El referente de la naturaleza de la actividad subvencionada

II. ASPECTOS FINALISTAS O TELEOLÓGICOS

II.1. El referente de la naturaleza de la actividad subvencionada

Igor: In this particular session I would like to explore how you have that conversation that leads you to the point of pain control. Would that be of interest to everyone?

Students: Yes

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volunteer, so we can have the conversation. I want to have the conversation as we role play. The only reason I’m using these folks for this is because I want you to role play the conversation. If any of you in the audience have a genuine pain, please do not use that as part of the conversation at this point because you don’t have a doctor’s referral, so you don’t know whether, or not it’s permissible or appropriate to work with that yet.

Role play the conversation to get used to the maneuvers and if you then get good rapport with someone and they like the idea of you helping with that pain then make sure they go home, get a referral and then you can chat to them again over the phone or otherwise is that an agreement we can make here?

Step one– anything that you do with pain, realize whatever you do it’s your responsibility. I’m giving you the potential consequences, but whether you choose to listen or not you are adults and I can’t force you to do anything.

The first stage I would strongly encourage everyone to make is to get a medical referral, letter, clearance form, whatever you call it. If it’s something specific then I’m looking at that medical referral, which these fine folks have already. Is it okay if I read some of the content aloud or maybe get Megan to email it to everyone so they can see what real medical referral forms look like? It’s a short letter, like one or two lines.

Here is an example of something that’s useful…Roland has been under my care for lumbar spondylosis, an associated lower back pain since the mid 80’s. I’m referring him to hypnotic pain management for that condition. So I have a very clear scope to work with that. I know what I’m allowed to work with and not. If he tells me his ankle is hurting, can I work with that?

No. Do you see how the letter gives you your scope?

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Hypnotic Pain Control ©Street Hypnosis All Rights Reserved We have something else. This is to certify that Ms. Zed is under my professional care and is able to participate in demonstrations for pain control hypnotherapy. That gives me a much wider scope. Now, because I haven’t got the full details in here, I still need to talk to Liz and ask her which portions of her experience have actually been checked out, because those are the only ones I will work with.

Therefore, the first part of the conversation you’ll have is a general hey, how are you going Joe?

Joe: Good, how are you?

Igor: Good, thank you.

The overall thing you want to start with is to get in touch with them and say let me know what’s going on with you.

Joe: I have some pain.

Igor: Tell me more.

Joe: I have a pain in my shoulder.

Igor: How did you get it? What happened? Talk me through it a bit more.

Joe: It’s a long standing injury. I was in a car accident.

Igor: Have you seen a doctor about this?

Joe: I have seen a doctor.

Igor: What did they say?

Joe: The doctor said that I don’t really have any damage there it’s healed as much as it can be but the pain persists.

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conversation I’ll probably have on the phone with him before he comes in and the reason for it is the next step. When you come in for your appointment I will need you to bring a letter from your doctor saying that we can work on that particular issue, is that okay with you?

Joe: Sure.

Igor: If you bring that letter in we can work together. If I don’t have the letter then we cannot. Would it be useful for me to send you a little paragraph or so of the kind of thing I’m expecting or are you happy to have a conversation with your doctor?

Joe: Yes, that’d be great if you could tell me something.

Igor: Excellent. So I’ll take something like this, put a couple lines together and email it to him so he can prepare for it. The alternative version would be, if I get a sense that Joe’s not reliable is to say would it be okay for me to contact your physician, especially if he’s already come in physically you need to get his signature. If you’re going to contact someone’s doctor, they will not speak to you about a patient unless you have a signed medical consent form.

So great, when you come in please make sure you have that letter and then we’ll make an appointment.

Joe: Great.

Igor: So here’s his letter, time passes. Hey Joe how are you doing?

Joe: Good.

Igor:

What’s happening with that shoulder now?

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Igor: Excellent, so remember we talked about the whole medical referral and so on, did you get it prepared?

Joe: I got it right here.

Igor: Let’s have a look. Yes, it appears to be in order, we can proceed now.

I’m simply trying to emphasize a point, that though I could talk about this as a conversation and you would get the idea, I want you to do it, because it’s the easiest thing to skip. I’m so tempted to dive in when Gary, Liz and Roland talk about things to just do it but that’s skipping a step and it’s really important that you don’t.

It’s not a long conversation is it? If I gave you like two minutes apiece, four minutes total it’s more than adequate…off you go…

How was that? We’re getting a little sense now of what’s going on just to prepare ourselves a little bit. We’re getting our medical referral form and what do you think is going to happen in a client’s mind when you start talking about this medical release form?

Students: Professional…

Igor: Exactly. Their faith in you goes up because they’re thinking wow, this person knows what he’s doing he’s getting involved with doctors and stuff.

The other thing that will happen is they are mentally preparing themselves for a result. Have you ever had a toothache or something like that, you go to the dentist’s office and sit and wait, and just as the dentist calls you the ache is gone. Then the dentist says, what’s the problem and you go I had this toothache but it’s kind of not there right now? Has anyone had this?

Students: All the time.

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here why have the pain anymore you’re in the office you don’t need it anymore he’s going to fix it. So you have faith in the process because your mind understands that you’ve paid attention, because you’re under a little pressure to describe symptoms as well.

So you’re engaging in the same mechanisms. You’re actually borrowing the doctor’s authority by getting his letter. It’s a symbolic act saying, you are now the doctor even if you’re not. The unconscious mind loves symbolism as those of you who have done the hypnotherapy practice know. And that’s most of you.

Student: My potential client didn’t have a medical release form or a doctor and wasn’t under care.

Igor: If he doesn’t have a doctor, then ask him to find a doctor. There are doctors who will look at things for free, but the risk you start running when you don’t have that is…

1. One, there is an underlying problem that you’re going to mask.

2. Two, you’re responsible for it.

If you want to engage in that risk that’s a choice you have to make as a human being. I would not and cannot advise you to take that risk. Those of you who live in North America, there is access to Medicare programs and so on to get a diagnosis. Just realize that if you try and diagnose, on the one side you’re risking the problem escalating despite the pain element of it into something bigger and on the other side you’re risking jail.

Student: That brings me to another question, what if you run into a patient who is adamant that they will not see a doctor, is there a release form they can sign?

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your state, country and so on. If it seems in your particular area it’s legal to get a consent form that expressly says I don’t want medical treatment. I’ve been advised I should get medical treatment but I have refused it. I just want the pain control. If it’s legal in your area to do that and it safeguards you as well, then you can consider accepting it if you choose this is the right thing to do.

You can also consider too refuse it if you decide you don’t want to get involved in all that. I can’t tell you which to do, but you must seek legal advice because that’s something I cannot do for you. It’s an important issue, in this industry, that we must address.

Does that help?

Student: My father had a problem and doctors were saying it was psycho somatic, they couldn’t do it and he was in tremendous pain. Finally, we went to a doctor. As a kid he had jumped into the canals and hit his head, fracturing it and it started growing a spur. So he had all this tremendous pain, but the doctors couldn’t see it. Finally, one of them found it but during that period another doctor might have said go ahead and get pain control.

Igor: That is something that unfortunately in the course of the work we do there are always variables that you cannot control. You can make it as safe as possible, but you cannot control everything it’s impossible to do.

However, what you can do, if it’s like one of those pains like we did with Russ, is to negotiate a symbolism for your unconscious mind that if the because that’s the doctor’s job and we can’t cover all possibilities, it’s just part of life. There are risks involved in everything.

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Igor: Sure and that’s always a danger. Were the other doctors bad for not catching it? No, they were good doctors it’s just that it was outside their field. Everyone misses something, so as a hypnotherapist your standard of care is a lot lower than a medical doctor’s standard of care, because you don’t have the same kind of training. All you can do is rely on their expertise as best you can and there is always a risk involved.

Student: They took care of the spur and got rid of the pain.

Igor: Good for him, once again, showing the functionality of it.

Student: Even with the example of a toothache, would you need to get a doctor or the dentist and what is considered a medical referral if someone is like, I don’t go to Western medicine I go to a holistic doctor?

Igor: Once again, there are legal implications to all those things so I cannot advise you on those legal implications because each country, state and/or city will have different bylaws. That’s what I mean you need to educate yourself about. It’s good that you’re asking the questions, but it’s something you need to find out beforehand or if the client comes in and you’re not sure, you get yourself educated about.

I cannot make that choice for you, I can only give you the broad picture, the consequences and invite you to find out what you need to do legally speaking, and on the other side what are some of the ethical considerations you want to bear in mind and then you make your choice. I am not going to rule the lives I’m giving you the experiences I’ve had, the processes and I’m going to warn you at what point you need to do more to do it ethically and safely.

Student: Excellent, thank you.

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lawyer send you a letter?

Igor: Sure, why should you pay for the client’s stuff? It’s up to you. Every one of you can do it in whatever way you feel right, I’m just alerting you that there is an issue here. I can help you to maneuver your way through the ethical implications, but then you still have to decide at what point you choose your own boundary which may be different to where I would choose mine.

I can alert you that there are legal implications and you must seek separate advice, you cannot get that from me because I don’t want to spend the next six years in jail for giving you advice I’m not allowed to give, legally. I would probably be wrong because I don’t know all the state laws and so on, that you’re involved with. So there are issues as well as sources of information to resolve those issues.

Now, do we understand this step? So we have the conversation, hey Joe how’s it going?

Joe: My shoulder hurts today.

Igor: Your shoulder does hurt today doesn’t it? When we talked on the phone beforehand about the whole medical referral form, have you done that?

Joe: I remember, yes done.

Igor: Could I see it?

Joe: Sure, here it is.

Igor: Thank you very much. Oh yes, there it is, fantastic. You changed your name, fine.

[Laughter]

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Hypnotic Pain Control ©Street Hypnosis All Rights Reserved The next step is basically, you want to get the client to understand that you’re in this for them, the whole rapport stage and so on. There are many ways you can do this and depending on the client you have to go different directions. Some clients require this, so tell me this, when you’re not in pain and it’s not there or maybe before this whole injury happened what kinds of things did you like to do?

Joe: I liked to go water skiing and on vacations.

Igor: What is it about water skiing you enjoy?

Joe: I really like the sense of freedom of floating above the water.

Igor: That sense of freedom, that’s awesome!

Notice what I’m doing here I’m getting a little hypnotic context going, little revivification, not too much just to get a sense of personality and I might even share some stories, oh yeah I tried water skiing but then I kept falling over, you’re much better than I am. I have to use those little knee boards with little kids circling around and stuff, so maybe one day I’ll graduate to the adult version right?

Joe: Maybe.

Igor: This chit-chat is getting that connection going. Another person might require something like this…I’m engaging in chit-chat and he gets all weirded out wondering what I’m doing, because he’s come with pain so why am I wasting his time? If I get that sense, a reaction might be like, what do you like to do when you’re not in pain?

Joe: I don’t know why you’re asking me that I really just need to get rid of this pain.

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that pain?

Joe: It hurts.

Igor: On a scale of 1 to 10 where would it be?

Joe: Maybe 6 or 7.

Igor: Is it constant or have there been times in your life where that’s been less?

Joe: There might have been times it’s less.

Igor: So there might have been times its less, so there are probably times in which it’s less and you’ve like to have more of those times at the very least, right, if not more?

Joe: Of course.

Igor: Do you see what we’re doing now? I’m building rapport on the level of where his attention is which is, the issue he’s having. You’re taking the comfort down and getting the comfort level up by taking the pressure off that down. I’m naming the elephant in the room, so to speak.

I may even have a chat along the lines of you’ve probably tried quite a few things to resolve this right?

Joe: Yes, I’ve tried everything. The doctor’s have given me medicine. I’ve gone to people to get massaged and things like that.

Igor: What’s been the result?

Joe: The pain always stays.

Igor: So it’s been pretty useless is that what you’re saying?

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Igor: What are you hoping to get out of this?

Joe: I’m hoping to completely get rid of my pain.

Igor: Right. Do I care in terms of what he’s saying at this point? I don’t care about the content, what I care about is the fact that he feels I’m here for him and I’m paying attention to that. It could be because I’m getting more involved in his life and getting his mind into pleasant things. In this case it’s more because I’m paying attention to the pain and being respectful of it.

I’m listening a little bit for certain strong reactions like the last one; I want the pain to completely get rid of my pain.

You probably channeled a client when you were telling me that because I could tell in the mannerisms you presented. You can see there’s tension involved when he’s talking about that and his desire.

Who do you think is more likely to succeed or is more focused on a clear path to a goal with no impediments? Let’s take it out of the pain context, if someone says I’m going to win the Olympics. Maybe someone says I just want to win the Olympics. Who do you think is going to have the easier

In document ASPECTOS JURÍDICO-FINANCIEROS DE LOS GASTOS SUBVENCIONABLES (página 118-123)