In this book, Jean-Pierre Barral further develops the concepts, techniques, & approaches first described in his pioneering work Visceral Manipulation. While that text focused on the fundamental anatomical & physiological background of this approach to treatment, along with the basic manipulative techniques, Visceral Manipulation II is centred around clinical signs, diagnostic methods, emotional connections, & more advanced techniques. The first chapter introduces the concept of lesional chains & reflexogenic zones that are crucial to the utilization of visceral approaches in the context of osteopathy. There is an in-depth discussion of such unique diagnostic methods as general & local listening, proper uses of the Adson-Wright & other orthopedic tests, the relationship between the emotions & the organs, techniques for restoring proper visceral viscoelasticity, & strategies for treatment, including some special problems associated with manipulation in children. Other chapters discuss such structures as the peritoneum, spleen, & pancreas that were not covered in Visceral Manipulation. There are also discussions of the gastroesophageal junction, stomach & duodenum, liver, gallbladder & bile ducts, jejunoileum & colon, & kidneys. Each of these chapters complements & expands upon those in the first book by providing fresh & more detailed perspectives on important aspects of using visceral manipulation in the clinic. In this revised edition, all of the illustrations have been updated, photographs have been added, & the text revised to more closely follow Jean-Pierre Barrals present approach to visceral manipulation. New techniques are introduced, & background information provided on such topics as the relationship of the different organs to the emotions. Visceral Manipulation II is an important book for all practitioners who wish to advance their skills in visceral manipulation.