There have been many recent on-line discussions in our field about “energy” and the role it may or may not play in our work and education. Many people have noted regretfully that some of the discussions have given rise to divisiveness somewhat uncharacteristic in our field. Partly this may be a function of “social” media. When it comes to sorting out emotions, it is not a very effective medium.

This reminds us that, unlike massage and the world of “high touch” in which compassion is the rule, the Internet and the world of “high tech”, is not a very effective context for resolving difficult emotions!

What everyone does appear to agree on is enhancing the quality of education and therapists. So it may be helpful to look at what role “energy” may or may not play in improving massage education and in therapy.

First, we need to know what we are talking about. What does energy mean? Importantly it is a word for which there is more than one definition. The definitions of“energy” refer to two quite different things – a quality of action and a physical phenomenon.

Here is the definition from the Free 0n-line dictionary –

  1. The capacity for work or vigorous activity; vigor; power.
  2. a. Exertion of vigor or power: a project requiring a great deal of time and energy.
    b. Vitality and intensity of expression: a speech delivered with energy and emotion.
  3. a. Usable heat or power: Each year Americans consume a high percentage of the world’s energy.
    b. A source of usable power, such as petroleum or coal.
  4. Physics The capacity of a physical system to do work.

The first two definitions are more subjective and refer to the world of experience and a quality of action. The second two definitions are more objective, referring to measurable physical phenomena described by science. As we look at the energetic aspect of massage and bodywork, let’s keep these varying definitions in mind.

11.01.KayciabackWe can note in the beginning that the energetic aspect of massage refers more to the quality of action and touch, than to the scientific, objective definition. Is massage “energy work”? If we mean by energy work, pure energy work done off-the-body, it is fairly easy to say “No.” Massage involves touching the body and often is defined expressly as soft tissue manipulation in textbooks and in many state laws.

Is there an energetic aspect to touch therapy done on-the-body? Using the quality of action definitions above, we can say, “Yes.” The quality of our touch may be considered energetic. Quantifiable aspects such as pressure may be measured, but the energetic aspect is more subjectively experienced.

We need to remember that massage can (and should!) be objectively studied, but it is experienced subjectively by the client. Clients are interested in feeling better, in having more pleasure, less pain, more relaxation, more energy. Using the first two definitions we see these are subjective goals, facilitated by both the structural and energetic clarity with which we engage the tissues and the nervous system of the body.

Where both the pro and anti energy camps get in trouble is when they leap to the objective definitions of energy. The pro-energy folks wish to see the energy aspect of massage and bodywork as objectively existing, like electricity or magnetism. While these may be intriguing metaphors for the energetic aspect of our work, there is little if any proof that the energy spoken of by some massage therapists and bodyworkers exists objectively. Again and again we need to return to the fact that the energetic aspect refers most directly to subjective experience. This makes it no less real, our experience is real – but like thought and emotion, like love – you can’t find it under a microscope!

Now the elusiveness of how to describe subjective/energetic experience has given rise to various terminologies. Some people are attracted to a particular language describing the energetic aspect because that was what they were taught or they find those concepts and vocabularies illuminating of their own experience as receivers and as givers. Some people find helpful the languages of chi or meridians, prana, kundalini, chakras, bio-energy, élan vital, psychology, or phenomenology, etc. Some people prefer language referring primarily to the nervous and endocrine systems, seeing the experience of energy largely as a projection of the brain.

How can and should we reflect these varying views in our education? No one is saying this should a mandatory part of basic curricula, however, there are some ways various educators may choose in a balanced way to cover this topic.

We may cover some of energetic aspects of massage and bodywork in our history classes. Asian concepts linking up energy and anatomy have played a role in the history of massage. The “humors” in medieval medicine; the assumption of links between the spiritual and physical aspects of health; the energetic understandings of psychology and ,most recently, psychoneuroimmunology – any or all of these may be helpful in producing students with a fuller picture of our work and its roots in the history of manual and mind-body therapy.

We can note that many modalities explicitly integrate structural and energetic work – Zero Balancing, Deep Massage, some forms of myofascial release. And many more assume this is what’s happening – shiatsu, Thai massage, Rolfing, etc.

We should cover how conscious and unconscious beliefs affect health. Chronic mindsets and chronic emotional conditions can exacerbate or even cause a variety of tension-syndromes. The placebo effect is powerful. Ted Kaptchuk, author and acupuncturist, and some colleagues mostly from Harvard have created a “Program in Placebo Studies and the Therapeutic Encounter.” It is equally important for students to also understand the nocebo effect – the harm that can be caused by uncaring healthcare that may evoke negative feelings in the client. Placebo and nocebo effects of course may be considered as within the realm of the energetics of touch.

In looking at assessment skills and the therapeutic relationship, it is important that we consider posture, movement, and the energetics that may underlie those.

We may agree on what we should not do:

Advocate for any particular language describing energy.

Confuse energy that can be scientifically measured from the subjectively experienced energetic sensations. Perhaps one day we will have more solid evidence of the objective existence, for instance, of the human energy field – but we don’t at this time

Require students in a basic school curriculum to learn a “hands-off” modality.

How should the energetics of touch be reflected or not in our practice?

We should not talk to clients about their “energy”. Diagnosis, whether structural or energetic, is not within our scope of practice. When a massage therapist or bodyworker talks to the client about their energy, they are way beyond the boundaries of massage (and basic etiquette!) and quite likely to evoke the nocebo affect by verbally attributing certain energy characteristics to a client.

We should be conscious that when we are touching people, it is a contact which is more than just physical. This means we need to take responsibility for the energetic as well physical effects of our interaction and touch. We need to recognize that we are touching both structure and energy.

Massage is an art and a science. We depend on research and scientific knowledge to enable us to work effectively with our clients. At the same time, every session is a person-to-person, moment-to-moment improvisation that calls for a subtle sensitivity to the medium we are working with. In the case of massage/bodywork our medium is the most complex and sensitive life form known to exist. Of course, we need art and science. Of course, we need to know this person is a profound integration of structure and energy, tissue and issues, and to be sensitive to what is both objectively true and subjectively experienced.

To argue for or against either the structural or energetic perspective is like arguing which of your two eyes you ought to see out of. By honoring both what research and what subjective experiences teach us, we arrive at the highest quality of touch, education and therapeutic benefit. Without science, without a respect for knowledge and structure, we lose our commitment to truth; without art, without a respect for subjective, energetic experience, we lose our commitment to the soul and beauty of our work. We see better and more truly with both eyes.