Archive for the ‘Body’ Category

“Suffering” vs. release

Wednesday, March 3rd, 2010

A student reaches out with some concerns: They are so poignant, and many practitioners can find themselves in this place, so we are posting it here:

When I first started KMI - SI practice with my novice hands, I had many clients have emotional releases during their series.

Now, I am finding that these emotional releases are not happening, or at least they are not exhibited.

I am questioning myself, what is going on?

My hands are far more sensitive to where the “stickiness” is now than before.

I explain to my client that it is about us working together and that they have some control in the session as to how much they are ready to “take” or experience or release.

I so do not want to be the “pain giver”. and I do not want to be the “decider” or the “controller”. I want them to want to have the release.

However, even as I have gained touch education, I am questioning myself, “Am I as effective?” “Am I ‘giving’ in?” In my efforts to not “push” the uncomfortable parts of the experience am I actually doing a “dis-service” to them?

Please guide me. I know when you (Tom) or Larry worked on me, it was painful. But I was in it for the whole, I was a student of the work and I could trust you because I knew you knew. But what about the client? I don’t have your clout. I want them to walk out saying to their friends, “wow, I feel so much more in my body, and feel free” I don’t want “yeah I feel good, but it was sooo painful”.

I don’t want a reputation of the “pain lady” but I want to help them really get to the bottom of it and “get it OUT’. otherwise, they just revert back to who they were.

I see amazing changes in most of my clients at the end, so I know I am doing the series well, but I am out here to create lasting changes.

When I see them later, If they did NOT let go of the emotional memory in the tissue, they revert to their old pattern and of course they just rebuild what I softened.

So, my question is:

Am I being too “nice”? Do I need to go to the place where they have to “suffer” in order to release?

My saying, “if you become bored, you become boring”.

…..and I most certainly am not bored yet I would love to increase my skills.

We all know that suffering brings a new perspective. Like taking a sauna and sweating, but after the cleansing feels great.

I am just not sure how much to “push it”? Please let me know your thoughts on this.

Thank you for your great question. It is a delicate and fluctuating balance between giving the client control or authority over their own process and being their guide to the terra incognita in their own bodies / selves.

While none of us wants to be the ‘pain giver’, we are also not in the relaxation massage paradigm of simply making the client comfortable. Going into their areas of ’sensori-motor amnesia’ and fascial stuckness is not pain-free. It didn’t get sticky and forgotten because it was an easy area - these emotionally stuck areas are generally full of fear, guilt, grief, or anger - and more likely a sticky mess of them all.

The level of pain is absolutely in control of the client and the attentive engagement of the practitioner with the process is paramount, but many practitioners arrive at a place where they ‘know what they don’t know’ and pull back from actually opening this new territory, settling instead for comforting the client.

Courage! Yes, there are times when, if you wish to get the release, you must ‘push’ (gently, sensitively, but with the knowledge that ‘it furthers one to cross the great water’) into their tissues, into their non-experienced places. So it doesn’t have to be painful all the time, but you should be building a relationship of confidence with the client so that when you find / see / sense an area that needs to be opened for their psychological / somatic / spiritual fulfillment, you have the courage and the rapport to go there.

But if you don’t want to look at the reversion in six months, it must be rooted out. Yes, the deracination of a pattern can be painful or disturbing, but ‘yeah it felt good but it didn’t last long enough to justify the investment’ is not the reaction we want either.

No one wants to be the ‘pain lady’, but get used to is - people like to exaggerate their experiences, and often these folks refer to you quite often, despite their names. As George Goodheart said of Ida Rolf, ‘You swear at her before you swear by her.”

Of course, if you feel out of your depth with any given client, you can always recommend some therapy to accompany or follow your sessions.

But it is not uncommon to have the fearless luck of the innocent when first starting out, followed by the caution of the ’sophomore’ - and this is where I think you are right now. Can you find the middle ground - stay informed, but still explore new territory for both you and the client? This way lies release for them and satisfaction for you of a job well and truly done.

Without it, you can still be a good practitioner, as you have seen, but what you are longing to regain is the essence and joy of this work, but now you must mount the horse again with more knowledge.

Thanks for the questioning, and move forward with courage toward the spiritual healing I know you can do. Nothing else is really worth our time and theirs.

—Tom

Faun Dancer with Cerebral Palsy

Monday, January 25th, 2010

Perhaps you saw this story about the ‘faun’ dancer with cerebral palsy:

Genzlinger N 2009: Learning His Body, Learning to Dance New York Times November 24 2009

In early 2008, a young actor with cerebral palsy, Gregg Mozgala, was appearing as Romeo in a production in New York which involved a mix of actors, some with disabilities and some without. In the audience was choreographer Tamar Rogoff - who decided that she would explore the idea of producing a ballet, with this same young man dancing - despite the fact that he was totally untrained, and could not walk without exceptional distortion and effort.
Mozgala has described his walking style at that time as looking like “a human velociraptor.” He walked on his toes, with his lower extremities turned in, wobbling from side to side to maintain balance.

Genzlinger, writing in the New York Times (2009) report on the Mozgala/Rogoff story, quotes him as saying :
“My knees were going in, my hips were totally rotated inward. Gravity was just taking me down. So my upper body — arms and chest — overcompensated, curling back and up.”
Some 9 months later, from December 3rd to 20th, Mozgala appeared in New York, in a production (Diagnosis of a Faun) choreographed by Rogoff, at the Eileen Stewart Theater.
How was Mozgala able to go from his previous dysfunctional walk, to be able to appear on stage as a dancer?
Only a few clues have been offered thus far. It seems that Tamar Rogoff possesses other skills - that lie in the bodywork and movement arena. Whether these involve formal training, or acquisition over the years of particular skills associated with her work, is as yet unclear.

In the text below, Rogoff and Mozgala describe aspects of the process in their own words:

Tamar Rogoff:

I began the work in order to prepare Gregg to dance the role of the Faun in a new work I was choreographing. I first saw him as an actor and his body energy called out to me as it was interesting—strong and active and responsive to the text. I liked how his passion ignited and was in direct contradiction to his physical condition. He seemed to act his way out of his c.p. leaving me unaware while watching him do romeo and Juliet that he had it and I knew he could dance his way beyond it as well.

I used a lifetime of body learning—everything from decades of dance techniques (ballet-Graham-Bharata natyam) to bodywork. My bodywork teachers were alan wayne and monica Hathaway both of whom taught me ultimately never to listen to them but find my own way. I’ve never studied Feldenkrais or Trager or Alexander or yoga—for the last 26 years I have given a laboratory class at PS 122 and now at LaMama in New York—many students have been with me for all these years—they are mostly actors and they agree to being there while I investigate whatever interests me—this is an experiential anatomy approach where I can spend a year behind the sternum, for example—then include any landmarks in the body that interest me—bones-joints muscles-spaces between things—the class speaks my idiosyncratic language —alignment issues—mine and theirs often spark investigation—in my class at NYU ETW I add how this investigation can be the origin of a choreographic vocabulary and how it can enliven acting—this is not at all academic, as I haven’t studied the body in an organized course but have picked up information everywhere. I tend to start where I am or from what I see and let the class follow where the body takes us—a class can’t ever be replicated.

The first order of business with Gregg was to steady him enough so he could transcend his main concern which was balance and introduce him to new ways other than his set in stone movement vocabulary which seemed designed to compensate for the inward rotation of his legs and hips He was locked in to a very specific body vise and felt at the mercy of the signals from his brain which were telling him to tense up—we sat on chairs and stamped the feet—I offered imagery—the horse shoe heel—we opened the knees—tucked him into the fetal position which rounded the lumbar spine and changed the curves he needed for balance once standing—introduced opposition walking rather than the seesaw side to side lurch which was the way he got around, and after a few weeks I taught him the shaking technique
Shaking—we started lying down on the back– legs bent feet on the floor—arms outstretched to the sides—palms up–opening and closing the legs (knees) waiting until involuntary shaking and trembling took over—it took several sessions and ended up starting in thumps of the chest against the floor, the head doing an uncomfortable looking lifting and nodding—all very violent and not where I was expecting it to come from—each time he lay down the body took off in this same way until it ran its course—any time I put my hand on Gregg’s chest I could elucidate a thumping—later came other lightning bolts of zigzag energy—month by month we worked out pattern after pattern—my finger under his lips could cause enormous gagging—his arms pounded the mats—his hands clapped together until they hurt and I had to put something between them—at some point what you might call shaking began—a bit quieter but still intense—thru the thighs and sacrum –then a vibrato took hold of his belly—his stomach muscles had never served him as the way his upper body met his lower was disconnected from the body’s original design — then came more pounding, now thru the lumbar—all this we followed as the body led us through. I selected a position from which to start sometimes lying on the back and sometimes on the belly or sitting in a chair—I selected a movement to begin getting us to the involuntary part and then we dedicated an hour or two to follow its course–we were in a gym so we had mats and blocks and everything you might use for yoga—I built him structures to get his pelvis up off of the floor so his legs could be tossed over his chest and his hamstrings could stretch and he could access his stomach muscles—now that his body had experienced the shaking it constantly went to that mode in any stretch
Standing and hanging over fingers near toes—we used this to stretch out and access the lumbar and open it up—here we got seizing up and a great deal of fear—I bypassed the fear many a time by using my body against his—almost like lending him my nervous system—my sense of flow—throughout I used my body to teach his—he could relax onto me in different ways—the little reiki I know I used to quiet him as well –my hands sent messages and new patterns—now one sweep of my hand can illicit a 20 minute reaction and instil a new or even a permanent understanding—more and more he asks me to move aside as his body is telling him something directly and he must be left alone to follow his internal clues
Walking—from the beginning he walked at every session and I gave him a small message often connected to an image to take on the street with him—we had to watch his exiting on to the street as he tended to revert to a prior more protective –historically more familiar mode—mostly I just watched his walk and saw where energy didn’t flow—where the body was uneven or where the foot didn’t touch the floor—as his abilities grew he could feel when his sacrum was rigid or not—
Attitudes –Gregg is addicted to the way feelings and information come through his body—he’s in awe when he feels space in the hip sockets or connections from one place or another—or when he can just slow down–this is a reversal of his former attitude which was a slave to his condition –always taking orders from the Bully (Oliver Sachs’ term for the lesion on the brain in C.P.)–always using tons of fast frenetic energy to muscle him through everything from walking to sex—his mind which functioned in a more nuanced way was at odds with the pace and lack of modulation in his body. What he thought in his mind—was not do-able in his body–therefore immense frustration as his hyper vigilance governed the resonance of his body making known its limitations
Identity—Gregg evolved his personhood –body and mind to fit into his C.P. body—thru that body he felt every emotion and in that body was stored all memories pleasurable and painful—his body rhythms –walking and running were the sound score to his life—the drag of his foot—his particular toe walk —as his alignment changed —his patterns changed and he became a stranger to himself and in fact to me—it was the original walk that housed the person I was interested in—the new neutral was exciting because it proved that change was possible but a bit blah and devoid of any personality—I often noticed when Gregg was drunk ,or stoned, that his happiness reverted into the old home base of his original alignment—he reports that when he is being an actor the same happens—
Going forward the questions are:
How will his new body house him?

What parts of the changes he’s elicited in his body will remain with him irrespective of his actively being conscious of them ?

What amount of consciousness will be necessary to keep a healthier alignment ?

For how long and how much will he have to continue the bodywork process?

We are planning a phase two of this project which will include bringing another person with C.P. on board so Gregg can both watch me teach and teach this person himself—will teaching the work keep him involved and help preserve his new patterns ?

How far will we be able to go towards a permanent positive alignment ?

How will Greggs’ personality —emotional balance– identity and world view evolve to meet his new needs in his changing body?

Gregg Mozgala

I’m sitting on a stool. Tamar is in front of me and has her hands on my feet. She’s placing them into proper alignment and pressing my pinkie toes, forever raised like the true aristocrats they are, into the ground. They were caught unawares by the revolution and need to learn what it means to do an honest day’s work. Tamar instructs me on how to get my feet into proper alignment. She uses her hands at first to show me the path my foot should travel up and down. She lists all the joints in the foot: heel/talace/ankle/ball/etc… and encourages me to think of the foot in its many pieces as opposed to a heavy, single slab. I ask her to let me try the motion on my own and input the suggestion of the feet as a mutli-faceted unit. There’s an increase in sensation almost immediately. My body is in conflict with itself. It wants to discover these new routes, new ways of moving, which is actually the way it was originally designed to move, but it takes time and effort to release it from it’s old modes of behavior. I’m working on my right foot alone. As I focus to raise and lower my foot, I can feel my left leg grabbing in the hip flexor, the knee wanting to turn in, the heel coming off the ground. I stop. I ask Tamar for a yoga block. With my left foot on the block and supported the “bully reflex” is interrupted and I can put all my attention and focus into my right foot. The simple action of raising and lowering my foot takes an incredible amount of focus and is physically strenuous. After a few minutes I am shaking. Not just in my legs, but my entire pelvis starts undulating. All this movement, termed “shaking” is purely involuntary. As my body discovers the correct pathways and what I assume are new neural connections as a result of positive alignment, my body learns that it can utilize these new pathways and release the old mechanism that had previously allowed for standing, hind-limb ambulation, running, jumping and general mobility with the effective, but less efficient, C.P. alignment. What the shaking does is soften my otherwise tense or spastic musculature to receive basic instructions such as; point your sternum down, tuck your tailbone under, close the front ribs/open the back ribs, etc. What’s more, as my right leg and entire right side begins to learn proper alignment my resting leg begins to respond similarly. Not nearly with the same intensity, but it’s as if one side is teaching the other- like a game of “Follow the Leader.” As my body reroutes I often times also experience a physiological-emotional response. In this case, I experienced waves of nausea and became very emotional to the point of tears. Tamar and I never stop or get bogged down with the psychological or emotional ramifications of this. This would kill our progress. We soldier on through. Both of us realize that what’s happening when this occurs is that my body is opening up areas that have been previously unavailable or inaccessible for over thirty years. It is what it is, and this to shall pass.

I’d like to digress for a moment here and talk a little bit about my body’s relationship with fear. Tamar has said that my hyper-vigilance is due to my body being in a constant state of emergency. I have come to understand this as a constant fear of falling. During some of our most recent studio sessions as I experience release in my lower body, specifically in the leg below the knee, I’ve noticed that my arms- shoulders, forearms, wrists and hands get extremely tense. I believe this is a compensation that my body does automatically as a protective measure. As I move my pelvis, hips, legs and feet into proper alignment- into an alignment that my body has never felt- my body tenses. This is because I believe IT believes I’m going to fall down. This is a new and fascinating concept to me. I first became aware of my body’s fear response during the rehearsal period. The first day I was working on the set piece we affectionately refer to as, “The Rock,” I couldn’t even sit on it without waves of physical terror coursing through me. I was flanked by Tamar on my left and Sharon, our stage manager, on my right. As I moved around on it and eventually tried to stand up, I held on to them for balance and support. Initially I couldn’t stand up on it without their help. My body would tense so much that it would literally drop me to my knees for a more supported base. If they let go of me the waves of terror would return and I would simply ask- or scream or cry out- for one of them to touch me. This simple action both comforted and grounded me. During our opening week of performance I was experiencing so much pain as a result of tension in my hip flexors that I was convinced it was only a matter of time before I was going to injure myself. Tamar stressed the importance of a focused warm-up. As I increased my warm up and internal focus the pain first moved from my left side to my right and then disappeared completely. By the end of the first week of shows it was gone. It didn’t return for the remainder of the run. As we work in the studio, I’ve realized that I can actually counter this fear response by slowing down and convincing my body that it’s okay- that it’s not in a state of emergency. The grip we call, “The bully reflex” is the grip of fear. If I stay focused and connected to my body as I move into proper alignment, using my mind, I can show my body that there’s an alternative to falling that’s better, safer, more productive. I’m still working on developing this theory but could this be me willing my body to change?

We work on my right side for a good forty-five minutes to an hour. I’m shaking. I’m gagging. I’m nauseous. I feel great. It’s time for me to stand up and walk around to see how my body has integrated these latest changes with movement. Tamar slowly removes my left foot from the block, being careful to place it down on the ground in the proper alignment. I ask to try and replicate what I have just done on my right foot with my left for a few times before I stand up. Tamar acquiesces. My left foot is considerably more rigid and less responsive then my right foot in general. It’s harder to lift and place down properly but I mange to do it about half a dozen times before Tamar assists me with standing up. I walk into the studio and with the first few steps it’s as if my brain has caught fire. My feet are on the floor like never before. I have a roll to my walk that involves the entire foot that I’ve never utilized until this very moment. It’s incredible. I walk for a bit. I allow my body to integrate all the new information we have just fed it. I try to let my new walk walk me. I listen to my body. Before we know it our work has come to an end for the day.

Neither of us had this planned when we arrived at the studio this morning. We never have an agenda. It just happened. This progress with the feet however, would not have been possible if we had not been working so intensively over the last eight to ten months. Tamar and I continue to talk as we change clothes and prepare to reenter the world at large. I have to head to the West Village to rehearse for a reading I am doing later that evening. Before we exit the studio Tamar gives me a few basic directions to carry with me through out the day. I listen. I try and put them into practice as we climb the studio steps and exit out onto the street. Tamar returns the keys to Teddy at the gym. I cross the street and enter my building. As I enter my apartment and hit the stairs I remind my body of the work we have just done and take each step slowly and deliberately, careful to make sure I am landing half-toe/heel/with the outside of my heel pressing down. As I walk up the steps I think for the first time ever, “I love walking up stairs,” as I fight back the urge to throw up in my mouth.

These extracts from Tamar and Gregg’s notes describe a really remarkable transformation

I was asked to provide my commentary to the above notes:

When this story appeared in the papers, I was very interested in the method employed, so I am glad to have this level of detail from both teacher and recipient. How wonderful that the method has no name! It reminds us that the path of healing is not restricted by specific approaches, but wends its way upward in switchbacks. It reminds us that our ‘name brands’ in bodywork - dear to us if they are our own, or raising our interest or suspicion (or both) if they seem to run counter to our beliefs - are but signposts along this path, and not the path itself.

Secondly, I was impressed with the emphasis on what Gregg can do. So much of medical rehabilitation starts with what the patient cannot do, striving to make the currently impossible possible again. It was Emilie Conrad (of Continuum fame), herself a dancer originally, who first introduced me to the very liberating concept of: Start with what they can do. Explore that, and the novelty will arise, and then explore that, which leads on to more novel movements. Emphasis on the problem, difficulty, lack, and inability - even with a ‘helpful’ attitude - can leave a patient frustrated and depressed.

Tamara’s method seems to owe much to the dancer’s sure knowledge that everyone has limitations, and yet everyone has a world within his body. Gregg’s Bully had limited his movement range, and then he himself had limited it further by adopting and constantly reverting to his CP stance, his rolling gait, his locked-in legs. By exploring an unrelated but possible movement within his range, he was led naturally up the switchbacks rather then going for the straight line uphill - which can be an effective path for the simple injury rehab, but not for a complex and enduring ‘condition’ such as Gregg presented. Seeing the situation as an opportunity instead of a problem is the artist’s prerogative, and one that more therapists would do well to adopt.

Thirdly, we can note that every one of these conditions has a somatoemotional component, very much evident in Gregg’s self-disclosing comments - he loves this and he’s about to gag; he’s standing and crying out in his fear of failure (falling). Those who undertake these deep structural healing processes should be prepared for cognitive dissonance, for not believing everything you think, for contrary emotions that occupy brain and belly together, for deep swoops and giddy highs that follow each other. Gregg clearly had the strength for such a journey and not everyone is willing.

The shaking is an essential part of such releases, when the ‘accelerator / brake’ (combined excitatory and inhibitory signals, autonomic and somatic) lets go its grip and neuromuscular patterns (in my experience) let go, shake for some time, and then normalise. From the sounds of it, there was a ‘whole lotta shakin’ goin’ on’, indicative of both how deep Gregg’s patterns ran, but also how deep he was prepared to go to free them.

Finally, we must note how much time and attention it took to stage Diagnosis of a Faun - and to complete even this stage of healing. There is no indication of how many hours the two spent together in the nine months, but on the basis of my own experience with similar journeys, I can easily believe that both were engaged pretty full-time on this project. How lucky for Gregg to have such a dedicated teacher! How lucky for Tamara to have such a willing student! Most professionals in the healing trade cannot set aside so much time for one person. But it is in these journeys that the possibilities of healing a revealed, which are later refined and fitted into protocols by others who follow. Thank you Tamara, and thank you Gregg for the glimpse into deep and pathbreaking healing via the arts.

SciAm 3: Glial Consciousness

Friday, November 27th, 2009

Reading the Nov ‘09 issue of Scientific American in post-Thanksgiving tryptophane torpor yields these developments in Spatial Medicine:

http://www.scientificamerican.com/article.cfm?id=new-culprits-in-chronic-pain

Now, this is a very exciting finding for my concept of ‘Spatial Medicine’; it is a further development from the original research reported in Sci Am in ‘The Other Half of the Brain’, referenced in Ch 1 of Anatomy Trains. It is a fact that there are nine times as many connective tissue cells in the central nervous system as there are neurons. All the research has concentrated on the electrical neurons, and almost none on the glia (meaning ‘glue’, the general name for these mesodermally-derived connective tissue cell types such as astrocytes, monocytes, oligodendrocytes, Schwann cells, microglia, melanocytes, etc.

Even this article championing glia fails to mention their now well-established role in brain structuring in embryological development (also referenced in Ch 1 of Anatomy Trains) - the glia build the neurons into a working brain. They also form the fatty myelin that insulates the nerves, and they certainly perform their traditionally assigned role of helping to supply the neurons with glucose and oxygen faster than the poor stressed-out, stretched-out, action-potentiating axons can do it themselves.

But:

Their role in consciousness has been completely ignored until recently, when their role in feeling was sketched in in the article referenced above. Now, in this article, that sketch is filled in some more (at least in my understanding) by detailing their role in chronic pain. You can read the article for the neurological loop that can sustain chronic pain long after the injury is healed; my interest here is in how the glia and neurons work together to produce the chemistry of consciousness.

As my students know, I believe consciousness is a distributed phenomenon, not localized solely in the brain. Even if we admit the brain is important (of course it is), there are thousands of miles of capillaries in the brain, and 9 times as many connective tissue cells as neurons, so all three holistic communicating systems of the body (see Anatomy trains, Ch 1) can be involved in the brain’s production of awareness. And every time they fill in the ‘how’, they seem to confirm my theories.

We have long seen the nervous system as a string of electrical wires that create the ‘computer’ of the body. Of course we know it is ‘wetware’, and that the computer model is both too durable and inadequate at the same time. For one simple thing, the ‘wires’ are not connected up, and require this seemingly inefficient chemical squirting of neurotransmitters between one axonal end plate and the next neuron’s dendrites.

‘Inefficient’ for an electrical engineer interested in speed and accuracy of transmission, but not for a biological organism with other constraints. As Candace Pert has documented in Molecules of Emotion, neuropeptides pour through these synaptic clefts, altering their ‘tone’ and setting the ‘feeling’ state for the whole set of wires, or just a local set of wires. More than 200 of these ‘messenger molecules’ have been discovered, and receptor sites for many of them have been found on all the cells of the body, not just the dendritic receptors.

So now what we see in this new research is that the glial cells, particularly astrocytes and microglia, gather around the synaptic gap, sopping up extra neurotransmitter, sometimes dispensing it out again to augment signaling. They also release growth factors to neurons that are injured, and also release signaling cytokines to bring in the immune system to fight infection or begin healing. It is when these mechanisms go wrong that a positive feedback loop can be established that implicate the glia in some persistent chronic neuropathic pain. Drugs are being developed.

Beyond the drugs, however, we see the interaction between the connective tissue network in the brain combining with the neurons to produce consciousness. I predict further findings detailing an increasingly recognized role for the glia in awareness. Less established would be some kind of communication (via the pia mater? the microvacuolar collagenic dynamic absorbing system of Guimberteau?) between the glia of the brain and the rest of the extracellular matrix that we deal with every day. But stay tuned, for such connections will be forthcoming if it is indeed that three whole networks - in other words, our whole body - that is aware.

SciAm 1: Hobbit

Friday, November 27th, 2009

Reading the Nov ‘09 issue of Scientific American in post-Thanksgiving tryptophane torpor yields these developments in Spatial Medicine:

http://www.scientificamerican.com/article.cfm?id=rethinking-the-hobbits-in-indonesia

Remember the Homo floriensis find? A small island of Flores in the Indonesian archipelago yielded up fossils of a very small (and small-brained) human who lived there a mere 17,000 years ago (by reliable dating) but who bears a remarkable similarity to Lucy, the famous australopithecus afaensis.

Now, there are really only two explanations for this finding, which under current human derivation theories is about as likely as ‘bird shit in a cuckoo clock’, to quote a famous scientist:

1) There were far earlier immigrations out of our common ancestry in Africa before homo erectus made his pretty-well confirmed diaspora through the Middle East, moving down the coat to India and Asia, with a group doubling back to Europe. The supposition that 1 meter-tall proto humans with brains 1/3 the size of ours managed to emigrate from Africa to Indonesia (the work of many generations), develop tools, and live with us up until the most recent Ice Age is a lot to swallow and sets the now-common theories of hominid development right on its head. Others prefer to say:

2) These hobbits were homo erectus who were simply isolated long enough to go miniature (which has been documented in other mammals, but never in man - the Pygmies are just a very early breakaway group). But the insular dwarfism theory doesn’t stand up to an analysis of the bones and bony relationships, so the second theory is that these fossils are showing the effects of a disease on a group of ‘us’ modern humans.

This second theory is a kind of cop-out - what disease would produce characteristics of an earlier form of human like homo habilis? (Several are offered actually, my favorite being ‘microcephalic osteodysplastic primordial dwarfism’ - a genetic disorder that would produce small bodies and small brains but normal intelligence.) But in order to defeat this disease hypothesis, we need to find other hobbit skeletons and particularly a skull that would show that these humans were widespread and normal, not this specific, possibly diseased, specimen, LB1 as it is known.

If the first theory is right, then it shows how little we know about our family tree between apes and us, and the question of what makes humans unique and what accounts for our strange characteristics is as yet unanswered. I of course prefer this route, as a proponent of the aquatic ape theory (or at least giving Elaine Morgan a good listen), I would love to have the apple cart upset to see a more checkered past, not the linear progression current science prefers.The idea that other kinds of humans co-existed with us until very recently, like the Neanderthals, is very appealing.

On the other hand, if the second theory proves true, it only goes to show on what slender evidence - the one or two fossils available - we hang these complex theories of evolution. I am sure we will be finding detection methods in the next decade that will allow many more hominid fossils to be found, and then the picture might be clearer and more reliable. Until then, I love the available fantasies of multiple kinds of humans roaming the earth together - now there’s grist for a story mill!

KMI Phoenix begins!

Tuesday, November 10th, 2009

Starting a 500-hr KMI class is always a bit of a palaver, and one always wonders how it is going to come together, but by this time I have lots of support: Tammy and George at the office at home, and in this case JoJean the local organizer has found us a great place - the Mesa Arts Center. While the room itself could be said to be a bit enclosed and scruffy - it is used as rehearsal space - the whole feel of the place is vibrant with creativity. we are surrounded by outdoor sculpture (including a tensegrity shade over our heads) pottery, glassblowing, children trying out for plays, people taking photos of pretty boys from artistic angles, and the sound of a piano behind singing in the distance.

The students have come from all over as usual - Canada, California, Florida, West Virginia, Germany, as well as New Mexico and Arizona itself - and have a good mix of backgrounds and talents. Larry is here to host and run the class, and Peter to give lectures and assist, and we have been joined at the beginning by Thadd Dudrey and Noemi Chabot, both recent grads who are back to taste some of the teaching flavor.

I’ll be able to tell better after a few days, but it seems like a strong group.

FRC Final: Op-Ed

Tuesday, November 3rd, 2009

In the aftermath… (uh, sorry, afterglow) of the FRC, here are a few thoughts on the context of the event and the development for the future:

The most publicly heartfelt moment was when Jim Oschman, fascial prophet and energy medicine guru (http://www.energyresearch.bizland.com/index.html), was honored by Tom Findlay and Helene Langevin at the end of the first day. You could feel their bubble and squeaky joy in giving him an honor, and his bark and woof of joy in receiving it. A somewhat odd choice, in that Jim has done no research, and his literature search has sometimes been out in the left field of unsupported speculation. But he has been so right on concerning several major points, and he held the lamp up for research for many, many years when no one else could seem to coalesce around its value - so I am glad my old friend got the honor.

This conference was not as electric as the first conference in 2007, and in some ways not as ‘good’. But it was very much in the directly unfolding line of this fascinating process of investigating fascial properties. It will take a number of conferences over a decade, I should think, to get the balance right, and even then it should be dynamically changing over time.

In the last conference, the gulf between the clinicians and the researchers was mountainous, and though it was clear that we were climbing the same mountain by the end of the conference, it was also clear that it would take some time to meet at the top. Perhaps the most important part of the 2007 conference was simply getting the scientists, many of whom were working on fascia from many different fields and thus did not know of each other, together to see each others’ work.

By this conference, major issues emerged:

• The architecture of fascia: particularly what is made to stick and what is made to slide, and how and why does that happen, and how does one switch to the other in pathology?

• Epi- and intra-muscular fascial force transmission is another big area of exploration that will have practical consequences to assessment and treatment.

• In terms of machinery, ultrasound imaging and computer modeling of fascial forces and remodeling shows great promise.

• The exact role of inflammation in fascial repair - when is it doing good, when does it go too far and over-correct - looks a good avenue for further study.

• And I personally am over the moon about van der Wal’s concept of the ‘dynament’, though I am not sure I can get many of my colleagues to jump so high in its favor - but I plan to champion it in an article or two.

A few suggestions for the next time:

1) One symptom of ’second conference-itis’ was too much of too little. While clearly every effort was being made to be inclusive of the many professional as well as scientific approaches, the review committee could perhaps be seen this time as being just a little too inclusive, It would be good next time if the short presentations could be a bit fewer but of higher quality research.

2) I suppose it is too much to ask that good scientists also be good presenters, and how would you screen for this anyway? but when we can read the slides that they are bent into the mike repeating word for word in a monotone of heavily accented English, perhaps these folks (and certainly the attendees) are better served by appearing as a poster presentation.

A word to the researchers: You have been given a short time to present your work. We know it’s short; you know in advance it is short. Practice. Leave out those 40 supporting slides, and get us to the conclusion before the last 15 seconds! The number of presenters arriving at this congress, for which we have all paid substantial money, who were confused about Power Point, and who allowed minute descriptions of their lab methods to overtake the presentation of their findings was disappointing.

3) We need discussion. So far the emphasis has been on ‘discussion’ between the scientists and clinicians, so that we find out about what each other do. This discussion is fairly fruitless, with a few exceptions, because of the gulf I mentioned above. There are three areas for discussion that I think would be more fruitful:

• A time at the end of the conference for digestion and synthesis of the conference’s main themes, but in terms of the science and the implications. I imagine questions along the line of: “If I put these findings over here up against that line of research there, does this mean…?”

• I would love to hear a discussion among the scientists as to what constitutes good research and where the holes are. Unarmed with the experienced inner skeptic of a Solomonow, I have instead an ‘inner gull’. Everything presented seems very sound and well-done when I hear it, and I am inclined to believe it, even though I know by now that I cannot take what happens to pig fascia in a petri dish and immediately apply it to my practice.

My common experience in this conference, however, was that in the break following a presentation, I could run across someone who had an equally convincing story of why the research I had just heard was weak, flawed, or simply not what shows up in the experienced practitioner’s common results.

Therefore I could use some critical review of what we have heard - not to ad hominem attacks, but asking the senior scientists to have the courage to correct the younger, and the courage of the younger to be willing to be wrong.

• Finally, it would be good to have some education for the clinicians. If the scientists need to talk to each other, then the clinicians need to learn to listen with a more practiced ear. This is not the time, my dear friends and fellow practitioners, to grandstand for your method. This is not a political movement manning the barricades of the resistance to our arts in the health care system, or a professional convention where touting your wares is more par for the course. This is certainly not the time to hog the bully pulpit. Mr Dommerholt, in the service of your small contribution to the whole, no matter how important you think you are to the healing of the world.

The fundamental ticket to enter this hall - be you researcher of clinician or both - is the willingness to fall, willingness to be wrong in the search for reliable truth. Evidence-based research, even good evidence-based research, even established findings - they all get overturned in the course of time, so the researchers, though understandably wedded to the results they obtained with so much perspiration, must come in open to a better method, turning toward the unexpected by being shown a salient factor they missed, or given an alternative explanation that fits more facts.

My experience was that the scientists are more imbued in that attitude, while (some) clinicians arrived in a more stuck place. Clinicians - be they rolfers, acupuncturists, myofascial release therapists or Bowenites - sometimes present more strongly held views on the rightness of their cause than they have any cause to. The scientists indulged the clinicians touching but naive faith in the ability of their particular method to invariably sort out intractable problems, based on no more than their unavoidably self-interested results in a self-selecting practice and a large body of healing lore’ that we all carry around with us in place of the science we do not yet have.

I am not willing to be so generous with my own group: Practitioners: shut up, sit down, listen, and if you don’t like what you hear, then put up some money or do the sweat work to get some answering research done. Don’t kvetch, and please don’t embarrass us further by kvetching from the place of such extreme ignorance of the special method of sharing that science is.

So I say to my fellow clinicians: Come humbly to the temple of science. No one is questioning that you do good in the world, that your work is worthwhile, that you are part of the solution not the problem. But likewise, however much you know it works, you (we, all of us) know so little about how it works. So these conferences become searches for clues, clues which may lead to established facts that fly in the face of some of our dearly-held beliefs, but will ultimately, I am sure, confirm the healing power of the structured touch we are so enthusiastic about. Coming in with a political agenda, an ego drive, or an unshakable conviction based solely on anecdote only slows the process of discovery, for you and everyone else. A little of the dispassion the Buddha showed would drape well over some of these angry and self-interested shoulders.

“Can you show me why I failed with this patient?” is a much more interesting question than “Can you confirm my prejudice about why I am succeeding with these patients?”

So some guided discussion among the clinicians would result in more precise questions for the researchers, to take some of some of the discrepancies I heard in the corridors and elevators, over a coffee or an outside break. The importance of these moments was mentioned in the last hour by the organizer Peter Huijing, but I believe much more use could be made of this process by bringing it inside toward the end of the conference, and organizing it into more incisive questions for what research would actually serve to answer clinicians’ questions and disputes.

The next conference will be early in 2012 in Vancouver. I plan to be there. There is enough discovery in these events, enough ‘being confused at a higher level’, to make the visit worthwhile, despite the frustrations I feel from both sides.

FRC: The Court Jester

Tuesday, November 3rd, 2009

Moshe Solomonow (http://www.uchsc.edu/ortho/bioeng/faculty.html) stands out as perhaps the most interesting personality among the top scientists at the FRC. Look at the number of published research papers this guy has: http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=pubmed&term=Solomonow%20M[au]&dispmax=50

I cannot speak to his science, having read little and understood less - though he has a pioneering reputation and a fierce dedication to good science and he is the world’s expert on ligamentous creep and hysteresis (that doesn’t sound good, does it?). A large and imposing man whose light brown suits cover a good 20 stone with a high balding dome and a deeply-carved face of a Levantine merchant that can go from haughty to twinkle and back again without warning.

In the first conference Moshe played the heirophant to the point of being papist - ‘just read my research, it’s all there’ . I didn’t feel he was entering the field of inquiry with the right attitude, and he quite put me off with his sniffiness and lordly manner. How different was my reaction this time! How different was he this time, marching to the microphone at the end of someone’s presentation, and how the presenters must have braced themselves when they saw him coming.

Some people’s backs were still put up by his attacks, sometimes quite forceful and occasionally bordering on belligerent, against the weakness in the science he saw presented in some of the sessions - and even at that he seemed to be restraining himself.

Seeing his large body slope toward the microphone, coattails flapping, would bring us all awake and bring the speaker to an autonomic sweat. Though the tone of the questioning could be a little badgering, the questions were always salient and often brilliant, looking around corners to the next steps in related research, finding the holes in the way the data was collected that no one else could see, or suggesting a new approach to the problem the research was meant to address.

Last time Solomonow was a brooding presence, who struck me as self-important and not open to new ideas. This time, he seems increasingly like a godsend, our Socrates of the Fascial Research Congresses; I hope he will stay in his position as the Court Jester, in its original sense of the only one who can bring the king down to account. Moshe Solomonow may seem a bit abrasive to some or even cut the figure of the Fool to others, but to me this man seemed key: showing the willingness to engage constructively with other scientists, to risk critical feedback in hopes of improving our knowledge and making more straight the zig-zagging course of scientific progress in our field.

Moshe is a sailor, I found out when I sat with him for a bit, who had a boat in New Orleans until Katrina blew it away. So, to honor his honesty and edginess and his hand on the tiller, my next post will attempt to speak to my group of practitioners in the same way.

Moshe has so totally earned his right to grandstand; the same does not apply to the clinicians.

Body Control Pilates Conference

Wednesday, September 16th, 2009

Back in the Sates now from the Body Control Pilates Conference in London - actually it was held at the prestigious Royal College of Physicians and Surgeons at the edge of Regent’s Park (although it was the weekend, and no surgeons seemed to be about as the conference had taken over the whole building).

Lynne Robinson and her husband Leigh have developed a very strong and influential organization - the exercises on my flight home, the British Airways in-flight TV stretches etc. to save you from going stiff and swollen on the long haul flights had been developed by - you guessed it - Body Control Pilates.

The conference was large and fun. I got to meet Elizabeth Larkham who has been using the Anatomy Trains in Pilates, and saw Wendy Arbuckle, who did part of our KMI training to help her grasp of Pilates. With 7 workshops in three days, some with over 100 people, I am knackered, though everyone was very helpful. Thanks especially to Misty, Charlotte, Tim, and Jacqui.

A visit to Guimberteau

Tuesday, September 8th, 2009

I paid a visit on Monday to Dr Jean Claude Guimberteau in Bordeaux. Dr Guimberteau did the research and made the video of Strolling Under the Skin, the first video of living fascia at work in the body. The images of the interplay of fibers and proteoglycans (ground substance) was so striking that it changes the touch of nearly everyone who sees the video. The ‘living matter’ as he calls it, was so responsive, so versatile, so strikingly alive, and so demonstrative of ‘biotensegrity’ at the cellular level that we simply had to make this DVD available to our students here in the States.

subscapularis-epimysium_31

Dr Guimberteau has a new video detailing further research he has done that carries the ’sliding system’ and the reach of the fascia out to the polygonal arrangement very dermis of the skin. You can buy the DVD here from us or follow his work at: http://www.guimberteau-jc-md.com/en

IASI Faculty Meeting

Wednesday, August 19th, 2009

Heading off for Denver tomorrow to participate in the IASI cross-school faculty meeting. IASI is the professional organization for Structural Integrators. It has an important role in identifying and promoting the cause of structural work in society. For too many years, the conflicting interests among the SI schools (for students, for influence, for ‘being right’) held sway over the common interests, which has not been good for the legacy of Ida Rolf’s work.

This meeting and others like it are designed to provide a platform from cross-pollination among the faculty of the different schools - the Rofl Institute, the Guild, Hellerwork, Soma, KMI etc - where a common core curriculum can be identified, common interests in seeing structural work spread more widely promoted strategized, and leftover enmity banished in a warm fraternal glow.

OK< maybe that’s going too far, but we are a small group, behind the times, long over-involved in introspection, and we need to move to catch up if structural work is going to take its rightful place.