Category Archives: Parkinson’s

Why hands-on in Alexander teaching?

Alexander Technique hands-on teaching The Alexander Technique is essentially a self-help method for positive change that involves discovering how to think differently. So why do Alexander teachers use hands-on work to help people learn the technique?

Touch can provide a subtle yet powerful means of communication. Hands-on Alexander work uses a gentle, reassuring, instructive, non-judgemental and unique quality of touch that requires at least 3 years of training to acquire – and which then continues to be refined over a lifetime of teaching. Here are the main reasons why we use hands-on work (not mutually exclusive):

  • Helping people become calmer, more present and more alert. When the whole mind-body self quietens, the best conditions possible are created for positive change and learning
  • Aiding the development of greater self-awareness
  • Providing abundant opportunities to help people develop and practice core Alexander skills, such as giving oneself time to make conscious choices over whether and how to respond to any given stimulus (rather than just reacting automatically)
  • Enabling people to discover a clearer sense of embodiment – the sense of self as a whole, rather than as a mind linked with a body
  • Helping people to develop greater integration, coordination and stability within themselves
  • Encouraging the development of better postural support and balance
  • Guiding movement to enable people to have an experience of more fluidity and less effort than they would otherwise have been able to achieve
  • Helping people become aware of habitual tension patterns, and to let go of excessive muscle tension
  • Enabling people to better manage and reduce pain
  • Assessing what is happening within people, to provide feedback and to guide and tailor the teaching to the individual.

Hands-on Alexander work can bring about a profound sense of well-being. When someone leaves an Alexander lesson they generally feel more relaxed, yet alert, and more in control – strong motivators to continue to apply the technique in their daily life.

The majority of Alexander teachers combine their hands-on work with spoken guidance and dialogue. This synergistic combination creates the optimal learning environment for most people, equally engaging both experiential and cognitive learning.

If the spoken guidance element of teaching is lacking, it’s much harder to enable people to think differently and to ‘gain all the tools’ needed. Outside of the lesson, people are then less equipped to be able to work out for themselves how to apply and develop the Alexander Technique for themselves. As a result they may remain more dependent on the teacher than they need be.

At the other end of the spectrum, a small number of Alexander teachers claim that it is possible to predominantly, or even solely, teach without the use of hands-on work. This is sometimes now taking the form of online teaching. Perhaps remote teaching can provide useful supplementary support for people who already have a reasonable amount of Alexander experience. However, and particularly for those beginning lessons, the teacher’s guiding touch provides an invaluable help in developing the core skills, such as the ability to not just react unthinkingly but to pause to choose whether and how to respond to a stimulus. So, not using any hands-on work makes learning harder but it will also leave people short-changed of the full potential of the Alexander Technique to transform their lives. An article by Alexander teacher Joe Armstrong, eloquently discusses the importance of hands-on work in enabling the longer-term and life-transformative changes that can occur as a result of Alexander lessons.

Another important consideration is that, to date, all of the Alexander teaching in clinical research trials has consisted of hands-on combined with spoken guidance. This research provides good evidence that one-to-one Alexander lessons using hands-on work together with spoken instruction are effective in reducing pain and disability for people with chronic pain (back or neck), as well as enabling people with Parkinson’s to manage the associated disability. In contrast, there is currently no research evidence that either hands-on work alone, or spoken guidance alone are effective. It is also worth remembering that when FM Alexander began teaching his technique to others, he started out using just spoken guidance. But he then brought in hands-on work because he discovered that words alone were rarely enough to convey his meaning. This nicely reflects the practical and experiential nature of the Alexander Technique.

So I would argue that combining hands-on and spoken guidance together is essential if we want the teaching process to be as effective as it can be. In this way, people will be equipped with the necessary skills and understanding to be able to apply the Alexander Technique for themselves, as well as to continue to learn and develop it for the long term.

Parkinson’s, balance and the Alexander Technique

Consider the Alexander Technique for people with Parkinson’s disease who are experiencing balance or motor function problems.

These are the new guidelines from NICE (National Institute for Care and Excellence).1

Along with other Alexander teachers, I know from experience how helpful Alexander lessons can be for anyone with balance or movement difficulties, and it is good to see these benefits being recognised more widely. The NICE advice is largely based on the findings of a clinical trial demonstrating that people with Parkinson’s were able to carry out their everyday activities with less difficulty following one-to-one Alexander lessons, compared with a control group.2 The trial also showed that the skills learnt in the lessons stayed with the people long after the lessons had finished.3 Other research suggests that verbal instructions based on Alexander principles can enable people with Parkinson’s to find better balance and mobility when standing or walking.4

The improved balance gained from learning and applying the Alexander Technique goes hand in hand with improvement in movement coordination and postural support. Again there is research to back this up.5,6,7 Studies with older people have also shown improved balance, postural stability and confidence in standing and walking following Alexander lessons or classes.8,9,10 There has even been a study comparing the walking patterns of qualified Alexander teachers with that of people of a similar age; this showed that older Alexander teachers walked more like younger adults.11,12

Benefits for balance and movement are important, not just for people with Parkinson’s but for elderly people who may be afraid of falling, and indeed for anyone engaged in any activity – sport, dance, and yoga may come to mind but we also benefit from good balance and coordination when hanging out the washing, or doing DIY or gardening.

Contact me to discuss how you could benefit from some Alexander lessons, or find out about other research.

Continue reading