This article features a short review of analyzing affective stance in interaction. Additionally, it exemplifies strategies of processing emotions in instructional settings by contrasting Pilates and physical therapy in neurorehabilitation. For example, negative emotions during physical therapy are handled with verbal or bodily means. The emotional state while doing Pilates is associated with the relationship between trainer and client, with group cohesion, with having fun during physical activity and with sustaining motivation. The corpus for the multimodal analysis are video tapings of natural interactions.