In a two-part course series on psychosomatic osteopathy with Torsten Liem, effective practical approaches for treating complex complaints and dysfunctional soma-physiological-experiential context patterns in a clinical-osteopathic setting are taught.

The main goal of this two-part course series is to convey integral, practice-relevant diagnostic and treatment approaches and new perspectives in the clinical application of osteopathy. On the one hand, advanced approaches and techniques for osteopathy are offered, which expand the clinical framework and the “toolbox” of the practicing osteopath. On the other hand, new perspectives, principles, and models make it possible to identify and link further clinically relevant factors regarding health and allostasis that have not been considered before. Therefore, we do not speak of a primary somatic dysfunction, but of soma-physiological-experiential context dysfunction patterns that are considered in the diagnosis. We also consider which resources maintain the existing balance and which changes are possible for the patient with which osteopathic approaches at a given time.

The entire course series is designed to improve and expand diagnostic and therapeutic approaches for challenges and complaints encountered in practice. These include cognitive, limbic, neurovegetative, immunological, biochemical, homeostatic, and allostatic processes, the consideration of sensorimotor, vital, emotional, mental, and spiritual components of consciousness, new and expanded palpatory approaches, the inclusion of the biographical life path and developmental lines for clinically relevant osteopathic approaches, the consideration of multimodal and multidimensional resources that can be activated during treatment, and skills for co-regulation of patients to guide them into a dynamic state of balance and flow.

Between the two course parts, Basic 1 and 2, approximately 30-minute small group work sessions take place every two weeks.

– Diagnostics of Soma-Physiology-Experiential Context Dynamics
– Therapeutic Relationship
– Palpation of somatic dysfunction and the ANS
– Stabilization work in the osteopathic setting
– Dynamic Resource Organization and Co-Regulation
– Indications and Contraindications
– 15-stage Multimodal Bifocal Integration®
– Right-Left Balance and Bilateral Stimulation
– Resolution of dysfunctional Soma-Physiology-Experiential Context Patterns with Breathing Techniques
– Myofascial Vibration
– Chronic Pain: Treatment Protocol Basic 1
– Posture
– Emotional Fascia and Corticolimbic Networks
– Reflexes
– Interoception
– Regulation of the ANS
– Treatment of the Insula and all Interactions
– Specific Vagus Techniques

Learning Outcomes

By the end of this workshop, participants will be able to:

1. Diagnosis of Soma-Physiology-Experiential Context Dysfunction Patterns:
   • Develop the ability to recognize and understand the complex interplay of soma-physiological-experiential context dynamics in patient dysfunctions and to derive diagnostic hypotheses.
2. Therapeutic Relationships:
   • Foster effective therapeutic relationships through improved communication and understanding of patient needs and contexts.
   • Apply efficient and empathetic communication techniques to strengthen the therapeutic relationship.
3. Diagnostic Skills for the ANS:
   • Apply refined techniques for assessing the autonomic nervous system (ANS).
   • Identify and evaluate ANS dysfunction through anamnesis, inspection, and palpation.
4. Stabilization Techniques:
   • Apply patient stabilization techniques in the osteopathic setting.
   • Recognize and assess the effect of stabilization measures on patient well-being and health.
5. Dynamic Resource Organization and Co-Regulation:
   • Identify patients’ dynamic resource organization and integrate new ones.
   • Apply co-regulation techniques to help patients achieve a state of dynamic balance and flow.
6. Indications and Contraindications
   • Know and correctly apply the indications and contraindications for various osteopathic techniques and treatment approaches.
   • Ensure patient safety by considering contraindications.
7. Diagnosis and Treatment of Posture
   • Analyze posture from a PSO perspective and plan and implement corrective measures.
   • Understand the influence of posture on various systems.
8. Reflexes, using the ATNR as an example in chronic stress experience
   • Recognize reflexes and utilize their significance for osteopathic treatment.
   • Integrate reflex work into the overall treatment plan.
9. 15-stage Multimodal Bifocal Integration®
   • Understand and implement the 15 stages of Multimodal Bifocal Integration® in practice.
   • Adapt the technique to the individual needs of patients.
10. Myofascial Vibration
    • Learn the principles and techniques of myofascial vibration and integrate them into treatment.
11. Right-Left Balance Techniques:
    • Learn methods for restoring right-left balance and applying bilateral stimulation.
    • Analyze the effects of these techniques on patients’ neurological and physiological balance.
12. Breathing Techniques for the Resolution of Dysfunctional Soma-Physiology-Experiential Context Patterns:
    • Apply specific breathing techniques to resolve soma-physiological-experiential context dynamics.

o Integrate breathing techniques in relation to various body systems into the overall treatment process.

1. Chronic Pain: Treatment Protocol Basic 1

1. • Understand the pathophysiology of pain.

o Develop effective strategies for the treatment and management of patients with chronic pain.

1. Emotional Fascia and Corticolimbic Networks
   1. Understand the connection between emotional fascia and corticolimbic networks.
   2. Develop and apply therapeutic approaches for treating these interconnections.
2. Interoception

1. 1. Understand the significance of interoception for health and treatment interactions.
   2. Apply techniques to improve interoception in patients.

1. Treatment of the Insula and all Interactions

1. 1. Understand and apply specific techniques for treating the insula and its interactions.
   2. Understand the therapeutic effect of these techniques on the course of treatment.

1. Specific Vagus Techniques

1. 1. Understand and apply specific techniques for stimulating and regulating the vagus nerve.
   2. Observe and analyze the effects of vagus techniques on the autonomic nervous system, interoception, and general health.

1. Multimodal Sensory Integration:

1. 1. Integrate multimodal sensory information into diagnostics and treatment to improve clinical outcomes.

1. Evolutionary and Ontogenetic Perspectives:

1. • Understand and apply evolutionary and ontogenetic perspectives in the clinical context as a basis for treatment approaches.

This comprehensive workshop aims to equip osteopaths with the skills and knowledge to more effectively address complex clinical presentations and promote a holistic and integrative approach to patient care.

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