As full part of his psychological studies at Université LYON II Patrick Sermet participated in psychiatric hospital to supervision analysis and Balint Therapy groups. This experience influenced the course of the development of the Interactive Method of Analysis.

Different psy courses and jobs offered him multiple and diverse experiences in caring relationships with great mental suffering adults, traumatized children, severed burned teenagers, burnout child minders and overwhelmed parents. 


Importing "shrink" experiences and knowledge in his chiropractor's office, he initiated a whole new dimension, rereading chiropractic technics, generating new skills and expanding his (Chiro)practice toward therapeutic care.

MAIN Chiro fully incorporates the quality of the therapeutic relationship. The effectiveness of the Method is closely linked to it:

  • Effective treatment needs a sufficient positive relationship; this is called Placebo.
  • The INTERACTIVE aspect of MAIN Chiro stresses that testing the body is not only a "neuro-mechanical" absolutely objective, one-sided reflex. The body, beyond being an organic machinery carries emotional, familial, social, cultural,... issues . Plus the operator is himself player of the test. All of this influences the answers and their reading.
  • Answers to the testing are influenced, because inevitably made in the particular coloration of the doctor-patient relationship.
  • Reading the Reacting Leg is a tool for objectification of nerve interference detectable at the crania-spino-meningeal system in the subjective context of the chiropractor-patient psychological transfers

  • Practitioner intent and patient demand and the meeting of both direct and inflect the implementation of the method and the therapeutic efficiency depending upon the symbolic efficiency.

  • The quality of the Doctor-Patient relationship is essential to therapeutic efficacy. The Transference dimension is active as in all human relationship, let alone care.
  • The health practitioner adopting a - defensive - attitude skipping the emotional challenges of the therapeutic care might disinvest his practice and/or develop a BURNOUT syndrome 
  • The affective dimension of care is highlighted by the requirements of MAIN Chiro method. It's implementation is very demanding. A strictly operational application of the tests might result in a soulless technical form. 


At the Franco-European Institute of Chiropractic (IFEC) Patrick Sermet developed an original class for the Paris and Toulouse chiropractic clinics interns entitled "Development of the Patient-chiropractor relationship". Including lectures in psychology and discussion groups allowing him to hear concerns in relationships with patients.


The Elaboration of the Therapeutic Relationship Seminar offers to develop a better understanding of the Doctor-Patient Relationship thru its emotional scale by :

  • approaching the psycho-emotional aspects in body care
  • working on the frame of care to
    • build and/or strengthen the settings for a safe body-mind-emotional care 
    • preserve the physical and mental integrity of both practitioner and patient
  • sharing and analyzing patient visits to learn how to
    • welcome and assist 
    • listen and hear
  • role-plays within the group :
    • re-living particular visits and re-interpret them
    • training to speed lay-lecturing. 
  • training in auto-relaxation techniques that offers to the practitioners to link with their feelings and emotion in cases exposures.