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Some notes on the use of family sculpture in therapy.

Therapists learning to use family sculpture as a tool often find difficulty in exploiting the technique to its fullest. This article, designed to encourage therapists to take the risks involved in using a technique new to them, describes how the author and his cotherapists used sculpture in three cases in different ways. In each case, the author explains how the therapists made the choices involved in directing the therapeutic process. He suggests that even when a sculpture itself seems to have failed to produce useful information, it can elicit from clients signals that will indicate opportunities for effective use of other techniques and that a sculpture, once used, can be restaged to reinforce client behavior change.

Art

[Body proportions in sculpture and painting. An anthropometric and historical essay (author's transl)].

Taking anthropometric mean values of the European population as a standard, we examined some proportions in representative sculptural and pictorial works of art. We established that the classical antique sculptures and those of Michelangelo and his school conform very closely to the European norm. Mid-Italian wooden crucifixes of the fourteenth and fifteenth centuries and early medieval European paintings of the Corpus Christi, on the other hand, display quite different proportions: exaggerated length of forearms, or torsos that are stunted in relationship to the legs. Proportions similar to these can be found in the art of the New Kingdom of the Egyptians, reflecting the physique of the Nubian population. We discussed the extent to which an artistic proportion is conditioned by style, imitation, racial aesthetic ideals, or anatomy of the ambient population.

Anthropology, Physical

Comparison of tissue effects with sculptured fiberoptic cables and other Nd:YAG laser and argon laser treatments.

The use of a fiber optic cable in contact with tissue results in a complex thermal interaction between the cable and the tissue. The effect of the laser-tissue interaction was investigated using sculptured quartz fiber optic cables, sapphire contact rods, and bare fiber optic cables attached to the Nd:YAG laser. The laser-tissue effects of the Nd:YAG and argon lasers were compared. Examination of treated animals showed there to be a significant difference between immediate and 48-hour thermal effects. The sculptured fibers created significantly less tissue damage than the sapphire contact tips, the 0.6-mm bare fiber, or the argon laser with a 0.3-mm bare fiber either with or without contact. All Nd:YAG laser contact treatments were less damaging than the argon laser treatments.

Abdominal Muscles

Sculpture preferences and personality traits.

Factor analyzed the preference ratings of 70 male and 70 female undergraduates for 36 slides of sculpture. A principal factors solution with orthogonal rotations yielded 6 factors: ambiguous abstraction vs. controlled human realism, mildly distorted representation, emotional detachment, traditional portraiture vs. surrealism, highly distorted representation, and geometric abstraction. Some of these factors were similar to the Apollonian, the Dionysian, and the Pythagorean dimensions previously postualted by Nietzsche and Knapp. Preference scores for each factor were computed and correlated with scores on the 16 PF and with selected educational and physical variables. A few small, significant (p less than .05) correlations were found, supporting the hypothesis that artistic style preferences resemble the personality traits of the spectator.

Art

Differentiation of vector species of phlebotominae (Diptera: Psychodidae) in Kenya by chorionic sculpturing of their eggs.

Chorionic sculpturing on eggs of Phlebotomus pedifer Lewis, Mutinga, and Ashford; the closely related Phlebotomus aculeatus Lewis, Minter, and Ashford (= P. elegonensis Ngoka, Madel, and Mutinga); and Phlebotomus martini Parrot was examined and compared by scanning electron microscopy. The eggs of P. pedifer had a general pattern of longitudinal ridges; those of P. aculeatus and P. martini exhibited intraspecific differences. Chorionic patterns of eggs were not reliable to differentiate these species. It is suggested that other methods of differentiation should be used on these species.

Animals

A computerized scoring procedure for the Kvebaek Family Sculpture Technique applied to families of children with rheumatic diseases.

A new computer-based quantification procedure was applied to data obtained from administering the Kvebaek Family Sculpture Technique (KFST) to 92 mothers of children with recent onset of rheumatic symptoms (median = 7 months). Four family configuration types (close, hierarchical, unspecified, and skewed) were defined on the basis of distance and structural parameters of the configuration. The types differed with regard to the childhood environment of the mother, chronic family difficulties, and the psychosocial functioning of the primary patient. Comparisons of the families of the mothers that did (n = 23) and did not (n = 69) wish a change of family configuration showed that the families of the mothers who wished change differed with regard to configuration types, distance variables, and psychosocial characteristics. The results are discussed in the context of structural family-systems theory. The computerized scoring procedure opens new possibilities for research about various family members' perspectives and assessment of changes in family configurations during therapy or over time.

Arthritis, Juvenile

Otoplasty by abrasion sculpture and fixation.

Many methods are used for cosmetic otoplasty. This method is a composite of several techniques that achieves simplicity, no irreversible cartilage removal, and a slow and controlled approach to the final form. Abrasion is used to set the proper line and location, and sutures are applied to control the degree of fold. The operative technique was illustrated in one patient with results shown in four. It is applicable to protruding ears and some "lop" ears; scapha and concha can be corrected to individually varying degrees.

Adult

Body sculpturing.

Significant improvements in body contour can be accomplished by surgical procedures having reliable, predictable results. Similar to the modern sculptor of inanimate art forms, plastic surgeons have utilized new materials and devised new techniques to achieve aesthetic improvement of the face, trunk, and extremities. The goals of the surgical sculptor are perhaps more challenging than those of the pure artistic sculptor, not only because they must result in improved appearance but also because the surgeon is limited at all times by considerations of regional anatomy, the availability of viable tissue materials, and the safety of his patient.

Abdominal Muscles

Curette fat sculpture in rhytidectomy: improving the nasolabial and labiomandibular folds.

The nasolabial and labiomandibular folds develop with facial aging by an anterior caudal descent of the fat prominences of the same name. Young patients with minimal folding can be corrected by substances inserted in the fold; however, this and other techniques have failed satisfactorily to improve the folds naturally and permanently. Identification of the prominences and removal of the fat superficial to the skin by curettes have proven safe and effective and superior to fat suction. Complications include small hematomas and visible depressions in the sculpted areas. There was no nerve or skin injury. Follow-up of this technique (an improvement of a previous technique) is 3 1/2 years.

Adipose Tissue

Concepts in the management of the lower nasal cartilages: anatomic contour--surgical sculpturing.

The lower nasal cartilages are sophisticated in contour as they exist in the normal position in the live patient. A different concept of the anatomic contour and twist of the cartilage is presented in anticipation of applying this information to surgical correction. Many cadaver dissections have been performed to demonstrate anatomic and surgical detail. The complex problem of surgical correction is simplified in four basic techniques from which the surgeon can select according to the existing anatomy. The contour of the "average normal" alar cartilage is presented from a different perspective, and average measurements for the remaining caudal segment are given as a guide for the surgeon.

Cartilage