the philosophy of physiology -- the vis in person-centered approaches to therapeutic...

Mitchell Bebel Stargrove, ND, LAc

THE PHILOSOPHY OF PHYSIOLOGY:THE VIS

IN PERSON-CENTERED APPROACHES TO THERAPEUTIC STRATEGIES:

SELF-HEALING AND LIVING SYSTEMS

NCNMJune 19, 2015

© 1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

star/heaven

human

earth/underworld

©2000-2011 Mitchell Bebel Stargrove

Mythopoietic Tree of Life

Starry Sky energy

Living Center informing / relating

Earthy Roots matter

MYTHOPOIETIC TREE OF LIFE


earth/underworld

✦ Many ancient cultures share the primal cosmological image of the tree of life.

✦ As above, so below. As below, so above.As within, so around. As around, so within.

✦ In each moment we create healthy future. Living systems thrive when each individual embodies their True Self in a web of respectful relationships harmoniously aligned within Nature.

MYTHOPOIETIC TREE OF LIFE


©2013 Mitchell Bebel Stargrove

PERSON-CENTERED HEALTH

✦ Our Unitary BodyMind Experience is all we really know.

✦ The Tree of Life:

✦ Heaven, Earth and Human

✦ Living and Healing in the Three Worlds


As humans, we each live in three worlds – manifest physicality, the personae of

social relationships, and the HeartMind of vision and values.


– PIERRE TEILHARD DE CHARDIN

Matter is spirit, moving slowly enough to be seen.


CHINESE PHYSIOLOGY AND WORLDVIEW


BENEDICT LUST

“In a word, Naturopathy stands for the reconciling,

harmonizing and unifying of nature, humanity and God.”


The Person is the Centerwithin the Person-Centered Care Model


Layers of Identity

Systemic Domains of the Living Human

Organism

Universal

MoleculesLi

quid Crystalline M

atrix

Cells/TissuesPs

ychosomatic NetworkO

rg

ans/Functional Spheres

Body SystemsBody Meta-Systems

SomaticFieldFamily System/Morphogenic

Physical EnvironmentSo

cial Relations/Environment

Gaia/Planetary System


THREE BODYMIND PERSPECTIVES

Paralleling the Three Worlds:Mythopoietic

Functional/RelationalAnatomical/Structural


PRIMARY SECONDARYOVERVIEW

META-SYSTEMS MODEL

awareness

integration

coordination

interactive

self-organizing

PRIMARY OVERVIEW SECONDARY

creative

transformative

somatic

perception, communicationsocial relations

genito-urinary, geneticdevelopmental

intake& absorption

assimilation & distribution

structure

mobility

surfaces


JOHANN WOLFGANG VON GOETHE

“In the human spirit, as in the universe, nothing is higher or lower; everything has equal rights to a common center which manifests its hidden

existence through this harmonic relationship between

every part and itself.”


Physis (Nature) Eîdos (“it”)

Kosperson-framed

vitality dominantphysician assists

Similar

Knidosdisease-framed

physician dominantbody complies

Against

pro-health anti-problem “80%” “20%”

ANCIENT GREEK MEDICINE

and Mythos


VOLTAIRE

“The art of medicine consists of amusing the patient while Nature does the healing.”


Natural medicine relies upon an implicit trust that Nature knows more

than doctors ever will and that the human body, as a living system, exhibits systemic coherence, self-regulatory functions and

self-healing capacity.


The “natural” of natural medicine is not primarily in the

preferred agents or therapies used.

It is more fundamentally in the alignment of the intervention with the

vital force, the therapeutic relationship, and the consciousness

of both patient and practitioner.


Each person’s bodymind is the operational locale

of the expressive, responsive and empowering systemic intelligence,

at the macrocosmic level, sometimes called the Vis, while the vital force is the

operative capacity of the individual to harness and direct that potential for

health, growth, and well-being at the microcosmic level.


–PARACELSUS (CA.1630)

“The art of healing comes from nature,not from the physician.

Therefore the physician must start from nature, with an open mind.”


IDEALIZED STRATEGY FLOW

LEVEL THREE: Activating

LEVEL TWO:Optimizing

LEVEL ONE: Repairing

PROBLEM PATTERN PERSON

Components:Prescriptions

ProceduresPractices

Phases


THERAPEUTIC RELATIONSHIP AND FOCUS GRADIENT

Active Practitioner vs. Problem

(PHASE ONE) Treating pathology

Patient passive

Active Practitioner and Active Patient

(PHASE TWO) Partnership in

pattern management

Responsible Person with Guidance

(PHASE THREE) Guided Self-Cultivation

THERAPY generic pathology andtissue-based

character and risk cluster, pattern- and process-

oriented

personalized and imminent;

self-actualization, embodiment and

enlivenment

ORIENTATION external intervention (“anti-”)

balancing & remembering

internal activation (“pro-”)

FOCUS

condition/diseaseat organ/tissue

meta-systems/systemsindividual, evolving totality

(“It”)

meta-systems/systems(pattern)

individual, evolving totality

(person in context)

PERSPECTIVE Correcting the thing that is hurting me I am in my body My body is in me


PHASE ONE PHASE TWO PHASE THREE

Activity: Treating Curing Healing

Communication: inquire, provoke and inform suggest and remind, reinforce and challenge

allow patient to teach and inspire

Information: narrow quantitative data, aggregated

contextual systems data; recognition

rich, dynamic, multifactorial data; insight

Motivation: fear, discomfort avoidance maintaining healthyfunction depth and meaning

Inquiry: “What am I?” “How am I?” “Who am I?”

Response Trajectory:

“My body can be healthy and problems are being corrected.”

“My bodily systems are functioning well in response to my changing situations.”

“I am one with the universe.”

Goal: reverse disease,limit damage

recover health, avoid recurrence, learn and grow

self-responsible for presence and awareness; maximizing quality, longevity

Relationship: Mechanic fixing Gardener cultivating Self-to-Self reinforcing

Theme: doing becoming being


The ultimate goal of all therapies is toENHANCE SYSTEMIC VITALITY,

RESTORE APPROPRIATE SENSITIVITYto self and environment, and

RE-ESTABLISH INFORMATION FLOWof self-regulatory systems.


Pace and harmonize, enable success and positive feedback as you introduce new elements to the therapeutic process and facilitate phase shift.

Avoid the cacophony of five people talking at once, where nothing is heard or understood.

Sequence, layer and segue like Beethoven or Ellington, so even the unfamiliar or demanding are digested smoothly and assimilated deeply.

You may arrange, but they are the soloist and their life is the music.

ENGAGE, INSPIRE, ACTIVATE


7%8%

10%

11%

29%

35%

PHASE 1: THERAPEUTIC MIX

Treat Immediately

Related Complaints

5%

15%

80%

Pattern Evaluation & Long Term Strategy

Hint at Relationship to Freedom, Creativity & Responsible Presence


7%8%

10%

11%

29%

35%

Feedback & Response to Recurring Symptoms

50%

40%10%

Reinforce Healthy Behaviors, Awareness & Choices

Support emotional, relational and somatic habits that create resilience, strength

inner peace and trustful knowing



7%8%

10%

11%

29%

35%

Address Vulnerabilities and Patterns at the System & Meta-System Levels

10%

75%15%Deepen Initial Repair

and Recovery

Support Long-Term Changes, Trust and Acceptance






PHASE 1 - PRESCRIPTIONS: REPAIRING X PROBLEM


Digestive Enzymes/HCl

“Allergy” Herbs Stagnation/PainHerbs & Nutrients





PHASE 1 - PROCEDURES: REPAIRING X PROBLEM


CraniosacralTherapy

OsseousAdjusting

Acupuncture(more than

TCM)





PHASE 1 - PRACTICES: REPAIRING X PROBLEM


PersonalizedDietary Plan

(basic)

PersonalizedExercise orInvigoratingOutdoorActivity





vQi and BloodTonification

PHASE 2 - PRESCRIPTIONS: OPTIMIZING X PATTERNS


Pattern LevelHomeopathic Rx

Liver/MenstrualRegulation

Gut Rebuilding





PHASE 2 - PROCEDURES: OPTIMIZING X PATTERNS


Cranial &Visceral Motility

“Somatopsychic”Deep TissueBodywork





PHASE 2 - PRACTICES: OPTIMIZING X PATTERNS


Refined Diet(genomic, seasonal,

condition)

Qigong or (traditional)

Yoga

RelationshipRepatterning (“shells”)





PHASE 3 - PRESCRIPTIONS: ACTIVATING X PERSON


“Constitutional”Homeopathic Rx

Chinese “Superior” Herbs

Flowers/Essences





PHASE 3 - PROCEDURES: ACTIVATING X PERSON


Journeys(initiatory, allies)

Process Work/

Hypnosis/NLP

Shamanic Clearing(limpia)





PHASE 3 - PRACTICES: ACTIVATING X PERSON


Deeper YogaQigong

ActivationPractices

Art(especially involvingchallenging systems)


EASY AS 1, 2, 3✦ PHASE ONE: Prescriptions and procedures

– from outside to catalyze and assist inner processes

✦ PHASE TWO: Processes and practices, analogies and metaphors– deprogramming and repatterning -> entraining dynamic coherence and enhancing resilience

✦ PHASE THREE: Rediscovering, activating and manifesting– self-cultivation, aligning Self in dynamic relationships


A PHASE IN THE LIFE OF AN EMERGENT HEALING

Patient

IntentionSocial

Support

Doctor

Intention

Anti-Problem

Substance(s)

Pro-Healthy

Pattern Substance(s)

Self-Clarifying

Creative Activity

Decrease Broad

Dysfunctional

Behavior

Reinforce Broad

Healthy Behavior

Problem-Pattern

Cluster Shift

Self-

Signal

Pro-Healthy

Pattern Project

Anti-Problem

Procedure(s)

©2009 Dr. Mitch Stargrove. Used by Permission.

NATURE

VIS

Patient

IntentionSocial

Support

Doctor

Intention

Anti-Problem

Substance(s)

Pro-Healthy

Pattern Substance(s)

Self-Clarifying

Creative Activity

Decrease Broad

Dysfunctional

Behavior

Reinforce Broad

Healthy Behavior

Problem-Pattern

Cluster Shift

Self-

Signal

Pro-Healthy

Pattern Project

Anti-Problem

Procedure(s)

©2009 Dr. Mitch Stargrove. Used by Permission.

NATURE

VIS


RHYTHMS AND TIMING

acute musculoskeletal (minutes to days/weeks)blood sugar (hours to days)

sleep (days to lunar cycle)menstrual cycle (months to seasons)

bones (years)

Mon Tues Wed Thurs Fri Sat Sun

May

2011 2012 2013 2014 2015 2016 2017

MON TUES WED THURS FRI SAT SUN 2013 2014 2015 2016 2017 2018 2019

MAY


THREE MODES

“Move over, I’m driving.”

“It’s your journey. I have some maps but you’re in charge. You determine the destination, speed, terrain and rest stops.”

“I’m honored that you would share your journey with me. A nice walk on a beautiful day can be so refreshing.

Let’s do it again sometime.”


MANAGEMENT ECOSYSTEM


PROBABILITY OF POTENTIAL INTERACTIONS

94%

6%

50% 50% 100%

2 agents 5 agents 8 agents

Mathewson Kuhn M. Pharmacotherapeutics: a nursing process approach.

4th ed. Philadelphia: FA Davis; 1998.


THERAPEUTIC RELATIONSHIP SYSTEMS IN PERSON-CENTERED CARE

Person

Patient-Practitioner Relationship

Multiple Patient-Practitioner Relationshipsand Interpractitioner Collaboration

Strategic Outcomes and Life Context


THE FOUR CS IN PERSON-CENTERED COLLABORATIVE CARE

Communicate: Emphasize direct and inclusive communication practices with patient, involved family members and engaged healthcare professionals, including patient objectives, physical inventory of substances, and responses to the therapeutic process;

Coordinate: Comprehensive management of intentions, actions and effects of all therapeutic interventions (pharmacological and non-pharmacological) as well as patient activities and practices;

Collaborate: Transparent orchestration of simultaneous and sequential interventions by one or more healthcare practitioners within an individualized and evolving therapeutic strategy applying integrative principles

Contextualize: Person’s real life setting including values, goals and choices, as well as needs and resources. Comprehensive management of intentions, actions and effects of all therapeutic interventions (pharmacological and non-pharmacological). Relevancy of professional literature to the person and their case management.

Communicate

Coo

rdin

ate C

ollaborate

Contextualize


PARACELSUS

“Theory and practice should together form one,

and should remain undivided.”


LIFE HEALS.NATURE CURES.

MEDICINE TREATS.


Sean Woodward

GAIA SELF-HEALING

I am We are Gaia Healing


Lori Beth Stargrove, ND [email protected]

A WellSpring of Natural Health, Inc., Beaverton, ORMedicineWorks, Beaverton, OR

Mitchell Bebel Stargrove, ND, LAc [email protected]

A WellSpring of Natural Health, Inc., Beaverton, ORMedicineWorks, Beaverton, ORCenter of Excellence in Generative Medicine, University of Bridgeport, Bridgeport, CTOregon College of Oriental Medicine, Portland, ORFoundations of Naturopathic Medicine, National College of Natural Medicine, Portland, OR

GRATITUDEWe appreciate and thank all of you, all our relations. Deep gratitude for the artistic skills of our friends Capra J’neva and Christopher Thombs and our son Raphael Stargrove.Medicine treats. Nature cures. Life heals.

v1.7.2 06.18.15

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the philosophy of physiology -- the vis in person-centered approaches to therapeutic...

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