V-13. Increased Interactive Improvisation and Feedback Responsiveness -- V-14. Positive Change in a Family Based Improvising Organization -- Chapter VI: The Orthopedic Clinic: A Staff Based Ritual Organization -- VI-1. Organization of the Clinic -- VI-2. Physical Make-Up of the Clinic -- VI-3. Clinic Leadership Problems -- VI-4. Preservation of Routine by Humor and Social Distance -- VI-5. Staff Based Family Contact -- VI-6. Dependency and Medical Scope of Treatment -- VI-7. Avoidance of Children -- VI-8. Anxiety as a Factor in Avoidance of Children -- VI-9. Authority and Pronoun Reference to Physicians -- VI-10. Social Isolation and Non-Use of Collective Pronouns -- VI-11. Effects of Children with Scoleosis Conditions -- VI-12. Medical Scope and Administrative Leadership Role -- VI-13. Administrative Leadership and Bureaucratic Integration -- VI-14. Affective Reservoir and Administrative Leadership -- VI-15. Humor and Ritual Patterns of Affective Behavior -- VI-16. Ritual Control and Unstructured Roles -- VI-17. Ritual, Family Initiative and Home Issues -- VI-18. Improvising Elements in a Ritual Response Structure -- VI-19. Ritualized Affect, Administrative Integration and Feedback Response -- VI-20. Alternative Coping Procedures -- VI-21. Flexible Coping Mechanisms and Effective Support -- VI-22. The Orthopedic Clinic: A Staff Based Ritual Organization -- Chapter VII: The Orthopedic Clinic: Change in a Staff Based Ritual Organization -- VII-1. Changes in Length and Amount of Family Contact -- VII-2. Changes in Staff-Family Location Usage -- VII-3. Changes in Staff Location Use -- VII-4. Changes in Interstitial Area Family Contact -- VII-5. Trends in Cure Center Family Contact -- VII-6. An Example of Avoidance of Home Related Issues -- VII-7. Interstitial Area Use and Affective Ritual