Operator vs Interactor
An operator imagines they are directly affecting “tissues”, and that “tissues” are responding, directly, to their tender or not-so-tender ministrations. They see themselves as direct agents of any change – “It was all about me, and my magic hands, making your tissues behave themselves.” The implication of this terminology is that the patient is a passive recipient of the manual act.
The interactor sees the context of the treatment including the technique, the provider, the participant, the environment, and the interaction between these factors as contributing to patient outcomes. The interactor considers the interaction between these various factors, not simply the performance of one or more techniques as an ‘operator.’