Healthcare and Medicine Reference
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Fig. 11.13
appear medially shifted.) When asked about this, he
related that he had skied into a tree at age 22, badly
fracturing his right lower leg. Thus reassured as to the
source of the pattern, we went to work. Puzzled about
the way the area was responding, I asked him to bring
in photos of himself, preferably with fewer clothes,
before the accident. Next session, he brought in a photo
of himself aged 15, on a beach, catching a ball. The right
leg was clearly manifesting the same pattern, so it obvi-
ously pre-dated the skiing accident. It turned out that
the initial pattern began when his tricycle fell on his leg
in a spill when he was but three years old. When he ran
into the tree, we can surmise, he automatically protected
those parts of his body that were clear in his body image,
but this lower right leg had been partially out of his
kinesthetic picture for a long time - what Hanna calls
sensory-motor amnesia. 1 2 Thus it may not have received
Summary
We have deliberately presented these photos without
recourse to the client histories or symptoms, so that we
could see the structure/postural compensations objec-
tively, without the filter of what we 'know' about them.
In practice, of course, the two come together in the
story-making part of the process. Even so, clients' reports
of their own histories can be deceiving, giving added
value to the objective analysis of clients or photos prior
to getting their history, which can sometimes guide the
practitioner down a primrose path.
As a simple example, a young man came for sessions
whose lower right leg was clearly jutting laterally out
from his knee more than the left. (In our language, his
right lower leg was medially tilted, or if he stood with
his feet close together and parallel, his right knee would
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