By Peter Lund Frandsen
Can we understand what is actually happening during a treatment session?
Sometimes a client suddenly feels warmth, tingling, pulsation or movement somewhere in the body. At the same moment, the therapist may notice that the quality of the contact changes: the tissue softens, the resistance changes, the breathing deepens, or something simply feels different beneath the hands.
And there are even stranger experiences. You focus your attention or intention on a particular part of the client's body, without saying anything, and the client suddenly reports a sensation from that same area.


Could this be a useful way to think about what therapists describe as congestion?
Not literally as a battery hidden inside a tense muscle, and not necessarily as a new form of physical energy. Rather, a region of the organism may be held in a relatively stable state: persistent muscular tension, altered fluid dynamics, restricted movement, sustained autonomic activation, sensitised neural circuits or habitual patterns of perception and protection.
The system has become too good at maintaining that state.
The therapeutic impulse
Then something happens.
A hand touches the foot. A joint is moved. A fascial structure is loaded differently. A nerve reflex point is stimulated. Breathing changes. Attention is directed toward an area. The client feels safe enough to release muscular guarding.
A relatively small input may sometimes produce a surprisingly large response.
The interesting question may therefore not be: How much energy did the therapist put into the client?
Perhaps the better question is:
What did the therapeutic impulse allow the client's own system to do?
A therapist may not need to supply the energy responsible for the change. The organism already contains enormous energetic resources and continuously maintains electrical, chemical, mechanical and thermal gradients. The therapeutic stimulus might instead alter the conditions under which those resources are organised.
In that sense, treatment could sometimes be understood less as giving energy and more as changing the conditions for flow.
And perhaps that gives us a more interesting interpretation of those moments when warmth suddenly spreads, tingling appears, breathing changes or the quality beneath our fingers shifts.
Something that had been relatively stable has begun to change.
Something that was potential has become movement.
And whether we ultimately explain that through nerves, fascia, circulation, electromagnetic processes, attention, biofields - or mechanisms we do not yet understand - the clinical observation remains the same:
Living systems need movement. The therapeutic art may sometimes consist simply in helping something that has stopped moving to move again.
Explore the questions further
Ryesgade 27
DK-2200 Copenhagen N
Denmark
Tel: (+45) 2575 7047
Email >