[Letting go in order to move on--clinical report: therapeutic climbing in psychosomatic rehabilitation].
This descriptive clinical report presents therapeutic climbing as a supplementary method within movement therapy, which builds on an integrative clinical concept as part of psychosomatic rehabilitation. Areas of application of therapeutic climbing are outlined along with its varying goals and aims based on the emphasis on body and mind. These are combined with an explanation of psychosomatic movement therapy and its work at the level of experiencing. Information on clinical experience is supported by examples from patient observation. As the examples demonstrate, through therapeutic climbing in movement therapy the patients are brought into contact with their unconscious behaviour and relationship patterns and with the manner in which they deal with situations and people. In addition to the correlates of perception of emotion and body sensation, further topics and transfers come into the frame. Positive experiences are contrasted with automatic negative cognitive processes as the result of learning and socialisation. In this context it is important to emphasise the special therapeutic relationship formation during therapeutic climbing, which provides the patient with the chance of a positive relationship experience.
Schnitzler
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Gelderland-Klinik, Fachklinik für Psychotherapie und Psychosomatische Medizin, Geldern. e.schnitzler@gelderlandklinik.de
D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000523:psychology / Q000534:rehabilitation; D003866:Depressive Disorder / Q000523:psychology / Q000534:rehabilitation; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D055809:Illness Behavior; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009051:Mountaineering; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D011602:Psychophysiologic Disorders / Q000534:rehabilitation*; D055070:Resistance Training; D020377:Self Efficacy