Paradigms

Reorganizational Healing:A Paradigm for the Advancement of Wellness,

Behavior Change, Holistic Practice, and Healing

Donald M. Epstein, D.C.,1 Simon A. Senzon, M.A., D.C.,2 and Daniel Lemberger, D.C.3

Abstract

Reorganizational Healing, (ROH), is an emerging wellness, growth and behavioral change paradigm. Throughits three central elements (the Four Seasons of Wellbeing, the Triad of Change, and the Five Energetic In-telligences) Reorganizational Healing takes an approach to help create a map for individuals to self-assess anddraw on strengths to create sustainable change. Reorganizational Healing gives individuals concrete tools toexplore and use the meanings of their symptoms, problems, and life-stressors as catalysts to taking new andsustained action to create a more fulfilling and resilient life.

‘‘Instead of being meaningless, people’s problems become dis-eases of meaning, enabling people to see that things are not nec-essarily ‘‘going wrong’’ but are, in fact, helping them becomestronger, to live more fully and with more understanding.’’

—Jobst, Shostak, and Whitehouse, 19991

‘‘We conceptualize wellness as the generalized self-perception ofhealth. From this perspective, wellness is distinct from health-ill-ness; an individual can deem themselves to be in an acceptable stateof wellness whether they experience suboptimal ‘‘health’’ in anygiven domain or area of functioning.’’

—Schuster, Dobson, Jaregui, and Blanks, 20042

Introduction

This journal has forged new ground in emphasizingthe relationship between an individual’s subjective per-

ceptions and their attributed meaning to health and well-ness. The inescapable intersection between one’s internalperception and the state of one’s body and whole lifefacilitates sustainable change toward optimal mental andphysical health. Three papers in particular stand out in thisregard.1–3 These seminal manuscripts have had a signifi-cant influence in shaping the model of Reorganizational

Healing. Reorganizational Healing, (ROH), is an emergingwellness, growth and behavioral change paradigm, whichmay be applied to various approaches and disciplines inhealth care, therapeutics and professions of change andtransformation.

Jobst, Shostak, and Whitehouse1 introduced two keyterms: ‘‘diseases of meaning’’ and ‘‘disease as a manifestationof health,’’ highlighting the importance of internal perspec-tive and empowerment to the entire spectrum of disease andhealth. They described diseases as representations of variousaspects in an individual’s life and as a manifestation ofhealth in that these aspects can be seen and can serve as asource of growth, understanding and opportunity for greaterawareness, all ultimately reflections of the meaning attrib-uted to the event or phenomenon. With such a depth ofmeaning, disease can be viewed as a catalyst for persons togrow, and in so doing, to heal themselves. Diseases ofmeaning are diseases attributed to and arising from an in-dividual’s or society’s perspectives, worldviews, and overalllife stressors. Thus problems can be viewed as calls to knowthe self, the body–mind, more intimately in order to facilitatechange and to grow stronger, healthier and wiser. Thesediseases inextricably link the individual’s self-perception andmeaning to the problem.

1Association for Network Care Research, Longmont, CO.2Integral Studies Department, School of Holistic Studies, John F. Kennedy University, Pleasant Hill, CA.3Private Practice, Boulder, CO.

THE JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINEVolume 15, Number 5, 2009, pp. 475–487ª Mary Ann Liebert, Inc.DOI: 10.1089=acm.2009.0043

475

Schuster, Dobson, Jauregui, and Blanks2,3 located wellnessin subjective perception, demonstrating objectively powerfullinks among wellness, complementary and alternative med-icine (CAM) use, and health lifestyles. As meaning is integralto every aspect of ROH, self-perception becomes a keymodulator between wellness and health-illness. To this enddisease and health are part of a matrix of organization ofenergy, structure and meaning.

ROH is founded on these principal propositions ar-ticulated in the papers by Jobst et al.1 and Schuster et al.2,3

These propositions are incorporated into the structure andfunction, the very fabric, of the whole of ROH. This is, in fact,how it arose through the empirical work of Epstein,4–6 nowcontinuing to be objectively researched in academic andclinical research centers.3,7–14

ROH helps create a map for individuals to self-assess anddraw on strengths to create sustainable change. ROH givesindividuals concrete tools to use the meanings of theirsymptoms, problems, and life stressors as a catalyst to takingnew and sustained action and creating a more fulfilling andresilient life.

A Healing Paradigm

ROH is a paradigm about helping people be well. It is anapproach to outcomes-based wellness and change. It can beapplied to growth, healing and the individual’s life. ROHfacilitates a dynamic responsive awareness to enable opti-mization of structural, perceptual, behavioral and energeticelements in a coherent sequenced fashion. In the model de-signed by one of the authors (Epstein) of the current article,ROH has three central elements: (1) The Four Seasons ofWell-Being; (2) The Triad of Change; and (3) The Five En-ergetic Intelligences (Fig. 1).

The elements of ROH assist the individual to take an ac-tive role in his=her life so that increasing well-being on aregular basis becomes the norm. In ROH, it is essential thatindividuals have mechanisms by which they can have anawareness of the present time; how they drop to a lowerlevel of functioning, behavior, and perception in the face ofdisease, problems, or life stressors; and what they can do tofunction at a ‘‘higher level,’’ a new baseline of well-being, inspite of life’s challenges. In this context, reorganization re-lates to the increasing ability to thrive in the face of greaterdemands in every domain (physical, biologic, emotional,mental, spiritual, social, and cultural). We define social as theinterobjective or functional fit and organization of 2 or moreindividuals and cultural as the intersubjective or sharedmeanings and mutual resonance of 2 or more individu-als.15–19 This ability to thrive in every aspect of life is con-sidered a new measure of well-being and function; in layterms, and to paraphrase Anthony Robbins, a new standardto ‘‘step up’’ to.20

Reorganization implies that the system functions at ahigher level of complexity. This increase in the baseline levelof organization of a system allows for enhanced utilization ofenergy, adaptability, and the development of new attrac-tors,21–24 thereby facilitating an emerging state of stability ofthe system in spite of a greater range and intensity of per-turbations in the environment.23,25,26 Increased complexity ofthe living system allows for new energetic strategies, andenables the system to remain far from equilibrium.15,27 As amodel of transformational change, ROH is consistent withtheories based on the chaotic and quantum nature of be-havior change28,29 and life transitions.30 Successful reorga-nization at a higher baseline can be identified because theindividual reaches a new level of gratitude, love, and con-nection (subjective, somatic, relational, and social). This new

FIG. 1. The Elements of Reorganizational Healing.

476 EPSTEIN ET AL.

baseline can be in relation to various aspects of life fromdisease to personal growth, from behavioral change to or-ganizational change.

ROH is a model rather than a method. A broad range ofmethodologies and applications can utilize ROH. In this way,ROH may contribute to the literature on the set-point theoryof well-being,31 positive psychology,32,33 the field of behaviorchange34–40 and the more-allopathic approaches to health andmedicine, herein termed Restorative Therapeutics (RET).

ROH contrasts with RET, the common paradigm inhealth and medicine=surgery, generally associated with theWestern medical model whereby one party (the ‘‘healer’’=therapist=professional) does something to restore the other(the healee=therapee=patient) to a prior state of functioning.The ‘‘extreme’’ version of the RET approach views diseases asproblems that must be fixed usually isolated from the rest oflife, and denied their depth of meaning. A common moti-vator for individuals seeking RET is constancy and cer-tainty.41 This distinction between ROH and RET is summedup by Jobst et al.:

The proposition that disease is a manifestation of health linksdiseases of meaning and aspirational health creatively: aspi-rational health being the means of transformation of diseasesof meaning through changes in understanding and perceptionand consequently changes in behavior, relationships, andphysiology. … Critical to the negative spiral that gives rise tothe diseases of meaning … , is the perception that the ‘‘dis-ease’’ … is unavoidable and can only be remedied by beingexcised, eradicated, pharmacologically blocked, or geneticallymodified.1

The goal of RET even in a ‘‘moderate’’ form (which couldinclude many CAM methods) is to restore the person towhere (and who) they were before the problem. Conversely,in ROH, the intention is for the outcome to be dynamicalchange in the individual and the life system; to develop newresources so that the individual may use the experienceconsciously to bring his=her life to a greater level of under-standing and appreciation; and to increase the individual’sability to thrive under most circumstances, a motivation in-spired by an ability to contribute to others and fulfill agreater purpose in life.41,42

ROH is a way to bring the insights from diseases ofmeaning to the practice of traditional and alternative medi-cine,1,43 using those insights to transform the entire life sys-tem. The treatment of symptoms, solely for their alleviation,while possibly necessary at times, may dissipate the depth ofmeaning and the energy required to establish a new andhigher baseline. This is a critical distinction; by understand-ing ROH, the practitioner can assess when a nontherapeuticapproach—such as utilizing the symptom as an opportunityfor congruence among the individual’s Season, Triad ofChange, and Energetic Intelligence—may assist individualsto bring their entire lives to new levels of successful reor-ganization. This change is always used with the person’smap of the life-system. Congruence in this sense is similar tothe concept of the triangle in geometry, ‘‘coinciding at allpoints when superimposed.’’44 Congruence of the elementsof ROH and thus successful reorganization can be utilizedalongside RET.

The acknowledgment that there is an inherent wisdomthat manifests as the body, emotion, mind, soul, and spirit

with increasing depth and fullness, range, and freedom isalso central to ROH. This wisdom has inner and outer at-tributes, an internal subjective state of consciousness associ-ated with each level of the multileveled energetic field,17,45,46

and has been described as a causative agent of the wellnessbenefits associated with some of Epstein’s wellness ap-proaches.47

Background

ROH developed from Epstein’s wellness approaches,Network Spinal Analysis (NSA),4–6 The Twelve Stages ofHealing,48 and Somato Respiratory Integration (SRI).48–50

Network Spinal Analysis Care is a dynamical system of as-sessment and intervention involving the creation of emerg-ing organizational properties in the spine and nervoussystem. These properties enhance cognitive self and bodyawareness, personal behavioral states, increased wellness,and spinal induced self-organizing phenomena. NSA is anapplication of spinal ROH currently practiced by chiroprac-tors. It involves gentle touches to the spine accessing unique‘‘spinal gateways’’ in applications termed spinal entrain-ments or network adjustments. It is accompanied by client-reported wellness, levels of care, and organization-specificoutcomes. SRI is a system of exercises that includes focusedattention, specific breathing, energetic awareness, and move-ment protocols directed through the body to produce statesof perception congruent with the Twelve Stages of Healing.SRI enhances and creates conscious awareness and partici-pation with the body as a tool to experience life with in-creasing depth of internal connection and wider ranges ofhuman expression.

As in ROH, the central tenet of both NSA and SRI statesthat change rarely comes directly from the area in the bodyor life that is defensive, guarded, and wounded. Instead, itcomes after the individual becomes aware of the area andacknowledges it as it is or finds another area where resourcesexist. Once awareness is engaged, change comes through thearea as energy or as an acknowledgment or acceptance ofthat energy on various levels (cognitively, neurologically,somatically, etc). Energy is here defined as the fuel for theexpression of consciousness through action, and the meansof maintaining a system far from equilibrium.27,51,52 Energypreviously bound through lack of awareness as fixation,tension, facilitation and defense releases its stores or becomesredirected into a new level of organization. Meaningfulchange comes when a place of connection is brought toawareness and ‘‘inspires’’ or entrains other parts of the sys-tem. The synergy developing with this approach is central tothe process of reorganization because new resources ofconnection and meaning are liberated as energy for con-structive use. With the physiology less in defense and thebody more cognitively aware of the breath, energy, andmovement it is hypothesized that the frontal lobes of thecerebral cortex and vagal centers are more available to re-assess perception structure and behavior.6 As a result of re-peated state change, liberated energy available for enhancedfunction can now be utilized to restructure to the next in-creased level of order.

NSA has been researched in regard to self-reportedwellness outcomes3,7 and mathematical modeling of a

REORGANIZATIONAL HEALING 477

spinal wave that develops during care as a nonlinear at-tractor,8 which can be dynamically modeled.9 This waveinvolves undulation and specific rocking=oscillation ofspinal segments and the development of what appears as acentral pattern generation.10,* In preliminary research, thiswave has been shown to develop and move through andaround the area of spinal-cord injury in patients who havequadriplegia, with evidence of partial motor recovery.11,12

Inspired by data on the timing of outcomes of wellnessbenefits,13 and subsequent mathematical modeling ofsurface electromyographic studies indicating an increase inorganization of the central nervous system,12,14,{ distinctlevels of care have proven identifiable, and are sequencedinto three levels, each with specific self-reported wellness,structural, perceptual, behavioral, and constructive lifechanges and assessments.

Other research on NSA helped advance its developmentand understanding, and thus lay the foundation for ROH.Empirical findings and published research evidence patientsrecovering from a wide range of illnesses and thriving in atleast four domains of wellness.3,7,13 A longitudinal studyfound that people’s physical and emotional challengesimproved within 2–4 months, while stress relief and lifeenjoyment continued to improve for the duration of the 12-month study.13 Wellness outcomes for Network Care havebeen shown to significantly enhance the benefits of otherwellness practices.3 Case reports have been published orpresented on psoriasis,53 post-traumatic stress disorder(PTSD),54 child oppositional–defiant disorder,54 substanceabuse,54 fertility coupled with an increased quality of life, 55

general quality-of-life (QoL) improvements56 and attentiondeficit–hyperactivity disorder (ADHD).57 Additional re-search has shown that NSA induces a ‘‘sympathetic quietingeffect’’58 and decreased cortical processing time for newlylearned motor activities.59,60

The concept of an Energetic Intelligence (EI) emergedfrom an evolving discipline Epstein has been advancingsince 1999. Through applying NSA and SRI and adding anenergetic, informational field or ‘‘biofield’’ application, Ep-stein observed significantly different responses of the ner-vous system relative to the organization and level of care inregard to the distance from the spine he approached andexited from. He observed further the various sensory motorstrategies for the NSA levels of care and the 12 Stages ofHealing were influenced and initiated by consciouslyvarying these distances. To date, the codification, applica-tions, and descriptions of the energetic or informationalfields have only been explored at private healing retreats. Afuture unique discipline based upon these principles andrelationships is in development. However, informationabout the EI, as an internal experience and resource, hasbeen taught via programs that include the principles ofROH.43

NSA, SRI and Epstein’s emerging discipline, are distinctand complementary approaches to wellness. By observing sim-ilarities between these approaches, commonalities emergedleading to the development of the transdisciplinary and uni-fying model of ROH (Table 1).

The Three Elements of ROH

The four Seasons of Wellbeing, the Triad of Change, andthe EI have wide-ranging possibilities to contribute to manyfields to help create sustained change by synchronizing thetiming of change, the process of change, and the energeticaptitudes that change requires.

The Seasons of Wellbeing

The Four Seasons of Wellbeing—Discover, Transform,Awaken, and Integrate (Fig. 2)—refer to distinct rhythms orperiods during one’s journey in life. As a metaphor for thejourney, season is appropriate to ‘‘readiness’’ for reorgani-zation just as seeds are planted or fruit ripens—all in theirtime. The seasons are different from developmental stages oflife61–64,{ although they may correspond at times to suchstages. The seasons are used as part of the process of changeby embracing the individual’s readiness for change in thecontext of the unique moment of his=her life. Thus, the sea-sons are not always sequential. They represent moments orperiods in life. As higher baselines of reorganization emergein the person’s life it becomes easier to live in certain seasons.After one has learned the gifts that each season presents, anew flexibility as a result of increased complexity, allows oneto use each season to reorganize specific aspects of his=herlife consciously.

The seasons appear to be universal in human experienceas each encourages or influences unique perceptions, actions,thoughts, experiences, and energies. The seasons add timingto the self-assessment. This timing is distinct from otherstaged approaches to behavior change35–39 or any RET ap-proaches. The influence of the season affects the type of in-telligence one uses, the way a person goes about dailyactivities, and the resources available to that person. Eachseason represents the way a person receives and influenceshis=her environment and how this environment influencesthe person. Within each corresponding season, aspects ofdaily life are either encouraged or rendered difficult or im-possible. The first three seasons, Discover, Transform, andAwaken, represent the stages individuals cycle throughduring stages of life and circumstances in life. The fourthseason, Integrate, represents the ability to know and con-sciously choose the combination of seasons called for invarious circumstances or life changes, and represents a highlevel of organizational integrity and communication acrossaspects of the individual’s life.

The Four Seasons of Wellbeing Defined

In the season of Discover one focuses on physical prob-lems, causation, and attachment. Discover is about discov-ering how one has caused pain for oneself or others in an*Jonckheere E, Lohsoonthorn P, Mahajan V, Musuvathy S, Stefa-

novic M. On a standing wave central pattern generator and the co-herence problem. Biomed\ Signal Processing Control submitted.

{Jonckheere E, Lohsoonthorn P, Boone WR. Dynamical modelingin network spinal analysis: Level specificity of sEMG signals atcervical, thoracic, lumbar, and sacral points. J Altern ComplementMed submitted.

{Cook-Greuter S. Postautonomous ego development: Its natureand measurement. Doctoral dissertation. Cambridge, MA: HarvardGraduate School of Education 1999.

478 EPSTEIN ET AL.

Table 1. Relationship of Network Spinal Analysis (NSA), Somato Respiratory Integration

and Elements of Reorganizational Healing

NSA levelof care Stage of healing Common client questions

Common emotions andExpressions

experienced by client

Energeticintelligence

most commonlyexperienced

Season ofWellbeing

Lev

el2

AL

evel

1

SufferingWhy me? or Why not me?

Helplessness, loss,despair, peace,reassurance Bioenergetic

DIS

CO

VE

R

What is wrong with me?Why does this happen to me?

One Separateness Why does this not end?

Polarities andRhythms

What is the cause of this?

Anger, hunger, happiness,identification, energy

Emotionalenergetic

Who was wrong=right?Who can fix=get rid of this?What is the best or worst ____?

Attachment=Projection

Why did he=she do this to me?TwoWhat is the pattern here?

Stuck in aPerspective

Why can’t I make thebreakthrough?

Frustration, peacefulwaiting

Why do I keep doing this?Why am I stuck?

Three Frustration Why am I so blocked?Why can’t I solve this now?

Lev

el2

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evel

2B

Four

Reclaiming OurPower

What can I do to neverdisempower myself again? Inner strength,

determination,courage, power

Thoughtenergetic

TR

AN

SF

OR

M

CourageHow can I express more

of my courage now?

Five

Merging withthe Illusion

What else is going on?Curiosity, anticipation,

temporary confusion,sense of knowing more

What is really happening here?Merging Beyond

the WallHow can I face this now?What is on the other side?

Six Preparation forResolution

What can I do to reallybe ready?

How can I prepare myself?What must I do now?

Determination, resolve,flexibility, excitementof somethingbig and new

How can I resolve this?How can I conduct an

inventory and get rid of thatwhich no longer serves me? Excitement, focus,

Seven ResolutionHow can I dump the old

stuff=energy=patterns?strength, resolution,peace

Ad

van

ced

Car

e

EightEmptiness in

Connected-ness

How can I embrace the space?Peace, stillness, rhythmic

connection, gratitudefor connection

Soulenergetic

AW

AK

EN

Where is the rhythm?How can I hold the space?Where is the gratitude?

Nine

Light=LoveBeyondthe Form

What is the energy=love telling me?

Gratitude for love andfor the energy of life,joy, passion, heightenedperception of joy,gratitude, beauty

Where is the connectionwithin spirit?

How can I expressthe love more?

How can I grow the gratitude?How can I feel the real energy

behind the form?

Ten Ascent

What gift has been givento me? Witnessing from beyond

the soul, exhilaration,joy, awe, gratitude,oneness

Universalspiritenergetic

How can I receive and embodythe light I am?

How can I express my souland the one love?

ElevenDescent

(Service)

How do I give my gifts in joyand gratitude? Gratitude, acceptance of core

paradoxes, humor, courage,humility, grace, strength,passion, determination

Where is the joy, love,gratitude, gift?

How can I sponsor thesharing of my abundance?

Twelve Community

How can I receive others=circumstanceswith gratitude as gifts?

Coming home, acceptance ofothers as also souls or travelers,passion for synchronicity, totalspectrum with foundation inbenevolence and gratitudeand conscious experience

Where is the gift in this?How can we be each other’s

wisdom=medicine?

attempt to disconnect or avoid pain. Discover is about rec-ognizing how one has experienced disconnection or the ex-perience of separateness. Discover is moving away fromsomething and experiencing one’s sense of disempower-ment. Ultimately, in Discover one becomes aware of thedisempowerment, acknowledges it, and accepts it. It is aboutone’s connection to energy, breath, movement, touch, emo-tion, and rhythm. This language and syntax underlying thenature of what we experience is very important in Discover.It defines one’s movement and limits. In Discover individ-uals determine how they are anchored to tension and stress,ease, and peace. The season of Discover is driven by fear andreaction, and may motivate individuals driven by the needfor security or safety, especially when life circumstancesappear to be changing rapidly. As an example, when indi-viduals in the season of Discover seek Complimentary Al-ternative Medicine (CAM), their focus is fear, reaction,frustration, or hopes of ‘‘magical’’ cures.

Transform is about transforming one’s relationships andone’s world through focused attention and action. Transformis about fully associating with whatever seems like a sourceof pain as a source of opportunity. In Transform, the conceptof a problem or blame does not exist, as it is irrelevant.Problems are replaced by opportunities, goals, and deliberateaction. One redefines one’s self through the structure of thebody and changing one’s relationship to focused energy,breath, strength, courage, and motion. It is about definingone’s self through empowered actions and dissolving theattachments to ideas, concepts, memories, and stories whichlimit one’s future journey. As an example, Transform is theSeason of Wellbeing in which an individual is likely tochoose CAM procedures to seek autonomy in the health orhealing process.

Awaken is about the experience of effortless being andknowing. In Awaken, one develops the power of gratitude,awe, amazement, love, and benevolence through the expe-rience of an unlimited source of spacious body, breath, en-

ergy, and possibility. It is about the experience of the energyof human spirit and love. It is about claiming a new life andformulating new actions based on an expanded, consciousand awakened perspective of our interdependence andconnection. This season is more likely to be associated withthe need to give love, spiritual growth, and the need tocontribute beyond oneself. As an example, a person in theseason of Awaken seeks CAM to advance his=her ownevolution, connect with his=her subtle energies, and achieveoptimal health and wellbeing so he=she can fulfill his=her lifepurpose and also serve others more fully.

The season of Integrate happens when a person revisits aprevious season while maintaining the perspectives from asubsequent season. The season of Integrate allows an indi-vidual to create a greater depth of experience through ele-ments of more than one season at a time while gaining thewisdom or gift of the previous season. Integrate is initiatedthrough physical=structural, emotional, mental, social, cul-tural, and=or spiritual changes creating a need for a greaterlevel of depth of a previous season. Integrate is the season ofconscious choice about one’s life, the energies and types ofintelligence one uses, the resources one has available, one’sresourcefulness, one’s style and the ways one will experienceone’s reality and share one’s gifts. As an example, a person inIntegrate may choose CAM from any and=or multiple rea-sons noted above, to advance objectives related to a deep-ening of one or more seasons simultaneously.

It is important to note that the Seasons of Wellbeing con-tinue to change throughout an individual’s lifetime. Whileover the span of life, most people will develop from Discoverthrough Awaken, this is not guaranteed. Low-functioningindividuals may continually experience the season of Discover.Overachievers may continually experience the season of Trans-form. It is common in new age circles that people expound theexperience of the season of Awaken. Self-actualizers42 may

FIG. 2. The Four Seasons of Wellbeing.FIG. 3. The Triad of Change.

480 EPSTEIN ET AL.

continually experience the season of Awaken or Integrate. Thekeys to working with one’s Season within ROH are for theindividual to be congruent with the season that the person istruly in now. This may not be the season he or she wants andit may not be the season that person is used to. This is donemost effortlessly in congruence with the other elements ofROH. Importantly, an individual can visit each of these sea-sons at appropriate times during life experiences, especiallywhen this is done through the season of Integrate.

The Triad of Change

The Triad of Change is the central focus of the map aroundwhich the other elements of reorganization occur. Thepremise of the triad is simple: All change includes structure,behavior, and perception (Fig. 3). Plainly stated, for eachstructure, there is an accompanying behavior and percep-tion; for each behavior, there is a structure and a perception;and, for each perception, there are certain structures andbehaviors that define and support it.

Behavior is defined as an observable pattern of actionsexpressing or manifesting an internal state or meaning (theimplicit becoming explicit) and purposeful movement to-ward a goal or objective. Behavior is the expression of ameaning and the outcome of the relationship between actionand purpose=objective. All behavior is purposeful even if it is‘‘unconscious’’ and not immediately apparent.

Perception is defined as a chosen perspective—a mode orstyle or manner of focus that defines meaning (the way onefocuses one’s attention)—and the connections among bodysensation, focus, and meaning. For example, pain is oftenassociated with suffering. What causes the individual suf-fering is not always the experience of pain but the meaningattributed to it. Suffering is different from pain. Not everyone

in pain experiences suffering. Suffering is a response to theperception of the pain added to a specific meaning associatedwith it. Perception is a consequence of focus and meaning.

Structure refers to any form serving as a carrier of informationor energy. Structure relates to virtually every domain: con-sciousness; internal focus; body; posture; relationships; mutualunderstanding; business, organizations; and even schedules. Asa resonant structure, the consciousness, perception, and behav-ior of the body is in relationship to the condition, tone, tension,and form of its structure. Structure defines the relationship be-tween the physical and energetic systems of the body.

The real synergy that emerges with the congruence ofthe triad comes from understanding the power of two sides toentrain the third. Perception and Behavior entrain Structureand help to make new forms. Behavior and Structure entrainPerception, and help meaning to come from action and form.Structure and Perception inspire Behavior, which is an actionborn of meaning and form. The triad is not season-specific; anindividual can work with the triad in any season. In fact,different sides of the individual’s triad could be in differentseasons simultaneously. It is important to uncover what cre-ates the greatest congruence for an individual and what thatindividual wishes to create or express in life.

Congruence is the key to successful and sustainablechange. In ROH, the focus is on the greatest resource andpotential agent to fuel change. When all three of these sidesare congruent change is inevitable, which becomes obviousas the change the individual had been trying to achieve be-comes more effortless. Change in any one parameter natu-rally leads to change in the whole. However, this will onlyproduce a temporary, nonsustainable change for the indi-vidual.

It is proposed that simultaneous change in two or moresides lead to synergy and emergent balanced states, which

Table 2. The Triad of Change in the Seasons of Wellbeing43

Discover Transform Awaken

Structure Constricted; inflexible; designedto keep failures or painful experiencessegregated and not visible; painful;does not share ideas; hierarchicalwithout effective steps in between;no room for questioning or growth;supports reactionary behavior

Flexible; growth-oriented;poised for rapid change;adaptable; can accommodatefor exchange of ideas andcriticism; supports optimismand association with pain asa tool for growth

Expansive; inclusive;contribution and makinga difference to others;creating a legacy to uplift;empowering; inspiring;celebrates diversityand creativity

Behavior Reactionary; attacking; judgemental;accusatory; dissociative from pain;linked to past behavior; over,or underreacting; fear-based;procrastination; perfectionism

Decisive; deliberate; opportunityseizing; transformative of concepts,stories, and relationships;associative with pain and pleasuretoward gain; making changes

Loving actions; actionsdemonstrating gratitude;developing and actingon a natural style of giving;compassion; accepting ofothers; inspiring andawakening others;celebrating others and life;serving others; bringingwisdom, beyond justinformation

Perception Victim; judgmental; anger; fear; loss;dissociative; focused on problem;problem or circumstance equalsreality; past equals future and present;wound; cause; polarized; stuck;move away from; eliminate orget rid of or seek less of

Courage; focus; associative; gain;focused on opportunity or solution;future created by habit of presentactions; active; focused on goalsor plan; excitement; progress

Love; compassion; gratitude;energy; beyond physicalform; emptiness; soul gifts;synchronicity, Serendipity;grace; gifts in all peopleand events; communion;community; acceptance

REORGANIZATIONAL HEALING 481

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are sustainable. The individual utilizes the sides of the triadeasiest to create change with. This will often inspire the thirdside to change.

In RET, the focus is on the side of the triad that is mostdifficult and most challenged, and season is rarely consid-ered. This is usually the side of the triad that tends to bemore elusive, the side an individual tends to feel less ade-quate at and tends to obsess about. Our greatest wounds areusually located here. This is the place where the persongenerally feels as if what he she does is ‘‘not enough’’ andlike ‘‘a nobody,’’ or says: ‘‘I tried everything to change myperspective on it.’’ Trying to create change from here is verydifficult because it is met by resistance and defensivenessand often results in struggle. By attempting to fix and ma-nipulate a single side of the triad, there is a tendency of theother two sides of the triad to return the challenged side to itsprior state. By directing change toward the sides of the triadthat are easiest for the individual to access, that individual’sbody, emotion, mind, soul, and spirit are honored. Add tothis the right timing (season) and the accessible energeticwisdom, and reorganization happens.

EIs

Mystics, yogis, healers, and shamans have observed en-ergies within the body and multiple levels of energiesaround the body for ages. Scientific evidence of energywithin and around the body is extensive.51,52,65–77 Unitingsubjective observation of the body’s energies with scientifi-cally verifiable observation leads to at least one significantinsight; energies related to the complex biologic form areassociated with states of consciousness.45,46 Combining thisinsight with the research into subtle energies, years of em-pirical practice using ‘‘energetic applications’’ and, more re-cently, correlating these applications to a preliminary surveyinstrument (questionnaire)§ designed to explore individuals’aptitudes for certain types of energies, Epstein developed theterminology for EI as one way to describe this unique do-main of human experience.

Driven by these factors, EI has been furthered by utilizingthe recent writings of philosopher Wilber45 and collaborationwith another one of the authors of the present article (Sen-zon).78–80,} The concepts of these ‘‘energetic applications’’extend to the research of Jonckheere{ about the coherentand soliton nature of the waves in the spine during NSAentrainments, to the current literature on the biofield as adissipative structure and complex dynamic standing wave,51

the use of solitons by the connective tissues to transmit en-ergy,66 nonclassical forms of energy,42 the role of electron-excited states in biologic processes,68 and the soliton andacoustic nature of the action potential.81–83

With further study and verification of the survey instru-ment, EI may represent a developmental stream64 along othermultiple intelligences.84,85 For now, it stands as a useful heu-ristic device to assist individuals to access their inner resources

in the easiest way possible to create the most dynamic changein their Triads of Change and to have greater success as re-organizers. Research is planned to explore this energetic ap-plication in detail. There is enough consistent empiricalevidence for this third component of ROH that it too can beapplied across many disciplines.45,51,52,65–77

One of the ways the individual may suspect incongruencein his=her Triad of Change is through the feeling of a drop inavailable energy and resources. With greater congruence inthe triad, greater energy and resources become instantlyavailable. With these greater resources, the system evolvesand a new level of congruence=consciousness emerges,providing for what feels like a new life. Associated with eachtype of energy, there is an energetic intelligence.

ROH combines the wisdom of the ages with objectivescience by acknowledging that each individual is comprisedof at least five complex fields of energy and informationassociated with specific EI (Table 3); bioenergetic intelli-gence, emotional energetic intelligence, thought EI, soul en-ergetic intelligence, and universal-spirit EI. Based on thebackground described above, it has been observed that eachindividual has competencies around specific energetic intel-ligences and these competencies are a way to harness im-portant resources for the process of reorganization. In thisway, the individual can learn to utilize resources efficientlyand gain the intelligence associated with each.

Each of these intelligences exist within a matrix encom-passing a range between high aptitude (abundance) and lowaptitude. The low aptitude state is associated with aheightened energetic threshold for its expression. This meansthat it can take significantly more energy to utilize thesetypes of intelligence in those individuals who have a loweraptitude for these types of intelligence. These individualsoften fear and=or worry about this type of intelligence, andeither obsess about being a good enough person with thistype of intelligence, or tend to bypass using this type of in-telligence and default to another type of intelligence instead.When EI provide a high aptitude, it will be experienced asspontaneous and effortless.

Just like aspects of each triad may exist in each season, EIcan be utilized in each season as well, although each ener-getic intelligence seems to have an affinity for a specificseason (for example, bioenergetic and emotional EI aremostly associated with the season of Discover; thought EI isassociated with the season of Transform; and soul EI anduniversal spirit EIs are associated primarily with the seasonof Awaken). An individual will always use every EI in everyseason. The point is congruence. When the EI is used inconjunction with the season and the triad and this is an EI thatthe person has an aptitude for, ROH ensues. Also, in the seasonof Integrate, the individual may have a wider range of ap-titudes and competencies.

We hypothesize further that both spiritual EIs (soul EI anduniversal-spirit EI) develop as the need to defend oneself isno longer a central theme and that the development of theseare a higher-order functioning capacity of greater depth forthe human. The hypothesis is congruent with Wilber’s theorythat there are increasing levels of subtle energy, which cor-respond to increasing levels of interior depth of awareness.45

The linkages of these spiritual intelligences with the lowerones transform the use of those intelligences to spirituallyguided or inspired expressions.

§Epstein D. Energetic Life Inventory Questionnaire. 2006. Avail-able by request from authors.

}Epstein D, Senzon SA. Organizing fields of subtle energy in re-lation to five rays of consciousness and the advancement of NetworkSpinal Analysis: Certification Level Intensive [seminar notes].Longmont, CO: Innate Intelligence, November 2004.

484 EPSTEIN ET AL.

Discussion

The real keys to ROH are congruence within and betweenall three elements while utilizing optimum resources. Re-organization happens when the timing is just right (the rightseason of Wellbeing), and perception, structure, and behav-ior (the Triad of Change) coincide, while also accessing thewisdom from the most accessible aspect of the self-system:bioenergy EI; emotional EI; thought EI; soul EI; or universalspirit EI (the EI).

The emergence of ROH was driven by common patternsof successful ‘‘reorganizers.’’ Individuals successfully re-organizing within NSA and SRI demonstrate common pat-terns of structural, behavioral, and perceptual change. ROHaims to establish new strategies to access required energetic,mental, emotional and physical resources. This nonthera-peutic approach gives the model flexibility to be appliedacross many disciplines.

Successful reorganizers embody this congruence, as allthree elements work as one. Success in ROH is not about thesymptom going away although that often happens.7,13,86

Success is when the individual uses the elements of ROH tobring his=her life to the next level. Some examples of this aredemonstrated as (in case studies in preparation): a veteranwhose back pain disappeared but decided to take his lifeback, to quit smoking, get his own apartment, and go back toschool at age 52 to become a veterinary technician; a womanwho discovered a gift within bodily pains, which startedafter an auto accident years ago, and used her recovery toheal her dysfunctional family relationships; a woman who,‘‘suffering’’ or experiencing end stages of pancreatic cancerfound through the pain a resource to have greater love, be-nevolence, and acceptance for herself and others in the lastdays of her life.

Even if the symptoms were to reoccur or return, the in-dividuals would develop new lives at higher baselines offunction and new strategies to deal with life’s stressors andsymptoms. Each reorganizer identified relationships amongtheir previous lower-level function, their symptoms, andactions needed to live life more fully in a healthier state.

Changes represented in the first two examples may beexplained in part by the reduction or elimination of pain.In every case, however, the reorganizers used experienceand meaning, to lift their lives to a new level. Often, thisoccurred through more action guided by inner direction,human connection, depth and meaning. These commonali-ties are hallmarks of successful reorganization. The individ-ual learns the relationships between symptoms, meaning, thelife-system, and growth.

ROH has been successfully taught on three continents,43

and elements of ROH are currently being practiced world-wide. Research and further discussion is needed to examinethis crossdisciplinary healing paradigm.

Conclusions

ROH offers a valuable paradigm in understanding humanchange and creating sustained change. It is distinct fromRestorative Therapeutics as ROH does not seek to fix prob-lems or restore individuals to a previous state of function.Rather than restoring an aspect of the individual’s experienceto a prior state, ROH helps to consciously develop the indi-vidual’s life to the next level. In this way ROH assists the

person achieve higher standards of health and wellbeing nomatter what challenges or limitations they face. It is a per-sonalized approach to human transformation that acknowl-edges the need for timing, self-assessment, and energy in theprocess. It compels us to ask new questions of ourselves inhealing and in life. Instead of asking ‘‘what is wrong withme?,’’ an individual may ask ‘‘where am I at?’’; ‘‘where mustI go?’’; and ‘‘how do I get there?’’ To these ends, ROH makesits contribution to the literature.

ROH offers the opportunity for an individual to engage ina journey of self-assessment and self-regulation either ontheir own, or with a practitioner, to create a map for a newand sustainable future. ROH as a paradigm offers variousdisciplines the opportunity to establish an outcomes assess-ment practice, which goes beyond restoration, prevention ormaintenance, and the challenge to determine outcomes forreorganizational states for structure, perception, and behav-ior. When reorganization develops, new levels of organizedcomplexity, applications and systems are able to develop andemerge.

Acknowlegments

The authors would like to thank Jackie Knowles Epstein,D.C., and Veronica Lemberger, B.A. (for their editorial sug-gestions), Sherry McLendon, M.A. (for her organizationaland editorial suggestions), and Chistopher Kent, D.C. (for hisconceptual insights). We also offer special thanks to Kim A.Jobst M.A., D.M., M.R.C.P., M.F.Hom., for his editorial di-rection in completing this manuscript. Financial support wasprovided by the Global Gateway Foundation.

Disclosure Statement

Donald Epstein and Daniel Lemberger are associated withconducting and teaching educational and transformationalseminars based on these models through Wise World Semi-nars, Inc. Simon Senzon has received from the Global Gate-way Foundation a research and writing grant to further theobjectives of the foundation.

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Address reprint requests to:Donald M. Epstein, D.C.

Association for Network Care Research444 North Main StreetLongmont, CO 80501

E-mail: epstein@donaldepstein.com

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