WORKSHOP Movement analysis untuk asesmen kondisi psikologis Wiloka

WORKSHOP Movement analysis untuk asesmen kondisi psikologis Wiloka workshop 27 Januari 2019

Hasil yang diharapkan Mempraktekkan embodiment, observasi, dan analisis gerak tubuh untuk memperoleh kesadaran dan memahami pilihan gerak tubuh, kebiasaan, kebutuhan untuk komunikasi, aksi, dan rekuperasi individu Mampu melakukan asesmen gerak tubuh untuk kepentingan tritmen kelayan

Metode Penyampaian Informasi/presentasi (overview teori dan aplikasi) Studi kasus dan diskusi Praktik observasi, Embodiment, dan Experiential

AGENDA 09. 00 – 10. 00: Introduction 10. 00 – 12. 00: Materi Kestenberg Movement Profile (Teori, Observasi, dan Praktik Embodiment) 12. 00 – 13. 00: Makan Siang 13. 00 – 15. 00: Praktik Observasi Gerak Tubuh dan Experiential untuk Analisis Gerak Tubuh 15. 00 – 15. 30: Diskusi, Refleksi, Snack, Penutupan

“In my experience, patients get better only if they develop deep, positive feelings for their therapist. I also don’t think that you can grow and change unless you feel that you have some impact on the person who is treating you” - Bessel van Der Kolk.

Healing process… Therapeutic relationships Intersubjectivity – “I know that you know that I know” Attunement – verbal dan non-verbal Kinesthetic empathy

Evidence based and theoretical assumptions Gerak tubuh merefleksikan kondisi biologis, lingkungan, emosi, dan proses fisiologis seseorang Media komunikasi Terdapat perkembangan gerak tubuh dalam perkembangan manusia Perubahan dalam pola gerak seseorang dapat mengubah kondisi fisik, neurofisiologis, kognitif, dan relasional Imagery dalam ketidaksadaran dapat diekspresikan diselesaikan hanya melalui gerak tubuh; perubahan tidak memerlukan insight/pemahaman Gerak tubuh menyediakan sarana ekspresi kreatif dan vitalitas, yang mana berguna untuk penyembuhan (sistem imun dan hormon endokrin) Semakin beragam gerak tubuh seseorang, semakin baik coping strategy.

“In order to shift emotional or psychological state, it is essential to shift physiological state” - Bessel van Der Kolk.

Metode pendekatan perubahan perilaku melalui gerak dan tubuh Client Movement Experience Gerak fungsional – perubahan aktivitas tubuh menurut movement assessment (Kestenberg - Developmental, Laban, Bartenieff) Ekspresi autentik/Authentic expression (merepresentasikan emosi dan pikiran melalui improvisasi gerak) Ekpresi representasional: mengakses kreatifitas melalui simbol, imagery, dan metafora Relasi terapeutik yang suportif; Memahami dan melakukan pendekatan dengan kelayan sesuai dengan kondisi kelayan saat ini. Contoh intervensi: mirroring Aktivitas ritmik pada kelompok: ritme mempunyai kekuatan pada organisasi, meregulasi diri sendiri, dan memudahkan transisi

Asesmen dalam dance/movement therapy Bio-psycho-social assessment Skrining dan asesmen psikologis tambahan yang diperlukan Movement assessment

Movement assessment LMA (Laban Movement Analysis) & Bartenieff Fundamental KMP (Kestenberg Movement Profile)

Kestenberg Movement Profile Sistem Jenis Gerak Representasi Tension Flow Rhythms Rhythmic Movement: Developmental stage Pemenuhan kebutuhan Tension Flow Attributes Flow adjustment –- Even flow Low intensity –- High intensity Gradual -- Abruptness Temperamen, Kepribadian Pre-efforts Flexibility –- Channeling Gentleness –- Vehemence Hesitation -- Suddenness Learning style, Defense mechanism Efforts Indirect – Direct Lightness – Strengths Sustained -- Quickness Coping skills

lanjutan Sistem Jenis Gerak Representasi Bipolar Shape Flow Widening –- Narrowing Lengthening –- Shortening Bulging --- Hollowing Self-feelings, Trusts, Holding environment, Body image, Communication of emotions Unipolar Shape Flow Widening lateral –- Narrowing lateral Lengthening/shortening up -Lengthening/shortening down Bulging/hollowing forward –- Bulging/hollowing backward Attraction – repulsion, Development of relationships Shaping in Directions Sideways –- Across Up –- Down Forward -- Backward Self-protection, Structures learning Shaping in planes Spreading –- Enclosing Rising –- Shrinking Advancing -- Retreating Social skills

Tension Flow Rhythm - Movement Development Rhythms (Basic Needs and Drives) Outer Genital (4 -5 tahun) Inner Genital (3 -4 tahun) Urethral (2 -3 tahun) Anal (1 -2 tahun) Oral (0 -1 tahun)

Stage Oral (01) Type Rhythm Behavioral example/personality characteristic Indulging Sucking Memasukkan barang ke mulut, melakukan hal berulang-ulang, rocking, menikmati memasukkan makanan ke mulut, lolipop, mengangguk-angguk Fighting Snapping/biting Tapping, snapping, mengunyah, menggigit, menjambak, tepuk tangan Indulging Twisting Menggoda, berpura-pura, merangkak, berantakan, merengek, flexible, play, memanjat Fighting Strain/release Mendorong, memanjat, keras kepala, mengangkat, kontrol, melempar bola, mendorong-menarik Running/drifting Pasif, let go, mengembara, get lost, kehilangan barang-barang, day-dreaming, elastis, lack of control/boundaries Fighting Starting/stopping Tidak sabaran, demanding, menekan tombol on and off, kompetitif, stop and go, action role play, mobile, project forward, hollow back Inner Genital (3 -4) Indulging Swaying Mengasuh, bertanya banyak pertanyaan, tertarik pada kehamilan, easy-going, goyang pinggul, rocking in chair, humming in lullaby Fighting Surging/birthing Menggerutu, tidak puas, mengeluarkan, melempar, pura-pura melahirkan bayi, punya ide, membuat kreativitas, menyanyi opera Outer Genital (4 -5) Indulging Jumping Menginterupsi, melompat-lompat, mengidentifikasi diri dg superhero, bersemangat dan tertarik, tampil, energetik Fighting Spurting/ramming Fokus, lantang, agresif, menembak, slamdunk bola basket, serudukan, asertif dan kadang eksplosif, karate Anal (12) Urethral Indulging (2 -3)

Stage Oral (0 -1) Type Rhythm Representasi Indulging Sucking Self-soothing, communication & attachment, safety, enjoy in taking in food, knowledge, sensation & experience, curious, suka berbicara, more dependent, regressing, Fighting Snapping/biting Self-definition, body boundaries, stability, differentiation from the primary caregiver, critical thinking, strict boundaries, black and white, individualis Twisting Playful, menghindari, humoris, ambivalence, improvisation, change, dependent on others for structure and support, diorganizes, Strain/release Asertif, kemauan kuat, keras kepala, need for order, konsentrasi, neat, well-organized, controlled, fix on an idea, not easily swayed Running/drifting Letting go, relaxing, drifting, meandering, difficult to keep focus, moving and thinking at own pace, not allowing strict schedule Starting/stopping Mobility, burst of energy, impatient with delay, goaloriented, ambitious, competitive, rushing, always on the Anal (1 -2) Indulging Fighting Urethral (2 Indulging -3) Fighting

Inner Genital (3 -4) Outer Genital (4 -5) Indulging Swaying Easy going, nurturing, nagging, whining, complaining, creating relationship, nurturing, integrating diversity, Fighting Surging/birthing Intense creation, creative workers, falling in love deeply, integration and organization Indulging Jumping Dynamics, outgoing, energetic, show off, intense mood swings, sudden flash of insight, provide stimulation but need direction, not aggressive Fighting Spurting/rammin Explosive, aggressive, assertive, highly g motivated, hyper-involved, competitive sport coach, dynamic and aggressive speaker and leader

TENSION FLOW ATTRIBUTES (EMOSI, TEMPERAMEN & KEPRIBADIAN) Flow Adjustment Low Intensity Gradual Even Flow High Intensity Abruptness

PRE-EFFORTS (LEARNING STYLE & DEFENSE MECHANISM) Flexibility Gentleness Hesitation Channeling Vehemence Suddenness

EFFORTS (COPING SKILLS) Flow: continuity, related to feelings Free: outpouring, fluid, uncontrolled, letting the inside out and the outside in Bound: controlled, careful, contained, allows for clarity, boundaries, keeping the inside in and the outside out Space (Indirect/Direct): how you give attention Indirect: Direct: single focused, channeled, pinpointed, it’s a THIS way Weight (Light/Strong): sensation of self and intention in moving Light: airy, delicate, buoyant Strong: multi-focused, flexible, taking it all in, seeing many option at once powerful, forceful, impact, firm touch Time (Sustained/Sudden): inner attitude toward the time Sustained: Sudden: leisurely, gradual, lingering urgent, quick, NOW

Bipolar Shape Flow (self-feelings, trust, holding environment, comfort-discomfort, body image, communication of emotion Widening: Narrowing: attention, exploration, communication; too much: over trusting, seeking comfort externally, not able to self-sooth, to get attention from outside/others but not necessarily care (almost like narcisisstic way) discomfort, self-containment, separation, response to discomfort either from outside or inside Too much: not very open/receptive, difficult to be generous, Lengthening: Shortening: intention, presentation, confrontation, evaluation, feeling big, proud, happy, elated, stability, internal security Too much: feeling a little too proud, I can do it myself humility, anger, elimination, letting go, letting others to support, Bulging: Hollowing: anticipation, decision making, operation, self-confident. Too much: arrogant, overly confident emptying out, crying, allowing for processess for eliminating, sneezing, coughing. Too much: grief, sadness, depression, depletion, drained, exhausted, no self-confident, hard to reach out

Unipolar Shape Flow (Attraction - repulsion, response stimulus lingkungan, development of relationships) Widening lateral Narrowing lateral Lengthening/shortening up down Bulging/hollowing forward backward

SHAPING IN DIRECTIONS (SELFPROTECTION & STRUCTURE LEARNING) Gerak linier, batasan yang jelas, dan relasi dengan orang lain Sideways Up Forward Across Down Backward

SHAPING IN PLANES (SOCIAL SKILLS) Horizontal Spreading Vertical Sagittal Rising Enclosing Shrinking Advancing Retreating Spreading with indirectness Enclosing with directness Rising with Lightness Shrinking with Strength Advancing with Sustainment Retreating with Quickness

Contoh Intervensi Attunement

Gerak dominan sucking rhythm dan horizontal Mirroring Attune horizontal plane pada ritme oral sucking Memeluk Duduk dengan posisi terbuka, merepresentasikan simbiosis

Gerak dominan biting rhythm, glaring, devouring eyes, tense jaw Menjaga pada posisi horisontal yang terbuka Waspada terhadap sentuhan dan konsep saya/bukan saya Looking at and looking away Melakukan gerakan menepuk-nepuk dengan ritme biting pad kelayan Memijat dengan pelan, menggunakan ritme seperti orak mengunyah Mengencourage untuk melakukan embodiment binatang yang berupa hewak yang menggertak dan menggeram

Gerak dominan twisting, rengekan, ambivalent vocal tone Mempraktekkan fase separation and individuation Vertical plane Fokus pada jarak dan kembali (trial separation) Mendorong dan menarik: Pushing away and pulling towards Dipeluk lalu ditinggal, lalu kembali untuk ”dicharge”

Gerak dominan strain/release Vertical plane Sit vis-à-vis the client Imagine clear external boundaries in a rapprochement transference Movement theme of power and assertion independence

Gerak dominan urethral, flowing quality, starting/stopping running Kurangi keterlibatan terapis, lebih menjadi saksi improvisasi kelayan

Role play: observasi dinamika gerak saat intervensi verbal 2 volunteers untuk role-play contoh kasus yang dihadapi (1 terapis dan 1 kelayan) Masing-masing mengobservasi reaksi gerak individu dan insting gerak pribadi, dan observasi keputusan gerak masing-masing. Obervasi dialog gerak dan reaksi internal

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