practitioners (73%) completed at least one client questionnaire, giving a total of 792 client questionnaires for analysis. It was evident from both the preliminary stage and the main survey that musculoskeletal and psychological problems were the most common conditions presenting for Shiatsu treatment. Conclusion: It was concluded that efficacy research in Shiatsu should focus on musculoskeletal and psychological problems particularly neck/shoulder and lower back problems, arthritis, depression, stress and anxiety Comment: This survey was funded by the Research Council for Complementary Medicine (RCCM) and supported by the Shiatsu Society UK to ascertain the direction of future research into the efficacy of Shiatsu. 8. Pooley,N. (1998). The pinning down of Shiatsu, or what I learned from my research experience. Complementary Therapies in Medicine 6:45-46. Comment: This provides a background, by one of the authors of the paper on the survey conducted on what Shiatsu practitioners treat (Harris and Pooley 1998). 9. Long,A.F. and Mackay,H.C. (2003). The effects of Shiatsu: findings from a two-country exploratory study. J Altern Complement Med 9:539-547. Abstract: OBJECTIVES: To provide insight into client and practitioner perceptions of the effects of Shiatsu, in the short and longer term, and positive and negative in nature. DESIGN: A two-country, exploratory study was undertaken in the United Kingdom and Germany. In-depth interviews were undertaken with a purposive sample of 14 Shiatsu practitioners and 15 clients. Client interviews focused on 207 the experience of Shiatsu and perceptions of its effects, both positive and negative. Practitioners were also asked about factors that enhanced or inhibited successful treatment. The taped and transcribed data were analyzed using grounded theory, assisted by NVivo (QSR, Markham, Ontario, Canada) software. To enhance generalisability, the findings from the alternative country data set were presented to a further set of practitioners in each country and as a whole to an international meeting of practitioners from seven European countries. RESULTS: There was similarity in the perspectives of the clients and practitioners and participants from the United Kingdom and Germany. Both described a wide range of common, immediate and longer term effects. These included effects on initial symptoms, relaxation, sleeping, posture, and experiences of the body. A category of transitional effect arose, describing an effect that was not particularly positive and did not last long. Practitioners characterized this as being part of the healing response.