Decorate a bulletin board at the local community college with the theme, “Keep the Beat – Cholesterol Counts for Everyone.” Post educational flyers and cholesterol resources on the board.

Work with local congregations to sponsor a cholesterol screening and health talk with a guest lecturer for community and church members.

Feature Cholesterol Month at your weekly staff meetings for the month of September. Bring a different low-saturated-fat, low-cholesterol snack each time and hand out the recipe or a cholesterol education sheet.

Host a potluck or a neighborhood Back-to-School cookout. Have each person bring a heart-healthy dish. You may even want to have a recipe contest and give a heart-healthy cookbook as the prize.

Incorporate the cholesterol message into exercise classes and other events at your local health club. In the lobby, place a computer (with printer) that is logged onto the Live Healthier, Live Longer Web site. Encourage participants to tour the virtual grocery store, the cyber kitchen and cafe, and the virtual fitness room. Participants can also create their own diet.

Have a Cholesterol Month Mall walk. Encourage restaurants in the Food Courts to feature a low-saturated-fat, low-cholesterol food choice.

Hand out the “Check your Cholesterol and Heart Disease I.Q.” test at the office, community meeting, or health club. Give small prizes for those with a perfect score. Let others try again for the prize after reviewing cholesterol material or attending a mini-lecture.

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Personal trainers. Trainers are integral in the quality assurance and improvement functions. The eyes and ears of the facility, trainers are ideally positioned to assist in the collection of internal intelligence, or feedback provided by members. It’s amazing what trainers know about facility performance and member satisfaction; however, this information rarely gets to management because it’s not solicited. In fact, some trainers fear reporting complaints to management.

Trainer competence. Given the role of trainers in facilities, and the critical link between trainer competence and quality, it’s a prudent decision to set standards for trainers. Since the industry does not provide absolute quality standards for individual trainers, you must determine what the minimum and preferred qualifications should be.

First, address your current and futureneeds, taking into account your market demographics,health risks of current members and trends within the community. This provides a “snapshot” of what is required now and in the future. Second, define the criterion to be taken into consideration when determining minimum and preferred qualifications. Third, define qualifications specific to particular training roles, since trainers work with people of varying conditions and health risks. For example, a qualified trainer for “client A” is not necessarily qualified to work with “client B,” and may not be qualified to recommend strategies to certain members who may ask them a question. Fourth, determine the actual responsibilities and accountabilities of each trainer’s role.

This data should form the basis of the job description. Avoid generalities such as “qualification = degree and certification.”

Sales representatives. Sales professionals must demonstrate interpersonal and communication skills above all else. Yourfacilitywillnot provide a perception of quality and be service-oriented if you pursue sales through aggressive,confrontational or intimidation methods.

Receptionists. Like sales reps, receptionists must demonstrate interpersonal and communication skills, plus patience and empathy, especially if yourfacility serves an older adult market.

I am sorry you still do not feel well, and I hope that you resolve this problem soon. It is an effort to shop, cook and clean up after cooking balanced meals when you are sick. Keep reminding yourself that eating healthy is part of the treatment to feeling better. The nutrients from good food will help you fight the illness and recover. The junk food only gets in the way of a chance to eat better.

When you are not feeling well, you may find yourself craving comfort foods. Many of us can remember certain foods from childhood that we ate when we were hurt, sick or upset. I remember chicken noodle soup and crackers. Many of these foods were high in carbohydrates, which actually do calm our nerves. Just be careful you do not over eat. The calories will catch up with you, particularly if your comfort food is milkshakes or brownies!

Sharon

Armand’s Reply

Erin,

How frustrating for you to be still not feeling well and not know why. It sounds, though, like you are determined not to let the sluggishness get the best of you. Congratulations on exercising as much as you did. How did you feel afterwards? Were you more tired, or did the workouts give you a boost of energy? And while you were exercising, were you more winded than usual or feel your muscles fatigue sooner than usual? Please give me more details like this in your next journal. It would help me better gauge your body’s response to the exercise and whether or not you might be working out too hard.

I would also like you to complete your exercise log or at least provide a list of the exercises you are doing at each weight-training session, along with the number of repetitions and the resistance level. This is how we track your progress, and it enables me to give you more specific advice.

You say that the machines are more difficult to use than others you have used in the past. What makes them more difficult? If they are more complicated, is there someone at the facility who can instruct you on how to use them correctly? Let me know what brands you are using.

Good luck “staying healthy” at the camping trip and at your parents’ house. It sounds like the experience will test your resolve to get fit. On the positive side, camping is usually a great opportunity to go hiking. Why not try to organize a group of you to take a hike or at least a short nature walk? Maybe your good influence will rub off on your family. If not, at least you can do it for yourself.

Otherwise, keep to your goal of four cardio sessions along with the weight training. I assume you are stretching after every workout!

Take care of yourself and let me know — in more detail — how you made out this week.

Keep it up!

Armand

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We are still having problems with email, so this is coming from work again. Still haven’t been feeling well; they’ve decided that I don’t have a sinus infection, and they’ve checked for mono, but still nothing that explains why I haven’t been feeling well. I’ve been extremely tired and low on energy, but I have forced myself to continue to get exercise and get out of the house. My allergist thinks I may just be reacting to the increases in my doses for the allergy shots. Regardless, it has not been an easy couple of weeks, and I can only hope that this week is better for me.

Sharon, this week started out well for me. I managed to stick to chicken and fish for the week. We did corn with dinner several times. By the end of the week my fruit consumption dropped. My regular soft drink level increased. I also ended up doing fast food several times. While my quantities aren’t huge, they are bad enough to have an impact. I guess my appetite hasn’t been all that good, so I crave fast food but have little else through the day. I did manage to lose half a pound during this week despite the bad eating habits. The exercise and lack of anything else probably helped with it.

I never really realized that I begin to crave unhealthy stuff when I don’t feel well. I guess it always just seemed easier — no cooking, no cleaning. I’ll try for improvement in the coming week. I doubt it will be as bad as last week. We hit the store yesterday and bought more fruit and veggies for this week. I also had several alcoholic beverages. We had friends visiting and we usually end up with one or two drinks when around them.

Armand, I was successful at working out four times this week — between 15 and 25 minutes each time — and I worked out with weights twice this week. I stuck with mainly the treadmill, but I did use the stationary bikes a few times. The machines aren’t as easy to use as some of the previous places I’ve worked out. It’s my goal to get another four sessions in this week.

I’ll be heading to my parents’ house for part of the weekend and being dragged on a camping trip. The camping trip is likely to be seriously unhealthy; apparently, it’s being catered and there’s expected to be a lot of alcohol. I’ll try and go for healthy food while there. Going home never helps.. Usually there is something completely unhealthy for dinner. I’ll aim on being good for the weekend, and make a conscious effort to eat well.

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This is particularly important for people in the program who are not members of your club, and hence have not signed the waiver included in the membership agreement.

For members, the waiver in their membership agreement should cover them. However, it is worth consulting a lawyer to make sure your waiver covers all contingencies.

People have expressed a great deal of violence. They have expressed it verbally and they have expressed it physically. And I’m trained to work with that. And if I need help — which I often do … I ask for assistance from partners. … People have certainly expressed violence and rage — at life, at the cosmos, at their parents, at the church, at themselves … at the doctor.

“The Grofs,” she said, “have found that we all tend to carry one of the birth matrixes as the ground in which we live and work from.” In “The Adventure of Self-Discovery” (1980), Stanislav Grof describes four “basic perinatal matrixes”:

the “amniotic universe”
“cosmic engulfment and no exit”
the “death-rebirth struggle”
the “death-rebirth experience”

Klein explained: “There’s like a whole constellation of experiences that surround these different stages.”

She prepared us for holotropic breathing:

The breathing instructions will be to breathe faster than normal and deeper than normal. How you do that is completely individual. You can use your nose, you can use your mouth, you can do it in combination. Your “fast” may be somebody else’s “slow.” Their “slow” may be your “fast.” It’s whatever is deeper and faster to us. There’s no wrong way to do it. …

The music will be very loud. … I have earplugs if anybody really wants them. … If you like the music, you can go with it — great. If you can’t stand it, it’s part of the process. …

You’re encouraged to stay lying down with your eyes closed the whole time. …

Sometimes people have an experience — because this is hyperventilating — where there’s … a … spasm in [either] the hands or the feet. … Everything that comes up is something that is coming up to be worked through. If you have a lot of spasm and you want some massage, let me know. … But … if, let’s say, your hand goes into spasm, the first thing you might want to do is to increase it, make it even worse. … My response to just about everything will be … to increase whatever your experience is. …

If anything feels distracting, make it part of the journey. Everything is part of the journey. … Sometimes people throw up. …

If you really feel stuck and you don’t know what to do, the first thing to do is to ask for inner guidance.

The first breathwork period began shortly after 10 o’clock. Klein said: “This is sacred time. If you have a connection with a god or any higher power, this is the time to make that connection.” Each breathwork period began with an instrumental melody at a restful volume, but the rest of the music was loud and often cacophonous, including chanting, sorrowful noises and the sound of breaking glass. I developed a headache. None of the singing was in English. Later, Klein explained that facilitators try to use only songs whose lyrics are in a language their clients don’t comprehend. Her audiocassette collection included “Africa Witchcraft and Ritual Music” and Sufi music for meditation.

I was a sitter during the first breathwork period. The breather under my observation, the cabbie, behaved like a restless sleeper until noon. Then, as he lay on his side, his stomach began jerking. Klein knelt beside him and placed her hand and forearm on his back. He wept. Klein whispered to him. When he lay on his stomach, she applied pressure to his back with the palm of her hand.

The other breather, the rebirther, lay like a corpse, with a sheet covering him up to his neck, until about 12:45 p.m. Then he became restless. Klein applied finger pressure to his jaws and then placed the palm of her hand over his brow. About 20 minutes later, she applied pressure to his chest with her arms and he screamed. Then he began laughing. He screamed three more times and laughed again. Klein applied finger pressure to his jaws again, while his sitter’s palms lay crosswise over his forehead. He screamed again twice. “I’m having a good time!” he exclaimed. He laughed again; then he roared. Later, I asked the rebirther what had made him scream. He replied that Klein had encouraged him to “let it out” as she applied pressure to his chest.

After a lunch break, I was a breather. Breathing deeply and rapidly made me uncomfortable, so my breathing was generally natural. I was bored and eager to leave. I did not inform Klein of my boredom, perhaps fearing she might try to increase it. Hearing two familiar tunes composed by Yanni dissipated whatever absorption I had managed. Later, I told Klein I would have been more relaxed listening to such music at a lower volume alone in my study. Unlike me, the cabinetmaker huffed and puffed, then laughed or cried. “Get away from me!” he shouted. (He did not appear to be speaking to anyone present.)

At about 5 o’clock, a burst of light made me open my eyes. Klein had opened a Venetian blind. In a while, I went to the dining room to draw a mandala with crayons of various colors. A half-hour later, Klein lay embracing the cabinetmaker for about 10 minutes.

During the “sharing session,” he explained that his older brother had been wont to beat him up. Klein disallowed taking notes or using a tape recorder during this period. The rebirther stated he did not want to participate. He complained of a headache and uneasiness, expressed dissatisfaction with the music, and said he doubted he would continue using holotropic breathwork. He told us that during his breathwork session, he had wished he were home watching the U.S. Open golf championship. He left early. The cabdriver said he had cried in order to get his money’s worth. Klein stated that my jaw looked more relaxed than it had in the morning. She said that during one breathwork session, she had witnessed the disappearance of blisters from a breather with poison oak dermatitis.

The Bottom Line
At best, supernaturalistic forms of bodywork promote relaxation or provide pleasant stimulation. At worst, they are painful and expensive sources of false hope.

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During orientation, Klein stated:

Once you make the choice to be here, I ask the commitment that you stay the whole day — that, no matter what comes up during the process, if you have an experience that you have to get out of here, you check with me first; and, if I agree that it’s okay that you leave this room, that means that you either are in the dining room or the kitchen, or you’re welcome to stay in the yard. … The reason is that this work facilitates non-ordinary states of consciousness and we can really go into experiencing past trauma. We can go into a non-ordinary state where our sensitivity is heightened. And, for your protection, it’s important to stay for the whole day and to reach closure ["a sense of completion"]. … Opening up actually is easier … than any of us think, but integrating — going back into the ordinary world — sometimes takes a little more doing. … It’s very easy to kind of trip out on intense music when we’re given permission, but if you’re going to a scary place, how can you come to closure? … Part of the contract is to stay for the duration.

Klein stated that, during a session a few months before in the same room, all the participants had been sweating except one — a woman whose Arctic “experience” had left her “freezing” even with five or six blankets covering her. Klein said that some of her clients had screamed as loudly as she’d ever heard anyone scream. Klein expounded:

The range is very great. … We can experience — and relive — childhood trauma, birth trauma … and [have] experiences of past lives, future lives. We can hang out with deities. We can laugh for an hour and be in ecstasy, and we can have an experience of really being in hell and in pain. … What we get is really what’s under the surface to come up.

… In this process, which is homeopathic as well as shamanic in terms of its theoretical affiliation, if somebody comes and says, “I’m feeling depressed,” I’m going to say: “Allow yourself to feel completely depressed. Let go of the resistance to depression.” … [If you are scared,] then allow yourself to be completely scared.

Later, she added:

You could be meeting with gods or you could be meeting with demons. You could have become a rock. You could be experiencing yourself as a tree. You could be a woman giving birth. … You could experience yourself as a victim being killed. You could be experiencing yourself as Hitler killing. I don’t know what’s going on, but I will assume that whatever’s going on is for healing, and I will encourage you to stay with it.

… There’s no right or wrong. … You can’t do it wrong. … There’s no place to go where you’re out of the ballpark. Everything’s in the ballpark: having the experience, not having an experience, being with the gods, being with the ants, being happy, being unhappy. … If you have very strong sexual feelings that you want to act on, that’s OK. What I will do is — to the best of my ability, which is pretty good, and with your partner’s help — just afford you privacy under the covers. … Many people have had the experience of … a very, very primal connection with the earth and wanting to take clothes off.

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Because transpersonal experiences can convey instant intuitive information about any aspect of the universe in the present, past and future, they appear to violate some of the most basic assumptions of mechanistic science, implying that, in a yet unexplained way, each human being contains information about the entire universe, has potential experiential access to all its parts, and in a sense is the whole cosmic network.

At the Breathing Art Center in Rego Park, N.Y., Ruth R. Klein, Ed.D., a “certified facilitator of holotropic breathwork,” offers private sessions lasting three-and-a-half to five hours and group “intensives” that span about 12 hours. The private sessions cost $40 to $60 per hour and the group sessions $95 to $110 per session. On the telephone, Klein defined “holotropic” as “moving toward wholeness.” She told me that holotropic breathwork may involve “focused bodywork,” but that it is not an essential part of the therapy. Klein mailed me material for prospective clients, including an information sheet, a general questionnaire and a medical questionnaire. The information sheet states:

Holotropic breathwork is a gentle, powerful method which accesses one’s natural healing energies by expanding consciousness. Developed by Dr. Stanislav Grof and Christina Grof, internationally recognized leaders in Transpersonal Psychology, this process is appropriate for those just beginning their inner journeys, as well as those already familiar with the deeper realms of the human unconscious.

Facilitated by the breath, surrendering to the wisdom of body and psyche, one can contact memories, mobilize blocked feelings, heal past wounds, release barriers to our knowing our wholeness. By transforming emotional and psychosomatic symptoms into an experience of a transpersonal nature, this work offers a unique healing potential.

This simple, direct approach, combining evocative music, relaxation, focused bodywork, and mandala drawing in a safe, supportive setting, honors the inner journey as sacred.

The general questionnaire addresses the client’s upbringing, family history, employment and religious background. The medical information form states that holotropic breathwork is not appropriate for persons who are pregnant, who have recently undergone surgery or a fracture, or who have cardiovascular problems, acute infectious diseases or epilepsy.

Freelance writer Fred Levine, author of “The Psychic Sourcebook” (1988), attended a two-day holotropic therapy workshop in Boston and reported a four-hour session in the May/June 1992 issue of East West Natural Health:

Ten of us lay on sleeping bags, blankets and air mattresses around the edges of a small room, each with a companion sitting or kneeling alongside us. The lights dimmed and we were asked to close our eyes and begin breathing deeply and rapidly. “A little deeper, a little faster,” a voice instructed. “A little deeper, a little faster.” Suddenly, four huge speakers filled the room with the pounding of African drums. Before long, the hypnotic chants of the recording were matched by groans and wails coming from the 10 prone bodies. …

As soon as the room exploded with the throbbing rhythms of African music, my body began a cosmic dance of its own, my arms curling back like crab claws, my back arching upward, my legs bouncing off the ground in time with the drumming. It was all I could do to keep breathing, my face was tightly contracted into a muscle spasm, my lips frozen in a horror-mask grimace. My partner, a Harvard-trained child psychiatrist … later told me he had seen similar postures in mental wards.

My ‘Interrupted Journey’
On Saturday, June 19, 1993, I attended a holotropic group “intensive” at the Breathing Art Center that lasted from 8:45 a.m. to 7:45 p.m. Klein had instructed me to have a light breakfast, wear comfortable clothes, and bring a sheet and one or two pillows suitable for sleeping. Klein is a Zen Buddhist and an artist. “The universe has its reasons,” she stated, “and why not trust?” She operates the center out of her home, a private house with a porch. She said she had been raised there and had returned to care for her father shortly before he died. She stated: “It’s hard to be alone with all the spirits in this house.” A flyer for the center describes other “opportunities for personal growth” available at the center, including “inner healing with imagery,” a “chronic illness support group,” and “just painting.” “Just painting” is purportedly “a place to honor and relax into who we truly are, allowing creative energy to flow through us — our toes, hearts, diaphragms, fingertips — emerging in color and form.”

Three other clients participated, all men apparently over 30-years-old. The program consisted of a round of introductions, Klein’s orientation, two breathwork periods, two artwork periods and a “sharing session.” It took place in a small living room with the blinds closed and foam cushions, pillows and bottles of water on the parquet. During the breathwork periods, two clients lay on the cushions with their eyes closed while the other two acted as helpers — partners or “sitters.” Klein said that, before each session, holotropic “breathers” and their partners should create guidelines regarding what assistance the partner will give. For example, the breather may ask the partner to pat him if he appears asleep, or to hold a bottle of water near his mouth whenever he touches his lips. Klein explained:

If you need water, your partner will give you your water. If you need to use the bathroom, your partner will guide you to the bathroom. … If you want your partner to remind you to breathe [holotropically], you just need to let them know and give them a way to do that. … You might say: “Could you remind me to breathe just by breathing loudly in my ear?”

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I want to tell you that there’s nothing magical about Rubenfeld synergy method, and it’s not a method that’s more than what happens between the two of us, you being an equal part of what happens here. So there is no magic and there is no hocus-pocus or anything special in secret that I’m doing to you. What I’m asking for is for you to move inside your body in a way that you let go of the outside and move into the inside and just notice how you live inside your body — notice your life force inside yourself, your breath.

Gumpel inquired if I noticed a “holding” or a “tension” anywhere in my body. I reported that my left shoulder felt as though it were curled upward. “So bring your awareness to your left shoulder,” she said. She asked me to imagine space. “Could you tell me what image you have?”

“A broad expanse of ocean,” I answered, “and a blue sky meeting it, and a white bird.”

“Does that white bird have anything to say?”

“No,” I responded. “Birds can’t talk.”

“If it could, what would it say?”

“‘Give me a worm,’ I suppose.”

Although I was uneasy, I did not worm out of the rest of the session. Toward its end, Gumpel stated:

What I hear you saying is that in a few ways you feel stuck. And I think the only thing that we can say about that, as far as Rubenfeld synergy method [is concerned], is that your body also responds to emotional “stuckness.” … [Rubenfeld synergy] really isn’t anything more profound than that — even though I think it’s a profound way to work, in that you “somatize,” or your body holds onto, being stuck, just as much as your mind does. You feel the “stuckness” in your body, ’cause you simply can’t think something without also something happening. So when you think on a subtle level, you have some change in the body. Sometimes it’s a gross change. … If you think you’re going to be killed, what goes on in your body is pretty traumatic. If you think that you’re not going to be killed but [that] you’re going to be hurt, something happens. If you think that you’re going … to feel really good — like if you see an ice cream cone and you think you’re going … to eat it — something goes on in the body.

So your body responds to emotions, whether they’re externally generated or internally provoked. So your body holds onto what happens to you. Your body responds to what happens to you.

That the body responds to stressors is a truism, and I so informed Gumpel. But she maintained that memories are stored in every part of the body. She explained that women who are sexually abused or raped “hold the story in their pelvis.”

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Body psychotherapy is also called “body-centered psychotherapy,” “body-oriented psychotherapy,” “direct body-contact psychotherapy,” and “humanistic body psychotherapy.” Malcolm Brown, Ph.D., who collaborated with the founder of bioenergetics in the 1960s, describes the theoretical basis of body-centered psychotherapy in “The Healing Touch: An Introduction to Organismic Psychotherapy” (1990):

Modern psychiatry and psychotherapy will continue to flounder in misplaced practice and irrelevant theories until they recognize the simple truth that the core of man’s psyche is located not in the head, but in his total organism. The unconscious dimensions of the human psyche actually belong more to the kingdom of the body than of the mind. Furthermore, the depths and breadths of the human soul, as distinct from the mind and psyche, find their primary locus in the total organism, in its many and opposing complex fields of responsiveness.

In conventional forms of psychotherapy, little or no physical contact takes place between therapist and patient. In fact, conventional psychotherapists generally condemn such contact because it can provoke unhealthy fantasies. In contrast, all modes of body psychotherapy encourage or demand physical contact — in some cases, repeated and sustained physical contact — as a means of “unblocking” the mind. This article describes my sessions with two practitioners of body psychotherapy: one a “synergist,” the other a “facilitator” of holotropic breathwork.

Rubenfeld Synergy
The Rubenfeld synergy method is based partly on the Alexander technique. A brochure describing a 1993 conference cosponsored by the Fetzer Institute quotes her: “The body is the sacred sanctuary of the soul.” According to a brochure from the Rubenfeld Center in New York City’s Greenwich Village, “Emotions and memories stored in our beings often result in energy blocks, tensions and imbalances.” In a supplementary article, Rubenfeld states: “The body, mind, emotions and spirit all form a dynamic and unitary — although not necessarily a unified — structure.” Rubenfeld synergy involves aura analysis, “intentional and noninvasive” touch, kinesthesia, dreamwork and humor. Practitioners are called “synergists.”

The Rubenfeld Center referred me to Jayne Gumpel, certified social worker, who directs The 36th Street Center, in midtown Manhattan. I visited Gumpel there on June 9, 1993. Her fee was $90 per 50-minute session. At the beginning of the session we sat opposite each other in armchairs and chatted for about four minutes. For most of the following hour, I lay on my back on a cushioned table while she touched, held or manipulated various parts of my body. For example, she held my head in her hands, held both of my shoulders simultaneously, held both of my feet, placed her hand over mine as it rested on my chest, lifted my left arm, and poked the upper left side of my back.

Once I lay on the table, Gumpel asked me to close my eyes. She stated:

For right now, I want to invite you to just notice how you make contact with the table. So begin by noticing the back of your head. Notice where you’re most in contact with the table. And then move your awareness down to your right shoulder and shoulder blade, and notice how your right shoulder and shoulder blade contact the table.

Next, Gumpel asked me successively to turn my attention to different parts of my body’s right side: arm, elbow, wrist, fingers, hip, pelvis, thigh, leg, calf and foot. Then she asked me to “become aware of” the entire right side of my body. She inquired if I noticed any differences between my right and left sides. “Can you tell me right now what you’re aware of?” she queried.

I replied that my right side seemed to be pushing more into the table than my left and that I felt as if I were inclining to the right.

“Well, let’s see about that,” she said. Then she repeated the foregoing procedure with the left side of my body. I concluded that my left side seemed lighter than my right.

Gumpel placed her hands on my head and neck and stated:

I’m curious about that. Are you willing to experiment with it? … Imagine that your left side has a voice and your right side has a voice. Can you have your left side talk to your right side? What does your left side say? Describe yourself from what you notice on the left side.

I hesitated and Gumpel said: “So tell me what you notice on the left side that’s different.”

“Well, I know my heart is there,” I responded. “Does this mean I’m lighthearted?”

Gumpel asked me to place my left hand on my heart. “So just imagine right now that your heart has a voice,” she said. “What would your heart say?”

“Relax,” I answered.

“Would it say anything else?”

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