Psychomotor therapy for patients with stress-related complaints A cognitive-behavioral approach Olivier Glas Teacher at HAN-university Psychomotor therapist at Kairos (forensic psychiatry)
Some basic assumptions • Human beings are related to the world by their bodies and movement. • Movement-behavior should always been seen in relation to the context their moving in. • Movement behavior, cognitions and emotions are interacting with each other
Patients with stress & anxiety • CBT: problematic behaviour is learned • CBT: Healthy behavior can be learned also • Complaints related to stress & anxiety have their origin in a problematic way of dealing with emotions. • The way of dealing with emotions is influenced by cognitions and (movement)behaviour
In terms of DSM-IV • All anxiety and mood disorders (except PTSD) • Somatoform disorders • Substance related disorders (?) • Impuls-control disorder (i.p. agression) (?)
The model of David H. Barlow • How a CBT-model can be used as a theoretical frame for PMT….. • A model that makes the patient responsible for its own behavior, emotions and thoughts • The importance of doing something else than the psychotherapist
Tadaaa!!!!! Judged Attempt to Fails as unbearable supress or avoid Negative affect (emotion, sensation, thought) Judged No supressing Recovery as bearable or avoiding in a natural way Campell-Sills, L., Barlow, D.H., Brown, T.A. & Hofmann, S.G. (in preparation). Appraisal and regulation in anxiety and mood disorders.
What should I (as a psychomotor therapist)……….………..do with this??? • Observe very well (posture, tension and movement) in context! • Try to understand movement-behavior in terms of the model • Name the opposite and incompatible movement-behavior • Find the way to work towards the incompatible movement-behavior • Relaxation, exercise, fitness and increasing tension
An other useful model Expressional SensoricMotoric Impressional Self Other Hekking & Fellinger, 2003