(Ramon quote: I do remember that during the first session of therapy Rachel was very irritated and was heavily scratching my forearms, crying non stop, and making strong random movements of trunk and legs to avoid standing. Furthermore, after finishing the session the parents made this comment to another person: “we are scared that Ramon will send us back home because our daughter is fighting him so much”).

In this figure we can now appreciate the feet flat on the table and the knees straighter, but still Rachel is trying to avoid standing by making trunk flexion, which is contained by Ramon with right hand pushing the pelvis against his chest very strongly.