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THE PHILOSOPHY OF PHYSIOLOGY:

THE VIS
IN PERSON-CENTERED APPROACHES
TO THERAPEUTIC STRATEGIES:
NCNM
June 19, 2015

SELF-HEALING AND
LIVING SYSTEMS
Mitchell Bebel Stargrove, ND, LAc

MYTHOPOIETIC
TREE OF
LIFE
Mythopoietic
Tree of
Life
Starry Sky
star/heaven
energy
Living Center
human / relating
informing

Earthy Roots
matter

earth/underworld

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

MYTHOPOIETIC
TREE OF LIFE

Many ancient cultures share the primal cosmological image of the


tree of life.

As above, so below. As below, so above.


As within, so around. As around, so within.

In each moment we create healthy future. Living systems thrive


when each individual embodies their True Self in a web of
respectful relationships harmoniously aligned within Nature.
earth/underworld

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PERSON-CENTERED
HEALTH

Our Unitary BodyMind


Experience is all we
really know.
The Tree of Life:

Heaven, Earth and


Human
Living and Healing in
the Three Worlds
2013 Mitchell Bebel Stargrove

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

As humans, we each live in three worlds


manifest physicality, the personae of
social relationships, and the HeartMind
of vision and values.

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

Matter is spirit, moving slowly enough to be seen.


PIERRE TEILHARD DE CHARDIN

1993-2014 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

CHINESE PHYSIOLOGY
AND WORLDVIEW

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

In a word, Naturopathy
stands for the reconciling,
harmonizing and unifying of
nature, humanity and God.
BENEDICT LUST

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

The Person is the Center


within the Person-Centered Care Model
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

Universal

Systemic
Domains of
the Living
Human
Organism

rix
at

Liq
ui

Ps

Or
g

es
er ork

/Planetary Syste
a
i
m
Ga
n
s
elatio /Environ
R
l
me
ia
c
n
nt
So
ical E vironme
s
y
nt
Ph
/
M
m
orph
yste
S
og
y
il
en
ticField
a
m
m
o
ic
S
Fa
ta y Me System
d
Bo dy System s
s
Bo
nctional S
u
F
ph
s/
n
a
m
t
i
c
a hoso
Ne
c
/Tissue tw
y
s
l
l
Ce stall s
i ne
C ry
d
olecules
M

Layers of Identity
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

THREE BODYMIND PERSPECTIVES

Paralleling the Three Worlds:


Mythopoietic
Functional/Relational
Anatomical/Structural
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

META-SYSTEMS MODEL
PRIMARY

PRIMARY

self-organizing

OVERVIEW
OVERVIEW

interactive

intake& absorption
assimilation & distribution
genito-urinary, genetic
developmental

somatic

SECONDARY

awareness
integration
coordination
perception, communication
social relations

transformative

SECONDARY

creative

structure
mobility
surfaces

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

In the human spirit, as in the


universe, nothing is higher or
lower; everything has equal
rights to a common center
which manifests its hidden
existence through this
harmonic relationship between
every part and itself.
JOHANN WOLFGANG VON GOETHE

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

1993-2014 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

ANCIENT GREEK MEDICINE


Physis (Nature)

Edos (it)

Kos
Knidos
person-framed
disease-framed
vitality dominant
physician dominant
physician assists
body complies
Similar
Against
and Mythos
pro-health
80%

anti-problem
20%
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

The art of medicine consists of


amusing the patient while
Nature does the healing.
VOLTAIRE

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

Natural medicine relies upon an


implicit trust that Nature knows more
than doctors ever will and that the
human body, as a living system,
exhibits systemic coherence,
self-regulatory functions and
self-healing capacity.

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

The natural of natural medicine


is not primarily in the
preferred agents or therapies used.
It is more fundamentally in the
alignment of the intervention with the
vital force, the therapeutic relationship,
and the consciousness
of both patient and practitioner.
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

Each persons bodymind is the


operational locale
of the expressive, responsive and
empowering systemic intelligence,
at the macrocosmic level,
sometimes called the Vis,
while the vital force is the
operative capacity of the individual
to harness and direct that potential for
health, growth, and well-being at
the microcosmic level.
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

The art of healing comes from nature,


not from the physician.
Therefore the physician must start from
nature, with an open mind.
PARACELSUS (CA.1630)

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

IDEALIZED STRATEGY FLOW


Components:
Prescriptions
Procedures
Practices

LEVEL THREE:
Activating

Ph
ase
s

LEVEL TWO:
Optimizing

LEVEL ONE:
Repairing

PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

THERAPEUTIC RELATIONSHIP
AND FOCUS GRADIENT
Active Practitioner
vs. Problem

Active Practitioner
and Active Patient

Responsible Person
with Guidance

(PHASE ONE)
Treating pathology
Patient passive

(PHASE TWO)
Partnership in
pattern management

(PHASE THREE)
Guided SelfCultivation

THERAPY

generic pathology and


tissue-based

character and risk cluster,


pattern- and processoriented

personalized and
imminent;
self-actualization,
embodiment and
enlivenment

ORIENTATION

external intervention
(anti-)

balancing
& remembering

internal activation
(pro-)

FOCUS

condition/disease
at organ/tissue
meta-systems/systems
individual, evolving totality
(It)

meta-systems/systems
(pattern)

individual,
evolving totality
(person in context)

PERSPECTIVE

Correcting the thing that is


hurting me

I am in my body

My body is in me

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE ONE

PHASE TWO

PHASE THREE

Activity:

Treating

Curing

Healing

Communication:

inquire, provoke and inform

suggest and remind,


reinforce and challenge

allow patient to teach


and inspire

Information:

narrow quantitative data,


aggregated

contextual systems data;


recognition

rich, dynamic,
multifactorial data;
insight

Motivation:

fear, discomfort avoidance

maintaining healthy
function

depth and meaning

Inquiry:

What am I?

How am I?

Who am I?

Response
Trajectory:

My bodily systems are


My body can be healthy and
functioning well in
problems are being
response to my changing
corrected.
situations.

I am one with
the universe.

Goal:

reverse disease,
limit damage

recover health,
avoid recurrence,
learn and grow

self-responsible for
presence and
awareness;
maximizing quality,
longevity

Relationship:

Mechanic fixing

Gardener cultivating

Self-to-Self reinforcing

Theme:

doing

becoming

being

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

The ultimate goal of all therapies is to


ENHANCE SYSTEMIC VITALITY,

RESTORE APPROPRIATE SENSITIVITY


to self and environment, and

RE-ESTABLISH INFORMATION FLOW


of self-regulatory systems.

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

ENGAGE, INSPIRE, ACTIVATE


Pace and harmonize, enable success and positive feedback as
you introduce new elements to the therapeutic process and
facilitate phase shift.
Avoid the cacophony of five people talking at once, where
nothing is heard or understood.
Sequence, layer and segue like Beethoven or Ellington, so
even the unfamiliar or demanding are digested smoothly and
assimilated deeply.
You may arrange, but they are the soloist and their life is the
music.
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 1: THERAPEUTIC MIX


Treat Immediately
Related Complaints

7%

8%
10%80%

35%

11%

15%
29%5%

Pattern Evaluation &


Long Term Strategy

Hint at Relationship to Freedom,


Creativity & Responsible Presence
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 2: THERAPEUTIC MIX


Reinforce Healthy
Behaviors, Awareness &
Choices

Feedback & Response to


Recurring Symptoms

7%
8%
10%
10%

40%
35%

11%
50%
29%
Support emotional, relational and somatic
habits that create resilience, strength
inner peace and trustful knowing
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 3: THERAPEUTIC MIX


8%
Deepen Initial Repair
and Recovery

Address Vulnerabilities and


Patterns at the System &
Meta-System Levels

7%
35%
75%

10%
15%
11%
10%
29%

Support Long-Term Changes,


Trust and Acceptance

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 1 - PRESCRIPTIONS:
REPAIRING X PROBLEM
LEVEL THREE:
Activating

LEVEL TWO:
Optimizing

Allergy Herbs

Stagnation/Pain
Herbs & Nutrients
Digestive Enzymes/
HCl

LEVEL ONE:
Repairing

PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 1 - PROCEDURES:
REPAIRING X PROBLEM
LEVEL THREE:
Activating

LEVEL TWO:
Optimizing

LEVEL ONE:
Repairing

Osseous
Adjusting
PROBLEM

Craniosacral
Therapy

PATTERN

Acupuncture
(more than
TCM)

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 1 - PRACTICES:
REPAIRING X PROBLEM
LEVEL THREE:
Activating

LEVEL TWO:
Optimizing

Personalized
Dietary Plan
(basic)

Personalized
Exercise or
Invigorating
Outdoor
Activity

LEVEL ONE:
Repairing

PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 2 - PRESCRIPTIONS:
OPTIMIZING X PATTERNS
LEVEL THREE:
Activating

Gut Rebuilding
LEVEL TWO:
Optimizing

LEVEL ONE:
Repairing

Qi and Blood
Tonification
v
Liver/Menstrual
Regulation
Pattern Level
Homeopathic Rx
PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 2 - PROCEDURES:
OPTIMIZING X PATTERNS
LEVEL THREE:
Activating

Somatopsychic
Deep Tissue
Bodywork

LEVEL TWO:
Optimizing

LEVEL ONE:
Repairing

Cranial &
Visceral Motility
PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 2 - PRACTICES:
OPTIMIZING X PATTERNS
LEVEL THREE:
Activating

Relationship
Repatterning (shells)
Qigong or
(traditional)
Yoga

LEVEL TWO:
Optimizing

LEVEL ONE:
Repairing

Refined Diet
(genomic, seasonal,
condition)

PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 3 - PRESCRIPTIONS:
ACTIVATING X PERSON
LEVEL THREE:
Activating

Flowers/
Essences

Chinese
Superior Herbs

LEVEL TWO:
Optimizing

LEVEL ONE:
Repairing

Constitutional
Homeopathic Rx
PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 3 - PROCEDURES:
ACTIVATING X PERSON
LEVEL THREE:
Activating

LEVEL TWO:
Optimizing

LEVEL ONE:
Repairing

Process
Work/
Hypnosis/
NLP

Journeys
(initiatory, allies)

Shamanic Clearing
(limpia)
PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PHASE 3 - PRACTICES:
ACTIVATING X PERSON
LEVEL THREE:
Activating

Art

Activation
(especially involving Practices

challenging systems)
LEVEL TWO:
Optimizing

Deeper Yoga
Qigong

LEVEL ONE:
Repairing

PROBLEM

PATTERN

PERSON

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

EASY AS 1, 2, 3

PHASE ONE: Prescriptions and procedures


from outside to catalyze and assist inner processes
PHASE TWO: Processes and practices, analogies and
metaphors
deprogramming and repatterning
-> entraining dynamic coherence and enhancing resilience
PHASE THREE: Rediscovering, activating and manifesting
self-cultivation, aligning Self in dynamic relationships

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

A PHASE IN THE LIFE OF AN


EMERGENT HEALING
NATURE

VIS

Doctor
Intention
Patient
Intention

Anti-Problem
Substance(s)

Anti-Problem
Procedure(s)
Pro-Healthy
Pattern Project
Problem-Pattern
Cluster Shift

Social
Support

SelfSignal

Reinforce Broad
Healthy Behavior

Pro-Healthy
Pattern Substance(s)
Self-Clarifying
Creative Activity
Decrease Broad
Dysfunctional
Behavior

2009 Dr. Mitch Stargrove. Used by Permission.

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

RHYTHMS AND TIMING


acute musculoskeletal (minutes to days/weeks)
blood sugar (hours to days)
sleep (days to lunar cycle)
menstrual cycle (months to seasons)
bones (years)

May
M
AY
M
ON
Mon
SUN
2013
2011
2019

TUES
Tues

WED
Wed

THURSFri
Thurs

FRISat

SATSun

2014
2012

2015
2013

2016 2015 20172016 20182017


2014

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

THREE MODES
Move over, Im driving.

Its your journey. I have some maps but


youre in charge. You determine the
destination, speed, terrain and rest stops.
Im honored that you would share your
journey with me. A nice walk on a
beautiful day can be so refreshing.
Lets do it again sometime.
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

MANAGEMENT ECOSYSTEM

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

PROBABILITY OF POTENTIAL
INTERACTIONS
2 agents

5 agents

8 agents

6%
50%

50%

100%

94%
Mathewson Kuhn M.
Pharmacotherapeutics: a nursing process approach.
4th ed. Philadelphia: FA Davis; 1998.
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

THERAPEUTIC RELATIONSHIP SYSTEMS


IN PERSON-CENTERED CARE

Person
Patient-Practitioner Relationship
Multiple Patient-Practitioner Relationships
and Interpractitioner Collaboration
Strategic Outcomes and Life Context
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

THE FOUR CS IN PERSONCENTERED COLLABORATIVE CARE


Communicate: Emphasize direct and inclusive
communication practices with patient, involved family
members and engaged healthcare professionals, including
patient objectives, physical inventory of substances, and
responses to the therapeutic process;

Communicate
Collaborate

Coordinate

Coordinate: Comprehensive management of


intentions, actions and effects of all therapeutic
interventions (pharmacological and non-pharmacological)
as well as patient activities and practices;

Collaborate: Transparent orchestration of


simultaneous and sequential interventions by one or more
healthcare practitioners within an individualized and
evolving therapeutic strategy applying integrative principles

Contextualize: Persons real life setting including


values, goals and choices, as well as needs and resources.

Contextualize

Comprehensive management of intentions, actions and


effects of all therapeutic interventions (pharmacological
and non-pharmacological). Relevancy of professional
literature to the person and their case management.
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

Theory and practice


should together form one,
and should remain undivided.
PARACELSUS

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

LIFE HEALS.
NATURE CURES.
MEDICINE TREATS.
1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

I am
We are
Gaia
Healing

GAIA SELF-HEALING
Sean Woodward

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

GRATITUDE
We appreciate and thank all of you, all our relations.
Deep gratitude for the artistic skills of our friends Capra Jneva and Christopher
Thombs and our son Raphael Stargrove.

Medicine treats. Nature cures. Life heals.

Lori Beth Stargrove, ND

lbstargrove@medicineworks.com

A WellSpring of Natural Health, Inc., Beaverton, OR


MedicineWorks, Beaverton, OR

Mitchell Bebel Stargrove, ND, LAc mbstargrove@medicineworks.com


A WellSpring of Natural Health, Inc., Beaverton, OR
MedicineWorks, Beaverton, OR
Center of Excellence in Generative Medicine, University of Bridgeport, Bridgeport, CT
Oregon College of Oriental Medicine, Portland, OR
Foundations of Naturopathic Medicine, National College of Natural Medicine, Portland, OR

v1.7.2 06.18.15

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

1993-2015 MITCHELL BEBEL STARGROVE AND LORI BETH STARGROVE

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