Chapter Headings and Excerpts
from the Original Edition
Chapter One: The Educated Heart
"We may hear "professional" and think of a clinical atmosphere or a distant and aloof therapist. Nothing could be further from the truth. Professionalism doesn't mean acting stuffy or keeping our clients at arms' length. It simply means that, when we're working, our focus is on our clients. We pay attention to them, we're sensitive to their vulnerability. Being professional is just an educated way of being kind."


Chapter Two: Boundaries: Protective Circles
“A common complaint about manual therapists is that we talk too much about ourselves during a session. Clients will rarely ask us to be quiet. They won’t say, ‘I can’t take another minute of your talking about your cat.’ Clients are both too polite and too much under the power imbalance that’s inherent in the relationship.”


Chapter Three: Client/Practitioner Dynamics: The Power Imbalance
“Don’t we have some clients who really like us, clients we have a great connection with—and isn’t that OK? That’s a good question. Are our sessions with them about us or about them? Are they lost souls coming to hear what the guru has to say or are we the ones who listen with curiosity and interest to what they bring to the session?


Chapter Five: Ethics: From Theory to Practice
“We often look at ethics in a simple way—what are the rules and how do we stay out of trouble? Although there are standards to guide us, ethical behavior can involve a delicate balancing act that has more to do with relationships and feelings than with black-and-white absolutes.”


Chapter Six: Sexual Issues: Protecting Our Clients
“Any client can misinterpret the intentions of any practitioner. Heterosexual women practitioners can be accused by heterosexual women clients, for instance. Sexual abuse and violation issues are about power, and they can cross all lines of gender and sexual orientation.”


Chapter Seven: Sexual Issues: Protecting Ourselves
“When you advertise, avoid the words and phrases ‘release,’ ‘total relaxation,’ and ‘full body massage.’ They can sound like veiled sexual references.”


Chapter Eight: Getting Comfortable with Money
“Many of us have an uneasy relationship with business finances. We feel awkward going from being the Caring One when a client is on the table, to being the Cashier at the end of the session who says, ‘Now gimme sixty bucks.’ We often feel a little guilty about money.”


Chapter Nine: Dual Relationships: Wearing Many Hats
“It used to be and sometimes still is, that trades were seen as a charming, hippie sort of thing, a way to bypass the supposed crassness of money, a way to live more simply, bartering and trading services for


Chapter Ten
“If we learn new ways to help clients feel safe and supported, we will reach new depths in our work and have more satisfying relationships with clients.”
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© 2007 Nina McIntosh
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Chapter Four:
Framework: Nuts and Bolts
"Framework refers to the small ways we define our practices as professional - time boundaries, fees, the appearance of the therapy room, confidentiality, etc. Framework is more important and deserves more thought than most of us realize. Many a manual therapy career has suffered because of carelessness about the details that make clients comfortable."
Illustrations by Mari Gayatri Stein
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