Physical Therapy Info Health Tips
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Diagnosis - Good or Bad
Diagnoses always run the risk of reducing the patient to an abstraction - which at worst may be felt as a painful rejection, or even annihilation. To avoid this calls for both presence of mind and a shift of inner identification from objectification to subjective identification. For the physician this is like going through the eye of the needle, surrendering your identity as the knower and thereby becoming a mediator of Will. If you can manage to do this, the ecology of the systems that you're addressing will change at some level. However, at the end of a tiring day, this may be challenging since it assumes an availability of “being”.
That requires that I recognize that it's not up to me to create the fix - rather it's my job to reintegrate the system back into such a state that it can fix itself. Some have advised us to look for the interventions which produce small but sustainable results, rather than the massive interventions which produce quick results - because the latter will more easily fall back, but the former you'll be able to build upon. This axiom applies equally to psychological interventions.
Now, as a patient or a young practitioner, it's difficult to adopt that approach, because you may well feel the need to produce big results. And this is indeed sometimes possible even within the realm of complementary medicines. You can practice any system of complementary medicine in such a way that it may induce quick and striking effects both on physical and psychological levels. This is often seen, for example, in acupuncture and in some forms of hypnotic interventions. But it's not necessarily the wisest way in the long run.
The body is an ecological system and a large intervention may disrupt the system's coherence. Moreover, "smaller" interventions may help patients to take responsibility for their own path of healing. Both as a doctor and as a mentor to my patients, I've generally worked with small interventions that I wouldn't necessarily have imagined would have made a significant difference - but as it turned out, they usually did. Gaining this experience has increased my confidence in the inner wisdom of the body and of the psyche when exposed to the right therapeutic attitude and conditions.
-James Dyson, MD - Interview from Lilipoh magazine
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