International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 11 | Review Article | Open Access
Benny Lam*
Benny Lam1*, Adrian Low1, Marco Wong2 and Tony Chau2
1Hong Kong Association of Psychology (HKAP), Hong Kong
2Rope Therapy Association (RTA), Hong Kong
Fulltext PDFBackground: Neurodiverse youth with Special Educational Needs (SEN), Attention-Deficit/Hyperactivity Disorder (ADHD), and Autism Spectrum Disorder (ASD) often exhibit temperament patterns characterized by heightened emotional reactivity and reduced self-regulation. Embodied interventions targeting vestibular- proprioceptive systems may offer novel pathways for temperament modulation. Objective: This pilot study explored the feasibility of using the Taylor-Johnson Temperament Analysis (T-JTA®) to track temperament changes following an eight-week Rope Therapy/Body-Mind Activation Therapy (RT/BMAT) program in Hong Kong adolescents with neurodevelopmental conditions. Methods: Thirty-five students (ages 11-13; 26 males, 9 females) with documented SEN, ADHD, or ASD completed pre- and post-intervention T-JTA® Self-Report Forms (Chinese version). The RT/BMAT protocol consisted of 16 sessions (2×/week, 60 minutes each) incorporating vestibular stimulation, proprioceptive training, and social-expressive activities. Paired t-tests examined within-group changes; effect sizes (Cohen's d) quantified magnitude of change. Results: Significant pre-post improvements were observed in Nervous-Composed (t = 4.21, p < .001, d = 0.89), Depressive-Light-hearted (t = 3.87, p < .001, d = 0.82), Active-Social (t = -3.45, p = .001, d = 0.73), and Self- Disciplined (t = -4.02, p < .001, d = 0.85) scales. Validity concerns included high "Mid" response rates (M = 87.3, SD = 34.2). Conclusions: Preliminary findings suggest RT/BMAT may facilitate measurable temperament shifts in neurodiverse youth, though methodological limitations preclude causal inference. Results support larger-scale controlled trials integrating embodied therapies with standardized temperament assessment. Future research should employ age-appropriate instruments, control groups, and physiological markers.
Lam, B, Low, A, Wong, M, Chau, T. Temperament and Change: A Pilot Investigation of Rope Therapy (RT/BMAT) and Taylor-Johnson Temperament Analysis (T- JTA®) in Neurodiverse Youth. Int Clinc Med Case Rep Jour. 2025;4(11):1-19.