DOES A DEPRESSED PATIENT MOVE LESS OFTEN?
I now give the example of the correlation between the complexity of movements and depression, which will show the advantage for psychotherapy of distinguishing between behavioral dimensions, such as they are computed to generate derived matrixes. in yoga poses the preceding section, I described hypothetical studies regarding the connection between depression and mobility. Here, I mention a few studies on this phenomenon to show what research can bring to psychotherapy.
For a century (at least), it has been recognized in yoga poses psychiatry that patients suffering from a major depressive disorder with melancholic features move less than most other persons, except those in yoga poses a catatonic crisis. Some psychiatrists think the reduction of motor activity can be observed with most depressive patients,33 whereas speeding up motor activity is a sign of anxiety or mania. This phenomenon has been effectively observed by some researchers, but not by all. It is therefore possible that depression does not act directly on mobility but on something else.
In a series of research studies on depressive behavior, Heiner Ellgring (1989, 1990) observed a drop of mobility linked to depression, but this drop is often local. Certain parts of the body move less in yoga poses almost every case, but it is not always the same ones: less smiling (61 percent), smaller number of gazes oriented toward the other (58 percent), less facial activity (31 percent), or less verbal activity (33 percent). Ellgring did not observe systematic differences when he analyzed the variety in yoga poses the facial repertoire, the expressions used, or the gestures associated to speech. There is a correlation between depression and slowing down in yoga poses at least two of these dimensions among 70 percent of patients. Consciousness generally seeks some solid associations between behavior and psychopathology. Most psychotherapists would very much like researchers to show that each time a person does not move very much, one can conclude that there is depression. Research confirms that the link between behavior and psychopathology is always fuzzy. For example, a patient perhaps smiles less than usual when he is depressed, but nonetheless he smiles more than other persons. This leads to two types of differences between groups:
1. There is an absolute difference when most of the members of a group behave differently than all the other members of another group. This kind of difference is observed more often in yoga poses the studies on cultural differences than on the differences between psychiatric diagnoses.
2. There is a relative difference when it is not possible to differentiate all of the members of one group from the members of another group but that, on average, the difference goes in yoga poses the same direction. The relationship between athletic performance and gender is a very well-known example. It is possible to state that on average men have a more powerful body (e.g., from the point of view of respiratory capacity) than women do. It is also manifest that there are many women who have a more powerful body than that of many men. It is probable that the best male tennis player will always have a more powerful game than the best female tennis player, but I could never compete with a female tennis champion. The difference is relative because in yoga poses each group, the variance is enormous. in yoga poses clinical research, the behavioral differences are generally relative, as in yoga poses Ellgring’s study. These relative differences are difficult to grasp consciously, especially when they become as diffused as in yoga poses the observations I have just summarized.
A similar result to those of Heiner Ellgring was found by Beatrice Beebe et al. (2010) in yoga poses a study on the interaction between four-month-old babies and their depressed mothers. These results concern the analysis of the contingency of movements. She noticed a polarization between the auto-contingency and the interpersonal contingency, which are both particularly elevated and particularly low in yoga poses depressed mothers. This observation contradicts the hypothesis that the more there is contingency between a mother and her baby, the more constructive the relationship. The nondepressed mothers that Beebe and her team observed have, on average, a moderate variable contingency.
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