Treatment and Evaluation in Psychiatric Physiotherapy

............................................................................................................................................................................. 2 PREFACE ................................................................................................................................................................................. 3 CONTENTS .............................................................................................................................................................................. 4 ACKNOWLEDGEMENTS ...................................................................................................................................................... 5 BODY-CENTRED METHODS ............................................................................................................................................... 6 An overview of some body-centred therapies.............................................................................................................. 6 BODY-CENTRED CONCEPTS .............................................................................................................................................. 8 Definitions ........................................................................................................................................................................... 9 BODY AWARENESS THERAPY ......................................................................................................................................... 10 Background ....................................................................................................................................................................... 10 Indications ......................................................................................................................................................................... 10 Time needed...................................................................................................................................................................... 10 Adverse effects ................................................................................................................................................................. 11 Basic conditions for Body Awareness Therapy ......................................................................................................... 11 The goals of Body Awareness Therapy ....................................................................................................................... 11 Basic Body Awareness Therapy, concerning general movement functions........................................................ 12 Advanced, Individualistic Oriented Body Awareness Therapy ............................................................................... 13 THE BODY AWARENESS SCALE, BAS............................................................................................................................. 16 Rating scales versus other measurements ................................................................................................................. 16 Purpose of the BAS ......................................................................................................................................................... 16 The construction of the BAS ......................................................................................................................................... 17 Item description................................................................................................................................................................ 17 The movement test .......................................................................................................................................................... 20 Scoring and Manual......................................................................................................................................................... 21 CLINICAL APPLICATION OF THE BODY AWARENESS SCALE ................................................................................ 22 Aims.................................................................................................................................................................................... 22 Factor-analytic study....................................................................................................................................................... 22 Patients .............................................................................................................................................................................. 22 Design of the studies....................................................................................................................................................... 23 METHODS ............................................................................................................................................................................. 23 Ratings ............................................................................................................................................................................... 23 Statistical method ............................................................................................................................................................ 23 RESULTS................................................................................................................................................................................ 24 Descriptive study.............................................................................................................................................................. 24 Factor Analytic Study...................................................................................................................................................... 25 Description and interpretation of the factors ............................................................................................................. 25 DISCUSSION.......................................................................................................................................................................... 30 Sources of error................................................................................................................................................................ 30 The scale............................................................................................................................................................................ 30 DISCRIMINATIVE STUDY .................................................................................................................................................. 33 Aim ...................................................................................................................................................................................... 33 General design.................................................................................................................................................................. 33 Patients .............................................................................................................................................................................. 34 METHODS ............................................................................................................................................................................. 38 Assessments ..................................................................................................................................................................... 38 Rating procedure and time used................................................................................................................................... 38 Treatment methods.......................................................................................................................................................... 39 Statistical methods .......................................................................................................................................................... 41 RESULTS................................................................................................................................................................................ 41 Introductory comments................................................................................................................................................... 41 Results for factors............................................................................................................................................................ 41 Results for separate items.............................................................................................................................................. 42