, the technique is simple. " Think for a
moment about what these two statements mean for osteopaths. In this
world of consequences pile up in the problem cases that come to us
in the practice, consequences to follow until these consequences
totally drown out the causal factor, ie the original injury or
illness that caused the syndrome. Now I-47
Skepticism be observed in one patient and creates in this type
of work an interesting challenge.
In addition, the practitioner should have an objective and a
subjective consciousness as well as a thinking, seeing sentient,
knowing sense of touch feature. The following concise set of Dr.
Sutherland summarizes all these qualifiers cations together: " If
you understand the mechanism, the technique is simple. " And it's
easy. This was and is the science of osteopathy as Dr. Still, Dr.
Sutherland, and many other leading capacities have formulated and
practiced in our profession. Today we are concerned with the
traditional by Dr. Sutherland truths and their demonstration.
Now we must consider what all this means for us and for our
practical work now and in the future. We need every service out
there today within our highly qualifi ed profession. We need our
hospitals, our surgeons, internists, pediatricians, gynecologists,
psychiatrists and all other departments. Each area of modern
medicine is important for the routine care of our patients. There
are, however, not only for all these areas space, but also for
somewhat beyond Going. We need at least 2,000 women and
-
men who take the time to learn the necessary material in order
to use the truths of Still and Sutherland in their daily practice.
They told me that not every practitioner is able to acquire these
specific skills that you have to pay to be particularly gifted.
This opinion I am not. I think the practitioner needs perseverance,
time, and has to spend a lot of work to learn this skill and
science. Who is willing, time and effort into the basic requirement
" be still and know "investing, which can bring a closer to the
Creator as a pure substance royal breathing, is on this path
inevitably an advocate and practical user of the principles given
to us by Dr. AT Still and Dr. WG Sutherland were mediated. Off en
said I would like to see how 2,000 men and women to exercise this
kind of osteopathy because those osteopaths will be many thousands
of patients to services, which you have said elsewhere: " We have
done for you everything is possible. You will have to learn to live
with this problem. " A high percentage of these numerous people can
be led to a much higher level of health but, as is available in
their present condition are available. Such patients, which can
help me at heart. So you get stuck, you need the help of osteopaths
with Skills in the said areas. At present there are in America but
only I-49
sent me many years ago in response to a letter in which I
referred to certain aspects of osteopathy in the cranial region.
However, his response includes the entire body physiology in the
science of osteopathy. I quote him verbatim:
" I am closer than my breath the creator of the cranial
mechanism ... The patient closer is the creator of his or her
cranial mechanism ... 7 My thinking, sentient, seeing, knowing
fingers out on smart way of Magisterial mechanic who created this
mechanism , It does not matter how you interpret, as long as you
mentally contact with the overhead line has like a streetcar. "
Let me repeat that: ' It does not matter how you interpret, as
long as you mentally contact with the overhead line has like a
streetcar . "
-
Chapter 2
Understanding the mechanism
-
The involuntary mechanism Revised Excerpts from lectures, held
in 1976 during a basic course of the Sutherland Cranial Teaching
Foundation in Milwaukee, Wisconsin.
We want to talk about the nature of the primary respiratory
mechanism, which is a simple, basic, primary rhythmic functional
unit. He is completely involuntary, involves the entire anatomy and
physiology and can be palpated by a trained clinician in each body
area. Just as he provides the evidence for health throughout the
body physiology, he also points to a reduction in the health area
in each dysfunction. One can equally be used as a tool for
diagnosis and treatment him. The primary respiratory mechanism is a
manifestation of life in the patient and the practitioner can in
his service to restore health in patients who take his help.
He is and remains a functional unit, this primary respiratory
mechanism, even though he was divided for teaching purposes in five
components, one of which therefore each forms part of these simple,
rhythmic, primary functional unit within the body physiology. You
see that I have not just said, "within the primary respiratory
mechanism" but "within the body physiology," The entire unit has
this factor.. Everything follows the laws of flexion / external
rotation and extension / internal rotation of the
anatomic-physiological mechanism. We are completely dependent on
this simple, rhythmic, mobile, motile fluid-drive mechanism.
The entire body has an involuntary mechanism. Even if your
Psoamuskel is sick, he is destined to go into internal and external
rotation. Your foot is so designed that it ten or twelve times per
minute is in internal and external rotation - not because of the
primary respiratory mechanism, but because of the primary
respiratory mechanism can function only in this way. Therefore, we
must learn its rules and laws.
Let me read you a text in which it comes to what I want to
express here. He comes from a book of essays by the American
anthropologist Loren Eiseley. If you have not yet read Loren
Eiseley, you should do that - especially if you want to learn how
to palpate. Through his books I-55
mechanism, to move and to stay alive, to be what he is: a
mind-body structure, an anatomically-physiological, functioning
mechanism. We have many involuntary systems in our body -
circulatory, digestive, etc. But the key role in the human body has
a very special unwillkrlichern mechanism: Every single body cell,
each individual cell that lives within the liquids in which it is
produced, is 10 to 12 times per minute moves in flexion and
extension, in internal and external rotation.
So if we have a healthy patient - regardless of whether he sits
quietly, walketh about, deep asleep, running, is very active or in
complete tranquility are in a friend - is taking place everywhere
in him this involuntary physiological function movement. We focus
on the neurokranialen and sacral mechanism than the
-
Parts enbaren this mechanism, this involuntary movement off. But
the neurocranial and the sacred activity axis, its physiological
function is when you want to say so, more or less, the drive shaft
of the system that allows all the wheels and hoists as well as
everything that comes so directly from the factory, to do their
work be brought - flexion / external rotation and extension /
internal rotation. So one can understand the neurokranialen and
sacral mechanism under any circumstances as a separated from the
whole body physiology unit. Every time we put our hands to a
patient, we are dealing with the largest and most important
involuntary system in the human body. Every time we touch these
patients, no matter whether we are here referring to a tiny finger
joint or a whole leg, we must attune ourselves to these
involuntary, physiological mechanism.
Arbitrary mechanisms correspond all that the decisions
precipitating fraction of our brain decides to do with this
involuntary thing. I decide to go myself to stand or sit; I decide
to persuade me to eat and think (or think that I think); I can a
million decisions taken en. I decide to have thoughts or emotions -
everything is arbitrary. These are activities that we can use in an
intelligent way, by trying to offend nor to let them starve or to
take on excessive manner. We just use the normal daily lives, and
once we aufh ren to use them, they fall easily back to where they
came from, and our involuntary mechanism continues to support us
until we give the instruction again, that the arbitrary something
else to do. It is the arbitrary page in life that puts us in
difficult situations, not involuntary.
-
I-57
among leading levels. That's the change that speaks of the
Eiseley, the infinite variety of patterns, from a functional state
to another, in the involuntary mechanism by which it works. As long
as it takes. This is the time, the needs change. Our job as a
therapist is to us silently tune from the inside out in order to
understand this event. Our understanding arises out of something
that we feel, though can not explain. What we because it is
perceptible to us, feel, is a consequence. And yet we can observe
that something is actually happening in this nanosecond. We can
observe what pattern was previously there and that thereafter, and
- because we have studied the details of the physiological movement
of any part of this involuntary mechanism not only in the
craniosacral axis, but in the whole system - with our intelligent
comprehension able to make this available for clinical
purposes.
A universal design
There are in this craniosacral mechanism and throughout the
anatomy and physiology of the entire body and the aspect of
universality. Approximately ten thousand generations or three
million years did it take to make the human body to what it is
today. Basically, it is designed so that it functions as a
voluntary and involuntary mechanism. The only reason why we are
sitting here today is that we are the product of x people
generations that have managed to survive. Therefore, the mechanisms
are in us all those that have been determined by nature to
survive.
In other words: The fundamental guiding principle in the healing
arts (I have deliberately not told "the osteopathic profession,"
because we are talking about something that should be understood
that members of all healing arts), the fundamental idea is so that
the body from head to at the feet is a wonderful mechanism and,
although was composed, designed from many parts as a comprehensive
unit, as a universal functional unit. The more clearly we
understand how he as a holistic mechanism works in ourselves - and
I mean both the voluntary and involuntary part -, the more precise
can be our diagnosis and more capable certainly our treatment.
Yesterday there was talk in the department about the
architectural principles of I-59
Craniosacral mechanism has principles that work universally in
all of us and then ends its individual expression in the
personality, to which they belong, fi.
That we while studying in these courses do not look for
pathologies but to the basics, which can function this mechanism,
expands our horizons considerably. Not to study the so-called
Normal, so here you are, but to understand the principles that
belong to the so-called normal at the individual person with whom
you were working.
-
DNA patterns
If you could examine the structure of an involuntary people
without any interference of arbitrary would you fi nd that there is
an individual pattern of health for every human being in this
world. Each anatomical-physiological, involuntary mechanism follows
from the top of the head to the feet a pattern that inoculated him,
for him geschaff en was of the DNS, which was at the time of
conception there and around which every man his pattern of health
builds. He received energy to build this pattern. It takes nine
months to be born, and 90 years in order to tear oneself away; But
all this time on the involuntary structure is continuously built up
cell by cell again, with only the DNA patterns of this particular
body creates the internal mechanism that makes it into a
functioning system involuntary.
If you are with your hands on these patients einstimmst you with
the aim of problems ausfi constantly to make, then fi du nd also
problems caused by arbitrary geschaff enes stress, disease or
trauma - that is, by something that carried the patient from the
outside inwards has. But if you're able, through what has been
saddled with this thing, wade and your focus judge on the whole of
involuntary pattern you call instead the most energy in the world -
the DNS and its pattern or blueprint - brought that saying: "That
is what I want to be," This pattern is individually designed for
this soul, this one individual..
So if I do this cranial mechanism, or whatever I'm trying to
deal with, touch, while the I focus my consciousness on MAKE
mechanism of this patient, I try to read under the I-61
Chapter 2-2 Movement - the key to diagnosis and treatment
Paper presented at a conference of the Cranial Academy, which
took place in 1979 with support of the Sutherland Cranial Teaching
Foundation.
Movement is life. Movement is a manifestation of life. The
miracle of life is expressed in movement, the flow of electrons
around a nucleus around, call to the living creatures, Anzen we
viruses, bacteria, fungi, plowing animals and mankind. This life
can be ends in the sea fi, on land and in the air - perhaps even in
space. Mankind has lived in all these environments or adapted in
order to be able to live there. Webster defi ned movement as:
"The act or process of moving itself; the local change of a body
from one place to another; the action to move his body or a body
part; in mechanics: a combination of moving parts; Mechanism.
"9
At Dorland total 30 Defi nition of movement include the
following: 1. The process of self-moving. 2. Active activity: a
caused by the own muscle movement. 3. Automatic movement: a
movement which has its origin in the body, but is not triggered
deliberately. 4. Transferred movement: a force
-
triggered by external movement. 5. Passive movement: each
photosensitive from outside the body are in a force caused body
movement. 6. refl exbewegung: an involuntary movement, provoked by
an external stimulus, acting on a nerve center. 7. Spontaneous
movement: a movement that has its origins within the organism. 8.
Index movement: a movement of a cranial part of the body in
relation to a fi xed caudal part. 9. Brownian motion: the dancing
movement tiny particles suspended in a liquid.
These nine Defi nition of the term s movement are important for
our discussion. For example Defi nition number eight: "Index
movement: a movement of a cranial part of the body in relation to a
fi xed caudal part", a very clear definition of the clinical
condition, we at whiplash
9 No reference in the original text.
I-63
their off ensichtlichen movements, whether coarse or fine, draw
their power from an inherent potency, allow me as a clinician,
allow the internal physiological function of their own, never
erring Potency off enbart, held in treating my patients blind force
applied from the outside.
Our nameless bodies have other resources that complement the
overall functional processes in our internal and external
environment, complicate, promote and support. We have a name that
was given to us by our parents. We have an ego, a mind and
emotions. These three - ego, mind and emotions - are also
manifestations of life as movement, but at different frequencies
than on the, which is the physical and physiological structure of
our nameless body as its own. All three are an inherent portion of
our holistic nature and therefore part of our total existence. Ego,
mind and emotions creating en areas is manifesting movements with
so many rapidly changing variables as there are people on Earth.
Answered and Again refl ected our nameless body an existing
internal and external natural interdependence with all of these
variables in the fields of ego, mind and emotions.
Compare the body of a man whose whole being expresses anger, a
friend of the one man who is allowed to be in are in a state of
utter devotion, in meditative silence. Watch the infl uence of a
terrified mother to her injured child. Once they brought me a baby
that had fallen from his high chair and unconscious. As I examined
it, his mother sat on the other side of the room. I looked at the
still unconscious appearing little boy thoroughly and found no
physical injuries. "You must not worry, nothing happened," I said
to the mother. "Thank God!" She cried and relaxed. Immediately the
little boy responded by he began to move normally and crying. The
fear of the mother had contributed to the immobility of the
child.
We have now briefly talked about all of the various types of
motion in a nameless body, capable of turn out to answer his
internal and external environment as a functional unit per se and
to refl ect. We have
-
supplemented by the many variables that ego, mind and emotions
can contribute with its forms of movement. These are no
cause-effect relationships. Here it comes, whether it is the
physician or the patient to an undivided individual in an existing
externally and internally interrelated with its own individual
environment.
I-65
Can be read out of the functional processes of the body
physiology The now following criteria for the care provider and
patient. The physiology of our nameless body has four main movement
patterns, the five senses, which can be used to his conscious
perception for the diagnosis of the doctor in addition, and five
basic principles of potential treatment. The four main patterns of
movement are:
1. The neuromuscular movements of the musculoskeletal system; it
could also be as arbitrary mechanism of physiological function
sequences indicate in the body. 2. The secondary ribs and breathing
mechanisms that move all body tissues during breathing cycles. 3.
The inherent rhythmic motile and mobile, involuntary craniosacral
fluctuation of the cerebrospinal fluid and the entire lymphatic
system with a cycle speed of 10 to 14 times per minute in a healthy
state. Dr. William G. Sutherland has described this perfectly
rhythmic motion as a kind Tidenphnomen. This means that over a
period of ten minutes the whole body physiology each about 100
times passes through a cycle of movement of flexion with external
rotation and extension with internal rotation. This is a powerful
tool for diagnosis and Th erapie. 4. A large tidenartige movement
that approximately 6 times stattfi friend over a period of nine
minutes a fl uktuierender mechanism needs for each rhythmic cycle
about one and a half minutes. I could watch this great Tide in my
patients for the first time ten years ago and I have no idea what
their origin or to their very nature. It is one
Tide, the massive feels like having a gradually swelling
expansion of the whole body physiology and a gradually rcklufi gene
movement, followed by the next, gradually becoming a massive
expansion in a rhythmically balanced exchange within the whole body
physiology. I have this movement simultaneously counted in two
patients, and it was common to both, but in each case on an
individual way. This too is a powerful therapeutic tool, as we'll
discuss later. The full resources of the body physiology, including
the four main
movement patterns, answer and reflect the creative tensions of
normal functional processes within the involuntary
articularly-membranous mechanisms of the primary respiratory
mechanism and the fascial-ligamentous voluntary and involuntary
linkages of the rest of the body physiology. This I-67
-
the linkages up to the deepest level of voluntary and
involuntary movement in the overall physiology of the patient.
The more sensitive we are to be participants in the palpation,
the more awareness we develop the true value of the capacity and
the resources that are inherent to the voluntary and involuntary
mechanisms of our patients. They are the ones that allow us to
diagnostic assessment and ask ourselves the therapeutic mechanisms
are available that help can be the many problems that we encounter
in our practice, treat. The possibilities are limitless.
The concept of movement in the treatment in the healing arts
covers a wide area and many branches of science: Medicine and
Surgery, Psychology, Radiology, Physiotherapy, Krankenpfl ege, and
any other additional supply. All of these areas of knowledge based
on a number of principles that are aligned so that they can be used
for any type of service and are suitable to address specifi c
problems when creating a useful diagnosis and a clinical treatment
plan for a recovery towards health. In our discussion, it continues
to the conditions laid down by us criteria for some of the main
forms of movement in a nameless body physiology as well as the
criteria for the use of conscious perception, the five projected
sensations and the sensory motor skills by the dentist who these
to