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By W. Yasmin. Carnegie Mellon University.

Curative Eurhythmy Anthroposophy as creative performance — eurythmics claims to be a "direct" expression of a rhythm that pervades nature and is sup- 92 Steiner’s Heirs posed to bring in a "harmonizing process" that influences diseased or- gans purchase actoplus met 500mg amex, the "astral body" and the "etheric body". According to the princi- ple of the binary structure of the human body centered around its rhythmic center, an imbalance of the organism entails a rhythmic disor- ganization of the center. The balance that is thrown off by this dys- rythmy is restored using techniques intended to re-center the subject on a fundamental rhythm. Curative eurhythmy was proposed as a ther- apy in the course Steiner gave to doctors in 1921. The subject must utter certain sounds, accentuating specific vowels, consonants or other sounds that match his own inner resonance. Curative eurhythmy is supposed to act on the various parts of the body by setting specific organs in vibration, and it is supposed to gradually reconstitute the organism’s rhythmic balance. The artistic activities are supposed to establish physical forms around the subject, in his interface with the external world, that are intended to recreate balance among the etheric forms. To that end, the patient adds to his program of bodily expression (the essence of eu- rhythmy) a creative program involving sculpting, painting or building geometrical shapes, with the goal of creating actual waves of that form around the subject. In the Steiner centers, making shapes is supplemented with the use of col- ors, in order to establish a color environment that is related to a color/ illness relationship as well as to a metal- or astral-based patient/color relationship. For the three activities — curative eurhythmy, making shapes through artistic creation, and setting up a subject/color resonance — the patient brings harmony to his coenesthesis* and to his audio and visual surroundings that should restore the rhythmic balance that has * Psychological term for an ensemble of sensations, such as sickness or health, that make us aware of our body’s condition. The private Steiner clinics that specialize in "cancer treatment" have thus crafted a regimen of care made up of creative and eurhythmic activities, plus hot baths aromatized with various plant essences (chosen according to what type of tumor is involved and what energy vibration is required), underwater massages and injections of fer- mented mistletoe. Surgical operations are accepted, but anthroposo- phic doctors refuse and counsel against radiation treatments, which change the energy balances and disturb the etheric bodies, thereby "damaging the astral body". As a complement to the recommended cancer treatments, the patients must consume only vegetarian food produced using "biological culture" or biodynamics, and no flesh- colored food, which causes energy disturbance. Mistletoe Therapy The principle cancer therapy recommended by Steiner, and picked up again today by his disciples, is founded on mistletoe, the holy plant of the druids.

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The many possible ways we could improve discretion instead of elimi- nating it need more emphasis cheap 500 mg actoplus met fast delivery. If we consider a sequence of actions necessary to reach a goal, such as the sequence needed to minimize violent behavior in a community, we may well find that the method of indirection is the only feasible one. The reason is that the long- range goal, the vision of a peaceable community, is not immediately operative in altering the events, places and persons which predispose to violence. Perhaps people who are idle need to be put to work, babies need to have more nurturing contact with their mothers, anesthesia is needed for circumcision, noise levels need to be reduced, guns taken out of harm’s way, colors muted in some public places, the use of alcohol on election days curtailed, etc. Perhaps preliminary, seemingly very adventitious ends for the relevant players in possible future violent scenes need to be made the operative ends very early in the process. Dewey calls this a "flank movement," whereby impulses not directed at the long- term goal are drafted into service of intermediate aims. We must make that the end the main thing is to find some act which is different from the usual one. The discovery and performance of this unaccustomed act is the ‘end’ [an intermediate end-in-view] to which we must devote all attention. Otherwise we shall simply do the old thing over and over again, no matter what is our conscious command. We have to find sequences of acts induced by cues and directed at intermediate goals which recruit effective impulses, often unrelated to the distant goals, to get ourselves off dead center. So it is that physicians, nurses and health educators trying to work with tobacco addiction in young people have learned that distant dangers like threats of cancer and heart disease after decades have no compelling immediate effect on behavior in the young. It is far more useful to find out what immediate positive values are being served by smoking (sometimes it is even bravado in the face of distant dangers) and look for substitutes to fulfill the same needs once they are understood and respected. Moreover, important present values for young patients may be getting undermined by tobacco use in ways that some have not fully appreciated, and these can be brought to the fore. Adverse and ongoing cosmetic, physiologic, and social harms and increases in price have motivated tobacco cessation far more effectively than health concerns for a distant and, for many adolescents, practically unreal future.

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The approach within this chapter will be first to look at these modalities individually order actoplus met 500 mg on line, then to reflect on how the practitioner can integrate their use so that the weaknesses of one may be rectified or ‘checked’ by one or both of the other three. ISBN 0-470-01971-9 48 Exercise Leadership in Cardiac Rehabilitation integration of modalities forms a brief but very important final section to this chapter. SAFE AND EFFECTIVE EXERCISE INTENSITY Exercise intensity is felt to be the most important of the four main com- ponents of the overload principle of training (McArdle, et al. The other three components of the overload or dose-response FITT principle are fre- quency, duration (time) and mode (type) of activity. Hence, the abbreviation FITT is used to describe the ‘overload’ or ‘dose-response’ principle. With regard to exercise intensity in cardiac patients, the key factors are those that influence: •The safety of the intensity, to avoid the risk of a clinical cardiovascular event (e. This would also correspond to the appropriate intensity that allows patients to sustain the required duration of activity for achieving the desired physiological and clinical benefits. If the intensity is too high, patients will not be able to achieve the appropriate duration, and if too low, the full potential of health and clinical benefits from exercise and fitness will not be attained. There is also the important psychological aspect of determining the correct individualised intensity. Such influences relate to age, gender, mood, self- efficacy and self-esteem (Oldridge and Stoedefalke, 1984; Carlson, et al. In practical terms this relates to the patients’ sense of control or mastery over their exercise, anxieties from the fear of over- exertion causing an event, and attaining enjoyment from the exercise. If the exercise leader fails to achieve these underpinning psychological factors, focusing only on physiological intensity, the required longer-term changes of behaviour for maintaining physical activity at appropriate levels are less likely. It is important that CR programme teams ensure that patients are confident in working at their physiologically prescribed exercise intensity. This may require the need to build up the patients gradually to their desired intensity over the rehabilitation programme. In order to develop patient self-efficacy for controlling exercise intensity, they should be encouraged to become less reliant on the clinical measures of intensity, such as ECG, heart rate (HR) and METs and to focus, instead, on controlling intensity from their perceptions of exertion that correlate with these clinical measures. A key role of the early phases of CR includes not only enhancing physiological changes but also facilitating patients’ learning, identifying and experiencing the correct Exercise Physiology and Monitoring of Exercise 49 intensity for attaining and sustaining such changes over the longer term (Song, 2003).


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