A Third Model Emerges
The Biodynamic Model was developed by James Jealous, D.O. and is rarely taught in Osteopathic Medical Schools. It must be learned through continuing medical education courses or through working with a mentoring physician. The primary therapeutic force in the Biodynamic Model is the Health of the patient or Primary Respiration. Rather than applying an external force, both hands are engaged in an attentive waiting and listening and the motion present in the lesion field is accessed through synchronization with the inhalation phase of Primary Respiration. While these concepts, and the treatments, are subtle and always gentle, the results tend to be profound.
Three Tenets in the Biodynamic Model
- The treatment must be a movement towards treating the Whole.
- The Health of the patient is greater than the wisdom of the physician.
- The embryonic forces of growth and development are present in the adult and are working as forces of regeneration and healing.
The Treatment Starts After the Neutral
Neutral is a key term in the biodynamic model. It comes from the idea of a car gear shift being in neutral. From this state the car can move in into any gear and in any direction. The same is true of anatomy and physiology and the biodynamic treatment: from a state of neutral the body is free to shift and heal. The state of neutral is a state of rest. While it can be local, for example, in a single joint, reaching a state of neutral that pervades the autonomic nervous system is important in activating innate healing forces. Further, if the neutral is achieved in all body tissues, the results can be transformative. Osteopathic treatments using the Biodynamic Model involve reaching a neutral. The deeper the neutral the more effective the treatment, but not all treatments can achieve a neutral in the whole. Busy lives, stressed nervous systems, acutely painful conditions and other factors can get in the way. None the less, it is the job of the osteopathic doctor to keep reaching for a neutral in the whole.
Finding the Whole – Seeking Health
After the neutral, the biodynamic osteopath works to let go of pre-conceived ideas about structural symmetry and disease. Trying to see the whole of the organism and its environment, focusing on where there are therapeutic processes already occurring, and augmenting health occupy the physicians hands and minds.
“We … begin with the feeling of Dynamic Stillness, which is omnipresent. Thus we start with perceiving the whole, which cannot be described. During the entire therapeutic process the Osteopath gives up the need to know exactly what happens. The Osteopath does not see any dysfunctions, {or} … problems….. The Osteopath stays with this Dynamic Stillness and even though transmutations and changes will take place in the patient as a whole, there is no augmentation, no interface with the motion. The Osteopath connects with this dynamic stillness.”
Efficacy of the Biodynamic Model
After more than 10 years of using this model in practice, I’ve come to rely on it. The results are profound side effects are extremely rare, and when they do occur they are short-lived. Sometimes conditions resolve within just a few treatments, other times patients need to return for a longer period of time. And of course there are conditions that don’t heal but even in these cases the biodynamic model offers almost everyone comfort, relief, and an easing of suffering.
One of the sweet results of using the body’s innate forces and natural laws in healing is that patients are likely to recognize their own healing capacity – sometimes this is more pronounced than what they sense as a change from the treatment. Patients often report that they “just got better” and therefore no longer need sessions. By allowing the body to heal itself the patient gains independence as well as health. With this type of somatic education the patient is not dependent on the doctor. It can be helpful to have a treatment periodically to “remember” these indwelling forces, but the goal is to reach freedom and wellbeing.