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Less Chaos, More Massage.

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Posted by Jill Berkana in thoughts

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benefits of massage, Berkana Institute of Massage Therapy, Jill Berkana, Massage Therapy, Self Care

chaos1Right now, this world, is crazy.  With the current events unfolding around us on a daily basis we are all working to thrive in a state of crises. Whether you know it or not, we are all coping in one way or another to deal with the surrounding chaos. No one is exempt. One way or another, everyone who is a human being and who is alive in this time is having to DEAL with the madness around us.

Helpers are needed more than ever. Helpers are the courageous people who are coping and dealing, by trying to help others cope and deal. This is a healthy and conscious way to manage what is going on. Helpers choose to be part of the solution, rather than focus on the negatively and the problems. Helpers bolster the survivors of these times.

Massage Therapists and Bodyworkers are Helpers. We work to make an immediate positive impact on the quality of people’s’ lives by providing rest and nurturing in a safe place to simply BE. We offer comfort and therapeutic touch. Some of our clients simply need to breathe, rest and receive a nurturing and relaxing massage. Others can benefit from a deeper treatment approach for musculoskeletal pain and discomfort. We adapt to the full spectrum of people and  we are here to help. Massage Therapy is holistic healthcare, meaning, the benefits of receiving massage therapy are emotional, psychological and physical. We are not just here to help our clients, but to help ourselves by giving our lives meaning and purpose in this wild world we call home.

Massage Therapists are wave makers. Our work has repercussions. We offer valid and skilled therapy for our clients and we make a positive impact immediately on their lives. After receiving massage therapy, our clients can’t help but be more present, and thus more consciously aware of their actions and reactions.  They leave their massage with a heightened sense of themselves and can be more in control of how they respond to the world around them. A client may be kinder to their employee, or their partner or their child after a receiving a massage because they are more connected to themselves. They have received comfort, nurturing and therapeutic attention from a massage therapist who has offered them unconditional positive regard, and time to just simply be taken care of.

If you are considering a career in massage therapy. Please find the school that is best for you and sign up right now and become a helper.

If you are a person who is suffering from the unreal stresses of your life, please make receiving massage therapy a NORMAL part of your life and watch how things get better.

If you are in the massage profession or industry, please take responsibility to support the profession by educating the public about the benefits of this career, and help bring the right people to this profession.

Jill Kristin Berkana LMT BCTMB

 

Showing up late to your Massage

30 Friday Sep 2016

Posted by Jill Berkana in Tidbits from the Massage Mamma

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Being Late to a massage, Berkana Institute, Jill Berkana

lateI am a massage therapy educator, former practicing massage therapist of 20,000 plus hours and a mentor of over 300 graduates. Now you know why I’m exposed to, and experienced with this subject matter.  Let’s move on.

This article is not for me, and it is not for my graduates, but for the thousands upon thousands of clients our profession serves. Let’s talk about time management in massage therapy. My goal is to share with clients the perspective of massage therapists with regard to time and how it works in massage land.  This article is not intended to be an insult or to offend anyone in any way, but to educate the public on the unique perspective we massage therapists have with regard to time.

When we train to become your massage therapist, we crank our awareness of time management up to a level that is not normally understood or practiced in a lot of professional cultures. Specifically, we start to pay attention to not only the minutes of the hour, but the seconds of the minutes. When we come in to work to provide massage therapy for you, the person who reserved our time, we come in early to ensure the following:

  • The environment is prepared for you in every way.
  • We are mentally and emotionally prepared to devote ourselves to this time to serve you an awesome bodywork experience.
  • The condition of the drapes on the table (sheets) are hygienically and aesthetically prepared for you.
  • All odors or aromas in the room are neutralized.
  • The temperature of the room is comfortable for a person who is relaxing.
  • The song list that is prepared to play for you is at the appropriate volume to swiftly support your journey to bliss.
  • Our fingernails are extremely manicured so that we do not scratch you.
  • The amount of cream or lotion that we have is appropriate to meet your needs.
  • We have the water poured for you and for us.
  • We have flossed and brushed our teeth again because we had lunch or breakfast and don’t want to offend you in anyway.
  • We may have tended to  some other important hygienic and/or health concerns such as used the bathroom, washed our hands and arms, blown our noses, put on more deodorant, used a cat hair roller to remove any fluffs off our garments etc.
  • We make sure that the space is tidy, hygienically prepared, presentable, well equipped and pleasant for you in every possible way we can think of.

Once we know all of that is covered in advance of your arrival, we start to watch the clock and wait for you to arrive. We may do some deep breathing or stretching in preparation. We know we have exactly as much time as you have asked us for to provide a wonderful treatment for you. We are planning in our minds eye around that time. We have both agreed upon the price of our time together and that is to the minute, Folks.

When a client is late to a massage therapy appointment even by minutes, stress starts to bubble up for the massage therapist. The treatment will not only be shorter, but may be impacted by the stress experienced by the Massage Therapist. When you are late to your massage concerns begin to arise such as: Are they okay? How am I going to get it all done? Did I make a mistake in my calendar? Since I have to charge them for my time which they have scheduled, are they going to resent me when I have to charge them for the time I am spending waiting for them? Will I finish on time and have enough time to get the room ready for my next client? Or to pick up my child from Kindergarten? Or to miss traffic? Or, Or, Or? One late arriving client can create repercussions that effect the quality of the entire day for the Massage Therapist.

People are late and life is messy. Your massage therapist may at one time or another be late too. We all understand this. People are not robots. It may help you to know that this is not a comfortable situation for you OR your massage therapist no matter how unruffled they react when you are late. Their job is to conserve all potential for your therapeutic experience.  Your late arrival not only increases YOUR stress, but that of your massage therapist. We are paid for the time that you have reserved with us. The time you pay for does not begin when you arrive, but begins when the time you scheduled us to be working with you arrives. Additionally, we don’t want clients running through the door and launching onto the massage table without proper intake time. This starts to conflict with our ethical responsibility to perform a thorough intake with you before the hands-on work begins.

Some massage therapists will not practice a strict timing discipline, but most do, and all should. For our profession this is a measure of professionalism. For those who do keep strictly to the clock, please do your very best to be at least 5-10 minutes early for your massage so that you can receive the most benefit from your skilled massage therapist who is not compromised by the stress of a late arriving client. Consider distance and traffic patterns. Plan the rest of your day accordingly.

If you are going to be late, please text or call your massage therapist right away so they don’t have to imagine what is going on. Make sure you understand and agree to the policies your massage therapist has for missed appointments, late arrivals, sickness and emergencies.

Your massage should be a wonderful and life enhancing experience. It’s fantastic that you are taking this time for yourself to receive the benefits of therapeutic massage! You will receive immediate positive results from practicing this form of self-care. Be sure you get the maximum benefit by planning accordingly so that you can be on time to your session and prevent a late arrival from compromising your intended goal to feel much better.

Jill Kristin Berkana

Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

RIGHT NOW is the BEST TIME EVER to become a MASSAGE THERAPIST!

25 Saturday Jun 2016

Posted by Jill Berkana in Tidbits from the Massage Mamma

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Accelerated Massage School, Berkana Institute of Massage Therapy, Colorado Massage School, Denver Massage School, Holistic Massage School, How to choose a massage school, Jill Berkana

brittanie adDisclaimer: This article is an effort to educate and recruit massage therapy students.

If you are considering embarking on an education and career in Massage Therapy, there has NEVER been a better time to do this! I would like to share with you my perspective and hopefully encourage you to move forward in your research and also to consider if the Berkana Institute is a potential fit for you.

As an educator who strives to be on the cutting edge and provide the most current and up to date professional education that we can for our students, my team and I have been extremely challenged in the last 2-3 years. The reason we have had this experience is tremendously exciting and that is what I wish to share with you.

The American Massage Therapy Association has supported the Massage Therapy Foundation which creates and facilitates Massage Therapy Research. The result is valid research which strongly indicates that Massage Therapy is much more valuable than previously known to the health and welfare of people; and specifically supportive to those who are suffering and in pain.

The days of Massage Therapy being considered a spa type luxury item are OVER. Massage Therapy is HEALTHCARE and preventative WELL-CARE. Additionally, we are learning what we as a profession have been doing (or not doing) that has been damaging to our professional reputation, and to our clients. The profession is re-evaluating those outdated methods and ideas so we can better serve the best interest of the people we serve, and do no harm.

There has been a profound and accelerated evolution in the practice and profession of massage therapy and it’s on RIGHT NOW! RIGHT NOW massage therapy is being accepted and recognized as legitimate health care and as an alternative to pharmaceuticals for pain management. With the growing epidemic of opioid addiction this is a very big deal. Jobs for Massage Therapists in and out of the hospital setting are on the rise and this will continue. As an educator, I am on the fast track with my expert colleagues to create and implement education that will prepare our graduates for what is happening now and what is coming for this profession.

If you are considering a career in Massage Therapy don’t stop looking. Look at all of the schools and look at what is currently happening in this profession. The profession of Massage Therapy needs caring, ethical and intelligent practitioners more than ever and RIGHT NOW!

Here are some links that you can use to explore what I’m referring to in this article.

The Impact of Massage Therapy on Function in Pain Populations

Opioid Addiction Epidemic

5 Myths and Truths about Massage Therapy: Letting Go without Losing Heart

About me and my program…

Let me share with you who I am and why my opinion might be worth your consideration. I have been in this profession for 26 years. I was very lucky to attend what I believed to be the best school in the nation at the time, and had the great fortune to study with some amazing pioneers in this field who all had connections to the HUMAN POTENTIAL MOVEMENT. The school I attended was HOLISTIC, which means I was not only learning massage and bodywork technique and science, I was also studying the basics of psychological phenomena, and was encouraged to participate in careful self-inventory and self-development to ensure I would be prepared to work with the complexity of clients at their most vulnerable state.

I then went on to have 16 years of full practice work in eclectic environments and cultures, with opportunities to serve an extremely wide variety of clients. I provided about 20,000 hours of massage therapy and peaked in my practice in 2005. I decided it was time to share what I had learned so I could indirectly reach a larger audience. I needed more hands! Having been an international explorer, and having a brief education in international business I decided to create the first international/residential massage school.  I chose Costa Rica. I trained 180 amazing massage therapists in the 7 years I lived there…there were monkeys, and it nearly killed me… enough said.

Fast forward, I returned to beautiful Colorado in 2012 where I have founded the Berkana Institute of Massage Therapy in the heart of Denver, Colorado.  I have facilitated my original entry level massage therapy certification program in Costa Rica and Colorado 29 times and have signed 300+ diplomas.

This unique apprenticeship style program is refined with every term and it has been touched by over 2 dozen experts. Graduates have a 100% first attempt success rate on National Board Examinations and are holistic entrepreneurs who diversify Massage Therapy in practice as independent massage therapists in private practice, as employees and independent contractors.

The Berkana Institute is designed to be a charming and small, professional boot camp which provides a seriously accelerated, high caliber education. We only accept 32 students per year in 2 classes of 16. We teach our students to provide exceptional massage therapy and bodywork, that is highly ethical and professional, and is provided from a compassionate and mindful place. Excellence is our guide and we work very hard. This program is not a good fit for everyone, and perfect for a certain type of person.

If you would like to speak with me directly, please call me at 303-377-3111 ext. 3, or feel free to write me at jill@berkanainstitute.com. Here is the Berkana Institute website: www.berkanainstitute.com

Jill Kristin Berkana

Jill Berkana BCTMB Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

Stealing Thunder

21 Saturday Mar 2015

Posted by Jill Berkana in thoughts

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Berkana Institute, Berkana Institute of Massage Therapy, Jill Berkana, Mindfulness

kaboom

I was thinking about this today when it came out of my mouth with my step kids. The two girls have birthdays right next to each other and when the first birthday comes, the second kiddo is always sure to say things like “are you going to remember pizza for MY birthday TOO?” or “ Daddy, don’t forget when MY Birthday comes I want the PURPLE dinosaur” etc.

The second child will even try to wrangle the attention of the party goers and take control of the scene. Here is when I say. “Hey, don’t steel your sister’s thunder. Your birthday is right around the corner and that day will be all about you. Let her have THIS day!”

This behavior is a classic power/attention struggle. I see it play out at my Institute with my students and my Instructors, on social media, as well as in the Massage Therapy Profession. I see it in myself too. This is actually one of my great lessons still to learn. As a child, I would literally stand up in front of the television and act out and sing the entire Gilligan’s Island theme song while the family yelled at me to move out of the way. As you can see, I want you the reader’s attention RIGHT NOW, and that is probably why I am I writing this blog.

WHY does one feel the need to be sarcastic, make passive aggressive remarks or step on someone else’s toes for their own immediate ego gratification? What is it about needing attention that leads us to unsavory and selfish behavior?

These moments can play out in group settings in some of the following ways:

  • Interrupting to tell the punch line, or the ending of a movie, or sharing the information that someone else is clearly supposed to be delivering.
  • Making snarky or sarcastic remarks that you think are funny and cleaver, but are actually hurtful. These remarks are usually subtle enough that you get away with it. Kind of like passing gas while walking.
  • Trying to make a group laugh at the expense of the leader, and/or derailing the leader’s train of thought.
  • One upping in any way. Name dropping. Monopolizing a mentors time when there are others that may be shy to ask questions. Asking questions when REALLY what you want to do is prove that you know something.
  • Just being a total jerk. Amazing how many people get away with this on Facebook every day with people they should treat with common courtesy and respect.

The very basic practice of mindfulness and being aware of how you respond, (or better yet noticing how you WANT to respond prior to responding) in a group or team setting will help you uncover why you feel the need to grab some power from the moment. It is okay to grab some power from the moment, but it’s not okay to do that in such a way that is hurtful or demeaning to others. This negative expression of power tripping, however subtly done, happens a lot and serves no one.

I don’t claim to know what motivates anyone other than myself. I want to feel important. I want to feel special. I want to feel like my contribution matters. I want to feel love and appreciation. I’m guessing this, at the bottom of the barrel, is what motivates most of us to vie for some type of recognition.

Noticing this behavior in others, and being annoyed by it, I’m going to turn my attention to where I can create change. I’m going to look at me. I’m going to breathe, watch my thoughts, and when I’m having an especially MINDFUL moment, bite my tongue when I want to add something to the conversation that really does NOT help, can hurt, and only serves to bring attention to myself.

In a world where no one is free from dysfunction, all we can do is try.

On a walk one day in the jungle several years ago, one of my beloved students shared this quote with me: “Before you speak, ask yourself: is it kind, is it necessary, is it true, does it improve on the silence?” – Sai Baba

May we all take this brilliant advice to heart, shower love and attention on ourselves and those around us so all may feel satisfied and filled up enough to enjoy a moment of just being in the silence, or letting someone else be in the spotlight sharing without our input.

Jill Kristin Berkana

Jill Berkana LMT Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

 

News Flash: Massage Therapists do not have special magical powers!

05 Monday Jan 2015

Posted by Jill Berkana in Tidbits from the Massage Mamma

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Berkana Institute of Massage Therapy, Jill Berkana, Massage Therapy Ethics

crystal-ballRecently an article came out on Facebook that went semi-viral in the massage circles that was titled “20 Secrets Massage Therapists know about your Body!” While the article had a few reasonable tidbits of valid information, for the most part it was packaged, or should I say, TWISTED into an article that will do nothing good for our profession. It could prevent first time clients from seeking massage therapy, and it supports stereotypes that are not serving our profession.

Additionally, it has proven to provide some form of validation to some massage therapists who are making false and unethical claims, and/or support working out of scope.  I want to be clear to state that I don’t blame those who contributed to the article for the end result.

The article is not so much the problem itself, but how many in the massage therapist community have responded to it. The article has been shared between thousands of massage therapists accompanied by dozens of comments that I find truly shocking. Comments like  “yep, I’m psychic”, “well don’t let this scare you we are only trying to help. We know even more if we are psychic which many of us are” and “My clients usually get readings when they come to visit me”, and many more disturbing comments like this.

For the few very confused Massage Therapists, Listen up! You do not have magical special powers. Hopefully, you DO have a solid education, knowledge, and experience that would lead you to being able to professionally assess that your clients have certain conditions or have had certain life experiences, but you are no more psychic or magical than any other person on this planet. If you FEEL things it is simply because you are a MASSAGE THERAPIST, and your job is to touch a person for an hour or more in a focused and therapeutic way. You would have to be completely disassociated from your body not to FEEL things, and connect the dots with your knowledge and experience. Of course there will be indicators that your clients might need another pillow, or have had children, or are stressed out. DUH! It does not take a rocket scientist to figure out someone’s bra is too tight if they present with strap marks around their torso and have shallow breathing.

For those massage therapists who think you have some magic or extra special abilities with your clients I would highly recommend that you get your ego in check right away because that approach is dangerous and will hurt people. You may have natural abilities with providing quality of touch and a heightened intuitive sense, but that does not mean you have special magical powers! I know a lot of people who are naturally gifted in the kitchen! I know many people who are naturally good with mechanical things! I know lots of people who are naturally great with kids… this does not mean they have special or magical powers or are better than anyone else.

For those massage therapists who are also providing psychic readings for their clients or are in anyway telling clients what is going on in their lives beyond structural kinesiology issues, musculoskeletal anatomical dysfunction issues, and simple self care advice you may be completely out of scope. That is, unless you have on your business card “psychic and massage therapist” and you have license to practice both diciplines, and your clients are there because they have consented to receiving the services of both of your practices. This goes the same for massage therapists who dabble with crystal healing, aromatherapy, herbology, astrology, homeopathy, nutrition etc.

As for anything in the spiritual realm, there are priests, clergy, shamans, etc. who are professionals in the field of spiritual guidance and counseling. For mental/emotional support there is an entire mental/emotional health care field who we should refer to when our work ends and our clients need assistance. It is in your scope if you are a trained professional. If it is out of your scope, don’t go there! Reading a couple Eckhart Tolle books does not count for being a spiritual professional, and your personal spiritual belief system is none of your clients’ business.

Your job is to provide professional massage therapy and bodywork. Your job is to listen, and be compassionate. Your job is to be empathetic. It is completely unethical to get your ego stroked by having blurry boundaries with your clients. Furthermore, if you approach your massage therapy clients with an agenda to heal them, chances are you are going to do harm because YOU have an agenda and a plan to fix them. That is their job, not yours. Mindfulness, respect, gratitude, and humility will serve you and your clients better than any power trip. Please reel it in folks.

Jill Kristin Berkana

Jill K. Berkana LMT Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

MANAGING DUAL ROLES Remedial Advice for Massage Therapy Professionals

20 Saturday Dec 2014

Posted by Jill Berkana in Tidbits from the Massage Mamma

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Berkana Institute of Massage Therapy, dual roles, Jill Berkana

1994-Two-FacesI have come to realize through recent interactions with my fellow educators and many Massage Therapists that not all massage therapy schools teach the management of dual roles or dual relationships. Hopefully this article will get into the hands of someone who has not been introduced to these important concepts, and it can help them avoid unnecessary and painful ethical dilemmas. In the end, this is ONLY an article, and if you know nothing of these concepts or wish to know more it’s time to grab some books and take some classes.

First let me start by clarifying that I am not a psychology expert. I am a massage therapy expert. I know enough about dual roles, boundaries, and the management of those to keep my clients, my students, and myself clear (most of the time) of the emotional and mental confusion, pain and destruction that can arise from unconscious engagement in multidimensional relationships.

For this article to work, I think it best to review or introduce many of the terms I will be using:

Boundaries – An emotional and/or physical limit in a relationship. Establishing healthy boundaries is a key skill in the helping professions and serve as good protection against problematic dual relationships.

Counter-transference – The feelings that a therapist develops toward one’s client, and which may be similar to or parallel the relationship patterns experienced by the client or therapist with other people and in other settings. When these feelings are especially strong, misunderstood, or ignored, they may lead to problems in the professional and therapeutic relationship. .

Dual Relationship – When you have more than one type of relationship with the same individual. This could be a professional relationship (the person is your client) and a personal relationship (the person is a friend whom you like to meet for coffee), could be multiple professional relationships (the person is a client, and is a building contractor who did painting and repairs on your office). Though not all dual relationships are automatically a problem, managing dual relationships is a professional skill and responsibility.

Ethics – The study of moral principles and appropriate conduct that may be applied to individuals, professions, or groups.

Ethical Dilemma – Occurs when two or more principles are in conflict, and regardless of your choice, something of value is compromised. Dilemmas can arise from a conflict between duties and rights.

Multidimensional relationships – Overlapping relationships in which therapist and client share an alliance, in addition to the therapeutic relationship. Multidimensional relationships suggest a more complex interweaving of roles.

Power Differential: The role difference between expert and client that results in a vulnerability on the part of the client.

Scope of Practice – Procedures, rules, regulations, and processes that are defined by a state or federal governing or licensing board for certain professions in order to ensure that those professionals are operating ethically, competently, legally, and with proper education, training, and certifications.

Transference – The feelings that a client develops toward one’s therapist, and which may be similar to or parallel the relationship patterns experienced by the client or therapist with other people and in other settings. When these feelings are especially strong, misunderstood, or ignored, they may lead to problems in the professional and therapeutic relationship

Now that we have covered that, let’s further explore DUAL ROLE, also known as “dual relationships”, “multidimensional relationships” or “multiple roles”. It’s all basically the same thing, the only thing that changes the term is the number of hats you are wearing in ONE relationship with ONE person. In other words, you would be in a dual or multiple relationship/role if you are in more than one relationship/role with the same person. Here are some examples:

  • You have a Sister. You start to massage her as a professional massage therapist.
  • You have a housekeeper. You start to massage him as a professional massage therapist.
  • You have a massage therapy client. You decide to watch football games with him as a friend.
  • You have a student. They become your accountant, and then start to date your son.
  • You have a massage therapy client. You go to church with him. You start to date.

Hopefully from my examples, you can imagine how easy and natural it is to enter into dual relationships or dual roles with others, and how as human beings it only makes sense that as we get to know someone, we see the benefits in the exploration of how we can serve each other’s needs in multiple ways. Right?

Not so fast…YOU decided to become a professional Massage Therapist, and now everything changes for you if you want to be an ethical and professional one.

It has been proven time and time again by health care and non-health care professionals outside of Massage Therapy that these multi-relationships can and do lead to major strife as well as business sabotage. Massage Therapists and Bodyworkers have figured this out too, and I have personally had a lot of difficulty managing dual roles as a professional massage therapist and massage therapy educator. I strongly suggest that if you are a sensible massage therapist you too will struggle with the management of dual roles. Managing dual roles should be something that becomes reflex for Massage Therapists. Not that we should do it unconsciously, but it should be something that we focus on the management of similarly to the way we make sure that our linens are clean, and our nails are filed. It is a professional courtesy and, as far as I’m concerned, a professional responsibility.

WHY IT GETS MESSY? There are a multitude of reasons dual roles can and do go wrong, and many I don’t claim to understand so I will just point to the reason that is most obvious to me. Confusion with boundaries and power differentials. Every role we are in with the people in our lives often contain an unspoken but usually known collection of complex cultural boundaries and power differentials. When you have multiple roles happening simultaneously the boundaries and power agreements between the two people in the original relationship become overlapped and blurry. Confusion, miscommunication, and assumption can often lead to someone feeling hurt or angry and overall damage to the relationship. There is also the potential to have your business reputation negatively impacted by a dual role gone bad.

HOW TO MANAGE? The best way I have found to manage dual roles is to first stay mindful so I am aware when it is happening. Once I realize I am on the threshold of a dual role I will strongly consider the pros and cons of the dual role. If I decide to enter into, or to reject the dual role, I will thoughtfully communicate with the other person as authentically and clearly as I can about what we are going to change, or are not going to change with our already established relationship. Finally, if I have decided to enter into the dual role, I will get consent from the other party, move forward, and I will continue to be as mindful as possible and be careful not to step into any of the blurry problems inherent in dual role management. Here is an example of how that can play out.

  • My sister wants a massage.
  • I consider if I want to massage my sister, and if I think I can hold the space necessary to provide a professional session for her.
  • I decide to give my sister the massage.
  • At the intake interview, I clearly let my sister know that we are entering into a dual role, and for the next hour I will be her massage therapist and that I am there to serve her as if she were any other client.
  • I receive her consent.
  • If I don’t feel I can serve my sister’s best interest, I will let her know that I would feel more comfortable with her receiving from my colleague and refer her. I would take the time to educate and explain to my sister so she does not feel rejected by me.

TYPES OF DUAL ROLES: I always tell my students that they WILL manage dual-roles and the FEWER they have to manage the better. Figuring out the type of dual role you are considering the management of is the first step.

Yellow Flag: I explain to my students that the only dual roles you want to manage are those occurring with the people you are in some kind of personal or professional relationship with prior to providing massage therapy. In other words, they are in your life in a significant role before you became their massage therapist. These are easier to manage when the role they were in with you was in the past, such as they WERE your realtor, or they WERE your daughter’s soccer coach in high school. Still, the therapist must strongly consider is it worth the risk of damage to the pre-existing relationship to work with this person? It may simply be a better idea to refer them to another excellent massage therapist.

Red Flag: The dual relationships to avoid at all costs are those that start to develop with someone who is your client. For those people who end up in your life because they came to you from the beginning for massage therapy I recommend you do everything you can to keep them in that role only, and forever. Will there be exceptions to the rule? Of course, but these exceptions should be incredibly rare and thoughtfully entered into for the health of both of you. This might be a good time to bring in a Mentor help you figure it all out.

Random Flags: Things are not always black and white. One day you may be at work and your boss gets on the table. One day your mother in law wants a session. One day you go to a birthday party and realize your best friend’s brother is your client. One day (hopefully once out of the 20,000 massages you give in your career) the love of your life shows up in your practice. One day you are teaching a class and one of your new students was at a party you were at last week. Always have positive intent, be professional, do what you know is right and call your mentor for advice. If you don’t have a mentor, get one.

PROFESSIONAL REPRESENTATION AND SELF SABOTAGE: If your client invites you to their Holiday party, go as their Massage Therapist, do not “let your hair down” and do take your business cards. Be introduced as their Massage Therapist, do not obnoxiously market yourself, keep your visit brief and stay in your professional integrity the entire time. DO avoid entering into personalized relationships with the people intimately involved in any way with your clients. You do not want to drink or smoke a joint or sexy dance with your client or have your client witness any of these behaviors at their party. You can still be your authentic self, but be your PROFESSIONAL, authentic self.

Consider this; How much time, money, and energy directly and indirectly have you invested in finding and retaining this client? If you want to throw all of that away, go ahead and get your unprofessional sexy dance on down at the Christmas party.

There are enough people on this planet for you to have plenty of friends, and plenty of clients, and not blend them. Compartmentalize your personal people and your professional people. This is a lot harder to do when you live in a very small town. You have an ethical responsibility to do so. If you did not know this and don’t agree to this you may want to do a bit of soul searching on this one.

PEOPLE GET HURT. REMEMBER…DO NO HARM: There are plenty of people in this world to be your friends. I highly recommend you don’t feed off of your clients to meet your emotional, mental and physical needs. If you are doing that, it’s time to take a big step back, do a personal inventory and figure out why you became a massage therapist to begin with. Some sort of professional mental/emotional support is always recommended to navigate these confusing and psychologically challenging situations. We are human. We all want community, camaraderie and love, however for us to serve our clients’ needs we must have iron clad boundaries as massage therapists, honor the vulnerability our clients bring to us and practice professional skills at all times. If you have not been ethically managing dual roles professionally, now is the time to put that tool in your tool belt and use it as often as the need arises.

MANAGING DUAL ROLES WITH TRADES: Many massage therapists enjoy the great benefit of trading services for other professional services. These dual roles are usually easier to manage than dual roles that have the element of a personalized relationship. These are relatively easy to manage because the relationship will not normally bleed over into your personal life. Here are some trades that are usually pretty easy to negotiate the professional dual roles

  • Massage Therapist and Accountant
  • Massage Therapist and Dentist
  • Massage Therapist and Hairdresser
  • Massage Therapist and Tree Trimmer
  • Massage Therapist and Massage Therapist

These professional trades are more difficult to manage because there is either a power differential, or the professional is serving you in your personal life and home.

  • Massage Therapist and House sitter
  • Massage Therapist and Babysitter
  • Massage Therapist and Pet Sitter
  • Massage Therapist and Tenant

Be super creative with this trade:

  • Massage Therapist and Psychotherapist or mental health care worker.

This trade must be managed in a way that continues to honor the power differential, the boundaries and the professional roles involved. I recommend you provide your mental/emotional health care provider with gift certificates they can share with a completely neutral party.

MANAGING CLIENTS CONFUSION AND TRANSFERENCE – Let’s say your client is experiencing transference with you. They see you as a person they want to have as a friend. They ask you to go to the movies with them and then dinner on Friday. How do you honor this person, retain them as a client, have them not feel rejected and avoid entering into the dual role? Authentic, compassionate, professional, and courageous communication! However you would sincerely let them know, and in a forth coming way that you do not socialize with your clients as it has a negative impact on the therapeutic relationship. That’s how! If you need more tips on how to have these difficult conversations you may want to role play with a colleague, talk to a mentor, or read more about this very normal professional action that massage therapists have to engage in often.

ENDING A THERAPEUTIC RELATIONSHIP IN ORDER TO TRANSITION INTO A PERSONALIZED RELATIONSHIP What if you determine for whatever reason that the professional relationship you have with your client would better serve your life personally. You WANT that client to be your friend. You WANT to date that client, and you feel STRONGLY that this is where the relationship must naturally evolve. The most ethical thing for you to do is to communicate in an authentic and honest manner with the client and let them know that you need to end the therapeutic relationship. Once you have done that it is strongly encouraged that there be a “cool down” period. For romantic interests the cool down period is at least 6 months. This is to insure that the power differential is not a predetermining factor of the personalized relationship and that this attraction is not based solely on unhealthy transference/counter-transference or the client/therapists power differential. If you ever decide to make this move, I certainly hope you were not delusional. Please note: There are some state laws which have a longer “cool down” period with up to two years being reported as the longest limitation.

IDEAS FOR EDUCATORS AND MENTORS: If you have been a mentor or an instructor of a massage therapy student and wish to personalize that relationship, my advice is DON’T do it. EVEN after the educational commitment is over. Many will not agree with me on this and that is fine. This has been my choice and I’ve learned from my own mistakes after years of being an educator and trying to be friends with former students. It was confusing for everyone and so now and for many years I have decided to hold space for my students into the future in the event they need further mentorship or continuing education with me. Is this difficult? Of course it is! Is it worth it? YES! Are there exceptions to the rule? Indeed, but again, I think it should be an extremely rare exception and not a regular practice to engage in a personal relationship with someone who has counted on you to hold a professional boundary for them. In these rare circumstances, if the connection desired is that of a romantic nature, it is my strong opinion that there should be an extensive cooling off period that meets and far exceeds the 6 month rule between a therapist and a client.

IN CLOSING Nothing and nobody is perfect but we have to do our best. We are Massage Therapists, and we either did or did not receive an education on the psychological, mental, emotional ramifications of our work. Even if we did, it was scant to none so for the best of our clients and for ourselves let’s continue to study and learn more about these subtle yet powerful aspects of our work so that we can serve the public to the best of our abilities. Let’s all be absolutely sure to know that critical boundary which defines where our work ends when it comes to our scope of practice. In the end, your best tool to turn to time and again is the cultivation of mindfulness in your practice! This will insure you are aware of, and thoughtfully processing challenging events as they present themselves to you.

I highly recommend that every massage therapist and massage therapy educator be familiar with the content of these two books.

  •  The Ethics of Touch by Cherie M. Sohnen-Moe, Ben E. Benjamin
  • The Educated Heart by Nina McIntosh
Jill Kristin Berkana

Jill K. Berkana LMT Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

 

Giving and Receiving

30 Sunday Nov 2014

Posted by Jill Berkana in Tidbits from the Massage Mamma

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Berkana Institute of Massage Therapy, giving and receiving, Jill Berkana

richard-branson-giving-employees-freedomI have more or less, been on my own since I was 16. I was working full time and supporting myself entirely by the time I was 17. I did not graduate from high school, and ended up getting my GED. I was living in the mountains in a little A-Frame with half a dozen chickens and 3 stoner brothers; cooking and cleaning for that very messy crew, and working full time. I was not good at it, but I did it. I recall sculpting a pile of laundry into a chair shape, and throwing a blanket over it to camouflage the mess when “guests” were coming over. There was music and drugs, and people and parties and macaroni and cheese which I dressed up with the addition of peas. I stepped into adulthood and the responsibilities of being an adult prematurely. This was anything but a traditional way to grow up, and it was my journey and I walked each step of that path and fell down and got up, and fell down… and got up.

By the time I was 23 and my son was born, I was completely immersed in my independence to the point that I could not ask for help. I had this deep shame associated with the need to receive support or assistance, as if needing help somehow meant I was weak or a failure. The baby was born, and I was working full time and going to school part time and there was no other way. I was forced to reconcile my refusal to ask for, and receive help. It was painful. I felt horrible about myself. I needed help. I asked for help, and I received help. I asked for money so I could pay my tuition. I received it. I signed up for food stamps so I could feed myself and the baby. I received them and I shopped at midnight so I would not have to see people. I asked my friends, family, and co-workers to help me with my son and they all did. I felt awful about myself.

As time went on, I asked for help, received help and I started to become more comfortable with receiving. Started to realize, this was normal. Soon, that period of being the person in need faded and I got on top of my life. Eventually, every now and again, someone would ask me for help, and I was able to help them. More and more the exchange of help and the giving and receiving in my life increased and I saw and felt the balance, and the guilt and shame I felt when receiving diminished.

Now, I fully understand and appreciate the inherent human need to give and receive, to share and to exchange and to work together so that we all can succeed. This increases intimacy and a sense of purpose and belonging. I borrowed every penny to open my schools, and as of this year I will have paid it all back. I did not borrow the money from a bank, but from my friends and my family. I’m eternally grateful and I know they all feel incredibly good about their investment in this project which has created ripples of loving peace all over the world.

I’m writing this today, because there have been a few younger people who have come my way who have wished to attend my school. They can see themselves doing this work and need a break to help launch themselves. They do not have the funding, and feel inhibited in asking for support. There have been a few I have coached over the edge of that belief, and they have broken through. I have encouraged them that if they ask for and receive help now, they will be able to serve this world at a much higher level with their new skills. Ultimately, that is what happens. Still, there are those who won’t ask for help and they don’t come. It makes me so sad when this happens because I know there is a deep cultural shame or embarrassment if not pride that prevents them from asking for assistance from the people in their lives who could help.

As a middle aged person who has needed help and had to come face to face with the fear of asking, I want to let anyone who needs help to hear this message. When you have a need, and you ask others for help, you create an amazing opportunity for someone who has the need to give and to share. It’s reciprocal. The joy and healing that can happen for a person who has received at some point in their life, to GIVE is a full circle blessing.

Ask for the help you need. Visualize what you want to create and don’t let the fact that you need help stop you from moving forward. Ask for help. Receive help. Keep your commitments to pay all debts back and be sure to give when it comes time and you are being asked for support.

We are all in a position to give to and care for others in so many ways. Especially those of us who have been lucky enough to be born with the privilege of freedom. I want to be sure to state that just because one lives in a free country does not mean they are free. There are many MANY seriously oppressed people who the lucky few can give to. The list of those in need is crushing and heavy, and we need to take care of our brothers and sisters and the animals. I’m going to try to dig deeper and give more this time…

Since it is the holiday, I will just add that GIVING should come from one’s heart, and my message to my step-daughters this time of year is this: There comes a time when you realize that the gift is in the giving not the receiving, and when you give… don’t expect reciprocation, you already receive by giving alone.

Jill Kristin Berkana

Jill Berkana LMT Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

 

 

Living with a Traumatic Brain Injury – my personal journey

27 Thursday Nov 2014

Posted by Jill Berkana in Tidbits from the Massage Mamma

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Berkana Institute of Massage Therapy, Jill Berkana, Massage Therapy, TBI

shatteredI wanted to share something that is significant for me, which is my relationship to the world and how a Traumatic Brain Injury (TBI) shifted everything. I hope this offering will provide some insight for someone who lives with TBI, or has someone with TBI in their lives.

In 1995 I was in a serious car accident. I had been a busy and successful practicing massage therapist with a private practice in Boulder Colorado for 5 years. I was on the edge of burning out and a single mom. I went to my dad’s home in North Carolina for the holidays, and was driving home. I was rear ended on the highway heading West in Alabama by a brand new, shiny blue 18 wheeler carrying fuel with a Christmas wreath on the grill. The driver was going about 73mph when he tried to pass me. I was going 68mph. He clipped me. I spun out of control, jumped the median, flew through the air and landed. My son was in the back. He was 6 years old. Upon impact to the driver’s side front corner of the car, my neck was completely rotated to the right as I had my arm over the front seats to try to secure and watch my child in the back seat as we were spinning. When we hit, I  suffered a whiplash in a strained neck rotation to the right with my left ear practically hitting my chest. My son was in shock, and after tests at the hospital he was released at 100%. I was seemingly fine. I had no broken bones, no blood loss, yet something dramatic had shifted. I felt as if I had walked through the looking glass.

What I ultimately learned after all of the tests was that my brain was more or less slammed against the inside of my skull. It was also suggested that some issues in my neck were responsible for the symptoms. The initial stages of my injury and the recovery pulled the rug out from beneath every aspect of my life for a period of 2 years before I stabilized. I suffered a lot of musculoskeletal trauma with constant pain, and I eventually recovered about 70% from that. I have a great deal of scar tissue.  I was told by my health care team that I had suffered a traumatic brain injury specific to my frontal lobe, and the goal was to become functional in life with it. For a period of time, I slept about 12 hours a night, could not remember beyond the normal things we forget and I was a disaster. Losing my keys, not being able to drive, forgetting to turn off the oven, losing my car, missing appointments, forgetting names of people etc. I lost 40% of my vocabulary. The greatest rip off is I feel that I missed my son’s 2nd and 3rd grade years. They are a blur. I can’t remember anything but the struggle of survival during that time. No one understood what I was going through.  I was suffering from PTSD, was dealing with lawyers, insurance companies, in a brutal battle with the trucking company, and was in various recovery treatment 25 hours a week. There was every type of therapy and tons of it. I had become left side dominant, and there were some difficult symptoms that required a lot of new life skills. I have never fully recovered, but with the help of my doctors, specifically the neurologist and neuropsychologist I had learned how to cope with my new brain. Some of my greatest breakthroughs were getting filtered ear plugs to help with focus issues, doing crossword puzzles daily, drinking coffee, and using a computer to hold the memories and important information I could not. Photographs became very important to me.

I also had a lot of musculoskeletal dysfunction and pain from the trauma and I got a lot of bodywork and massage which I could not have made it without. That is another story, the brain injury is what I’d like to focus on for this essay. Many people live with varying degrees of this condition. How your brain is damaged will determine who you are. I have a list of symptoms. I have a short term memory which can be embarrassing and give the impression that I don’t care to remember or that what others shared with me was not important to me. This is completely untrue. I do care. My perception of reality is different. I feel like I’m always half way between a dream state and an awake state. This has never changed since the accident. There was “reality” before the accident, and “reality” after the accident, and my perception of these two realities were vastly different. My sense of smell and hearing is so strong that what these senses are picking up can be completely distracting and maddening. People don’t understand. I can hear everything and it annoys the hell out of me. If I am trying to focus, and I feel bombarded by the hum of my computer, the refrigerator making ice, animals breathing, people clicking pens, etc. It can be crazy making and my anxiety rises. If I am not being mindful of my reactivity, I could be short with one of my kids or husband. I can become extremely agitated if I am interrupted because I’m sure to completely forget what I was talking about.  If I am in a room where someone is wearing oils or perfumes or hairspray it can distract me to the point that I can’t keep my thoughts straight. I FEEL a lot. My list of “A LOT” goes on and on. The reason for this is I have lost some gate keeping. This is not easy to deal with. I feel that I live in the now more than I did before the accident, and I don’t hold back like most people do. This has been a great gift and a great curse. I feel I lack normal self-restraint at times, so I will often take on things reasonable people would not. This has resulted in great accomplishment… and big mistakes. I found my brain was working in different ways. I was using a computer a great deal and I could learn to use programs with ease. I could see, understand, and write HTML. I was able to accomplish sick amounts of work in a very short amount of time, still do. I could see things in life that were normally flat, in dimensional layers, for example, music. When I hear music now, I’m not just hearing the music, I’m hearing the 8 or 9 or 12 layers of the music. My massage therapy palpation perception was suddenly worlds beyond what I had ever experienced before which greatly improved my ability to serve my clients. If it were not for my TBI, I would not have the same accomplishments that I have now. I forgot a lot too, and some of the memories I forgot were those that resulted in victim identification from events in my young life. I had identified completely with self-pity from troubled events in my childhood, and that was suddenly not an issue anymore. I was forced to reinvent myself, and even though I had to repair and rebuild which was painful and difficult, I do feel that my TBI was one of the greatest things that has ever happened to me.

It does not always go that way for people, however. Do you know the many ways a traumatic head injury can affect a person? Have you or your loved one been hit in the head at some point in life? When people begin to explore TBI, it is shocking to consider how many people could be living with a TBI and don’t even know it! Especially children. That issue you have with your child could simply be a misinterpretation of their perception of reality. People with TBI are trying to make it work here in the face of life’s normal expectations, and are often misunderstood. It can be really hard just to feed and shelter yourself.  We don’t have a big bandage on our heads, and so when we don’t meet the normal expectations of others, we can be thought to be self-absorbed, or uncaring.

Everyone with a TBI operates at different levels of functionality. Coping can turn into the opening up of a different kind of brainpower, hence the gift/cursed new reality, and some people hurt badly for the rest of their lives and will need complete support. Consider our homeless veterans. How many of them are suffering from PTSD and possible TBI?

I am lucky. My noodle was twisted just right. I know that if it were not for my TBI I would not have been able to accomplish the work I am today, and I’m grateful for the change that has occurred in me. I hope by sharing my personal experience with TBI someone will be better supported in their journey toward healing and functioning. Here are some other resources if you would like to explore further.

http://www.braininjury.com

http://www.traumaticbraininjuryatoz.org/Moderate-to-Severe-TBI/Potential-Effects-of-Moderate-to-Severe-TBI

http://www.livescience.com/45349-brain-injury-turns-man-into-math-genius.html

http://www.popsci.com/science/article/2013-02/when-brain-damage-unlocks-genius-within

Jill Kristin Berkana

Jill Berkana LMT Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

The Ethics of Claims: I wish I knew how to fix this.

18 Tuesday Nov 2014

Posted by Jill Berkana in Tidbits from the Massage Mamma

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Berkana Institute, Berkana Instiute of Massage Therapy, false claims in massage, Jill Berkana

hercules-hydraMassage Therapy in the United States, is in a state of accelerated change, conflict and chaos. Up until 2008 I had been living in a vacuum having a very definitive idea of what massage therapy was, and assumed everyone, for the most part, was approaching it the same way I was taught to, and had been. In the last few years, I’ve been blessed to share with high level massage therapy professionals from all over the United States and beyond… and I would like to share the information I have assimilated, along with my unique historical perspective, and my opinion.

Where I am coming from: I went to Massage Therapy School at the “Harvard of Massage Schools” the Boulder School of Massage Therapy in 1990. I studied there for 2 years. While I was there, I was taught a great deal of science, ethics, bodywork, theory and holistic principles. The school had an emphasis on holism, and taught us that what we were thinking or feeling as we touched our clients would impact the quality of our touch, and what our clients would feel. For example, if I was thinking of the meatloaf I was going to make for dinner during my session, the client would feel I was not present. If I was thinking that my client had cellulite, the client would pick up on my judgmental energy. If I was thinking my client was attractive and I wanted to date him, my client may have a feeling of being violated or aroused. Made sense to me so I became vigilant over my thoughts when I worked, and did my best to stay present.

I had some instructors who were wild dreamers. I had instructors who had trained with the source of traditional modalities. I was taught ancient ideas and concepts that had no scientific evidence, but had been practiced and been helping people deal with the many different types of pain in life for over 5000 years. I learned a bit about Ayurveda, Shiatsu, quite a bit about Neuromuscular Therapy, MyoFascial Release, Swedish, and Integrative Massage Therapy. We learned about Rolfing, Structural Integration, Trager, Feldenkrais, Alexander Technique, Bindesewebsmassage, etc. We learned about transference, counter-transference, projection, and coping. We learned communication skills, body centered therapy, and talked about sexuality. We learned about the human potential movement and our lineage to that group of visionaries. We learned about human disease, how to run our business, how to communicate, and how to move our bodies when we worked. We learned about honor and we learned that since we wanted to touch people for a living, we had to be extremely careful with our boundaries and our own emotional/mental/physical health.

I had instructors who trained me to “ground” myself so I would not pick up my clients energy. I had instructors who told us not to massage pregnant mothers in the first trimester of their pregnancy. I had instructors teach me that massage released toxins and the drinking water after the massage would help flush those toxins out of the body. I had an instructor teach me that sound carries energy and events leave energetic residue that can be diffused by sound. The same therapist used to “sing” the spine, whereas she would make the sounds she could hear in her head when she touched the spine in order to diffuse and open up the energy in that area and create change.

Many of my fellow students were choosing to specialize in energy work. That work was so intense it spooked the hell out of me, so I focused on the body. It was not ALL mystical and magical, there was a ton of college level science too and I carved my path. I was fortunate to train with people I would not hesitate to call Masters. School was exciting, challenging and fun and I bought it all, as did the other 300 or so international graduates per year coming out of that system for 30 years. Naropa University was right down the street teaching Transpersonal Psychology, so we all had access to mental/emotional processing. We were all processing our baggage all the time, and using new and alternative methods to achieve a greater sense of holistic health and wellness.

During this time, my mom owned a new age book store in Boulder Colorado. Her store was an iconic new age hub of information where people could find books on anything and everything from Aliens to Astrology to Crop Circles. There was always a psychic of some kind sitting in the corner ready to tell you the mysteries of yourself. Boulder was extra special in these days. Not unusual to go to a hear a trance channeler speak, and follow that up with a community hot tub experience to watch the aliens land behind the mountains on a first date. It was an era, and I was young and quite gullible. I WANTED and NEEDED there to be magic in the universe because life had been pretty tough. I was not in this desire alone. Many need life to have something MORE…to give us hope. We craved ceremony and community ritual. We craved spirituality and answers to the deep mysteries of life, and we found them. It was an era… and times change.

Flash forward into reality: My dad is a physician. He triggered my desire to help others and to explore the human body. I LOVE science. My DAD helped me latch onto that which is real and can be proven. I went into massage practice and the years went by. I ended up doing an enormous amount of massage therapy and my client’s needs and pain dictated that I became a deep bodyworker. In 1995 I was in a car accident and found that the work I needed to receive was of a core or deeper nature and I sought out therapists who had the ability to touch and manipulate the holding in my deeper core tissues. This continued to develop my propensity toward core tissue manipulation as a therapist.

I have gone on to massage all types of people for 25 years. I have not just touched their body, I have touched their lives. I have listened to them. I have been compassionate. I have seen clients through the death of their grandparents, the birth of their babies, graduate school, their divorce, their second marriage, the birth of their first grandchild and breast cancer. I have been a massage therapist, a loving, compassionate, listening, caring, person who supports my client’s journey into a greater awareness of their relationship to their body and lives by providing touch, unconditional listening and care. I have supported them in finding relief from pain, by helping them discover what conditions are in effect that are leading to musculoskeletal dysfunction = pain, and helped them find ways to change behaviors that are putting those conditions into effect. For whatever reason, the manipulation of their muscular system using my approach provided relief and restoration for them. I have had a deeply rich therapeutic practice, and the work I have done with my clients has taught me 10,000% more than I learned at massage therapy school.

I have grown into a passionate massage therapy educator. Beyond the education I always provided for my clients, I have been training Massage Therapists for 10 years now. Massage Therapy is evolving so fast I’m trying to keep up for the benefit of my students. If I don’t keep up with the evolution and progression of massage therapy I am doing a disservice to my students and I should leave my career. I have tried to stay on top of things, and through the technology of the internet, I’ve been able to communicate with Massage Therapy professionals and experts across the globe. It’s been a real blessing. In the midst of running my school, I’m doing my best to pay close attention to the movement in the profession, and found myself exposed to some interesting dynamics in the U.S Massage Therapy Scene. Here is what I believe I have witnessed.

  1. Canada is, and has been approaching massage therapy as a health care profession. They have high standards for education and competencies for massage therapists. Canadian Massage Therapists are respected by the collective health care community, are reasonably compensated, and are able to serve patients with massage therapy similar to the way nurses and physical therapists are able to serve patients. We can learn a lot from the Canadians.
  1. Due to the sluggish regulation of massage therapy at the state level in the U.S. the varied educational approaches to massage therapy, and the lack of organization by our leadership organizations, Massage Therapy in the United States has evolved into a multi – headed monster. Those practicing come from MANY different schools of thought, MANY different qualities of education, and MANY massage therapists should not be practicing at all. Many who should not be practicing at all have been in practice for decades and are teaching a new generation of massage therapists who should not be practicing at all. From what I have witnessed online, we have 9 distinct groups of therapists. Here is my attempt to categorize and describe my impressions of the groups:
  1. The Incompetents: This is a group of massage therapists who took a 100 – 250 hour course. They did not learn anything about ethics, know nothing about pathology, anatomy or physiology, learned a few Swedish strokes and somehow fell through the cracks of the regulatory system and are in full blown practice making huge errors with their clients every single day. Many in this group have great intentions, but don’t know the first thing about universal precautions or hygiene etc. because they were never taught.
  1. The All Powerful Healers: These are those who claim to be doing some form of magical special healing that is associated with massage therapy or bodywork with the agenda to heal, and a claim that they can.  They have major ego issues, and a story. They have told the story about their magical special powers so many times that they believe it. They may have a certification or training. This usually involves the manipulation of what they call energy. They claim they can feel your energy from a distance and have the nerve to diagnose you from afar. They have beliefs that I would classify as religious or spiritual, but they have no boundaries with their clients and actually use their spiritual or religious beliefs to work with and manipulate clients. These people are dangerous. Clients who benefit from this type of work are probably benefiting from the placebo effect. They believe it and so on some level it works for them.
  1. The Scientists: This is a small but growing group of great minds that have good intentions to abandon the dark ages of bogus claims and woo woo in Massage Therapy. It is my impression that if you do not subscribe to exactly what they are declaring, you should be exiled from the world of Massage Therapy. I believe the Science group feels that if you are not of the science group you are a FREAK (see above). From what I gather (and I may be wrong) these folks want more of what Canada has. The science group believes nothing should be taught or practiced that has no bases in solid scientific evidence. Here is what I have gathered (from minimal exposure) are some of the reasons behind their goals.
  1. Indigent people cannot receive massage therapy through socialized programs, and they should have access.
  2. Many “therapists” are being unethical by making false claims.
  3. The public is hurt by the false claims.
  4. We (massage therapists) look ridiculous when associated with sooth sayers and snake oil salesmen.
  5. Other members of the health care profession do not take us seriously, and this prevents massage therapy from getting to those who need it the most.

My impression is also that they want Massage therapy to be a globally defined, standardized and consistent as a health care profession.

This is an extreme group, and they are making people aware of things that must change. Unfortunately, in the process, they are wanting to eradicate anything and everything that is not scientifically proven. This threatens a great percentage of the massage therapists who are practicing ethically and effectively today. I would love to see the science group build a remedial education bridge to ethical massage therapists who are making a positive impact on their client’s lives without trying to eliminate them completely. I believe that some of the massage therapists making false claims are doing so not because they are bad therapists, but because that is how they were taught. These people deserve patience and re-education.

When myths are debunked, and new evidence becomes available the masses of massage therapists in the US need to be reached and educated. I would like to think our leadership organizations would be able to pull that off. Schools need to be absolutely clear to teach the Ethics of False Claims, the importance of staying up to date, and Ethical Codes need to include some language stressing the importance of this. I hope the science group will realize that you can’t dig a big hole and throw everyone in it that is not 100% with them. As far as I’m concerned this is an Ethics, Scope and Boundary Issue. Some people need to be brought up to speed. Many others are doing incredible work right now that is not all based in evidence, but does not promote false claims.

  1. The Cogs: These are the massage therapists who were recruited off of their couches by a television commercial at 3:00am to go to X, Y, or Z Corporate Massage School/Diploma Mill, got a huge student loan, made it through massage school, and got a job at a franchise. This “chew them up and spit em out” branch of massage therapy is all about the franchise and many of these therapists will have a shelf life of 3 years. It’s a sad state of affairs for this group. Luckily there are exceptions to the rule. Some of these MTs will escape the franchise and discover something deeper within themselves, connect with an amazing mentor or continuing education and jump the exploitation track to get a job that is worthy of them. Most of these graduates are not qualified at entry level to work with all demographics.
  1. The Ethical Linear Massage Therapists: This group of massage therapists were not taught about holistic principles, power of intention, bodywork as art, psychology, and seem to do beautiful work providing massage therapy without that knowledge. From my perspective, they simply come from a different school of thought, and help a lot of people by providing ethical and professional massage therapy. They do not make false claims. They are compassionate, supportive, knowledgeable and professional massage therapists. Holistic Massage Therapists and Linear Massage Therapists have difficulty collaborating and/or in peer review because their foundation, and what is critically important to them philosophically is completely different.
  1. The Ethical Holistic Massage Therapists: These are the massage therapists, like myself, most of my colleagues, and all of my students, who do not make false claims, and approach massage therapy as a holistic healing art. We integrate traditional and modern techniques to serve our clients ever changing needs. We would not have the audacity to assume or claim we understand the magnitude of what is happening when we touch another human being, nor would we limit it by trying to define it. WE understand that our intent is extremely important because we are interacting with human beings who have feelings, and who will be able to be more vulnerable when with someone they trust, and who they know cares for them. We know we must be knowledgeable and stay appraised of, and integrate new scientific evidence that is being introduced, and drop what we learned decades ago that has been proven to be mythological. We follow ethical codes at a high level, continue to learn, and study the human body, somantics, psycho/emotional phenomena, and we practice self-care to the point that we work with our own issues so they we don’t project those onto our clients experience. We honor a strict set of hygienic and record keeping practices. We represent the profession at an extremely high level whether we are in the treatment room or not. We are authentic in our compassion for the human condition. Emotional, psychological, mental and physical boundaries are honored at all times. We can adapt to practice work, spa work and a medical environment. Partnerships with mental/emotional health care teams are especially positive and productive.
  1. The Ethical Energy Workers and/or traditionalists: These are the energy workers who do not make false claims. They are using traditional or modern methods of energy focused bodywork and they inform their clients of the rich history, limitations, and unproven nature of the method. They often will share the benefits clients have experienced from receiving the work. They would never recommend treatment in lieu of medical treatment for medium to high risk conditions. There have been many scientific studies done on the manipulation of electromagnetic energy which are worthy of exploring. As far as I’m concerned, the jury is still out.
  1. The Medical Massage Therapists: These are our new cutting edge progressive pioneers who are carving our path to the medical environment. They are setting new standards for performing massage therapy in hospitals and other treatment facilities. They are helping us learn how to adapt our approach so that we can serve the patient population who can greatly benefit from massage therapy when their health requires medical intervention.
  1. The Revolutionary Inventors: These are the educators who have invented or developed something new that is going to change the face of bodywork and massage therapy forever. This is nothing new. We have a new 3 letter acronym titled modality and methodology show up every month or so for the last several years. I even have my own method that I teach to my students who want to know more about my approach. Students will gravitate toward the mentor and method that resonates with them the best, and specialize in it. They will attract clients and help them or not. The method works or it does not. In the end, it’s not likely that any one method is going to save or change the entire massage therapy world.

Regardless of what I think or how I am categorizing the groups I have encountered to try to make sense of it all, and regardless of how you feel about my opinionated opinion, one thing stands absolutely clear. If you are a massage therapist or bodyworker who is making false claims, YOU are the problem, and you will be the catalyst of a great transition that passionate stakeholders will continue to demand, that Massage Therapy in the United States is a respected health care profession that everyone has access to. Why would any of us who really care about people and know the benefits of massage therapy dare to stand in the way of that?

I know that as an educator, I am rapidly revamping my program to align with this new culture so that my students will be ready to serve at a level that I never have before.

If you are operating from an agenda to heal your clients with your magical special powers it is time that you do a personal and professional inventory, redo your literature, your website, even your business name and start to be vigilant over the claims you are making, and the words coming out of your mouth that can do incredible harm to your clients and to the profession of Massage Therapy. Time to get with the program, or get out.

Jill Kristin Berkana

Jill Kristin Berkana LMT Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

Boundary Issues Online: A plea to all Massage Therapy Professionals to step up our game.

10 Monday Nov 2014

Posted by Jill Berkana in Tidbits from the Massage Mamma

≈ 17 Comments

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Berkana Institute of Massage Therapy, Jill Berkana, Massage Therapy Boundaries

a_line_in_the_sand_by_raindropsonthewindow-d2ye4keI have spent quite a bit of time on the Massage Therapy Boards on Facebook in order to share, gather, and exchange information. It’s been incredible and awful. Before I dig into the “awful” which is what this blog post is about, I just want to take a moment to celebrate the good stuff.

I have learned so much about the massage therapy myths that I was taught, and continued to propagate with my students. I have been able to correct my own belief system, and share the new ideas with my current students and Alumni. I want to stay on the cutting edge as we evolve.  I’d like to call that a huge win!

I have been able to connect with other massage therapy school owners about the content of our programs, our challenges and victories with our schools. We have created a supportive network. I call that a HUGE win!

I have been able to have daily conversations with mentors I never dreamed I would ever meet. win, Win, WIN!

I’ve been able to stay on top of the many shifts and changes going on at the massage therapy organization/political level, and I’ve been able to call out injustices that I feel are hurting our profession. Working towards a WIN.

I have shared my opinions extensively which are based on my personal/professional experiences, and I hope I have been a positive influence in someone’s life. I call things as I see them, and sometimes I’m right, and sometimes I’m wrong. If I find out I’m wrong I’m willing to look at myself and try to grow. I’m also willing to say “I’m sorry”. Growth is not always an easy task… but in the end, why else are we here?

As I have been cruising and participating on the massage therapy interweb, I’ve come across a basic negative theme that I’d like to bring to light now. I’d like to talk about professional boundaries, or the lack thereof, online. What I’m going to share with you I’m not 100% clean with, myself. I have participated in some of the Boundary Infractions I am listing, and hope to be a better example starting now. Social Media is a new world, and we are learning.

When I went to massage school in 1990, on the first day of class we started to explore the world of boundaries. Since then, boundaries have been a huge part of my life. I try to understand where boundaries are… mine and others, and I try to honor other’s boundaries and have my boundaries respected. Teaching Boundaries at my school begins on day one and is a constant thread through the entire education.

Being able to perceive and understand (mindfulness) boundaries, and respecting them is the most basic form of actively practicing ethical behavior that we have. Frankly, if a massage therapist has not cultivated the critical skill of determining, understanding and honoring boundaries, they missed a vitally important developmental milestone.

So what is a Boundary? Merriam Webster defines a boundary in this way:

a line that marks the limits of an area; a dividing line.

a limit of a subject or sphere of activity.

synonyms: dividing line, divide, division, borderline, cutoff point

We start to learn about boundaries as toddlers, and we learn about boundaries in kindergarten. Our education in boundaries continues as we become adolescents and adults. Once we arrived at Massage Therapy School, BOUNDARIES should have become a critical topic from the beginning. From what I have experienced in the massage therapy community here online, I have grave concerns that many MANY massage therapists did NOT learn the basics of professional boundaries, and we may have a need for remedial training as our profession strives to improve.

Here are some boundary infractions that I have repeatedly witnessed online:

  • Massage Therapist’s public profile does not support the professional massage therapy image.
  • Massage Therapists treat each other with disrespect.
  • Massage Therapists make false claims.
  • Massage Therapists pushing products.
  • Massage Therapists breaking client confidentiality.
  • Massage Therapists diagnosing.
  • Massage Therapists judging and being cruel to one another.
  • Massage Therapists and other holistic health care professionals being passive aggressive with manipulative self-promotion.
  • Massage Therapists projecting.
  • Massage Therapists sharing stories describing that they were clearly out of scope of practice.
  • Massage Therapists sharing stories where they are clearly involved in counter-transference.
  • Massage Therapists sharing stories about their clients which demonstrate they are working with clients who they resent.
  • Massage Therapists and other health care professionals slandering other professional individuals.
  • Massage Therapists projecting their agenda and limited belief system about our profession onto everyone else in the profession.

In the broad examples I have stated above, not only are massage therapists crossing boundaries, but they are frequently breaking professional ethics. Here are some examples of the aforementioned boundary infractions and the potential damage caused to the public professional image of Massage Therapy, and the Public in general.

BOUNDARY INFRACTION: Massage Therapist’s public profile does not support the professional massage therapy image.

EXAMPLE: The massage therapist has not figured out how to separate professional from public communities on their Facebook page. They have friend, family, colleagues and clients all pooled into one friend list. They are making it known they are a Licensed Massage Therapist on their profile and have some professional posts and photos, right next to the photos of them pole dancing in Aruba wearing a bikini and having tequila sucked out of their belly buttons by ½ a dozen busboys.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: This therapists is sending the wrong message to the public about how massage therapists behave. Clients will become confused and you may be spreading the sex/massage connection myth. If you wish to have content on your Facebook page that could be perceived as sexual, PLEASE do us all a favor and learn how to use your restricted list and share your Aruba photos only with your friends and family. As a side benefit, you will probably find that those clients that keep on trying to cross YOUR boundaries in practice will start to fade out.

BOUNDARY INFRACTION: Massage therapists treating each other with disrespect.

EXAMPLE: A Massage Therapist questions the integrity of another massage therapist publicly online.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: The public is watching. The public will not trust us or feel safe with us if we are publicly abusive to one another.

BOUNDARY INFRACTION: Massage therapists making false claims.

EXAMPLE: A Massage Therapist claims that if you eat essential oils you will be protected from Ebola.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: This is extremely dangerous and unethical. You make the rest of us look like reckless idiots, and you are doing harm to anyone who takes your unsubstantiated advice.

BOUNDARY INFRACTION: Massage therapists pushing products.

EXAMPLE: A Massage Therapist spams their entire friend list to sell blue-green algae AND they are making false claims about the benefit.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: The public gets the idea that we are snake oil salesmen.

BOUNDARY INFRACTION: Massage therapist breaks client confidentiality.

EXAMPLE: The Therapist posts about their client who was just in a car accident, or their celebrity client.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: Even if you have permission from the client or the client’s family to post such things, other massage therapists see this behavior and think it’s okay to brag or make drama at their clients expense. This also can have the effect of challenging the public’s impression of how we manage confidentiality. We lose respect as a profession from other health care providers. Please place your testimonials where they belong.

BOUNDARY INFRACTION: Massage therapists diagnosing and prescribing.

EXAMPLE: Telling another person that you can feel their energy and you think they are operating from a place of victimization and fear. You recommend Bach Flower Remedies.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: Breaking our professional rules of engagement make massage therapy professionals appear to be flaky, unprofessional and unethical, as well as reckless with the public well-being. The public and other health care professionals are seeing this and deciding where Massage Therapy stands in the grand scheme of things.

This Massage Therapist is completely out of scope and can put individuals with particular pathological signs and symptoms at risk for believing the MT knows what they are talking about, and may follow their advice. Additionally, one can send someone who is more fragile into an emotional/psychological tailspin all for the therapists temporary and ungrounded power trip.

BOUNDARY INFRACTION: Massage therapists judging and being cruel to one another.

EXAMPLE: Massage Therapists don’t agree on the point, they take it personal and publicly argue.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: The public is watching. This lack of self-control and inability to have civilized and respectful conversations reflects poorly on our profession.

BOUNDARY INFRACTION: Massage therapists and other holistic health care professionals being passive aggressive with self-promotion.

EXAMPLE: A Massage Therapy professional tries to make their interaction on the boards appear to be neutral, but their agenda is to sell a book, a workshop, a class, or a product.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: This is manipulation, and it just makes massage therapy professionals look tacky. It’s fairly easy for anyone but the manipulator to see through the thin veil of ulterior motive. If you want to sell something, find the appropriate marketplace and be honest and direct about your intention. If you have to trick someone to buy your product, your product is probably is not worth buying.

BOUNDARY INFRACTION: Massage Therapists projecting.

EXAMPLE: A Massage Therapist has not worked through their own issues with their own body and refuses to massage the abdomen of clients. Therapist makes a statement online that it is her prerogative not to address the abdomen and if her clients don’t like it they can find another therapist.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: This just makes us look like a bunch of incompetent idiots in the face of the public, and other health care professionals. How this Therapist graduated from massage school… I’ll never know. This type of post propagates self-loathing and body issues, and fear of judgment with potential clients. This therapist needs to stop massaging and get into therapy to resolve this issue.

BOUNDARY INFRACTION: Massage Therapists sharing stories where they are clearly out of scope of practice.

EXAMPLE: The Therapist makes a diagnoses on-line of a sprained ankle.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: The person reading the post may not seek a physician’s diagnoses, and thus receive the care needed to heal properly. Additionally, the public receives a confusing message regarding our scope of practice, and we as professionals appear to be unethical and flaky in the eyes of other health care professionals.

BOUNDARY INFRACTION: Massage Therapists sharing stories where they are clearly involved in Counter-transference.

EXAMPLE: The Massage Therapists posts how angry they are that their client is late again.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: Personalizing the Therapeutic Relationship is always bad for the client. If you allow your client to cross your boundaries to the point of having anger and hurt feelings then the therapy should not continue. You should have professionally addressed the issue the first time and either have the behavior stop, or end the therapeutic relationship if the behavior continued. This post can confuse other therapists regarding their feelings for their clients, and the public can be exposed to a very unprofessional image of the profession.

BOUNDARY INFRACTION: Massage Therapists sharing stories about their clients which demonstrate they are working with clients who they resent.

EXAMPLE: Massage Therapist repeatedly posts how unhappy they are at work.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: The public is exposed to the possibility that their massage therapist hates what they are doing when they massage them. This reflects poorly on all of us.

BOUNDARY INFRACTION: Massage Therapists and other health care professionals slandering other individuals.

EXAMPLE: Massage Therapist or other Health Care Professional names an individual in a post, stating a behavior that is negative and untrue.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: This hurts the public perception of Massage Therapy as a peaceful and helpful profession, and makes us look like we are at odds, and aggressive toward one another. This is also potentially illegal and the Therapist could be found to be libel.

BOUNDARY INFRACTION: Massage Therapists projecting their agenda and limited belief system about our profession onto everyone else in the profession.

EXAMPLE: Educators treating each other with disrespect and lack of esteem, preaching their way is the ONLY way when their background is limited to their experience, region and education; and neither can fully comprehend the road the other educator has traveled or the depth and breadth of their experience, region, and education. There is a great deal of assumption going on here, and a power struggle ensues.

HOW THIS HURTS OUR PROFESSION AND THE PUBLIC: Educators arguing and debating on Facebook is just an embarrassment for all of us. This should not be a competition, but a respectful meeting of the minds with an honorable approach to accepting and sharing our differences with curiosity and appreciation. We should all be open to growing and learning from one another for the betterment of our profession.

In the end I want to encourage all of us to do our best to BRING our best. We need to be mindful of who we are as a collective profession, and step with care each and every time we post. We need to consider, WHO is reading this and how will this impact that individual. The moment we all became Massage Therapy Professionals is the moment we started to represent the profession.

If you got into this profession because you wanted the freedom to express yourself without reservation or limitations, I’m sorry to say you were wrong. If you wish to stand with pride next to all of the other amazing massage therapists in the world, you must walk your talk and mind the rules… inside the treatment room, outside the treatment room, and ONLINE!

Please, let’s all try to do better. I will! ❤

Jill Kristin Berkana LMT

Jill Kristin Berkana

Founder/Director Berkana Institute of Massage Therapy and Bodywork Passionista

 

 

 

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