Category Archives: Politics in Health Care Administration

Thought for the Day: Defining Bullshit

The Chronicle of Higher Education has just made my day, or rather two professors at The University of Washington. It’s a crying shame they aren’t located in D.C. and/or that they haven’t YET exported their wit to every State in the Union.

Here is the opening line from The Chronicle’s current Post Truth issue:

“Facts and figures are like cow pastures. Unless you squint, you can’t always tell how full of bullshit they are.”

That’s correct readers. It seems AT LEAST TWO tenured (?) academics have struck marketing gold! At my Alma Matter, the class was titled Borderlands of Science and Religion and you can view the wit who created it, under this blog’s About tab.

The current Chronicle article has a Q & A with the academics in question and I recommend giving it a read.

Apothecanna: Cannibis infused Spa products

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Where there’s smoke there is fire and the cannabis cloud over Colorado appears to be lingering like smog on a otherwise clear day. Cannabis proponent Apothecanna has positioned itself beyond the pale, as an adjunct measure in pain management and only time will tell if they can remain straight enough to keep their wellness branding intact.

I wrote this piece originally in June of 2015 and removed it from this blog over a reservation about logical reasoning summed up simply by “begging the question.” But let’s talk products for now.

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Apothecanna does offer a variety of scents that leave the 1960’s behind.

The statement on their website detailing the benefits of their “natural” products Topical Cannabis, Hemp Lotion, & THC Spray (located under the tab “learn” and “apothecanna massage”) is simple and basic:

Revitalizing botanicals like arnica and capsaicin combine with topical marijuana to provide natural herbal pain relief .

The Marketing is both Spartan and clever.

“Here at Apothecanna, we’re committed to providing innovative topical pain relievers that combine topical cannabis with other healing and soothing botanicals for a more natural option for topical pain relief. Unlike conventional topical pain relief cream products, our cannabis calming cream offer pain relief without unpleasant “medicine” scents, instead incorporating sense-soothing botanicals like lavender, chamomile, and frankincense. These botanicals make using our topical marijuana products more enjoyable, contributing to a sense of well being that can aid the healing process. In addition to our full line of cannabis cream and THC spray products for pain relief, which are available at over 200 Colorado medical marijuana centers, we also offer several invigorating, calming, and pain relieving cream products made with hemp and arnica cream, as well as other botanicals to soothe your skin as well as your senses.”

Rejuvenate your skin and senses with topical cannabis cream and botanical skin therapies from Apothecanna.

Under the “About” tab are three discreet paragraphs that provide a brief nod to both legality and their position on the role of natural philosophy in society at large.

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By reordering the brands statements, it may be a bit more obvious to educated consumers and those who question the politics involved, how the advent of Apothecanna will impact the Spa and Wellness Industry. And in particular, the Professional Massage Community which may utilize such products IN TANDEM with mainstream pain management professionals.

Let’s break it down like any syllogism, but let’s do it backwards and examine the logic of the marketing.

“Our mission at Apothecanna is to spread the wisdom of traditional plant medicine. We believe in the fundamental right of access to the healing powers of nature and promote sustainable interaction with the world around us.”

Preceeding this ‘tidbit’ is the following ‘tidbit.”

“We do not use artificial ingredients, fillers, parabens and only test on humans. We believe that natural treatments are the best treatments, and strive to create products with uncompromised purity, quality, and functionality.”

And the page begins with this introduction:

“Apothecanna is a natural apothecary featuring cannabis extract as the primary active ingredient due to its potent anti-inflammatory and analgesic properties. Our formulations combine cannabis with other organic and wild crafted essential oils to create highly functional topical treatments for pain and stress relief, while delivering a host of skin nurturing benefits.”

Viewed and analyzed from last statement to first, Apothecanna’s marketing strategy seems to be suffering from marijuana induced paranoia if not ordinary anxiety. Remember this assessment proceeds in reverse order from their official website circa 2015!

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The first (last) CLAIM Apothecanna puts forward, is that their products have scientifically proven value. (This is TRUE of Cannabis- as science has admitted.)

The second or (middle) premise Apothecanna offers is that their products are 100% “Natural” and that they TEST only on humans.

In the third (first) STATEMENT that in traditional logic would be called a premise, Apothecanna DOES INDEED draw a CONCLUSION predicated on the two preceding premises! Want some pseudoscience wellness professionals or just a side of religion to go with your own and your clients health investments?

Consumers are informed of Apothecannas “rights” and significantly there is an appeal to nature for sovereign status as if this is an innate right, protected by the United States constitution and by the State of Colorado. Don’t choke on Abraham Lincoln’s comment that The Bill of rights “Is a REBUKE” or the fact that it’s not A LAW in or of itself. 4th amendment is mere Axiology? Taste? Genre? 

Oh my! Isn’t this Gnosticism Mitt Romney’s and John McCain’s territory? Colorado did have a FEMALE TEA PARTY INCUMBENT BATTLE DIDN’T THEY…

Since when does any government, at the national or state level have an ability to regulate “unalienable” rights? Gnosticism, gender and Lawd at all the LEGAL PROSTITUTION NEXT DOOR IN NEVADA…Neither LEGAL governing body DOES have that right pro Mblex crusaders. American laws deal with ‘inalienable rights.’ LOOK AT THAT “science based” MARKETING NOW.

The “premise” that any class system is subject to the economic system, which is presumably subject to the political system, which in turn is subject to the legal system, which then, and only then, is subject to a religious system…with an ethical framework, such as one that acknowledges and ensures ‘rights‘ which entail free will, are now on display.

Given that in 99% if not most instances, the defacto and default premise that an esthetics license is required, in addition to a Bachelor’s degree to work for a Professional Spa Product Line and that LMT’s with a Bachelor’s degree are overlooked if they have no outside B2B sales experience ought to give the Spa and Esthetics industry something to mull over when considering the SUBSTANCE of education.

Consider for instance this “new” education offering that is scarcely 20 years old: Disability Studies. It would seem “science” v. “management” rather than “pain” is the canker sore in the post-modern lotus?

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I will leave it to the “moral educators” with political axes to grind about bell jars, States right’s, healthcare and massage monopolies on entry level right to practice (that the FSMTB fails to call collusion but most certainly calls patriotism,) to pander to their fellow citizens about universal relativism and plan for the future conspiracy theories this trend will no doubt spawn.

Until Next Time Campers!

Absolute Values Part Three: Language and Professionalism in Context

*This is the third installment of a four-part series on Professional Development for Spa Therapists. The series utilizes the terms Masseur, Masseuse and Massage Therapist as a Touchstone.

What does the structure of language have to do with Professional Development for Spa Therapists/Technicians?

What is the difference between an adjective, a metaphor and a simile? Are they synonyms for one another and if they are not, what makes them distinct and discreetly different? Why does it matter what anyone calls themselves as long as they give a ‘good’ massage?

adjective noun

An adjective is a word that describes a noun and can include the words Masseur and Masseuse.

  • The red car.
  • I am tired of dating him.
  • He is too idealistic.
  • He is a self motivated professional.
  • The name of the book is Stone Soup.

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A metaphor is a figure of speech in which a word or phrase compares two very different objects, concepts, ideas, or feelings to provide a clearer description.

  • He is the black sheep of our family.
  • You ain’t nothing but a hound dog. – Elvis Presley
  • A blanket of snow fell today.
  • I have a half-baked idea in mind.
  • “Why I am a little black rain cloud of course!” – Winnie the Pooh

Giraffe Similie

Metaphors are different from similes. A simile is a figure of speech involving the comparison of two different things and 9 times out of 10 will incorporate the words “like” or “as.” Because simile’s AND metaphors serve the purpose of enhancing a description they are both considered literary devices. More precisely, the true distinction between a metaphor and a simile is that a simile makes an explicit comparison, while a metaphor makes an implicit one.

BUT WAIT!!! What does this have to do with Professional development?

PLENTY! And here is WHY: As you may have already noticed, the definitions above OVERLAP. What one person will call an adjective may be further categorized as a metaphor or in some instances as a simile depending on the usage. These definitions underscore both the creativity and subjectivity involved in personal self-expression.

Massage Therapist: Tenor or Vehicle?

I’m not talking about music or cars! So what do Professionals mean when asking the question above?  Metaphors can be described by several means and methods. Tenor and Vehicle are terms that were coined by I.A. Richards in the early 20th century.

  • The Encyclopedia Britannica defines the terms this way: “tenor and vehicle, the components of a metaphor, with the tenor referring to the concept, object, or person meant, and the vehicle being the image that carries the weight of the comparison.” This is not the only way to define the terms.

Here is a broader definition.

An academic source from Carson Newman College’s English Department affords tenor and vehicle more liberal definitions: “In common usage, tenor refers to the course of thought, meaning or emotion in anything written or spoken.”  

“A modern theory would object, first, that in many of the most important uses of metaphor, the co-presence of the vehicle and the tenor results in a meaning (to be clearly distinguished from the tenor) which is not attainable without their interaction. That the vehicle is not normally a mere embellishment of a tenor which is otherwise unchanged by it but that vehicle and tenor in co-operation give a meaning of more varied powers that can be ascribed to either. And a modern theory would go on to point out that with different metaphors the relative importance of the contributions of vehicle and tenor to this resultant meaning varies immensely. At one extreme the vehicle may become almost a mere decoration or coloring of the tenor, at the other extreme, the tenor may become almost a mere excuse for the introduction of the vehicle, and so no longer be ‘the principal subject.’ And the degree to which the tenor is imagined ‘to be that very thing which it only resembles’ also varies immensely.” (I.A. Richards, The Philosophy of Rhetoric. Oxford Univ. Press, 1936)

Philosophically speaking, the witty amongst us will have already noted that Richards describes a “modern theory” and thereby indicates that he has a basis for making a distinction between tenor and vehicle that avoids the solipsism he is describing!

Richard’s may have had an agenda of sorts or not. Regardless of his own views of what constituted “modernism” or even his private politics, by categorizing “modern” rhetoric as having “relative” meaning Richards accomplished or obscured two important historical developments of his era. Richards wrote the passage above in 1936, prior to Hitler, Hiroshima and the Holocaust. As previously noted in this series, logical positivism was reaching it’s zenith in Europe in the 1940’s as the discovery of the atom bomb illustrated. The taxonomy Richards created and “embellished” beyond rhetoric and into literature as a whole stream of thought, rather than the nuts and bolts of language structure allows us to note that the solipsism he describes is a feature of both logical positivism AND relativism which facilitates the unspoken “POST MODERN” label predicated on Richard’s own definitions which imply reflexivity.  This occurred at least 40 years prior to the supposed advent of the term in the 1970’s according to art historians.

The relationship between logical positivism and language as we have noted in prior installments of this series was carried forward by Ludwig Wittgenstein and his contributions to logic and language. Popper and Kuhn built on this existing legacy and made contributions to the philosophy of science that form the basis of many massage education curriculums today.

Professional Foundations and the Individual: Why and Where does gender matter in professional communication?

Let’s revisit the second post in this series to provide a starting point and context from which to answer the question above.

“Logical Positivism was supposedly abandoned because it was revealed that empirical PHILOSOPHICAL claims which were presumed to undergird scientific endeavors cannot be VERIFIED to be UNIVERSALLY true and that this revelation placed limits on how much we can know. This “revelation” (a form of knowledge itself) filtered into common parlance (language) in phrases such as “the linguistic turn” cited above. It is also another way to describe phrases such as “asymmetrical information” which are frequently floated to describe a variety of imbalances in power implied by terms such as “Balkanization” and resulting abuses.”

Awareness of how the growth of modern views on language and linguistics fits into the history of science can shed more light on WHY the professional massage, spa, wellness and allied CAM community has agreed by general consensus to uphold the term “massage therapist” as the most appropriate term for professional use by bodyworkers.

“Masseur” and “masseuse” are descriptive stand alone words. With such gendered terminology as a starting point, who is the observer and who is the subject?

Massage Therapist is not a metaphor any more than Masseur or Masseuse: therefore it is illogical to ask what is the tenor and what or whom is the vehicle in this word phrase.

One of the facts of professional practice for LMT’s in the 21st century is that the massage profession will never be able to replace the scientifically mainstream profession of physical therapy. Due to this impasse, the massage profession is viewed by some within the industry as ‘struggling’ against everything from health care politics and monied vested interests, to conspiracy theories of every stripe and even with private matters for individuals such as religion, faith and sexuality.

Choosing the term “Massage Therapist” is in many respects a discretionary decision. Many LMT’s make this choice because it is what they were taught. Other’s make this distinction predicated on axiology and value judgments. Yet others if asked will say that they find the decision to utilize the professional designation “Massage Therapist” because they are supporting the growth of the profession and of the wellness industry as a whole.

Regardless of the reasons one has for choosing to ‘follow the crowd’ there are still more reasons than we have yet discussed for chosing to adhere to the term “Massage Therapist” as a professional designation.

We will touch on some of those reasons in the final installment in this series. Until next time!

 

 

 

 

 

 

Licensure and Portability: National Certification Board teams up with British Education company ITEC to offer internationally recognized massage curriculum

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The National Certification Board for Therapeutic Massage and Bodywork announced on March 14th, 2015 that they have partnered with ITEC, a British education company specializing in international credentialing. The goal is to facilitate ‘portability’ and ‘standardization’ for the massage profession. This partnership is similar to ISPA’s Spa Certifications that have been available to members and non members since around 2004.

ITEC describes themselves as a “an examination board” specializing in Beauty & Spa Therapy, Hairdressing, Complementary Therapies, Sports & Fitness Training and Customer Service. ITEC has hubs in London, South Africa, Asia and the Pacific in addition to representation in Ireland and the United States of America. What more could a Spa therapist ask for? Let’s take a cursory look.

ITEC-Logo(3)

Student benefit highlights include:

  • The benefit to the student is that they hold a certification that is recognised by employers in over 40 countries worldwide. The ITEC/NCB partnership will open doors to employment around the globe.
  • The ITEC Certification also means that the students have been benchmarked against other student’s from all over the world and achieved International status. No matter where a student’s studies for an ITEC certification the assessment is exactly the same which maintains standardisation around the globe.

School benefit highlights include:

  • curriculum benchmarked against sister schools in 40 different countries.
  • marketing opportunity for your institution.

What a blessing it would have been for me, had this option been available when I first graduated from massage school in 1998. I have family who immigrated to the USA, including my maternal grandmother who became a naturalized citizen. Both my maternal uncles were eligible for dual citizenship at birth. I have known professionals who hailed from Japan and studied massage therapy in London, worked with supervisors from The Netherlands and many other countries. Some former coworkers grew up overseas and started families during their travels. Many of my former coworkers have traveled the globe at various levels of the wellness industry from line positions in the Spa to Spa Management. For those of us who have lived such lives and whose families are indeed multi cultural if somewhat scattered, this is a welcome addition to massage education.

However, speaking from an American perspective in a non professional or educational context, if like me, you were blindsided by the “patriotic” and unquestionably “morally validated” emergence of the FSMTB (while working for a globally recognized, multi-national hospitality conglomerate) this may amuse you or at least make you pause for a moment of reflection.

What possible drawbacks may be found in this new educational partnership for students, educators, the massage and allied esthetics and cosmetology professions and for the spa industry?

One angle to consider is the current lay of the professional landscape. The FSMTB despite it’s monopoly on entry level credentialing that some have elevated to the status of positive law or done so in ignorance and stupidity, is only a monopoly for lack of competition at present. The addition of an international credential by the NCB is no skin off their nose or professionals backs.

For educators, the issues are different. Standardization of curriculums across international lines will necessitate the creation of new programs in participating schools. Adding ITEC curriculum to an existing education program need not require massage educators too, in the words of the NCB: “Agree to merge/map your curriculum(s) to ITEC’s International Diploma in Holistic Massage or any other specialty certifications you wish to offer.”

Why would an ITEC/NCB certification require a school to alter existing or prior proven curriculums that would or could remain independent from the ‘international’ certification program? Why not just add the NCB/ITEC international certification as a new program offering and be done with it? That is what Educational Program Directors do – design curriculums.

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However, there are strategic reasons some schools may choose to partner with the NCB and ITEC specifically for the above referenced purpose.

Rhetoric exists for a reason. That said, if I were in charge of the NCB news, I would have chosen different language or crafted a completely different sentence to express this requirement. I often blog with curt language. Apparently, I am not the only one as the NCB quote above illustrates.

From the standpoint of esthetics education and cosmetology education, there should not be a great deal of difference for private institutions. There is no mention of two year community colleges and I know of no reason to presume that they would be ineligible candidates to provide this new certification. I would think they would be some of the biggest supporters and possibly better suited to have the ability to add to international standardization thru educational program development.

I will be musing on this topic for a bit. I’m sitting with the idea for the moment like it’s tea in a kettle or an old time coffee percolator. I will catch the scent in a bit and I will see where it leads me. As will we all.

Good Luck NCB and ITEC. Better late than never!

http://www.ncbtmb.org/itec

http://www.itecworld.co.uk/ncbtmb/

http://www.itecworld.co.uk/home/Registration/

 

 

Announcing Fruits, Nuts and Flakes: Massage and Bodywork Edition

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Announcing Fruits, Nuts and Flakes: Massage and Bodywork Edition!!

I am fundraising to print, produce and ship a card set for Massage educators, massage aficionados and their nemesis!!

I would like to be able to print at least 2,000 decks or more. Please share any and all feedback and thank you. I will be adding an option to purchase 1 set immediately.

The Vampire Facial: An assault on science or simple Race Baiting?

Back in 2013, Kim Kardashian tried the newest trend in esthetics, or so it may have seemed. The Vampire Facial.

The Spa world responded discreetly and quickly renamed the procedure “microneedling.”

Count on MTV to showcase this attempt at cultural stereotyping and shoddy science. 19 year old teen bathes in pigs blood to retain her ‘youth’ reads a recent headline. Hollywood is a simmering pot of “Postmodernism” after all, and no doubt, this impressionable youths decision will be laid at the door of either Kim Kardashian and Bar Rafeli, or (shudder) the spa industry.

For an angle on racism by design or by ‘coincidence’ take note: Ms. Kardashian and Ms. Rafeli both have semitic ancestry to varying degrees. Of course, with so much anti-intellectualism and ‘tea partying’ nationwide, “The Vampires” found their miracle cure trademarked via a Doctor from:

May I get a drumroll……….Alabama.

Oh My.

If there isn’t one excuse to use science as a substitute for religious identity by design or happenstance, as showcased by Kardashian and Rafeli as ‘consumers’, then it’s science as a substitute for various forms of ontological identity and from there its a substitute for sexual orientation.

My advice for Spa and Wellness Professionals is to avoid this service, period. The science may very well be sketchy. While pricking the skin does produce collagen, so does tribal scarring. What would the long term effects of this kind of treatment be when these two results are compared side by side?

Think Twice Ladies and Gentlemen. And for English students, teachers and Da Vinci Code fans: Race baiting is Race baiting. No matter what anyone calls it, regardless of how it’s passed off from science into literature, geography or in a substitution between Aesthetics and Esthetics. If it’s not one bait and switch about Natural Philosophy, it’s another.

Consumer Beware.

 

 

 

 

 

 

 

 

Absolute Values Part Two: Epistemology, the Individual and Professional Development

This is the second article in a four part series on Professional Development for Massage Therapists. The series utilizes the terms Massage Therapist, Masseur and Masseuse as a touchstone.

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The  quote above is by philosopher Imre Lakatos, taken from a paper titled Falsification and the methodology of scientific research programs. The distinction beetween Popper and Kuhn is beyond the scope of this artice but the difference between the two is ONE point of departure to examine questions of Epistemology, Education and Professional Development for Health Professions.

What is Epistemology? (link)

Epistemology is the study of knowledge. If or when this definition is expanded to include “How we know what we know” then the resulting definition begins to reveal an insight into the rationale behind modern disagreement regarding a revised understanding of the scientific method, religion, philosophy and the individual.

What is the role of logic within Epistemology?

To ask what the role of logic is within Epistemology without resorting to reflexivity illustrates why early efforts to answer this question were superceded in many professional disciplines during the last century.  When a linguist says a word or a concept is “reflexive” they are saying that there is an absence of logic agreement between subject and object or a circular relationship between cause and effect. Thomas Kuhn approaches Wittgenstein with his emphasis on “the linguistic turn” as part of his rationale for paradigm shifts, which ultimately derive from Wittgenstein’s early and later stages of work. And then, he steps back.

Why?

In the history of science, the logical positivists or logical empiricists as the case may be, were of the opinion that philosophy needed to be legitimized and the resulting legitimacy shared with science – (author emphasis). Logical positivists also proceeded with the idea that ONLY statements verifiable EITHER logically or empirically would be cognitively meaningful. This definition presents issues that we recognize today in debates between science researchers such as Kuhn and Popper.

Logical positivism is justifiably credited with scientific reductionism. Another way to describe this is to define it as A.J. Ayers has done; an “Attack on Metaphysics.” Many academics, intellectuals and political scientists recoiled from Logical Positivism at this time, including many faith based religious groups and denominations. A former note on the result can be seen in the shift of political and voting demographics in the American South after the Second World War from predominately Democrat to Republican.

Logical Positivism was supposedly abandoned because it was revealed that empirical PHILOSOPHICAL claims that supposedly are presumed to undergird scientific endeavors cannot be VERIFIED to be UNIVERSALLY true and that this revelation placed limits on how much we can know. This “revelation” (a form of knowledge itself) filtered into common parlance (language) in phrases such as “the linguistic turn” cited above. It is also another way to describe phrases such as “asymmetrical information” which are frequently floated to describe a variety of imbalances in power implied by terms such as “Balkanization” and resulting abuses.

Professional Development and Massage Terminology

Massage Therapist, Masseur or Masseuse? There are many reasons it is legitimate for a LMT to explore their professionalism and professional growth and development thru language. What is important to note is that the search by empiricists discussed above has several presumptions embedded in it about the limits of knowledge and by default, these presumptions encapuslate the limits of how LMT’s and CAM practitioners can go with a mind-body-spirit paradigm of holistic wellness.

Pop culture’s view of modernism credits Freud, rightly or wrongly, with being the first psychologist to articulate a perceived need for a body based psychotherapy,
predicated on the premise that none existed. At the time of Freud’s early musings on this idea, modernism was in full bloom and approaching what many advocates of a religiously (monotheistic) based ontology for psychotherapy would come to call “decadence” at full speed. This is one reason among many that Freud and Jung continue to receive criticism from both liberal and conservative scientists, researchers and practicing members of the various psychological professions…(not to mention but also implied, are those practicing members of fields such as massage and physical therapy. )

By definition, physical therapists and massage therapists are members of the health professions that would be the counterpart or missing piece of such empirical “solipsism” on one hand or more kindly “the quest” to create a science based view of universal history with all that implies.

Many members of the CAM professions utilize some view of religion, philosophy and spirituality in various ways as a stop gap measure when confronting questions such as the one mentioned above. This is not the only avenue in which gender, (in scientific parlance a mere variable) substitutes symbolically for a subjective view of wholeness; raising additional aesthetic questions about the relationship between individual and universal values.

Ludwig Wittgenstien made a comment many years ago on the role of the subjective deployment of language in order to make a larger point. One way to condense Wittgenstien’s position into something tangible is to do what any Deconstructionist would: take the words apart!

I tried this myself in a college English writing class in 2006, unaware that there was a meme coined by Saturday Night Live by that title and created a pitifully poor poem in my own and my professors opinion! The title of the poem was of course, “The Rapist.”

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Knowledge, Language and The Individual

Ludwig Wittgenstien more eloquently stated in his work Philosophical Investigations: “The words of this (private) language are to refer to what can be known only to the speaker; to his immediate, private, sensations. So another cannot understand the language.” But there is more. It is worthwhile to quote another paragraph from Stanford’s online encyclopedia entry on the subject according to Wittgenstein.

“Immediately after introducing the idea, Wittgenstein goes on to argue that there cannot be such a language. The importance of drawing philosophers’ attention to a largely unheard-of notion and then arguing that it is unrealizable lies in the fact that an unformulated reliance on the possibility of a private language is arguably essential to mainstream epistemology, philosophy of mind and metaphysics from Descartes to versions of the representational theory of mind which became prominent in late twentieth century cognitive science….Wittgenstein suggests that the existence of the rules governing the use of language and making communication possible depends on agreement in human behaviour—such as the uniformity in normal human reaction which makes it possible to train most children to look at something by pointing at it. (Unlike cats, which react in a seemingly random variety of ways to pointing.) One function of the private language argument is to show that not only actual languages but the very possibility of language and concept formation depends on the possibility of such agreement.”

Professional Development and Axiology

Axiology is typically defined by it’s first branch, ethics. In this way it can be said that Axiology is concerned with how value is understood and determined. Axiology however contains a second branch known as aesthetics. Do note, Aesthetics is NOT synonymous with Esthetics. Often, Axiology is accused of putting the cart before the horse and assigning value unethically or dualistically rather than universally; i.e, racism, nationalism, classism etc.

Basic questions derived or culled from Axiology are:

  1. How are values related to interest, desire, will, experience, and means-to-end?
  2. How do different kinds of value interrelate?
  3. Can the distinction between intrinsic and instrumental values be maintained?
  4. Are values ultimately rationally or objectively based?
  5. What is the difference between a matter of fact and a matter of value?

In professional massage, the question of language is actually a settled matter that was reached by consensus. Hence, current manifestations of individualism thru the application of gendered terminology or terms such as body worker, or even those terms that would purport to change the subject object relationship embedded in the professional designation really are a moot point. However, its not wrong to question if there are situations or contexts in which discussion of gender labels and professionalism are appropriate.

Is there ever a time when gender distinctions in professional massage are inappropriate?

All the questions cited above are value based. Because of the historic connections between eugenics, health and aesthetically grounded idealism, yes. There are instances where gendered terminology, art and discourse can conflict ideologically with norms and values embodied in a professional setting for a variety of reasons. That these reasons are 99% of the time subjective and personal matters of taste, style or belief for individuals or groups, illustrates why diversity is commonly considered alongside axiology.