Intensive Programm 2012

1. Intensive Programm2012

3. Aims • You get a short insight into Portugal und Swiss Psychomotor Therapy • You know with whom Psychomotor Therapy in Portugal and Switzerland is working • You learn how the psychomotor therapist can work undirectly by changing the settings • You find out how the psychomotor therapist can work directly with children

4. Portugal

5. Lisbon & surroundings

6. Technical University of Lisbon Faculty of Human Kinetics Therapeutic Room

7. PSYCHOMOTOR & PSYCHOMOTOR THERAPYHistorical Evolution • Within the nineteenth century the mind/brain problem was especially important because physiologists and psychologists focused on the nature and cerebral localization of mind. • “Psychomotor” - 1870 (Fritsch & Hitzig) - Medical Domain- Neurology to address a specific brain area responsible for mental image and movement • 1909 –Eduard Dupré (Neuropsichiatrist) – Studies about motor and mental disabilities . • Psychomotor disorders – movement pathologies not related with neurological cause • 1925 - Henri Wallon (Doctor, Psychologist, Philosopher)-Mouvement and emotions;Reciprocal interaction between mental and motor functions • 1935- Eduard Guilmain – Assessment protocols to detect psychomotor disorders • 1948 - Ajuriaguerra – Defined Psychomotor Disorders in his Manual of Infant Psychiatry • 1960s – Psychomotor Therapy and Reeducation (Ajuriaguerra, Soubiran, Le Boulch, Defontaine, Lapierre & Aucoutourrier)

8. PSYCHOMOTOR THEORY • A psychomotor theory was created to explain the psychomotor coupling in health and disease, stating that, not the mind-brain duality or unity, but the mind-brain-body triad as a functional unit may be essential in health and disease, because mind does not end in the brain, but further controls movements, in a reciprocal manner; mental and motor events share the same neural substrate, cortical, and spinal motoneurons. • (Tan, 2007; International Journal of Neuroscience, 117:1109–1148)

9. When did psychomotor therapy start (Switzerland) ? • 1964: university of Geneva • Founders: Suzanne Naville (cooperation with Prof. Ajuriaguerra) • 1970: first education of psychomotor therapy in Zurich • 1996: Interkantonale Hochschule für Heilpädagogik (HfH) • Susanne Amft (importance of social-emotional skills) • 2001: Switzerland signet the Bologna treaty

10. When did psychomotor therapy start (Portugal) ? • João dos Santos, graduations in Physical Education and Medical – Psychiatry; Works for 4 years in France (C.N.R.S.) in Biopsichology Lab with Wallon, Ajuriaguerra, Leibovici, and others. • In 1965 creates the Children’s Mental Health and ntroduces psychomotor theraphy in Portugal as well as a new method - Pedagogical-therapeutic, for children presenting temporary special educational needs or mental health problems. Is director os several mental health servicesa and participates in the foundation of several associations in behalf disabled people .Member of Psycanalitic Society(Honoris Causa – FMH) • .

11. After 1975: Pedro Onofre, Physical Education teacher, disseminates Psychomotor intervention throughout the country, specially in kindergartens and schools and also in private contexts for children with special needs • After 1980:Vitor da Fonseca, PhD. - Faculty of Human Kinetics, was another important responsible for disseminating psychomotricity, not only in Portugal • but also in Spain, Brasil, and different latin- american countries. • He is the main author in this domain, in our country, and has a wide list of books and publicatons, about this subject.

12. Faculty of Human Kinetics – Technical University of Lisbon Education/Training in Psychomotricity (Portugal)? 1996 – Portugal participated on the Foundation of European Forum Psychomotricity 2000- Portuguese Association of Psychomotricity (APP) 2001 – Portugal signed the Bolonha Treaty 2002 – Psychomotor Rehabilitation - Bachelor degree Presently – 3 public high schools (FMH, UTAD,UE) and 2 private (UFP,IP) 2010- Masters degree in Psychomotor Rehabilitation (FMH)

13. What are the conceptual foundations (Switzerland)? • Psychomotor therapy refers to a development model emphasizing the • Dynamics processes of child development. The interactions, designed by • the child, become the focus. Physical, psychological and social factors • play an interactive role. • Setting • Methods of learning and experiencing • New problem solutionstrategies • Key media in psychomotor therapy are movement and play

14. What are the conceptual foundations (Portugal)? • Psychomotor Therapy is a transdisciplinary field of knowledge that studies the relationships between mental and motor functions in different contexts, in order to help overcome problems of maturation, development, learning and behavior through intervention by body mediation (APP,2006) • Some intervention strategies: • Play & movementRelaxation techniques and body awarenessGestural and postural educationExpressive activities

15. Psychomotor therapy for whom (Switzerland)? • Children between 4 and 12 who have problems in... • motor function • emotional behavior • social behaviour • writing • developmental delay • Most of them have more than one problem! • (Amft & Amft, 2003)

16. Psychomotor interventions or therapy for whom (Portugal)? • Children and young people with typical or atypical development, adults with mental health problems and is starting to include the elderly people in order to maintain functionality and promoting quality of life • Psychomotor therapy is effective in many clinical situations during all life spam: Dyspraxia, tonic problems, postural instability, impaired body scheme and laterality, spatial structure and temporal disturbances of body image, psychosomatic problems; communication difficulties and contact inhibition, hyperactivity, aggression; deficits in attention, memory, perceptual organization, symbolic and conceptual organization, etc.

17. From diagnostic assessment to therapy (Switzerland) • initiate by: Teachers, doctors or parents • diagnostic tools (e.g. M-ABC or MOT 4-6) and individual observation • Recommendation to the parents • individual therapy or in group therapy • preventive work • counsel teachers and parents

18. From referral, diagnostic assessment to therapy (Portugal) • Psychomotor therapy is usually refered by: doctors, specifically mental health system, teachers or parents • Assessment instruments (e.g.): • Psychomotor Battery (Fonseca, 1995) • Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) (Bruinicks, 2005) • Miller Assessment Preschool Test (MAP) Miller, 1987) • Schedule of Growing Skills II (Bellman, Lingam, & Aukett, 1996) • Individual systematic observation

19. Where does it take place (Switzerland)? • integral part of the school system • kindergarten to 6th grade • therapy room or classroom setting • one-to-one basis or in small groups

20. Where does it take place (Portugal)? Therapeutic, Education & Social Protection Settings • Hospital – Dep. Psychiatry (Child or Adult Psychiatry)- Public • Dep. Paediatrics and Development • Private & Public sectors :kindergarten , schools, special schools, day-care centres, residential homes for children and young people, NGA for disabled people, and eldery, municipal projects. • Private clinics and child development centres • Non Govermental Organizatons for handicapped and at psychosocial risk groups

22. Hospital Garcia de Orta DevelopmentCenter TS

31. How is delivered? – Type of sessions • On a one-to-one basis • In small groups in a therapy room or in large groups on a gymnasium • In some private schools it is also done within a classroom setting

32. Competences of the Psychomotor Therapist • Assessment of Psychomotor Development, prescription, planning implementation • and evaluation of psychomotor programs for typical or atypical populations, • counseling parents, teachers or other therapists about intervention strategies or • environmental adaptations in order to promote optimal psychomotor development • Psychomotor therapy is not yet a profession regulated by public ministries, in Portugal • but it already exists n the National Profession Classification List. • There is some private health assistance that reimburses psychomotor therapy , • And the social security system may pay for treatment in specific situations. • A medical prescription is not required, but a multidisciplinary assessment or a medical diagnosis may be necessary

33. Who works in psychomotor therapy? • Education: qualification in psychomotor therapy in Zürich or Geneva (or recognized PMT degree form other countries) • 95% are women • All cantons offer the therapy but the capacity varies from canton ti canton (i.e. there are 70 fulltime therapists in the canton of Zürich)

34. Movie Psychomotor Therapy in Switzerland

35. Magic Stick