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<b>Zen School of Shiatsu</b>
<h2><font class="highlight">Case-study Rules & Guidelines</font></h2>
<h3>Professional Licence Course</h3>
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<p>The purpose of a Case-Study is for you to demonstrate your understanding of the application
of theory to Shiatsu practice.
Please make your work clear, interesting and easy to read. </p>
<p><i>A Case-Study should tell the
story </i>of a Participant�s progression through a series of treatments,
highlighting your observations and responses to diagnosis and the
Participant�s reactions to treatment, and your recommendations. </p>
<p>Please apply the following Rules
and Guidelines:</p>
<p><font class="highlight">RULES</font></p>
<p><b>Not less than 900 words, not more than 1100 per study</b></p>
<p><b>Write your Name at the top but refer to your Participant only by an Initial</b></p>
<p><b>Describe at least 7 but not more than 9 treatments in each study</b></p>
<p><b>Your 6-9 case studies must include a variety of Participants by age, gender, and conditions</b></p>
<p><font class="highlight">GUIDELINES</font></p>
<p><b>First Impression</b> What was the very first thing that struck you about your participant?</p>
<p>Build, movement, complexion, voice, energy, most prominent feature, obvious imbalances? <i>Element?</i></p>
<p><b>Presenting Symptoms</b> Why have they come for treatment?</p>
<p><b>Medical </b>Specific conditions,
operations, injuries, treatments, current medication, other therapies. Family medical history/tendencies?</p>
<p><b>Personal </b>Gender, age, occupation</p>
<p> Relationships: with partners/children/parents/siblings/colleagues</p>
<p>Lifestyle, exercise, relaxation/recreation, habits, addictions</p>
<p>Sleeping pattern, diet, digestion, prescriptive/recreational drug use</p>
<p>Menstruation, general energy, sexual energy</p>
<p>Outlook on life. What makes them happy/upset</p>
<p>Self-perception - how does he/she see her/him-self?</p>
<p><b>Diagnosis</b></p>
<p>What is the �personal environment� that has allowed conditions to take
root, develop and flourish?<br>
<p>What seems to be the energy-pattern?<br>
<p>Why? - explain your reasoning.<br>
<p>Compare with first impression? This is the core section.<br>
<p><b>Treatment Plan</b></p>
<p>What are your Treatment Aims based on your Diagnosis?<br>
<p>How do you plan to achieve those aims?<br>
<p><b>Treatments Given</b> List as 1 to 7, 8 or 9 </p>
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<td><b>Date</b></td><td>__________</td>
<td align="center"><b>Kyo</b></td>
<td align="center"><b>Jitsu</b></td>
<td align="center"><b>Energy-Pattern</b></td>
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<td>Back</td>
<td></td>
<td>_________</td>
<td>_________</td>
<td>_________</td>
</tr>
<td>Yu-pt</td>
<td></td>
<td>_________</td>
<td>_________</td>
<td>_________</td>
</tr>
<td>Hara 1</td>
<td></td>
<td>_________</td>
<td>_________</td>
<td>_________</td>
</tr>
<tr><td colspan="5">Meridians treated: tonified/sedated? any difference from 1st Hara diagnosis? </td></tr>
<tr><td colspan="5">Points treated and why?</td></tr>
<tr valign="top">
<td colspan="2">(2nd) Hara post-diagnosis:</td>
<td>_________</td>
<td>_________</td>
<td>_________</td>
</tr>
<tr><td colspan="5">Recommendations/suggestions: exercise, diet, meditation, lifestyle,self-perception</td></tr>
<tr><td colspan="5"><i>Reactions to previous treatment/recommendations/suggestions</i></td></tr>
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<p><i>[<b>NOTE: Hara Diagnosis</b> indicates the predominant imbalance at the time of treatment
(1st Hara) and any resultant changes (Hara post-diagnosis) Energy Patterns show the state of
ongoing change: trends linking 5-Elements and Hara, common factors, insights into the core issue
leading to possibilities of restoring harmony: by treatment, recommendation, or both.]</i></p>
<p><b>Treatment Analysis</b> - What is the story?� <i>Sometimes there will be issues
common to both Masunaga and 5-Elements below. You can often avoid repetition
with: see above/below - as above, so below?)</i></p>
<p><b>A: Masunaga-Zen</b></p>
<p>From the evidence of the Kyo/Jitsu pattern, what is the main issue? (e.g. "eating pattern, shown in
the predominance of Spleen kyo . . . . compromised by excessive decision-making
at work: GB Jitsu.�)<br>
<p>Were the presenting symptoms directly or indirectly related to the main issues?<br>
<p>If not where did they come from?<br>
<p>How were they relieved or why were they not relieved?<br>
<p>Did the condition change during the period of treatment? To what?<br>
<p>Were there any discrepancies in the pattern of kyo/jitsu: e.g. �Lung kyo/jitsu
in the 5th and 6th treatments due to a cold . . .�<br>
<p><b>B: 5 Elements</b><p>
<p>What is the main issue? e.g. �Earth imbalance, indicated by an <b>abnormally</b>
yellowish hue and a <b>craving</b> for sweets... <i>(distinguish between �abnormal� signs
of imbalance, these being indicators of the element of your participant�s current
CONDITION, and the �normal� indicators of their CONSTITUTION or <i>naturally
predominant element</i>.)</i></p>
<p>Comment only on those elements involved in the primary imbalance (and a
secondary one if significant) rather than all the elements.<br>
<p><b>C: Overall</b></p>
<p>Is there a predominant energy pattern?<br>
<p>Does the final analysis correspond to your original diagnoses?<br>
<p>Was the original treatment plan followed? If not, what was it that took
the treatment series in a different direction?<br>
<p>What trend do the Energy Patterns indicate?<br>
<p>Is there something left over that the Participant may have to address or
which may appear in subsequent treatments?<br>
<p><b>Conclusions</b></p>
<p>How did the Participant respond to the treatment process overall? Did they
follow recommendations? Would you make any further recommendations? <br>
<p>What is likely to happen with this person in the future?<br>
<p><i><b>* Helpful Hints</b> on the writing-up process: you have a limited number
of words, so:</i></p>
<ul>
<li><i>FIRST write down everything that comes in to your head</i></li>
<li><i>SECOND take your scalpel and edit, edit, edit</i></li>
<p><i>SLICE AWAY repetitive phrases, long-winded descriptions, listings of
superfluous element, lists of things which aren't symptoms, waffle and
verbosity eating up your word-credit</i></li>
<li><i>THIRD show your case-study to a friend - they don�t have to be a shiatsu-person
- and ask them what words they would cut</i></li>
<li><i>FOURTH final surgery</i></li>
</ul>
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