A Lesson on Trauma-Sensitive Yoga

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    A friend of mine forwarded the attached article to me recently – it outlines some things to consider with reference to being ‘trauma sensitive’ as yoga instructors.  I found it to be a very interest and relevant article – and worth sharing.




    Thanks for posting Danya

    That’s a very interesting topic and article for discussion. There are as many different ways to learn as there are students.

    The bottom line, in my opinion is to to always try to get a good match. Apply the yoga to the individual rather than try to fit the individual into some yoga scheme or other. With huge classes, it is a case of trying to please most of the people most of the time, and there will be inevitably be some that get turned off, “triggered” or just not connect to the practice in a positive way. As a result most of the popular large classes are based on a popular formula that works for most people most of the time.

    This is probably why for example, pranayama and stillness mediation is hardly taught in the west. It is challenging on many levels and people are not sure what to make of it because there isn’t a frame of reference. Asana has a frame of reference if you have done gym, sport or dance before in your life.

    The traditional role of the “Guru” isn’t to take away power or to traumatize people as seems to be slightly implied. I think that is a false Guru. It is rather to be a guide and a guardian for a student. That’s a valuable role. A bit like being a parent, and sometimes as a parent, one has to be an enforcer of discipline or to dispense some bitter medicine. Because the child can’t see the bigger picture.

    So here is a question. When is the time for bitter medicine in a student’s yoga training? I am just asking.








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    If you need non-emergency medical care, where do you go? A physician’s office? The emergency room? A retail medical clinic? It is exactly what researchers from RAND desired to find out. They are releasing outcomes of a new study that looks at just how people use retail clinics, which are sometimes found in drugstores, grocers, and large retailers like Wal-Mart. The study team, led by Ateev Mehrotra, MD, MPH, with RAND and the University of Pittsburgh Med school, compiled data from nearly a thousand and a half retail clinic visits. They note that the study had not been funded by retail clinics, nor was anyone paid to provide the data. They searched for information like gender, age, how a visit was purchased, whether the patient a primary care physician, whether the patient transferred to an emergency room, and just what prompted them to check out a retail clinic. Additionally they looked at separate national data from 35,814 appointments with primary care physicians and 147,784 appointments with emergency rooms. Who Uses Retail Clinics? Among the findings: Men and women apparently equally go to retail clinics. 18- to 44-year-olds made two times as many visits to retails clinics (43% weighed against 23%) as visits to their doctor. The youngest and oldest patients are least likely to visit retail clinics and more likely to go to a doctor’s office or e . r .. In 39% of visits, people that went to a retail clinic reported developing a primary care physician. (That’s compared to 80% of people nationwide who say these people have a personal doctor.) 2.3% of visits to a retail clinic were triaged to an emergency room or a doctor’s office. “These clinics may actually attract patients who are not routine users of the current medical system,” Mehrotra says in the news release. “For these patients, the benefit offered by retail clinics might be more important than the continuity provided by an individual physician.” Retail Clinic Payments More retail clinic visits were taken care of out of pocket when compared with payment for primary care physicians. Nevertheless the study findings reflect that could be changing. The first retail clinic opened within the U.S. in 2000. The researchers found that 100% of visits were settled of pocket in 2000. In 2007, 16% of retail clinic visits were covered out of pocket. Why Do People Visit Retail Clinics? The research found that 90% of retail clinic trips are for 10 common medical ailments that include: Upper respiratory infections Sinusitis Bronchitis Pharyngitis (throat infection) Immunizations Middle ear infection Swimmer’s ear Urinary tract infections Pinkeye Screening lab tests or to have blood pressure checked Of those folks 65 years old or older who visit retail clinics, 74% of these visits were to get immunizations. In history presented with the findings, researchers write that more retail clinics are developing all over the country. Researchers cite studies that declare that the number of clinics will explode through the current 450 to 6,000 in the next five-years. There has been some controversy since clinics were launched, with concerns about quality of care, less chances for primary care doctors to keep up chronic medical conditions and maintenance, disruption of the relationship that a patient has with his/her primary care doctor, and coordination of patient care. “Future studies should investigate quality, the likelihood that patients are getting needed preventive and follow-up care,” Mehrotra says. He adds, “There quite a bit of curiosity and questions regarding retail health clinics simply because they ar a new way of providing care in the system of health that has seen little change over the past 50 years in how care is delivered.”By Kelley Colihan Reviewed by Louise Chang?2005-2008 WebMD, LLC. All rights reserved mulberry somerset

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