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A quick question regarding your question. What do you feel is maintaining your patients movement disorder. To change behaviour you need, as you point out, not to reinforce the maintaining factor. The school of bravery programme follows a behavioural model which the cognitive behavioural programmes incorporate as this has been proven to be very successful. However the question of what is maintaining your patients behaviour is paramoiunt as this needs addressing initially and correct educzation of partners and relatives can be very useful in treatment regimes.

Cheers


Chris
  ----- Original Message ----- 
  From: mdne adams 
  To: [log in to unmask] 
  Sent: Monday, December 11, 2000 7:33 PM
  Subject: School for Bravery


  About 15 years ago in the UK there was a lot of interest in Joyce William's "School for Bravery" programme, which was a method for changing "illness behaviour" into "wellness behaviour". She did this at Doncaster Royal Infirmary, and also ran courses on it that were attended by many PTs from all over the UK - who then set up their own "School for Bravery" programmes. 
   
   I am really keen to find out if anyone is still running such a scheme, or anything like it - I have already contacted Doncaster and they don't do it any more. The illness behaviour that my client is exhibiting is a movement disorder rather than chronic pain behaviour - what I think she needs is a friendly group environment, where illness behaviour is totally ignored and wellness behaviour lavishly praised.
   
  Anywhere in the UK would be a possibility as I believe a strong case for funding it could be made.
   
  Here's hoping !
   
  Nikki Adams Community Physical Disability Team Wakefield   [log in to unmask]