XIII

MASSAGE

This work demands a healthy body and cheerful mind, a love of the work, endurance, and much tact in dealing with the nervous cases for which this form of treatment is found to be beneficial.

It may be undertaken either

(1) As a separate profession, or

(2) As an additional qualification by trained nurses.

The training must be good and adequate to ensure any success as a masseuse, so great care should be exercised in the choice of a school. The many training schools advertised are of varying degrees of efficiency, and those prepared to train in a few weeks, or by correspondence only, are obviously unsatisfactory.

On application to the secretary of the Incorporated Society of Trained Masseuses, information can be obtained with regard to the training schools in London and the Provinces where a course of instruction in massage is given, which is accepted by the society as adequate.

The society itself is an independent examining body which insists on a satisfactory standard for massage workers. It holds two examinations yearly and grants a certificate to successful candidates. No one may enter for the examination unless she can show that she has received her training at one of the schools approved by the society.

Adequate training in massage includes a course of not less than six months in Elementary Anatomy and Physiology, the Theory and Practice of Massage and a course of bandaging. Students usually attend the classes from 10 A.M. to 4 P.M., lectures being given in the morning, demonstrations and practical work on "model patients" in the afternoon hours.

Sufficiently advanced students are allowed to attend at hospitals or infirmaries to see—and themselves to carry out under the teacher's supervision—the treatment ordered for the patients by the doctor. In this way all students have opportunity during their training of seeing and giving treatment to the various cases which they may have to deal with as qualified masseuses when working under private doctors.

Some training schools give their own certificate after training, and this is useful as a guarantee of the training taken. It is not, however, such an assurance of efficiency to the medical profession or the general public as the certificate gained after examination by an independent examining body.

There is also a further examination held by the society once yearly in Medical Gymnastics. The minimum time to expend on this is a further six months after qualifying as a masseuse, so that it takes a year to gain the double qualification.

In addition to supplying the independent examination in these subjects, the society watches over the interests of the masseuses. All its members are bound to observe the rules of the society. The result of this is threefold.

(1) The doctor is assured that the masseuse will not undertake cases on her own diagnosis, but work only under qualified direction.

(2) The public is assured that the masseuse is a trustworthy woman as well as an efficient worker.

(3) The masseuse herself is protected from undesirable engagements. This is of considerable importance.

The training for the examination previously mentioned is from 10 to 15 guineas for those taking the course. There is generally some reduction made for nurses. The further course in Medical Gymnastics costs from 20 guineas.

From this it will be seen that the whole training is comparatively inexpensive; it is, however, not a profession to be entered lightly. London is already overstocked and the better openings at the present time are to be found in the Provinces, in Scotland and the Colonies. It is well to start, if possible, in a town where the masseuse is already known either to the doctors, or to some influential residents. Much depends on the individuality of the masseuse, and one who is prepared to give all her time to the work, taking every call that comes, may reasonably expect to make in her first year from £50 to £100. By the third year a steady connection should be formed, bringing in an income of £150 to £250. This cannot, however, be expected unless the masseuse has some introductions to start her in her work.

Fees in the country vary from 3s. 6d. to 7s. a visit, and in London and some other places they rise to 10s. 6d. for an hour or less.

Hospital and nursing-home appointments are most useful as experience for the masseuse in her first year; they should be tried before she finally decides where to start work. Such appointments are residential, and the salaries offered vary from £30 to £70 a year.

It must not be forgotten that, owing to the short and comparatively inexpensive training, very many women take up this work, so that the above excellent results are not realised unless the masseuse has good introductions. The value of a thoroughly reliable society such as that mentioned cannot be over-estimated, not only for its certificate, but also on account of the information it can give as to the respectability of posts advertised for masseuses. Many of these are unfortunately merely blinds for undesirable houses. [SUB-EDITOR.]