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expression. As such, our holistic, humanistic infrastructure does   to catastrophic injury. In other words, the reception of art en-
          not ignore the value of technique, but it does not make technical   ables the recovery of unconventional resilience after the hu-
          perfection the evaluative criteria of practical performance.  man experience of war.

          Having placed the SOF medic’s human experience—not mech-  Conclusion: The Pragmatic Value of a Holistic,
          anistic learning—center stage, our findings illustrate that med-  Humanistic Infrastructure
                                                17
          ical-martial skills can be understood as a dancer  that relies
          on fluid kinesthetic reasoning to interpret, problem-solve, and   The pragmatic value of our holistic, humanistic infrastructure
                                              i
          respond amid real-time practical performance.  Comparing the   is that it enables cohesive integration of our theory develop-
          SOF medic’s practical performance to the artistry of a dancer,   ment at all levels of unconventional resilience. As the medi-
          helps elucidate the main aspect  of our theory development;   cal-martial profession matures, this infrastructure will support
          namely, that movement is the essence of all human perfor-  the development of an energetically nimble culture. This agil-
               13
          mance.  Moreover, dancers, like SOF medics, constantly   ity trait organizes the kinesthetic and proprioceptive elements
          refine their technical ability to express dynamic freedom of   of everyday experience around the ability to attune, interpret,
          movement, which—in its purest performance state—is ex-  and appropriately respond to the nuanced rhythmic patterns
          perienced as a revitalizing manifestation of flow in real-time   entailed in SOF missions. An energetically nimble professional
                    18
          performance.  Since we based our theory development on   community predicated on the SOF medic’s practical wisdom,
          movement, unconventional resilience, like dance, has the “po-  born from catastrophic injury exposure, will also enable fluid
          tential to open up physical ways of creation, forms of action,   integration of SOF medicine into the SOF mission.
          and options for transformation.” 18(p60)
                                                             Author Contributions
          Classifying medical-martial skills as the foundation of artistic   EAJ conceived of this study and wrote the protocol. SLH ob-
          performance  in  a  social  kinesphere  also  elucidates  a  critical   tained funding and IRB. JD acted as liaison to the Air Force
          hypothesis that has emerged from this study. Dancers structure   Special Operations community in specific the 24 Special Op-
          their dynamic freedom of maneuver around nuanced attune-  erations Wing and Special Operations Surgical Teams. JD also
          ment  to  and  interpretation  of  beat  structures  and  rhythmic   orchestrated all approvals for field observations. EAJ recruited
          patterns in music.  This ability to express dynamic freedom   participants, collected and analyzed interview, data, and drafted
          of maneuver through a refinement of musicality  provides a   the initial taxonomy of themes. JD served as AFSOC medical
          structure that allows ambiguity to foster connection to one-  expert during data analysis process. EAJ and JP wrote the first
          self, other dancers, and an audience.  As such, we hypothesize   draft of this paper. JWB provided substantive feedback to sec-
                                      19
          that organic beat structures ground, orient, activate, attune,   ond draft.  JB served  as military  medical  expert in  redacting
          and synergize real-time performance in SOF medicine across   findings. All authors read and approved the final manuscript.
          all levels of unconventional resilience.  If this hypothesis is ac-
                                       5
          curate, then training the ability to rhythmically pattern beat   Disclosures
          structures involved in medical-martial skills will be essential   Jay Baker, Jennifer Patton, Jared Wyma-Bradley, John Dorsch,
          to developing, maintaining, and enhancing unconventional   and Sarah L. Huffman have no financial relationship to this
          resilience.                                        study. Erika Ann Jeschke served as the Senior Lead Research
                                                             Scientist on this project and was paid through the following
          Tactical Function of Art                           contracting companies: Parsons Corporation, ABSS Solutions,
          During data collection, the research team noticed that the vast   Inc. / 1st American Systems and Services, LLC, Innovative Em-
          majority of participants maintained at least one intimate re-  ployee Solutions (IES), SURVICE Engineering.
          lationship with a professional artist. So, we began to ask the
          question: “What form of art do you like?” The responses were   Disclaimer
          both unexpected and overwhelming:                  The Public Affairs Office, United States Air Force 60th Med-
                                                             ical Group at Travis, AFB has approved this publication for
                                                             universal distribution. The AFRL’s Institutional Review Board
            I love art. Is that weird that I love art? It could be mu-
            sic, painting, or prose. It could be science, cooking, or   approved the study as an exempt protocol (# FWR20200104)
            woodworking. Art is an individual’s way to express their   in August 2020. The information, content and/or conclusions
            personal interpretation of an environment. I remember   do not necessarily represent the official position or policy of
            being saturated with painting, after painting, after paint-  AFRL-USAFSAM, the Department of Defense, or the U.S.
            ing walking through museums in Europe. The beauty was   Government.
            so therapeutic. Recently, I saw a Van Gogh exhibition and   Funding
            realized he was a lot like me. The story was all in his paint-  This research is sponsored by funding (# FU 20-042) from the
            ings. Gosh, I don’t even know why I went down that path   Air Force Research Lab-U.S. Air Force School of Aerospace
            of conversation, other than I just started thinking about   Medicine (AFRL-USAFSAM) through the Studies and Analysis
            art and how much I love art.
                                                             Program.
          This finding suggests that the personal reception of art also   References
          plays a tactical role in supporting practical performance. Re-  1.  Lepecki A.  Of the Presence  of the  Body: Essays on  Dance and
          ception of art seems to allow the SOF medic to connect to and   Performance Theory. Wesleyan University Press; 2004. Accessed
          unleash deeply held energies that emerged from the exposure   August 8, 2024. https://books.google.com/books?hl=en&lr=&id=
          i.  We believe this holistic, humanistic metaphor better describes the practical performance of the SOF medic, team, and organization than the
            biomechanical, reductive metaphor that describes practical performance in relationship to a robot that relies on rigid algorithmic reasoning
            to interpret, problem-solve, and respond amid real-time performance.

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