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ALTERNATIVETHERAPIESjulaug2011VOL.17NO.461Shehadexperiencedapsychologicaltraumainherchildhoodyearsandalreadythenhadsufferedfromseveralsymptomsofanxiety.Botharewell-knownriskfactorsforthedevelopmentofanxietydis-order.9Thediagnosishadbeenconrmedindependentlybythreeattendingphysiciansandalsobyapsychiatristassessingthepatientx19sjournalsfromboththeFamilyPhysicianCareCentreoftheVidarklinikenandfromtheadjacentPsychiatricOutpatientCareforYoungPeople.Asubclassicationoftheanxietysyndromehadnotthenbeendoneitmayhavebeenageneralizedanxietydisor-derbutitalsomayhaveoverlappedwithotheranxietydisorders.TheadditionaldiagnosiswithintheAMparadigmSidebarpointedoutadisturbanceoftherhythmicsystempossiblyinducedbyapsychologicaltraumaduringthesusceptibleageperiodbetween7and14yearsofage.ThisdiagnosiswasconrmedbytheEYT-therapistwhenassessingthepatientx19sEYT-specicpatternsofgesturesandmovements.ThetherapeuticintentionofEYTwastotreattherhythmicsystemdisturbanceandbydoingsoalleviatetheanxietyandsup-portthepatientx19sresilience.Accordinglytheexerciseswerechosentoinuencethedisturbedrhythmicfunctionsdirectlythroughspe-cicrhythmicalandexpressivemovementexercisesandindirectlythroughconsonantexercisestoloosentension.Thetherapistrepeatedlyobservedanimmediatetransitionoftheindicatedexer-cisemovementsintothepatientx19sownmovementandgesturepat-terns.Outoftheexercisesthepatientx19smovementsbecamenotonlymoreuentexibleelasticandrhythmicalbutalsosofterlighterandpeacefulincreasedrelaxationbecamevisibleindiffer-entregionsofthebody.Thebodyregionsbecameintegratedintothemovementsothatthepatientexperiencedherselfasawholeandshowedincreasedexpressivenessandself-condence.Overthetotalcourseofthetreatmenttheseimprovementsweresuccessfullyadditive.Theywereparalleledbyaveryfastandmarkedimprove-mentofanxietysymptomsandsocialfunctioning.Thewomanbecamesociallyactiveagainandcouldresumework.Treatinganxietydisorderswithamovementtherapythatcon-tainselementsofartrelaxationandmeditationisalsoknowninothertherapeuticapproaches.Psychologicaltreatmentsarewellestablishedforthisconditionandrelaxationtechniquesdanceandmovementtherapiesautogenictrainingmeditationandself-helpapproachesarefrequentlyusedanddoshowsomeevidenceofeffec-tivenessinclinicalstudies.2829Ithasbeenpointedoutthattheeffectsofpharmacologicaltreatmentsareoftendisappointingandlimitedtothetimespanofactualmedicineintakeandrelapseisfrequentafterdrugsarewithdrawn.1012-16Patientsoftenseekcomplementaryespeciallycognitiveandothernonpharmacologicaltreatmentsandmayalsopreferanonverbalartistictherapy.1728Inourcaseconcomitanttreatmentsspontaneousimprove-mentandcontexteffectshavetobeconsideredaspotentialcon-foundersTheyoungwomanhadreceivedsupportivecounselingasanoutpatientatapsychiatricclinic.Thecounselinghoweverhadbegun3monthsbeforeandhadnotledtoanyimprovementofthepatientx19sfunctionalcapacity.OntheotherhandthefunctionalcapacityimprovedquicklyaftertheonsetofEYTwhichonewouldnothaveexpectedconsideringthepreviousdurationofthedisorderANTHROPOSOPHICx0CONCEPTx0OFx0THEx0HUMANx0ORGANISMx0ANDx0PATHOGENESISI.x0Thex0Four-levelx0Conceptx0ofx0Formativex0Forces20Theanthroposophicconceptofmanclaimsthatthehumanorganismisnotonlyformedbyphysicalcellularmolecularforcesbutbyfourlevelsofformativeforces1for-mativephysicalforces2formativevegetativeforcesthatinter-actwithphysicalforcesandbringaboutandmaintainthelivingformasinplants3afurtherclassofformativeforcesanimasoulthatinteractswiththevegetativeandphysicalforcescre-atingthedualityofinternal-externalandthesensorymotornervousandcirculatorysystemsasinanimals4anaddition-alclassofformativeforcesGeistspiritthatinteractswiththethreeothersandsupporttheemanationofindividualmindandthecapacityforreectivethinkingasinhumans.II.x0Thex0Three-foldx0Modelx0ofx0thex0Humanx0Constitution3637Whenthefourlevelsofformativeforcesareintegratedwiththehumanpolarityofactivemotormovementandpassivesensoryperceptionathree-foldconstitutionofthehumanbeingresults.Itembracesthreemajorsystemconstituentstwobeingpolartoeachotherx1cnerve-sensesystemx1dandx1cmotor-metabolicsystemx1dandonebeingintermediatex1crhythmicsys-temx1d.Thesesubsystemsarespreadovertheentireorganismbutpredominateincertainregionsthenerve-sensesystemintheheadregionthemotor-metabolicsysteminthelimbregiontherhythmicsystemintherespiratoryandcirculatoryorgansandthusinthex1cmiddlex1dregion.Inthesethreesubsystemsthefourlevelsofformativeforcesareconsideredtointerrelatedifferently.Inthenerve-sensesystemtheuppertwolevelsofforcesspiritsoularerelativelyseparatefromthelowertwolevelsthusprovidingtheconditionsfortheoriginationofself-consciousnesscon-sciousperceptionsandconsciousthoughtprocesses.Inthemotor-metabolicsystemtheintermergenceiscloserthusprovidingtheconditionsfortheexecutionofpersonallyintendedbodilymovements.Intherhythmicsystemtheinterrelationsoftheupperandlowerlevelsuctuatebetweenincreasinganddecreasingintermergenceandareassociatedwiththeoccurrenceoffeelings.Theinterrelationsincreaseduringtherhythmicallungprocessofinspirationanddecreaseduringexpiration.Themodelofthethreefoldhumanconstitutionleadstovariousdistinctreinterpretationsoftheconventionalteach-ingsofphysiology.III.x0Thex0Conceptx0ofx0Periodicx0Maturation38Duringthejuvenilelifespanofahumanorganismthemajorsystemconstituentsareconsideredtogothroughdiffer-entiatedmaturationperiodsofmoreorless7yearsx19duration.Duringtherst7-yearperiodtheriseofbodycommandandcontinuedx0nextx0pageEurythmyTherapyinAnxiety