{"id":4665,"date":"2022-03-15T08:56:01","date_gmt":"2022-03-15T07:56:01","guid":{"rendered":"https:\/\/psychosomatic-osteopathy.com\/reconceptualization-of-principles-and-models-in-osteopathic-care\/"},"modified":"2026-05-31T10:01:35","modified_gmt":"2026-05-31T09:01:35","slug":"reconceptualization-of-principles-and-models-in-osteopathic-care","status":"publish","type":"post","link":"https:\/\/psychosomatic-osteopathy.com\/en\/reconceptualization-of-principles-and-models-in-osteopathic-care\/","title":{"rendered":"Reconceptualization of principles and models in osteopathic care"},"content":{"rendered":"

Click here for English version<\/a>The cornerstones of osteopathic treatment lie in osteopathic principles, above all in the idea of a self-regulating, dynamic unity of body, mind and spirit, the structure\u2013function relationship and the person\u2013context\u2013relationship and person\u2013context\u2013relationship.<\/u><\/u>There is an urgent need for a solid conceptual framework for osteopathic treatment. It is necessary to create a more coherent interprofessional framework that highlights the particular focus of osteopathic intervention in health care. For example, in the hypothesis paper by Liem, Lunghi (2021) and in Liem (2006 and 2017), every complaint and somatic dysfunction is viewed from at least four perspectives and can be traced back to at least four essential aspects, all of which in turn evolve dynamically and holarchically. <\/u><\/u>An increase in flexibility in adaptation as well as increasing competence in co-creating external events can both represent goals of osteopathic practice.<\/u><\/u><\/u>These four perspectives are:<\/u><\/u>– objective aspects such as tissue dynamics, behavior, blood count, etc.<\/u><\/u>– subjective aspects of the patient\u2019s experience, such as belief patterns, cognitions, feelings, arousal patterns, and bodily sensations,<\/u><\/u>– intersubjective aspects such as culture, socialization, family, friends<\/u><\/u>– biosocial contexts such as income, occupational status, housing conditions, health care system, political conditions.<\/u><\/u><\/u> <\/u>Considering these perspectives in osteopathic treatment can be seen as improving the patient\u2019s individual mind\u2013body function in relation to their environment, with the aim of promoting the patient\u2019s proactivity. Increasing flexibility on the part of the patient in adapting to external circumstances and contexts, as well as increasing competence in co-creating external events and contexts, are both goals of osteopathic practice. <\/u><\/u><\/u> <\/u>In the absence of a scientific paradigm, there is a risk that treatment is based on the values or dogmas of the individual osteopath\u2014each practitioner would arbitrarily emphasize the \u201cbiological,\u201d \u201cpsychological,\u201d \u201csocial,\u201d or \u201cspiritual\u201d aspect without adequate justification. Practitioners should avoid unnecessary boundaries such as the body\u2013mind duality. Personality development\u2014and associated health aspects\u2014is an ongoing epigenetic process. <\/u><\/u><\/u> <\/u>Patient-centered communication, active learning approaches, shared decision-making, and self-management coaching can all be integrated into a conceptual system of osteopathic care, while the traditional models remain connected through a metatheoretical framework (Liem, Lunghi 2021).<\/u><\/u><\/u> <\/u>The four aspects are described as inseparable dimensions or perspectives of \u201cbeing-in-the-world\u201d\u2014four irreducible epistemological perspectives or dimensions of reality that occur simultaneously. Illness, malaise, and disease states are reflected in all four aspects. <\/u><\/u><\/u> <\/u>Any limitation to, or absolutization of, a single perspective can reduce the patient\u2019s healing potential, as potentially essential aspects in symptom behavior or the healing process are not taken into account.<\/u><\/u><\/u> <\/u>For example, a person\u2019s tissue-relational, biological, cognitive, emotional, psychosocial, and spiritual responsiveness to the challenges of the person\u2013context environment, among other factors, is assessed and treated osteopathically accordingly.<\/u><\/u><\/u> <\/u>This includes, for example, the perceptual-cognitive-symbolic as well as the direct-intuitive-non-local approach in osteopathy.<\/p>\n

ENGLISH<\/h2>\n

Reconceptualizing Principles and Models in Osteopathic Care<\/h2>\n

The cornerstones of osteopathic treatment lie in osteopathic principles, especially in the idea of a self-regulating, dynamic unity of body, mind and spirit, structure-function interaction and person-context interaction.<\/u><\/u>There is an urgent need for a solid conceptual framework for osteopathic treatment. There is a need to create a more coherent interprofessional framework that emphasizes the special focus of osteopathic intervention in health care. For example, in the Liem, Lunghi (2021) hypothesis paper and in Liem (2006 and 2017), every complaint and somatic dysfunction is viewed from at least 4 perspectives and can be attributed to at least 4 essential aspects, all of which in turn evolve dynamically and holarchically. <\/u><\/u>Flexibility increase in adaptation as well as increasing competence in co-creation of external events can both, represent goals of osteopathic action.<\/u><\/u>These four perspectives are:<\/u><\/u>– objective aspects such as tissue dynamics, behavior, blood count, etc.<\/u><\/u>– subjective aspects of experience in the patient, such as belief patterns, cognitions, feelings, arousal patterns and body sensations,<\/u><\/u>– intersubjective aspects, such as culture, socialization, family, friends<\/u><\/u>– biosocial contexts such as income, occupational status, housing conditions, health care system, political conditions.<\/u><\/u>In the consideration of these perspectives in osteopathic treatment, can be seen as improving the individual mind-body function of the patient, in relation to his environment, with the aim of promoting the proactivity of the patient. Increasing flexibility on the part of the patient in adapting to external circumstances and contexts, as well as increasing competence in co-creating external events and contexts, are both goals of osteopathic action. <\/u><\/u>In the absence of a scientific paradigm, there is a danger of basing treatment on the values or dogmas of the individual osteopath – any practitioner would arbitrarily reinforce the “biological,” “psychological,” “social,” or “spiritual” aspect without adequate justification. Practitioners should avoid unnecessary boundaries such as body-mind duality. Personality development-and associated health aspects-are an ongoing epigenetic process. <\/u><\/u>Patient-centered communication, active learning approaches, shared decision making, and self-management coaching can all be integrated into a conceptual system of osteopathic care, while still keeping the traditional models connected through a metatheoretical framework (Liem, Lunghi 2021).<\/u><\/u>The 4 aspects are described as inseparable dimensions or perspectives of “being-in-the-world”-four irreducible epistemological perspectives or dimensions of reality that occur simultaneously. Illness, malaise, and disease states are reflected in all 4 aspects. <\/u><\/u>Any limitation to one or absolutization of one perspective may reduce the healing potential in the patient, as possible essential aspects in the complaint behavior or healing process are not taken into account.<\/u><\/u>For example, tissue-relational, biological, cognitive, emotional, psychosocial, and spiritual responsiveness of a person to the challenges of the person-context environment, among others, are evaluated and treated osteopathically accordingly.<\/u><\/u>This includes, for example, the perceptual-cognitive-symbolic as well as the direct-intuitive-non-local approach in osteopathy.<\/u><\/u><\/p>\n

Liem T, Lunghi C. Reconceptualizing Principles and Models in Osteopathic Care: A Clinical Application of the Integral Theory. Altern Ther Health Med. 2021 Oct 15:AT6750.<\/p>\n

Liem T. Van den Heede P. Foundations of Morphodynamics in Osteopathy: An Integrative Approach to Cranium, Nervous System, and Emotions, 2017; 1st ed. Handspring Publishing Limited, Pencaitland.<\/p>\n

Liem T. Morphodynamics in Osteopathy, 2013; 2nd revised ed. Haug, Stuttgart. <\/p>\n

\n

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