Fragmented Images: How Can the Eye See Itself? A Relational and Intersubjective Reformulation of Cross-Cultural Therapy with Cecilia

This article discusses why it is crucial in the cross-cultural clinical encounter to practice from both Jessica Benjamin's intersubjective frame as well as relational theory when the therapist is from the dominant White culture and the client is African American. Intersubjective and relational theories are utilized to illustrate how it is in this clinical situation, however, that some therapists may find themselves avoiding the use of a more relational practice. A case illustration is presented from the lens of Winnicott's theory of object relations to convey the dynamic complexities that may impede a therapist from practicing out of these (more relational) frames and then the case is reconceptualized from both a relational and intersubjective perspective.     

Development of Bimanual Skill: The Search for Stable Patterns of Coordination

In 2 experiments, dynamic systems theory predictions concerning intrinsic dynamics and variability of bimanual coordination were examined at different developmental stages. In Experiment 1, ten 4-, 6-, 7-, 8-, and 10-year-old children and adults performed unimanual dominant, unimanual nondominant, and bimanual continuous circle drawing. All tasks were performed at the participants' preferred rate, size, and mode of coordination. The 4-, 6-, and 7-year-old children produced larger circles with longer durations than those of the 8- and 10-year-olds and the adults. That finding demonstrates that younger children display different intrinsic dynamics than older children and adults. The 4-, 6-, and 7-year-old children also displayed more variability in bimanual coordination (more time in less stable patterns of coordination, higher standard deviation in relative phase) and produced more transitions between coordination patterns than the 8- and 10-year-olds and the adults. In Experiment 2, the same participants performed bimanual circles at increasing rates. Consistent with predictions of the HKB model (H. Haken, J. A. S. Kelso, & H. Bunz, 1985), the number of transitions decreased as speed increased. Some support was found for the notion that age-related variables of attention and rate contribute to the increased variability in young children's bimanual coordination.     

Beyond Curve Fitting to Inferences About Learning

In this commentary, the authors elaborate on the issue of going beyond curve fitting to the drawing of inferences about motor learning. They argue that the agenda of A. Heathcote and S. Brown (2004) is largely a theory-free, curve-fitting enterprise that can be useful for certain aspects of describing behavior change, but that its gold standard of percentage of variance accounted for can also be misleading in its relevance to the theory of learning. Clearly, analysis methods are necessary and some are better than others, but the researcher can more fully exploit the relevance of methods to the construct with a priori theorizing than with a data-driven strategy of maximizing percentage of variance accounted for in curve fitting.     

Local Dynamic Stability of the Locomotion of Lower Extremity Joints and Trunk During Backward Upslope Walking

Backward slope walking was considered as a practical rehabilitation and training skill. However, its gait stability has been hardly studied, resulting in its limited application as a rehabilitation tool. In this study, the effect of walking direction and slope grade were investigated on the local dynamic stability of the motion of lower extremity joints and trunk segment during backward and forward upslope walking (BUW/FUW). The local divergence exponents (λ_S) of 16 adults were calculated during their BUW and FUW at grades of 0%, 5%, 10%, and 15%. Mean standard deviation over strides (MeanSD) was analyzed as their gait variability. Backward walking showed larger λ_S for the abduction-adduction and rotational angles of knee and ankle on inclined surface than forward walking, while λ_S for hip flexion-extension angle at steeper grades was opposite. No grade effect for any joint existed during BUW, while λ_S increased with the increasing grade during FUW. As to the trunk, walking direction did little impact on λ_S. Still, significant larger λ_S for its medial-lateral and vertical motion were found at the steeper grades during both FUW and BUW. Results indicate that during BUW, the backward direction may influence the stability of joint motions, while the trunk stability was challenged by the increasing grades. Therefore, BUW may be a training tool for the stability of both upper and lower body motion during gait.     

Estimating Gait Stability: Asymmetrical Loading Effects Measured Using Margin of Stability and Local Dynamic Stability

Changes to intersegmental locomotor control patterns may affect body stability. Our study aimed to (a) characterize upper body dynamic stability in response to the unilateral addition of mass to the lower extremity and (b) evaluate the efficacy of 2 different stability measures commonly used in the literature to detect resulting symmetrical step pattern modifications across the weighted segments (spatial) and between epochs of the gait cycle (temporal). Young adults walked on a treadmill while unloaded or with weights applied unilaterally to their foot, shank, or thigh. Both margin of stability and local dynamic stability (LDS) estimates detected similar trends of distal segment weighting resulting in more unstable upper body movement compared to proximal weighting; however only LDS detected anteroposterior changes in upper body stability over time.