Tag: Indirect Technique

  • Cranio Sacral Therapist and Student Newsletter 24

    June 08 – 2007

    Questions and comments for this issue:

    + Do I use Somato emotional release?

    Hello,

    If you sent me an email towards the end of May
    and I didn’t reply, I’m not ignoring you and I am
    interested, no really.

    Sorry, . . what were you saying?

    My email server dropped the ball for about 5
    days and I didn’t get any mail so if you sent,
    please resend.

    I have some treats for you now and no, I’m not
    trying to butter you up.  Here are some videos of
    John Upledger talking about two cases he worked
    on. The volume is low so be ready to crank your
    speakers up.

    The first one is about a boy who had
    developmental delay, a spinal tap, cephaly,
    seizures and neutrapenia.  The video is in two
    parts.

    The second one is about a girl with hearing
    loss, seizures, and stiffman syndrome.  This video
    is in two parts also.

    The last one is of Dr John doing his thing. You
    may need to lower your volume for this one.

    As you know I gave my ‘Core Success’
    postgraduate seminar in Brisbane in April. Jenny
    Palmer organised the event and she has written an
    article about it, which you can read here.

    And speaking of postgraduate seminars, I have
    also got around to putting up an article about a
    full body release seminar I gave last year.  There
    are some good pictures of the full body team in
    action here.

    And lastly I am putting together a page of
    links for my web sites.  I have been collecting
    and book-marking web sites for a couple of years
    now an am just getting ready to share them.  So if
    you have a favourite website, a cause, an
    organization or a just plain funny site that you
    want to let me know about please send me the
    address.

    Anyhu, let’s get on with the
    mailbag.

    ***QUESTION***

    Dear John,
    Thank you for your newsletters.  I find them
    fascinating and very useful.  I particularly like
    what you say about craniosacral at the bottom of
    each newsletter. It is a vision which I fully
    support.

    So this is me participating by asking a question.
    I notice that you haven’t talked about somato
    emotional release in any of your newsletters.  I
    am wondering if you use it and what you think
    about it.
    Keep up the good work.

    KP
    Toronto.

    MY COMMENTS:

    I have received a number of emails asking me
    about somato emotional release.  I even had one asking
    about its lesser known culinary equivalent,
    Tomato emotional release.

    Boom. BOOM.
    I know. . .
    Tomato. . .
    No applause please.

    So I will combine your answer with the others.
    I don’t use somato emotional release per se.  What
    I use is a technique I developed called
    therapeutic inquiry.  My own cranio sacral
    training was somewhat osteopathic in approach and
    didn’t really encourage talking with the patient
    during treatment.  I felt this ignored a whole
    spectrum of possible information.

    I studied a couple of different talking
    approaches, including somato emotional release but
    found that none of them covered everything that
    needed to be covered.  I used elements from all
    and filled in the blanks.

    When it came time to teach this technique I
    called it therapeutic inquiry because the essence
    of what I was doing involved asking the patient
    the right questions, at the right time and in the
    right way.

    Not everyone needs to verbalise what they are
    experiencing when they are releasing a deep trauma
    but if they do then you need to know very clearly
    what is happening and be able to assist them
    verbally and that’s where therapeutic inquiry
    comes in.

    Knowing the difference between who needs to
    talk and who doesn’t is all part of the skill.

    At other times you will have a sense that
    someone is on the verge of releasing something and
    it is one of those releases that needs to come
    through the person’s consciousness.  The patient
    needs to verbalise it but it just won’t come,
    again this is where therapeutic inquiry comes in.

    Therapeutic inquiry is used to help a
    particular kind of restriction to release.  As you
    know, in the course of treatment we use different
    techniques for different kinds of restrictions,
    some require direct technique, some require
    indirect, some require remote work using intention
    away from the site of restriction while others
    require close work.
    Well some restrictions require therapeutic
    inquiry.  The sorts of restrictions that usually
    require therapeutic inquiry often have a big
    emotional component.

    To explain why you would need to use
    therapeutic inquiry, I need to talk a little bit
    about how these kinds of restrictions are formed.
    It usually happens during childhood and it goes
    something like this: (You can hum along if you
    know the tune.)

    A child finds itself in a situation it can’t
    cope with.  From the child’s perspective the
    situation is threatening to its survival.  The
    child needs to process the situation very fast and
    arrive at a solution that will insure its
    survival.  The child quickly reviews its part in
    the circumstances that have led to the current
    situation.
    It identifies the behaviour that is responsible
    and labels it as life threatening.  It then locks
    that behaviour away in its unconscious, setting up
    the emotional equivalent of a reflex arc.
    Too important to leave to mere memory, the
    child makes it part of its instinct.

    Instinct?

    If we hear a sudden loud noise our bodies will
    have an instinctive protective reaction.  Without
    thinking, our body interprets the noise as
    potentially dangerous and reacts to protect
    itself.  In these circumstances we are operating
    from our instinct.
    It is into this instinct that the child puts
    this emotional reflex arc.   Whenever the child is
    in a situation that is similar to the original
    situation, it will have an instinctive protective
    reaction.

    Back to our child.  Time passes and the child
    grows into an adult.  The difficult situation has
    passed but the embellished instinct does not
    change, it stays in place doing its job. Because
    it doesn’t adapt with the growth of the
    child/adult, what was once a lifesaver, becomes a
    source of disharmony in the persons body, or put
    another way, a restriction.

    Not clear enough? Okay here’s an example.

    A young boy pulls a chair over to the stove to
    investigate the strange wispy cloudy stuff coming
    from a pot.
    His mother enters the kitchen. Horrified, she
    sees her little darling about to scald himself.
    She rushes to the stove, pulls him away roughly,
    slaps him and tells him he is a very naughty boy.

    The boy can see she is very upset.  In an
    instant the boy decides the following, which I
    will explain in adult language.

    • ‘A. My mother is very angry with me.
      She has hit me and caused me pain.
      She normally doesn’t hit me.
      My mother is the source of love and
      nourishment in my life and if she
      continues to be angry, she will withhold
      her love and nourishment and she may
      continue hitting me.
    • B. If she withholds her love and nourishment
      and continues hitting me, I will die.
      C. What did I do that has caused this
      disturbance in my mother?

    Reviewing: : : : : – – – –

    Answer: I was being curious and
    adventurous.

    • D. I must incorporate into my instinct

    the following directive.

    WHENEVER I FEEL CURIOUS AND ADVENTUROUS
    I AM IN MORTAL DANGER AND MUST NEVER ACT
    ON THESE DANGEROUS FEELINGS.’

    The above conclusion is reached within minutes
    of being slapped.  The boy includes the new
    information in his instinct and gets on with his
    life.
    As an adult the boy/man finds change incredibly
    difficult.  He experiences abnormal stress at the
    prospect of changing house or jobs.  When his
    marriage breaks down he becomes so tense he has
    difficulty sleeping and experiences chest pains.

    Fortunately he goes to a cranio sacral
    therapist for help.

    Cranio Sacral Therapy to the rescue.
    High five!
    Low five!
    No?
    Suit yourself.

    Therapeutic inquiry allows the patient to get
    in contact with the embellished part of their
    instinct and begin to communicate with it.  All
    going well this dialogue will lead to changing the
    directive.

    I have found that a restriction will only
    change its function by a direct command from the
    person.  Even then it can be reluctant to accept
    that authority.  The command from the person has
    to be with the same emotional intensity with which
    the restriction was first imprinted, because the
    restriction was charged with the job of protecting
    the person against mortal danger.

    Restrictions are reluctant to return the
    authority if the person is half hearted.  They are
    understandably cautious because of the life &
    death imperative with which they were programmed.
    The difficult part of therapeutic inquiry is in
    easing this instinctive defensiveness.

    Therapeutic inquiry is a difficult technique to
    become competent in because it requires you to do
    all the difficult work you are already doing with
    your hands and presence AND include this very
    precise line of questioning.

    Just to give you a little window into the
    technical difficulty involved, there is a huge
    difference between asking,  ‘Are you afraid?’
    or asking, ‘How do you feel?’
    The first question suggests the
    idea of fear and in a nanosecond the patient will
    be thinking.
    ‘Why are they asking me this?  Is there
    something I should be afraid of?’

    Asking the patient how they feel allows them to
    tell you the way they are experiencing the
    situation; not the way you think they are
    experiencing the situation.

    It is very important to get it right because
    you are engaging with a very powerful part of the
    person and you don’t want to be messing around in
    there.  Therapeutic inquiry is the one technique
    that, far and above all the others, I found
    students have most difficulty becoming competent
    in.

    As with every ‘technique’ it is something that
    needs to be mastered and integrated.  In practice
    I rarely use isolated techniques and this includes
    therapeutic inquiry.  Everything blends together
    and is significant.

    From the first phone call with a new patient to
    everything I say to them and everything they say
    to me.  It is all significant and part of the
    blend of treatment

    So that’s it for this issue.

    Cheerio for now.

    Till the next time.

    Your Mate,

    John D.

  • Maxillae

    + CST and orthodontic work? – April 08

    Hi John,

    Thanks for your reply to my letter regarding
    cancer in the New Years Newsletter.
    As to what to call you how about the “enlightened
    one”?
    Your reply to my question made me laugh but if I
    had received it a few weeks earlier I would have
    cried, can I remind you of your words

    “the chances of you giving yourself a major
    fright and setting you palpatory skills back years
    is very high.

    For example, let’s say you go against your
    teachers/mentors recommendation and start treating
    someone who is in the middle of dealing with
    cancer.
    And let’s say they have a major episode the day
    after you treat them and end up in hospital.

    “Take a minute and think about how you would
    feel.  Can you imagine how difficult it would be
    to stay objective about your contribution to their
    being in hospital.  Can you imagine how hard it
    would be to avoid putting yourself through the
    wringer wondering if your intention was too heavy
    or too light, how you could have missed what was
    coming and so on.”

    Well I can tell you how I felt !!, my Aunt had
    been given the all clear following Non hodgkinson
    and all the horror that the treatments entailed,
    bald and full of life she stayed with us for a
    week over xmas on the day she was leaving I asked
    if she would like to try some cranio (are you
    wincing?) her system did not react and as I had
    not practiced for some weeks thought it was me so
    pushed the intention a bit harder but all she got
    was a nice still point and a vision of a being in
    a crater looking at the blue sky (that made me
    wince!). She phoned me 3 days later to say she had
    not been out of bed since she got home she could
    not stay awake (but she felt good) I told her to
    go to the Drs asap! she had no white cells and was
    very close to dying.

    So how did I feel! all of the above! my teacher
    was on holidays but when I finally contacted her
    she believed the cranio probably brought it to the
    surface alot faster. My Aunt is doing alot better
    they think she is one of the rare ones that get a
    reaction to some injection they give post Chemo,
    but they also discovered her heart and lungs are
    stuffed from the Chemo! I offered her Cranio and
    we both laughed (but I don’t think either of us
    will go there!)

    I have been going through all your archives a
    couple at a time as it makes my head hurt! so many
    questions!

    So I will start with; I read about your case
    study, the girl you helped with facial disorders,
    my 18yr old son has a protruding lower Jaw they
    have done one lot of orthodontic work and are now
    waiting until he stops growing to operate on the
    lower jaw to pull it back ( a nasty sounding
    operation) and then a couple more years of braces
    to correct the bite. Do you believe that cranio
    could stop the jaw coming forward anymore and even
    better bring it back slightly? and my daughter 15
    has had two years of braces but because she had to
    a have a baby tooth removed that had no adult
    tooth to replace it they expect she will have
    braces for two more years! Do you believe cranio
    can really help in these situations, I have read
    in some of the Cranio books to seek out a
    orthodontist that works with Cranio but I don’t
    think there is such a person in Australia? I asked
    my orthodontist and he was very “polite” “what
    the?!!!”

    Many thanks
    God opps John
    Karen
    Australian

    >>>MY COMMENTS:

    Hello Karen,
    Thanks for sharing your experience about your
    Aunt.  It must have been awful for you.  Our
    palpatory skill is a wonderful but fragile thing.

    I’ve had a few emails from different people
    asking about orthodontic work and cranio sacral
    therapy and since both your questions are about
    that too, I’ll kill the few birds, humanely of
    course, with one stone and answer them all
    together.

    Can cranio sacral therapy really help in these
    situations?

    Hell, yes.

    Let’s start with the basics. Teeth are
    basically bone and contrary to common perception,
    bones ain’t bone china.  Bone is plastic and wet
    and it grows and most importantly responds to the
    pressure it is placed under and adapts.

    Wolf’s law and all that, don’t you know.

    What’s Wolf’s law?

    Wolf’s law states that the son of two wolves is
    equal to the son of the bears on the other two
    hides. . . or . . something . . like . .that.

    It basically means that bone will adapt to the
    loads it is placed under.

    That is how they can dig up someone from a
    thousand years ago and from a careful study of the
    shape of the bones of their forearm, work out that
    the person used to be a charioteer.

    The fact they were buried in a chariot helped
    but it was the bones, Jim, the bones.

    So just because our teeth are sitting in bone
    and our bite is essentially made of bone that
    doesn’t mean that it is fixed for all eternity.

    When you think about, that’s what Orthodontists
    are kind of banking on.

    From our perspective, you could think of braces
    as being like a form of direct technique, carried
    out over a numbers months or years.

    When I think of our ‘bite’, and this is
    probably because I used to be a carpenter, I
    always think of the mandible as being like a door
    and the temporo mandibular joints as being like
    the hinges of the door, with the temporals and the
    maxillae making up the doorframe.

    Thinking of it like this helps keep all the
    different parts in their rightful place.

    The mandible is roughly solid.  Yes, I know it
    used to be in two parts and in some ways still
    behaves as if it is but compared to everything
    else involved that still ARE in separate parts, it
    helps to think of it as solid. . . like a door.

    So if a person’s bite is off it is probably not
    the mandible itself but the temporals or the
    maxillae.

    Because if the doorframe is not straight the
    door will keep banging on the frame and never
    close properly.

    Now let’s look at the two examples you gave.

    You write that your son’s lower jaw is
    protruding.  The first thing I would ask myself is
    why is it doing that? Is the mandible sticking out
    or is the face pushed in? or is a bit of both.

    I would palpate his whole face and try and get
    a sense of what the overall pattern was.

    Once you do that you can begin to look at the
    hinges and the doorframe.   For example: There
    could be a pattern where his temporals are
    torsioned anteriorly and inferiorly in a kind of
    temporal nose dive and this in turn could have the
    knock-on effect of pushing his mandible
    anteriorly.

    Or both his maxillae could be driven
    posteriorly.

    If it is in the temporals I would treat it with
    indirect technique.

    If it is his maxillae I would treat it with a
    combination of indirect and then direct technique.
    Indirect to follow into the pattern and help it
    release then direct because the influence of the
    cranial rhythm is weaker in the maxillae and they
    can need a little help getting where they want to
    go.

    If the maxillae are driven posteriorly you will
    need to assess the palatines and help them release
    too if the pattern goes back that far.  You will
    also need to look at how the sphenoid is affected
    by this pattern, particularly the pterygoid
    plates.

    With your daughter, it sounds like they are
    trying to even out the gap left by the extraction.

    Again, I would palpate her whole face and try
    and get a sense of an underlying pattern that
    might have caused the situation.

    If nothing major presents itself, it may be a
    case that her body doesn’t register the situation
    in her mouth as being a problem.  This would make
    you work a lot more difficult and require a lot
    more direct technique.

    Assuming that your daughter’s braces are not
    fixed, you can work on the teeth individually.
    You can take each tooth and ‘unwind’ it.  That in
    itself may begin to even out the gaps.

    And finally, as a general note about working
    with the mouth, the bite and teeth, it’s important
    to rely on the fact that our body is NOT
    predisposed to have a banging, jarring,
    disharmonious bite. It wants to bite right.

    All you have to do is help it. Having said that
    I have found as a general rule that while bone is
    responsive it can take a while for it to grow in
    new directions and by a while I mean 2 to 4
    months.

  • B1.06.0 – Direct – Indirect Technique

    << Back to Basics 1 syllabus

    HOW ARE RESTRICTIONS RELEASED?

    We use two approaches
    ✬ Indirect technique
    ✬ Direct technique

    It is through a combination of indirect and direct technique that restrictions can be assisted to release.

    INDIRECT TECHNIQUE

    Indirect technique requires the skill of being able to follow the body to the point of restriction.

    FOLLOWING
    Following the Body is a skill that takes a lot of practice to get proficient at. Without getting too flowery about it, it’s a bit like singing along to a song. It requires you to keep in time and in tune so that your singing harmonises with the music. The combination of the music and your singing produces something more than the individual components.

    If you put your body in a flotation tank it will generally start to move because when your body has a gravity free environment it begins to unravel.

    Like a piece of cellophane that has been you crinkled up in your hands. When you let it go it begins to unravel.

    Following the body means providing this gravity free environment in which the body begins to move. The skill comes in following the dance.

    Indirect technique is a process of Unlatching.

    You are at a door that is locked. There is a key in the lock but when you try to turn it the key is stuck. You lean your weight against the door, pushing it even further closed knowing this will give the barrel of the lock the space it needs to turn.
    While pushing the door in, you try the key again and it turns freely.
    You release the door and it springs open.

    Indirect technique works in a similar way. It is one of the gems of the cranio sacral approach. It takes the view that substantial permanent release can be achieved by following the body into the pattern of restriction.

    If one of my vertebrae has been displaced to the left by a trauma, a whole pattern will have been established around the vertebrae that will keep it displaced to the left.

    No amount of pushing to the right is going to keep the vertebrae in line permanently. If that approach is taken the vertebrae will keep ‘popping out’ and will need to be ‘put back in’ with increasing regularity.

    A permanent release and subsequent realignment can be achieved by following the vertebrae into the pattern of restriction, that is to the left. At the point of the trauma the restriction will release and the vertebrae will return to alignment naturally.

    Indirect technique, going with the restriction pattern.

    DIRECT TECHNIQUE

    Direct technique is used when indirect technique fails to achieve a release. The restriction pattern has been felt and the therapist knows the structure needs to release in a certain direction. Direct technique is moving in that direction against the restriction.

    Direct technique works because of another gem of the cranio sacral approach; a little pressure over a long period of time can move mountains.

    You have just made a peanut butter sandwich. You suddenly decide you want to put jam in your sandwich too. If you pull the pieces of bread apart too quickly you will tear them. But if you apply a small amount of pressure and wait, the two pieces of bread will come apart in time.

    You are in a lake. In front of you is a huge yacht. You have to move it 200m from one jetty to another. You run at the boat and push it with all your strength. (Not easy when you are waist deep in water holding a peanut butter sandwich.) The boat hardly moves. Luckily you are a trained cranio sacral therapist and you apply direct technique. You place your index finger against the boat, applying a small amount of pressure and you wait. In time you will see that this huge boat has moved and if you continue you will cover the 200m in no time.

    Direct technique, going against the restriction pattern.

    << Back to Basics 1 syllabus