There is no hierarchy and the therapeutic work is formed by respect and esteem. Many aspects of this philosophy are connected with findings obtained from the anthropology of Latin America. An advisory scientific committee meets regularly with the representatives of the instructional therapists to discuss intensively current scientific findings and as a result, as required, adapt the therapeutic methods. It pursues the overriding goal of achieving for every patient as high a degree of autonomy as possible and the ability to participate in normal life.
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In this concept, emphasis was given in particular to the effects of posture and bodily movement on the head, neck and jaw positions and also on the activities of the mimic, oral and pharyngeal muscular system. Mimic expressive ability and articulation as the most subtle and differentiated sensomotoric performance of our oralfacial muscular system is extremely important for our communication.
A non-defective co-ordination of the oral and pharyngeal muscular system is essential to be able to eat and drink without difficulty. Also in the case of people with neurological or anatomically based functional defects these abilities are often adversely affected. In his concept of treatment Castillo Morales therefore focused in particular on the following therapeutic aspects: Supporting the ability of the patients to communicate.
Enabling the patients to take part in normal life, even when eating and drinking. Castillo Morales developed his concept of treatment primarily for people with muscular hypotonia and sensomotoric impairments. Nowadays it is used mainly for children and adults with one or more of a wide range of sensorimotor defects in the region of the face, mouth and throat, as for example children with congenital, anatomically-based malformations in the region of the mouth e.
Furthermore, conditions of the emotional, communicative and social development must be considered as well as criteria of the autonomous development.
Proprioceptive experience is clarified by treatment techniques like manual vibration, pulling and pressing. The aim is to support the attention given by the child to what it undergoes and does, and also to provide it with trust and security in order to reinforce motivation to rise to new challenges. Motoric activities in the mouth and at the tongue can also be favourably influenced by activating the hands or feet. According to the principle "function and form interact upon each other" it is necessary to correct malformations as soon as possible, for example secondary malformations of the hard palate or tooth and jaw misalignments caused by primary orofacial functional defects.
His differentiated talent for observation, his highly concentrated manner and attentiveness when engaging his patients in a dialogue, which enabled him also to notice and interpret non-verbal signals made by the children, made him an exemplary investigator, therapist and teacher. For many years he maintained intensive contact with medical colleagues and therapists of different specialisms. He was always prepared to allow colleagues to observe his methods and to answer any questions they micht have.
Furthermore , he was always ready to consider new therapeutic approaches and experience, the effects of which he could detect or observe. Instructional therapists feel they must emulate this attitude. The shared aim is to comprehend the personality of an individual and to match the treatment to the requirements of the patient and his attachment figure. Author: Dr.
Angelika Enders, Dr.
His roots lay in the anthropology of Latin America, which Castillo Morales intensively researched and compared to his own experience in living together with the Aborigines, the original inhabitants of Latin America, and also to their habits. His ideas for simple measures, embedded in day to day life, in the therapeutic support of people with significant handicaps were derived from this experience and its comparison with rehabilitation medicine findings. Communication is the most important aspect of this help. What wishes does the individual patient have, how would he or she like to fulfil them, and what is the best way for the specialists to achieve agreement on the best therapy? Co-operation with a patient is based on respect and trust in his abilities.
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