Tuesday, October 31, 2017

Healthy Healing Relationships

My professional organization, Associated Massage and Bodywork Professionals (ABMP), puts out several wonderful publications. Their issue of Massage & Bodywork (Sept/Oct 2015) has a very important article in it. It is the story of how one woman became involved in an abusive, sexual relationship with a predatory body-worker, and I recommend anyone who gets therapy, of any kind, to read it. We have worked hard in Oregon and as a profession, to create systems for ensuring safety for our clients and ourselves. For example: we have a vigorous Massage Board to enforce laws, and therapists must display their license number with any form of advertising. 
 
That of course does not preclude all problems, and there are many wonderful modalities and practitioners that are not overseen by our Massage Board. Indeed, licensing itself does not protect anyone from unscrupulous nurses, doctors, or mechanics for that matter. But the healing relationship is special. And with the growing influence of alternative bodywork modalities, clients may have no clear idea of what is considered appropriate and usual. The Encyclopedia of Energy Medicine by Linnie Thomas lists well over 200 modalities, and whether they have credentialing or not, your safety rests in your hands, not the therapist's.
 
Whatever the therapy, or therapist, you have engaged to help you heal, you want to believe in it/them. You've entered this relationship with a problem you need fixed and a hope that this person holds some answer for you. This is the beginning of a power differential. The perceived authority of the therapist, the difference in clothed and unclothed, standing versus laying down, giving versus receiving, all add to the subtle power inequality in any bodywork session. To protect clients and therapists alike, a strong code of ethics and standards of care are critical.
At the outset, your therapist should do an intake with you. What are your goals for the session? What is the method that will be employed and how does it work. Is the practitioner credentialed? By whom? What can be expected. Will you be touched and where. All these questions and much more go into what's called informed consent.

 Let me reiterate this, there is no consent without information. I hear this from clients all the time: “you just do what you do.” Nonetheless, I continue to inquire throughout the session as to their comfort and needs, because consent is not given once. Sometimes when people are unclear where the appropriate boundary is, they defer to the therapist because “they know what they are doing.” Even if you're unsure why you're uncomfortable, stop the session and ask questions. Consent that is given can be revoked at any time.
 
There are small things too, of course, in a session that may make you uncomfortable. You can ask anytime to turn off/up/down the music, turn the heat up or down, open a window, ask for a blanket or adjust a bolster or face cradle.  Any good therapist will know that your absolute comfort is essential to your healing and the success of the session. There's a wonderful world of healers out there trained and able to help. To therapists and clients alike I say: go forth, have fun, heal well and be safe.

Penny Hill may be reached at 
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