Tuesday, January 13, 2009

Getting Our Bodies Back or Fallproof

Getting Our Bodies Back: Recovery, Healing and Transformation Through Body-Centered Psychotherapy

Author: Christine Caldwell

A habitual movement as common as nail-biting or toe-tapping can be the key to pulling out addictive behavior by its roots. These unconscious movement "tags" indicate the places where our bodies have become split off from our psyches. When brought to consciousness and confronted they will often tell us very plainly where our psychological suffering originated, showing us where to begin reconnecting body and soul. Christine Caldwell, a pioneer in the field of somatic psychology, has created an original model for working with body wisdom called the Moving Cycle. She describes how this form of therapy has worked effectively in her own practice, and she provides practical techniques to show how we can learn to listen to what our bodies are telling us, confront addictive habits, and learn to celebrate our inherent wisdom and elegance.



Table of Contents:
Foreword
Introduction: Discovering the Source1
1It's All in Your Body13
2Jumping Ship: The Body's Role in Addiction23
3The One-Two-Three Waltz: Body Patterns in Addiction42
4Recovering Our Body: The Moving Cycle69
5Awareness as the Ground91
6Taking Responsibility Equals Taking Your Body Back108
7Recovery in Relationships: The Body Dancing138
8What Do I Practice?149
9Conclusion: Singing the Body Electric169
References175
Centers for Body-Centered Psychotherapy179

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FallProof!: A Comprehensive Balance and Mobility Training Program

Author: Debra Ros

Balance and mobility disorders resulting in falls among the elderly population pose a serious public health problem in the United States. Costs associated with falls among the elderly are estimated to range from $75 billion to $100 billion. Coupling this statistic with the fact that adults over the age of 65 represent the fastest-growing population in the United States suggests an immediate need for activity programs specifically designed to reduce physical frailty and the rising incidence of falls among the older adult population. FallProof! is the first comprehensive and structured balance and mobility training program to address these needs.

Traditionally, exercise programs designed to address physical frailty and falls have adopted one-dimensional approaches of aerobic exercise, resistance training, or flexibility training. However, research has shown that falls occur as a result of multiple risk factors, both internal and external, and the interplay of multiple body systems. FallProof! presents a multidimensional approach that systematically manipulates the individual's internal capabilities, the goals of the task being performed, and the environment in which the task is performed. This approach has been field tested with considerable success by fitness instructors and rehabilitative specialists working in a range of instructional settings.

FallProof! offers the following benefits:

  • Flexibility. Program participants can engage in group activities that takeinto account their individual abilities so that the program is not too easy or too difficult for them.
  • Guidance. FallProof! illustrates the easiest and safest ways to present each of the program's exercise components, addressing issues from safety concerns to the best ways to offer feedback to participants.
  • Supplemental materials. Reproducible health, assessment, and safety
  • questionnaires help program instructors gather crucial information and save time and energy.
  • Results. The FallProof! program has been proven to reduce the risk of falling in participants who've completed one or more rotations of the program.
FallProof! is divided into three parts. Part I provides an introduction to the body systems that contribute to balance and mobility and common age-related changes occurring in each of these systems. It also identifies the multifactorial causes of falls and describes the common medical conditions (arthritis, joint replacement surgery, osteoporosis, Parkinson's disease, and diabetes) and medications known to adversely affect balance and mobility. Part II provides suggestions on balance assessments and details the core program. And finally, Part III describes how to incorporate contemporary motor learning principles to foster optimal learning, develop lesson plans, organize the classroom environment for optimal safety and efficiency, and communicate with program participants.

FallProof! is a practical manual that blends the latest theory into practical applications. It will prove a valuable resource for physical activity instructors and health care professionals working with older adults in physical activity settings, and it will also be helpful for

Doody Review Services

Reviewer: Barbara Jean Billek-Sawhney, PT, EdD, GCS (Slippery Rock University)
Description: This book presents the balance and mobility program developed by the author, a co-director of the Center for Successful Aging at California State University at Fullerton.
Purpose: The purpose of the book is to serve as a "resource for experienced health care professionals and physical activity instructors" who want to develop and implement programs addressing balance and mobility in older adults. These objectives are commendable, especially considering the depth and breadth of material on the topics of fall risks, assessment, and interventions. The book fails to meet the needs of physical therapists, but may prove valuable to physical activity instructors such as aerobic instructors who practice in geriatrics.
Audience: According to the author, the audience is "experienced health care professionals and physical activity instructors." From my point of view, the market is primarily fitness instructors who practice in the areas of geriatrics and entry-level physical therapist assistant students. In addition, it may be of benefit for the orthopedic or outpatient physical therapist who is interested in developing geriatric wellness programs. The author attained her PhD in 1985 in the area of motor control and motor learning.
Features: The book is divided into three sections with the first section addressing theory and falls in the elderly. The second presents screening and assessment tools and training strategies addressing topics such as center-of-gravity, multisensory, strength, and flexibility training, while the third part focuses on implementing the Fall Proof program. Illustrations and photographs, the progression of training exercises, and the easy-to-read writing style are strengths of book. Other unique features include the definitions, chapter tests, and practical problems. However, some material is outdated or incomplete. For example, supersensory strategies are not addressed. Comprehensive physical assessments of clients are essential, yet not covered here. Specifically, strength, range of motion, posture, and endurance assessments are critical when identifying risk factors for falls. In addition, the section on osteoporosis addresses the high risk for the Caucasian female but fails to address the Asian female, individuals who take steroids, have a calcium poor diet, are physically inactive, smoke, or consume excessive alcohol or caffeine. These omissions may lead the reader to ignore these risk factors.
Assessment: This book may be of value for fitness instructors or individuals developing a fall prevention program, but it is too basic for the entry-level physical therapist student. For that segment of the market, there are several neurorehabilitation and geriatric physical therapy books that address balance, postural control, and fall prevention.

Rating

3 Stars from Doody




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