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Although we weren’t thinking about it while writing it, our life planner, The Dreambook, is very much aligned with ideas of the Human Potential Movement (HPM). The movement focuses on helping people attain their full potential through numerous avenues, including self-awareness, honesty, openness, optimism, self-acceptance, mindfulness, and a willingness to be outside of one’s comfort zone. Wikipedia says a central premise of the HPM is that “people can experience a life of happiness, creativity, and fulfillment,” and that this naturally moves us to uplift our community and assist others to actualize their own potential.
Although it’s often seen as having developed from the 1960s counterculture, the seeds of the HPM were planted much earlier. Close influences were psychologists such as William James, Carl Rogers, and Abraham Maslow. In particular, Maslow’s famous Hierarchy of Needs elucidated how humans are motivated. He claimed that we have tiers of needs, and that foundational tiers – e.g., food, shelter, safety – have to be managed before we can dedicate ourselves to higher tiers such as relationships and achievement. Maslow called the top tier self-actualization, the full realization of our potential.
Well before these modern thinkers, Greek philosophers such as Socrates and Epictetus were teaching about human potential through the cultivation of virtue. Confucius, too, (500-ish years BCE) was a great champion of personal development and spoke of the relationship between one’s individual growth and the benefit to society, similarly to what is echoed above by the HPM. In The Great Learning he wrote:
In ancient times, those who wished to make bright virtue brilliant in the world first ordered their states; those who wished to order their states first aligned their households; those who wished to align their households first refined their persons; those who wished to refine their persons first balanced their minds and hearts; those who wished to balance their minds and hearts first perfected the sincerity of their intentions; those who wished to perfect the sincerity of their intentions first extended their understanding; extending one’s understanding lies in the investigation of things.
And “the investigation of things,” according to twelfth century philosopher Zhu Xi, means, “to exhaustively arrive at the principles of matters, missing no point as one reaches the ultimate.” Some would say it means to perceive the true nature of reality.
I find this view beautifully holistic: that even for worldly aims (“to make bright virtue brilliant in the world”), we start with our basic orientation to reality, then bring this forward to the “sincerity of our intentions,” the balance of our hearts and minds, then to personal refinement, the alignment of our household, and then outward to our community.
Depending on your disposition, these statements can feel inspiring or unreachably lofty. If making bright virtue brilliant in the world feels daunting, let’s look at the ideas of living to one’s potential in simpler terms.
Confucius speaks first about the investigation of things – understanding the world. Doesn’t it make sense that in order to really grasp our potential we must understand the context in which it is expressed?
This isn’t work anyone can do for us, and it requires humility, innocence, and openness. It means, in my opinion, approaching the world as a student would approach a master teacher – willing to be wrong and open to having our mind blown. If we look to cultures who live in close connection with nature (including Confucius’s culture), they’ll almost universally assert that it’s the sacred in us, interacting with the sacred of the world, that is the essence of life – not the masks and stories we’ve superimposed upon it. What is the sacred? That which can’t be depleted, exhausted, or diminished.
What about the sincerity of intention Confucius mentions? We hope to nudge our readers toward sincere intention through the exploratory questions in the Connect section of the Dreambook. Figure out what brings you joy and gratification, regardless of what others might think. What raises your vibration? What makes you feel alive? What opens your heart? What makes you feel you’re aligned with the purpose your Highest Self wants for you?
From here, establish structures to support the actualization of these intentions. Integrate them into your everyday life. Set goals, break them down into tasks, and put the tasks in your calendar. Practice integrity by honoring your agreements with yourself. Be reverent of the powerful words they are constructed from. Make sure your agreements are clear – always know what you’ve agreed to and where you stand on them. Notice what you accomplish and celebrate these achievements. Don’t complain. Be flexible. Maintain a clear inner vision of what you intend to bring into being. And routinely express gratitude.
If this sounds like a lot to remember, that’s what a planner like the Dreambook is for – to keep you on track with the actualization of that incredible potential within you. We’re honored to witness you.
Be well,
Peter
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I am often asked, “What’s the difference between acupuncture and dry needling?” So, I thought I’d answer the question for everyone in our community who might be interested, and offer some history and science along the way.
“Dry needling” is a term that has grown tremendously in usage over the past decade because it’s a newly adopted practice by many physical therapists. It essentially consists of inserting acupuncture needles into tight muscles. In many states, acupuncturists have fought physical therapists’ attempts to expand their scope of practice to include this procedure. However, physical therapists outnumber acupuncturists by about seven to one, which means stronger state organizations and greater legal power.
Acupuncturists argue that physical therapists are essentially stealing their medicine and calling it something different. In some states physical therapists can practice dry needling with no training in it; in others they typically complete a 55-hour course. By comparison, a licensed acupuncturist generally receives about 500 hours of instruction in the acupuncture-specific portion of their training.
For a few centuries in the West and a couple millennia in China, observers of the human body have known about nodules that occur in tight muscles and are associated with chronic, complex pain patterns. You might just call them “knots.” In the mid-1900s a doctor named Janet Travell coined the term myofascial trigger point to describe this phenomenon. About 90% of them are found at the locations of acupuncture points, which were mapped out on bronze statues at least 1,000 years B.C.E.
Travell explained that myofascial trigger points are irritable regions in our connective tissue (muscle and fascia) that get stuck in a contracted state. They make muscle fibers taut, reducing muscle strength and range of motion, and causing pain, numbness, and other symptoms that often spread to areas far from where they originate. In many cases, what we perceive to be a visceral problem (heart attack, ulcer, migraine, irritable bowel, urinary tract infection, etc.) is actually the symptom of one or more trigger points. I believe trigger points are responsible for most of the physical pain humans experience.
Travell and her colleague David Simons went on to chart the locations and symptoms of trigger points in every major muscle. Travell became John F. Kennedy’s doctor (the first female presidential physician) and his family credited her with saving Kennedy’s political career by curing his back pain through the release of myofascial trigger points.
Travell (and researchers before her) discovered that it’s possible to release a trigger point through a simple procedure she called “ischemic compression.” It basically entails pressing firmly on the center of a trigger point for about half a minute until it softens. Travell’s maps and manual techniques for releasing trigger points were adopted by physical therapists over the following decades. (For what it’s worth, body workers have probably been doing ischemic compression for ages, without calling it ischemic compression.)
Travell also found that she was able to release trigger points by injecting them with numbing agents or saline. However, it emerged that the most effective aspect of this practice wasn’t the injection of fluid, but the mechanical act of probing at the trigger point with a needle. That is, a release could be accomplished even with a “dry” needle, without injecting anything.
Based on this new expression, one could say that all acupuncture is “dry needling.” This is precisely what acupuncturists have always done, although the insertion of needles into these local epicenters of pain is generally just one aspect of an effective acupuncture treatment. What makes an acupuncture treatment holistic (i.e., addressing the whole person) is that the treatment also addresses the underlying mechanisms that led to the surface issue (e.g., stress, diet, digestive problems, more global structural or energetic imbalances, etc.).
In the 1980s, an osteopath and acupuncturist named Mark Seem, founder of Tri-State Acupuncture College in New York City, began integrating Travell’s trigger point maps into traditional acupuncture. He met with Travell and demonstrated his approach. Travell immediately recognized the value of using a much thinner, solid, and springy acupuncture needle (which has a cone-shaped tip), as compared to the hypodermic needles she had been using (which have a scalpel-like hollow beveled tip).
Over the following decades, physical therapists gradually discovered that “dry needling” with acupuncture needles is often a faster and more effective trigger point release method as compared to the various forms of pressure, friction, stretching, exercise, and structural education that have been part of the physical therapists’ palette for their hundred-ish year history. In court cases between acupuncturists and physical therapists, PTs often argue that the insertion of needles into trigger points is a simply an extension of these “manual therapies” described in their scope of practice, and the decision comes down to whether or not the judge agrees.
The other common argument by PTs is that there are many differences between dry needling and acupuncture. In my opinion, having observed PTs doing dry needling and having studied many styles of acupuncture, there’s clear evidence that acupuncturists have been doing everything encompassed in dry needling for a very long time. PTs have insisted that because they know nothing of the acupuncture meridians (energy circuits along which acupuncture points are located), dry needling therefore isn’t acupuncture. But this is like saying that because you haven’t studied anatomy, when you cut into someone with a scalpel you’re not actually doing surgery. Further, there are many systems of acupuncture, several of which don’t utilize meridians.
Enough about the arguments. My purpose isn’t to determine whether or not it’s right for physical therapists to do dry needling, but to clarify the differences in the consumer’s experience.
While acupuncture is great for pain, not all acupuncturists are pain specialists, and most acupuncturists don’t specifically target the trigger points mapped by Travell. If that’s what you’re looking for, it may be worth seeking out an acupuncturist who specializes in pain. Or you might be happy with a skilled physical therapist who does dry needling.
Both acupuncturists and physical therapists run the spectrum from mediocre to brilliantly talented. I have no doubt that there are some masterful PTs out there who get great results doing acupuncture (dry needling) – perhaps better for structural issues than an average-level acupuncturist. I have had patients ask me to “fix” them after a painful dry needling session from a PT that worsened their condition, and I’ve had other patients report good results from dry needling.
If you are skittish about needles, you may not enjoy dry needling from a physical therapist, since it tends to be more intense than the average acupuncture treatment. That said, any form of acupuncture that specifically focuses on releasing trigger points is unlikely to be painless. Regardless of the style of acupuncture I’m performing, I always tell my patients I’m not the person to see if they don’t want to feel anything; I believe a certain degree of sensation is productive.
If you’re someone who cares about how much training your practitioner has received, perhaps it’s meaningful to you that an acupuncturist typically spends ten times as many hours learning their craft than a physical therapist spends learning dry needling. (And virtually all of the acupuncturist’s continuing education will be in acupuncture as well.)
If your primary concern is having your treatments covered by insurance, you’re more likely to get this from a physical therapist. There are some acupuncturists who bill insurance, but more often it will be up to you to submit your receipts and hope for reimbursement.
If it’s important to you that your treatment gets to the root and addresses the whole you, including non-structural issues, you’ll probably be more satisfied with treatment from an acupuncturist. The common experience of “going to acu-land” as some of my patients call it – i.e., becoming deeply relaxed or even having a transcendent experience – isn’t part of the dry needling session. Some would consider the peaceful effect of acupuncture merely a pleasant bonus, but I believe it’s often much more instrumental in the overall outcome than people realize. How often do we stop, rest, and drop all of our concerns? It can be akin to the benefit of a session of deep meditation. The alleviation of stress and a nervous system “reset” is no small thing, especially when stress is the root cause of so much pain.
That said, I find that many patients honestly aren’t concerned with a holistic treatment, and that’s fine. They want a practitioner who will get right into the painful area and work the hell out of it. It might be intense and they might feel beat up afterwards, but there’s a time and place for this kind of work if it’s effective. Personally, I don’t mind receiving aggressive treatments. Occasionally they’ve been miraculous (other times they’ve left me temporarily crippled with no relief). And of course, if the pain itself is one’s primary stressor, one could argue that getting rid of the pain should be a higher priority than alleviating stress (though we don’t have to choose one or the other). In my experience it’s a slight minority of acupuncturists who work this way, while it’s quite common for a physical therapist.
Whew! That was a long-winded exploration of this topic. I thought about removing parts of this article to shorten it, but having had this conversation so many times, I’ve found that many people are curious about all the facets of this subject. I hope I offered some clarity.
Be well,
Dr. Peter Borten
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During a particularly hard break-up in my 20s, a friend advised me, “The more present you are during this process, the bigger the present you’ll get out of it.” And though I barely understood what that meant, I gave it a try and an odd thing happened. I saw that I was choosing the big, dramatic grieving process I was going through. And that meant it was optional.
In The Art of Presence, Eckhart Tolle says, “Through thought you cannot possibly grasp what presence is.” But he gives some clues to point us in the right direction. He says it’s there, “when you’re not thinking about the last moment, or looking to the next one.” And he uses phrases like “a state of relaxed alertness” and “a spacious stillness,” to describe it.
Thich Nhat Hanh said, “The most precious gift we can offer others is our presence.”
Our presence is tremendously rare and hugely valuable. Especially in this age of epidemic distraction, it’s increasingly difficult and uncommon to choose a voluntary time-out from technology, data, and our own mental analysis. But unlike the artificial value of a coin that accidentally got stamped with a head on both sides, our presence can do for us what nothing else can. And we can make it more abundant by simply choosing it.
Although it may not put food in our belly, most other problems disappear with presence. The need to fix or relive the past disappears. The need to avoid certain unwanted events in the future disappears. Even if we're working on something now that will benefit us in the future, with our presence, we work on it now in order to work on it now. And that’s enough.
The allure of distraction, which so often threatens our presence, dissolves when we practice being present. Do you know the word obviate? I like to write using words that almost everyone understands, but there’s only one word I can think of that means “to make unnecessary,” and that word is obviate. Learning to deepen our presence obviates the urge for distraction and mental departure from our current reality.
With presence, we perceive all kinds of intelligence and detail that we’re otherwise deaf and blind to. We know when to eat and when to stop eating. We know how to move our body in a way that doesn’t cause pain or injury. Our work becomes more interesting. Our relationships become healthier. We listen better and we feel heard.
With two kids, my presence is requested almost incessantly. I hear the word Papa at least 100 times a day. Often, I hear it ten or more times in quick succession. We all yearn for someone’s total presence with us. These are the moments of connection between what is the same in both of us. Presence uncovers what’s real in this moment. And that’s refreshing, exciting, and affirming.
When we’re all so busy that we see time as a commodity, it can seem that giving our presence to someone else is like giving away our treasure. But are we actually giving something away?
Of course not. When we “give” our presence we gain the present. To withhold our presence means both we and the other person miss out.
So, how can you learn to be more present? It takes practice. If you’re new to this, I don’t recommend making a goal like, “I’m going to be more present from now on.” I don’t want to discourage you, I just want you to be realistic about what you’re up against – a lifetime of habits and a sea of tantalizing distractions.
Try something a bit less ambitious, such as this: Once a day, as you begin some activity – whether it’s buying groceries, playing Candyland, eating a meal, and listening to a friend’s problems – select this activity as an exercise in presence. In your mind, identify what exactly you’re doing – “I’m vacuuming the floor” – and devote yourself to that. Don’t run away in the middle of the activity. This means don’t pick up your phone, don’t depart in your mind to explore other thoughts and ideas, don’t visit the past, don’t anticipate what’s next, don’t judge. Just dwell in the present. Be saturated by the present. Feel everything. Accept everything. And let each next moment come.
Over time, quicker than you might think, you’ll start regaining your attention. You’ll be able to focus on something for more than five seconds. You’ll begin to yearn for this, which will make your practice much easier. And as you start willingly selecting more and more moments to be completely present, you’ll experience an unending offering of presents.
Be well,
Dr. Peter Borten
[post_title] => A Free Pile of Presents Just for You
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Although we weren’t thinking about it while writing it, our life planner, The Dreambook, is very much aligned with ideas of the Human Potential Movement (HPM). The movement focuses on helping people attain their full potential through numerous avenues, including self-awareness, honesty, openness, optimism, self-acceptance, mindfulness, and a willingness to be outside of one’s comfort zone. Wikipedia says a central premise of the HPM is that “people can experience a life of happiness, creativity, and fulfillment,” and that this naturally moves us to uplift our community and assist others to actualize their own potential.
Although it’s often seen as having developed from the 1960s counterculture, the seeds of the HPM were planted much earlier. Close influences were psychologists such as William James, Carl Rogers, and Abraham Maslow. In particular, Maslow’s famous Hierarchy of Needs elucidated how humans are motivated. He claimed that we have tiers of needs, and that foundational tiers – e.g., food, shelter, safety – have to be managed before we can dedicate ourselves to higher tiers such as relationships and achievement. Maslow called the top tier self-actualization, the full realization of our potential.
Well before these modern thinkers, Greek philosophers such as Socrates and Epictetus were teaching about human potential through the cultivation of virtue. Confucius, too, (500-ish years BCE) was a great champion of personal development and spoke of the relationship between one’s individual growth and the benefit to society, similarly to what is echoed above by the HPM. In The Great Learning he wrote:
In ancient times, those who wished to make bright virtue brilliant in the world first ordered their states; those who wished to order their states first aligned their households; those who wished to align their households first refined their persons; those who wished to refine their persons first balanced their minds and hearts; those who wished to balance their minds and hearts first perfected the sincerity of their intentions; those who wished to perfect the sincerity of their intentions first extended their understanding; extending one’s understanding lies in the investigation of things.
And “the investigation of things,” according to twelfth century philosopher Zhu Xi, means, “to exhaustively arrive at the principles of matters, missing no point as one reaches the ultimate.” Some would say it means to perceive the true nature of reality.
I find this view beautifully holistic: that even for worldly aims (“to make bright virtue brilliant in the world”), we start with our basic orientation to reality, then bring this forward to the “sincerity of our intentions,” the balance of our hearts and minds, then to personal refinement, the alignment of our household, and then outward to our community.
Depending on your disposition, these statements can feel inspiring or unreachably lofty. If making bright virtue brilliant in the world feels daunting, let’s look at the ideas of living to one’s potential in simpler terms.
Confucius speaks first about the investigation of things – understanding the world. Doesn’t it make sense that in order to really grasp our potential we must understand the context in which it is expressed?
This isn’t work anyone can do for us, and it requires humility, innocence, and openness. It means, in my opinion, approaching the world as a student would approach a master teacher – willing to be wrong and open to having our mind blown. If we look to cultures who live in close connection with nature (including Confucius’s culture), they’ll almost universally assert that it’s the sacred in us, interacting with the sacred of the world, that is the essence of life – not the masks and stories we’ve superimposed upon it. What is the sacred? That which can’t be depleted, exhausted, or diminished.
What about the sincerity of intention Confucius mentions? We hope to nudge our readers toward sincere intention through the exploratory questions in the Connect section of the Dreambook. Figure out what brings you joy and gratification, regardless of what others might think. What raises your vibration? What makes you feel alive? What opens your heart? What makes you feel you’re aligned with the purpose your Highest Self wants for you?
From here, establish structures to support the actualization of these intentions. Integrate them into your everyday life. Set goals, break them down into tasks, and put the tasks in your calendar. Practice integrity by honoring your agreements with yourself. Be reverent of the powerful words they are constructed from. Make sure your agreements are clear – always know what you’ve agreed to and where you stand on them. Notice what you accomplish and celebrate these achievements. Don’t complain. Be flexible. Maintain a clear inner vision of what you intend to bring into being. And routinely express gratitude.
If this sounds like a lot to remember, that’s what a planner like the Dreambook is for – to keep you on track with the actualization of that incredible potential within you. We’re honored to witness you.
Be well,
Peter
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[is_single] =>
[is_preview] =>
[is_page] =>
[is_archive] => 1
[is_date] =>
[is_year] =>
[is_month] =>
[is_day] =>
[is_time] =>
[is_author] =>
[is_category] => 1
[is_tag] =>
[is_tax] =>
[is_search] =>
[is_feed] =>
[is_comment_feed] =>
[is_trackback] =>
[is_home] =>
[is_privacy_policy] =>
[is_404] =>
[is_embed] =>
[is_paged] =>
[is_admin] =>
[is_attachment] =>
[is_singular] =>
[is_robots] =>
[is_favicon] =>
[is_posts_page] =>
[is_post_type_archive] =>
[query_vars_hash:WP_Query:private] => 3900cc15ce1ec3ca25ad4c0aaa2c06f6
[query_vars_changed:WP_Query:private] =>
[thumbnails_cached] =>
[allow_query_attachment_by_filename:protected] =>
[stopwords:WP_Query:private] =>
[compat_fields:WP_Query:private] => Array
(
[0] => query_vars_hash
[1] => query_vars_changed
)
[compat_methods:WP_Query:private] => Array
(
[0] => init_query_flags
[1] => parse_tax_query
)
)
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