Approche tissulaire de l'ostéopathie

Heirs to Still Being or Having?

Index de l'article


The physician is an involuntary primary respiratory mechanism within a living voluntary body physiology. His patient is endowed with the same qualities, an involuntary primary respiratory mechanism within a living voluntary body physiology” (Brooks ed., 1997, 138 What defines the practitioner is that the practitioner adopts the role of fulcrum and uses the fundamental tools of consciousness, while following a modus operandi.

Les outils du praticien

The most essential tool is consciousness, i.e. communication. To be effective, communication must be grounded in reciprocally acknowledged reality. Bodily reality has two dimensions:

– The material dimension, related to the body’s physical reality. We call this dimension of reality objective reality;
– The immaterial dimension, related to the consciousness of the body. We call this dimension of reality subjective reality.

Communication with the living body system seeks to connect with it in both these dimensions of reality, using the (previously defined) parameters of communication:

– The subjective parameters of presence, attention and intention, related to being;
– The objective parameters of density, tension and velocity, related to matter. When practitioners attune to the density of their patients’ tissues, they are able to perceive plasticity.

Palpation: Perceiving Plasticity

If we accept that absolutely all living systems are animated by alternating movements of expansion and retraction, we come to understand the body system as plastic. We then understand Sutherland when he says: “Osseous tissue is also fluid.” (Wales ed, 1990, 127).

Yet, our first experience of osseous structure (bone) is not its plasticity. Our first misunderstanding - or more accurately misperception - of body structure begins when we are very young, most often in the classroom. The bone specimens that we discover at school have been reduced to their mineral, dry, brittle, hard qualities. Our first representation of osseous structure is built upon this initial experience. And, being our first experience, it implicitly prevails until a different experience compels us into re-evaluating it. Thus, the concept of structure conjures up something material, fixed, rigid, non-living.

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