Working with movement as a metaphor: Understanding the therapeutic impact of physical exercise from a gestalt perspective

Although the therapeutic impact of exercise on depression has been well documented, studies usually evaluate long-term fitness programmes and relate improved psychological well-being to changes in metabolism and physique. That exercise may stimulate affective and cognitive awareness and exploration is rarely acknowledged. This case study explores the contribution that client-chosen physical activity made to the counselling process. From a gestalt perspective, the experience of physical exercise seemed to heighten the client's present awareness, promoted the recognition and integration of conflicting facets of the self and provided a deep metaphor, both expressing and satisfying the client's needs for movement and activity (rather than passivity). The case example is unusual in illustrating how physical sporting exercise may be used as a vehicle for affective and cognitive expression.     

DECREASING BURNED CHILDREN'S PAIN BEHAVIOR: IMPACTING THE TRAUMA OF HYDROTHERAPY

We evaluated the effects of cartoon viewing with the use of a star feedback chart on two burned children's pain behavior during their physical therapy sessions. In addition, the degree to which the observational data corresponded with physical therapists' and mothers' ratings of the children's pain, fear, and cooperativeness was examined. Using a reversal single-subject design, the results showed that the children's pain behavior substantially decreased during experimental treatment sessions compared to their baseline levels. The rating scale data indicated that the physical therapist's and mother's rating of pain, anxiety, and cooperativeness were all correlated significantly with the observational data (p < .05). The contributions of respondent and operant conditioning to the occurrence and treatment of pain behavior in burned children are discussed.     

Stuttering onset after laryngectomy

Two cases of onset of stuttering subsequent to laryngectomy are reported. These patients demonstrate that the existence of a larynx is not necessary for the generation of stuttering. The findings support the hypothesis that neuromotor control of sound source (laryngeal or alaryngeal) plays a critical role in the generation of stuttering-type dysfluencies and, perhaps, even in the onset of stuttering. They also suggest that dramatic alteration in sound source has the potential for dramatically altering fluency.     

Phonological spelling

A case study is presented of phonological spelling, an acquired spelling disorder in which the primary symptom is the occurrence of phonologically plausible errors (e.g. "flood" → flud). Not all of the patient's spelling errors are as phonologically "perfect" as this example; but it is arguable that the errors primarily derive from a routine which segments a phonological code and assigns orthographic representations to these individual segments. This account of errors in phonological spelling is contrasted with an interpretation of oral reading errors in surface dyslexia. We conclude that errors in the two disorders do not reveal a precise parallel, and that the contrast is partly attributable to the differential role of comprehension in reading and spelling.     

Children's self-concept and attitude toward school in open and traditional classrooms

Children from a traditional school and two open schools were compared, using the Pictorial Self-Concept scale and the Attitude Toward School scale. To control for the self-selection of open school students, the traditional school subjects were divided into those whose parents favored and those whose parents did not favor open education. Three of the 12 analyses were significant, but not in the predicted, or in any orderly, direction. These results were attributed to chance. Attitude toward school was higher for females than males and decreased for kindergarden to grade 2. Self-concept increased form kindergarten to grade 2, with no significant sex differences.     

Variability of responding on a concurrent schedule as a function of body weight

Five pigeons pecked for food reinforcers on a concurrent variable-interval one-minute, variable-interval four-minute schedule. Each bird's body weight was varied from 80% of its free-feeding weight to 95% and then by 5% steps to 110% or until weight gains ceased. The coefficient of variation, but not the standard deviation, of the daily rate of responding on each of the component schedules increased with increases in body weight.