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■ Book Review by Pamela K Hansford Bar r e t t I D o r k o , a p h ys i c a l t h e r ap i s t in pr ac t i ce in O h i o , is a c l in i c i an wi t h a p a s s i o n for s o u n d s c i en t i f i c r e a s on i n g , a t e ac he r w h o f o c u se s on i e a r n i n g a n d a w r i t e r wi th a p o e l i c a n d m e t a p h o r i c a l bias . T h i s r e c e nt l y p u b l i s he d b o o k of ler s the r e a d er a c h a l l e n g i n g c o m p i l a t i o n of his brief , t h o u g h t f u l and p r o v o c a t i v e e ss a y s , m a n y o f w h i c h o r i g i n a l l y a p p e a l e d in " F r o m D o r k o ' s D e s k " , a c o l u m n run r e g u la r ly in F T F o r u m f ro m M a r c h 1990 to J u n e 1995 . G r e g o r y B a t e s on in " M i n d a n d N a t u r e : A N e c e s s a r y U n i t y " (1979) e x p l o r e s e p i s t e m o l o g y , d i s c u s s i n g h o w o r g a n i s m s , or a g g r e g a t e s o f o r g a n i s m s , k n o w , t h i nk a nd d e c i d e . P h i l o s o p h i ­ ca l ly he e x p l o r e s the l imi ts a n d o t h e r c h ar a c t e r i s t i c s o f these p r o ce s s e s , c e n t r i n g on q u a l i t y by q u o t i n g l un g w ho said b r e a k the pat te r n w h i c h c o n n e c t s the i t e m s o f l e ar n i n g a nd you n e c e ss a r i l y d e s t r o y all q ua l i t y . B a t e s o n e x p l a i n s that m e t a p h o r p r o v i d e s the p at te r n w h i c h c o n n e c t s and this o f c o u r s e is the s t r e n g t h o f B a r r e t t ' s w r i t i n g . H e is an e x p e r i e n c e d pr ac t i t io ne r w h o w a s s e n i o r c l in i c i an a t the A t l a n ta Back Cl in i c , b e t w e e n g r a d u a t i n g in 197 3 a n d e s t a b l i s h i n g a p r i v a t e p ra c t i c e in 1979. By l ink ing l i t er atur e a n d p o e t r y w i th p ra c t i c e o f t h e r a p y and p e r so n a l e x p e r i e n c e , he d e v e l o p s his ho l i s t i c a p p r o a i h to t he r ­ a py . H e s ee s the b o d y as m e t a p h o r for its o w n i nner pr o c es s , a m e a n s of e x p r e s s i o n ( ve r y of ten for w h a t it mos t w a n t s to hi de) a nd the i n t er f ac e or p o i n t o f c o n n e c t i o n betw e e n pat ient a nd t her apis t . I Ie i nv i tes us to e x p l o r e the p a t i e n t t h e r a p i s t r e l a t io ns h ip for o u r s e l v e s , p a r t i c u l a r l y wi th r e ga r d to h o w the t he r ap i s t too c h a n g e s in the c o u r s e o f the int erac t ion . Bar r e t t s a v s o f his p a t i en t s that he w o u l d p re fe r that " t h e y us e m e as a r e s o u r c e w h o h e l p s t h e m u n d e r s t a n d that the s o lu t i o n to thei r p r o b l e m s l ies w i t h i n t h e m s e l v e s " Barret t r e c o g n i s e s that p e o p l e heal f r o m w i t h i n a n d that o u r job as t h e r ap i s t s is to rev eal a nd d is c lo s e , r a t he r than i m po s e . T o do this w e ne ed to g e t p e o p l e into the po s i t i on w h e r e thev teel s a f e w i th o u r t ou c h . Sa f e e n o u g h to a l l o w the pain o f the i r l ives to r ise to the s u r f a c e so that b y g e n t l i n g oursolv es and f o l l o w ­ ing thei r lead, w e c a n e n a b l e t h e m to reveal the i r pain and thei r n e ed s , a nd w e in turn c a n e n a b l e t h e m to f ind and d e v e l o p thei r o w n c o r r e c t i v e m o v e m e n t . W e ne ed to learn to t o l low in o r d e r to learn h o w to lead. T h e e f fec t ov er a l l is a d i s p l a y o f intel lec t a n d c o m p a s s i o n , as Bar r e t t c o n t e m p l a t e s hi s p r a c t i c e as c l in i c i an and teacher , and ref l ec t s on this. I Ie in v i t es us as t h e r a p i s t s in turn to ref lect on o u r o w n prac t i ce . I h a v e s h o w n this b o o k to m a n y p e o pl e s i n c e I r e c e i ve d it in A u g u s t . T h e r a p i s t s in C a p e T o w n and J o h a n n e s b u r g , t h e r a p i s t s f ro m A fr i c a a n d f rom F u r o p e par t i c i ­ p a t i n g in the r e c e nt W C P T A f r i c a R e gi o n a l C o n f e r e n c e in H ar a r e a nd o t h e r s w h o h a v e had d e a l i n g s wi th t h e r ap i s t s ha v e r e s p o n d e d w i th e n t h u s i a s m . O n e t he r ap i s t d e sc r i b e d the w a y in w h i c h t h e s e br ie f e s s a y s i nv i te c o n n e c t i o n s wi th o u r o w n dai l y e x p e r i e n c e by c o m m e n t i n g that w h e n vou read an ess ay , it s t ay s wi th vou all da v I d i s c o v e r e d Bar r e t t ' s w r i t i n g b y r e s p o n d i n g to his of fer on the p h y s i o @ m a i l b a s e . a c . u k l ist to s e n d m a t e r i a l to a n y o n e i nt er e s te d in u s ing po et i c s w i t h p h y s i o t h e r a p y . W h e n I r e ­ c e i ve d this b o o k it o p e n e d u p at T h e V a s e , in w h i c h w e are a s k e d to i m a g i n e that w e a r e e a c h hold ing a v a s e o f g re a t v a l ue in o u r h a n d s a nd b e i n g paid for b e i n g e n t i r e l y r e s p o n s i b l e for c a r i n g for it. Barret t feels tha t a l t h o u g h the role o f a ph ys i c a l t h e r ap i s t s h o u l d i n c l u d e a n a p p r e c i a t i o n of t he b o d v that is re f l ec ted in the wav that w e ho l d it, m o s t p a t i e n t s c o m e to us fearful o f b e i n g p o ke d , p r o d d e d a nd p a i n f u l l y b e n t b e c a u s e that ' s w h a t thei r f r i ends g o t f or s i m i l a r c o n d i t i o n s . I Ie c o n ­ c l u d e s wi t h M v h a n d s a r e n o t u n u s u a l l y s e n s i t iv e , n o r ar e m v ski l l s e s p ec ia l ly d i f f i c u l t to a c q ui r e . B ut w h e n I ' m w i t h o t h e rs o n the job, I c a n s e n s e t hei r w o r t h , a n d 1 hol d t h e m w i th care . T h e Va se , l ike the o t h e r s in the b o o k , is a o n e a n d a ha l f pa g e es s ay . T h e en t i re e s s av is v i s i b l e a t a g l a n c e b u t this is on l v the a p p a r e n t l y s i m p l e f or m as s e t d o w n o n t he pa ge . Bar r e t t ' s s t yl e o f w r i t i n g m a k e s his w i s d o m ea s i l y a c c e s s i b l e a nd then a l l o w s f ur t he r l aver s o f m e a n i n g to e m e r g e g r a d u a l l y in the pr o ce s s o f read ing. I I is w i s d o m is d e r i v e d t h r o u g h sens i tiv i tv in r e s p o n s e to g e n t l e t o u ch w i th o n e ' s w h o l e b e i n g , f rom r e c o g n i s i n g o u r o w n h u m a n i t y in the o t h e r s a n d f rom c h a l ­ l e n g i n g c o n v e n t i o n a l t h i n k i n g w i th a d e l i g h t f u l s u b t l e s e n s e of h u m o u r

Shallow dive - Essays on the craft of manual care