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[libribook.com] Traumatic Scar Tissue Management 1st Edition
psychotherapy and psychotherapy is not part of the entry-to-practice educationand training for even the most extensively trained registered or licensed MTs.However, good hands-on therapy involves the therapist’s ability to listen,observe, assist clients with body awareness, appropriately respond to discomfort,modify interventions according to the client’s needs and requests, and reinforceclient selfcare behaviors (Andrade 2013).Despite whatever bodily changes the therapist hopes to achieve on behalf of theclient, MT clients are often seeking significant, professional, interpersonalexperiences such as caring, connectedness and compassion along with therapistcompetence and productive treatment outcomes (Fitch 2004, Moyer et al. 2004,Andrade 2013). According to van der Kolk: ‘The single most important issue fortraumatized people is to find a sense of safety in their own bodies’.MT can be an effective partner in the traumatic scar client’s during and aftercarehealth program. It is also important for the therapist to take measures not tobecome overwhelmed by others suffering or take responsibility for the feelings,thoughts or behaviors of others. Considerations for compassion fatigue andtherapist selfcare strategies will be covered in greater detail in Chapter 10.
The Massage Therapist and TraumaThe trauma information, specifically stress disorders, is provided for yourconsumption and understanding. It is in no way meant for you to venture outsideyour scope of practice and ‘help’ the client psychologically.It is not necessary for a massage therapist to know explicit details of the client’strauma history in order to provide productive treatment. It is of utmostimportance to recognize your limits of care – stay within your scope of practice.If you observe your client consistently displaying stress disorder behaviors, askif they would like a referral for support or counseling (Fitch 2014).As MTs, we have a vital role to play in assisting with healing of traumaticscarring. The goals we set as therapists with these particular clients are nodifferent than with our other clients: to diminish the impact of stress, providepain management care and selfcare strategies, assist the healing process, improvesleep and physical function. What does set traumatic scar clients apart are thepsychological and pathophysiological changes associated with traumaticscarring.When working with these clients the massage therapist may need to be morevigilant with regard to responding empathically, making informed choices thatensure client safety and continually provide opportunities for the traumatic scarclient to select how the treatment proceeds during each session. These points areessential to providing client-centered care and can ensure that clients feelvalidated and safe in your treatment room (Fitch 2014).Your client’s recovery from trauma is associated with a good deal of pain alongwith many challenges. Traumatic scar clients may incur life-changing events,such as altered physical appearance, amputations, compromised functionalabilities, changes in daily activities that may impact quality of life, and such mayincrease their need for social support and assistance. The potential forpsychological distress is heightened when scars result in appearance alteration(Fauerbach et al. 2007, Badger & Royse 2013).Those who experience disability and disfigurement, no matter at what age, mustrecreate themselves. They require new ways of moving their changed bodies in
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- Page 635 and 636: Kutner JS, Smith MC, Corbin L et al
- Page 637 and 638: Schmidt NB, Richey JA, Zvolensky MJ
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The Massage Therapist and Trauma
The trauma information, specifically stress disorders, is provided for your
consumption and understanding. It is in no way meant for you to venture outside
your scope of practice and ‘help’ the client psychologically.
It is not necessary for a massage therapist to know explicit details of the client’s
trauma history in order to provide productive treatment. It is of utmost
importance to recognize your limits of care – stay within your scope of practice.
If you observe your client consistently displaying stress disorder behaviors, ask
if they would like a referral for support or counseling (Fitch 2014).
As MTs, we have a vital role to play in assisting with healing of traumatic
scarring. The goals we set as therapists with these particular clients are no
different than with our other clients: to diminish the impact of stress, provide
pain management care and selfcare strategies, assist the healing process, improve
sleep and physical function. What does set traumatic scar clients apart are the
psychological and pathophysiological changes associated with traumatic
scarring.
When working with these clients the massage therapist may need to be more
vigilant with regard to responding empathically, making informed choices that
ensure client safety and continually provide opportunities for the traumatic scar
client to select how the treatment proceeds during each session. These points are
essential to providing client-centered care and can ensure that clients feel
validated and safe in your treatment room (Fitch 2014).
Your client’s recovery from trauma is associated with a good deal of pain along
with many challenges. Traumatic scar clients may incur life-changing events,
such as altered physical appearance, amputations, compromised functional
abilities, changes in daily activities that may impact quality of life, and such may
increase their need for social support and assistance. The potential for
psychological distress is heightened when scars result in appearance alteration
(Fauerbach et al. 2007, Badger & Royse 2013).
Those who experience disability and disfigurement, no matter at what age, must
recreate themselves. They require new ways of moving their changed bodies in
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