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The following are absolutely true stories in which I goofed. As you start shaking your head and thinking you’d never make mistakes like this, understand that I’m a textbook author, I have a thriving private medical massage practice, and I have spoken nationwide on lymphatic, medical, and oncology massage.If I can make these mistakes, perhaps you can use the following as a road map to keep yourself out of trouble.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 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.The Standards are enforceable guidelines for professional conduct, and therefore, are stated in observable and measurable terms intended as minimum levels of practice to which certificants and applicants for certification are held accountable.

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These Standards of Practice for the profession of therapeutic massage and bodywork are the guiding principles by which certificants and applicants for certification conduct their day-to-day responsibilities within their scope of practice.During our intake, I asked permission to work on his glutes. After having completed the detailed work on his lumbar spine, I placed my hands on his glutes.He immediately arched into a perfect yoga cobra position, pushing himself off the table with his arms, looked back at me, and said, “Why are you touching me there?! Another client, with severe shoulder girdle pain and abundant breast tissue, told me after she got off the table, “Well, no one ever massaged my breasts before, but I feel better.” I had not in fact massaged her breasts; I had performed detailed subclavicular work with one hand while gently holding her breast tissue out of the way with the other. Lessons Learned Don’t use anatomical terms if there is even the slightest possibility the client doesn’t understand; indicate with your hands where you intend to work.If a client is nervous, take the time to answer his or her questions, and offer some explanations about your techniques.Many clients feel more relaxed after some initial conversation and will lapse into a peaceful silence –which you should obviously avoid interrupting.

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