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PhD Dissertation Abstracts

The Embodiment of Adult Intimate Relationship:
A Somatic Exploration of Closeness and Separateness

Suzanne M. Kilkus

In this qualitative study, the constructs of closeness and separateness in the marital relationship were explored through focusing on the bodily or somatic experience of the partners. A criterion sampling procedure was used to gather information-rich data from 13 participants who ranged in marriage length from 6 to 25 years. In research interviews participants were asked to describe their somatic experience as they recalled experiences of closeness (intimacy) and separateness (autonomy) with their partner. Three questions were central to this study: What is the somatic experience of closeness and separateness in the marital relationship? How is the somatic experience of closeness and separateness connected to emotion, cognition, and behavior? What meanings do partners give to their somatic experience, and how do these meanings affect the marital relationship? Thirteen specific lessons concerning intimate relationships emerged from the data.  Four major themes were identified including: (a) the dance of closeness and separateness; (b) the choreography of the dance; (c) the energy expressions that fuel the dance; and (d) the transition zone between closeness and separateness—“smooth and easy”or “slip, stumble, or fall.”  Strengths and limitations of the study are discussed as well as suggestions for application to marriage education and clinical practic
Compassion Fatigue:
A Heuristic Study of Somtaic Psychotherapists Treating Traumatized Clients
- Susanne Babbel

This study explores the experience and practice of somatic psychotherapists treating traumatized clients, including their experience of compassion fatigue and their strategies for coping with it. Given my own background in somatic psychotherapy, I was curious whether somatic psychotherapists would have a greater awareness of symptoms and have different coping techniques than other psychotherapists with other theoretical orientations. My study used a qualitative phenomenological approach coupled with the heuristic research method of Clark Moustakas. I interviewed six somatic psychotherapists, five female and one male, who have been practicing between six and 34 years. To my knowledge, there has been no other qualitative study of this kind focusing on experienced somatic psychotherapists. As such, this study contributes a deeper understanding of the specific experience and perspective of somatic psychotherapists treating traumatized clients.
            The findings of the study include a general pattern of upper-body tension in these psychotherapists, possibly an example of the psychotherapists’ somatic countertransferential reactions to traumatized clients, the ongoing experience of which can lead to compassion fatigue. Additionally, my study suggests that five factors increased the somatic therapists’ risks of developing compassion fatigue: a) if the trauma circumstances of their client was one in which the client found herself feeling helpless; b) if the client lacked motivation to heal; c) if the psychotherapist’s personal stress level was
already high, d) if the female psychotherapist’s was on her menstrual cycle, and e) if the psychotherapist had limited professional experience.
            There has been some discussion in the literature of somatic techniques used for coping with countertransference reactions to moderate compassion fatigue (Forester, 2002; Rothschild, 2006). The analysis of the participants’ experiences in the present study reveals the importance of including the body as a tool in dealing with reactions toward traumatized clients and compassion fatigue during and after psychotherapy sessions. In utilizing the heuristic methodology, my focus was in exploring and understanding this phenomenon more deeply. A quantitative study could also be conducted.  Such a study could include more subjects and compare the frequency of compassion fatigue in somatic psychotherapists with those of therapists who have other theoretical orientations.

An Exploration Into the Vanishing Twin Syndrome
and Its Possible Psychological Influence on the Surviving Twin:
A Phenomenological Analysis of the Behaviors of a Three-Year-Old During Therapy
- Nancy Greenfield

This qualitative inquiry explored a form of early gestational twin loss known as the vanishing twin or lost twin syndrome. It looked at the possible influence that this experience might have on the surviving twin. Focus was given to the therapeutic process of a three-year-old boy who may have suffered from the loss of a twin. The research question asked was: How might the therapeutic behaviors of a three-year-old child be indicative of vanishing twin syndrome?
            Prenatal and perinatal psychology (PPN) research suggests that early gestational twin loss can profoundly impact the surviving twin and his/her sense of self, capacity to experience life, ability to trust, capacity to form relationships, and fundamental belief structures. This inquiry, which was conducted from that perspective, utilized phenomenological and portraiture research methodologies to explore these possible imprints.
            Research consisted of analyzing the therapeutic sessions of a three-year-old boy who successfully integrated challenging behaviors which, from the PPN perspective, were indicative of possible vanishing twin wounding. This child began his sessions withdrawn, timid, and closed and emerged empowered, expressive, and proactive with his life. Focus was placed on the analysis of his behaviors and their implications. Some attention was also given to the basic therapeutic principals which were followed and which supported his growth. The author facilitated the therapy. Analysis was conducted with the help of session videos, chart notes, and history.
            PPN psychology research suggests that the vanishing twin experience occurs far more frequently than previously believed. In addition, findings indicate that many more individuals may suffer from the possible resulting psychological and emotional imprints than has heretofore been acknowledged. For this reason, it is important that as much as possible be learned about this experience, its potential effect on the surviving twin, and viable therapeutic means with which to support integration and healing during childhood.

The Adolescent Brain:
A Theoretical Exploration of Adolescence as a Second Critical Period
- Deborah A. Harkin

Infancy has long been recognized as the critical period for brain development (Schore, 1994; Siegel, 1999). Recent discoveries of complex changes within the adolescent brain challenge this assumption and offer potential new insight into adolescent behavior (Giedd et al., 1999). This theoretical study examined the evidence for conceptualizing adolescence as a second critical period and its implications for theory and practice.
Due to the broad scope of this topic, the method consisted of a selective review of the literature and a preliminary synthesis of classic psychoanalytic theories of adolescent development, attachment research and the revolutionary new findings on the adolescent brain. While traditional psychoanalytic views of adolescence tend to focus on adolescence as recapitulation, a central goal of this study was to forward a discussion of adolescence that embraces its progressive nature.
Key research questions addressed include:

  • Based on new discoveries in neuroscience, does adolescence represent a second critical period of brain development, and if so, how is it impacted by past and present attachment relationships?
  • How might traditional views of adolescence be reshaped in light of new research?
  • What is needed to promote positive developmental outcomes?
A growing body of evidence points to adolescence as a critical period of development that presents unique vulnerabilities and opportunities.

Primiparas’ Expectations of Childbirth: The Impact of Consciousness - Susan Lynn Highsmith

This study extends the research conducted among primiparas (women pregnant for the first time) by examining their expectations of childbirth in light of current scientific understandings of consciousness.  Small qualitative studies generally indicate that pregnant women feel that their experiences of giving birth differ from their conscious expectations (Gibbins & Thomson, 2001).  Larger quantitative research reveals that pregnant women tend to get what they expect (Green, Coupland, & Kitszinger, 1998).  The purpose of this study was to determine if both conscious and unconscious expectations influenced pregnancy and childbirth.  This qualitative research consisted of in-depth before-and-after-birth interviews with seven primiparas.  Their explicit expectations were compared and contrasted with implicit expectations portrayed through their drawings of an ideal birth (a projective technique) together with impressions from their discourse, body language, tone of voice, and nonverbal cues.  Phenomenology and feminist theory informed both data collection and interpretation.  The participants in this study each experienced outcomes that differed from their conscious expectations.  Indications of their unconscious expectations were evident in their dialogues and drawings.  It could be deduced that these women actually experienced what they unconsciously expected.  This finding seems to reconcile the apparent disparity between the results of larger quantitative and smaller qualitative studies.  The implications for expanding the awareness of consciousness into the realms of pregnancy and childbirth are profound, potentially enhancing the lives of both mothers and babies while improving the quality of education and services designed to reach this vital and vulnerable population.

Susan Highsmith, who earned a PhD in Prenatal and Perinatal Psychology from SBGI in 2006, is a National Board Certified Counselor who resides in Southeast Arizona. She has developed a brief therapy model that includes EMDR, progressive relaxation, metaphor and imagery work, stress reduction, and spiritual resourcing. Susan has counseled hundreds of adults making life transitions. As an educator, she is a regular guest lecturer in Psychology 101 college classes and an in-service presenter addressing principles of PPN psychology.  She serves as a STAR facilitator during their transformational 10-day residential programs. She will present a paper, “The Synergy of Storytelling and Psychology,” at the APPPAH Regional Congress in Phoenix in November, 2006. Susan is dedicated to raising the awareness of pre- and perinatal issues, particularly to the consciousness of babies in utero.

An Evaluation of the Effectiveness of Neurofeedback on the Flow, Anxiety, and Performance of a Highly Ranked Golfer: A Case Study - Kenedy Singer

This study examined the effect of neurofeedback on flow, anxiety, and performance in a highly ranked golfer. It was hypothesized that as a result of the golfer receiving 20 neuorofeedback sessions, the golfer would experience increased flow, decreased state and trait anxiety, and improved performance. Measures included the Dispositional Flow State Scale-2 (DFS-2), the Flow State Scale-2 (FSS-2), the State-Trait Anxiety Inventory (STAI), the IVA Continuous Performance Test, and the golfer’s 18-hole average scores. In this study, the DFS-2 and the FSS-2 only showed an increase in the flow dimension of “loss of self-consciousness”. The STAI showed a decrease in state anxiety as the participant’s STAI state anxiety score for his first round of golf competition was 38 while his STAI state anxiety score from his last round of competitive golf was 28. His trait anxiety score for his first round of golf competition was 38 while his STAI trait anxiety score from his last round of competitive golf was 43. The IVA results showed an increase in attention with a marked decrease in response control. The golfer’s post-treatment 18-hole golf round average was 6.7 strokes lower than his pre-treatment golf round average. Although this study provided some evidence to suggest that neurofeedback affects flow, anxiety, and athletic performance, the data were not consistent.

Kenedy Singer, who earned his PhD in Somatic Psychology from SBGI in 2006, was trained as a neurofeedback practitioner in 2003 with his primary areas of specialty being performance enhancement and ADD.  His article “The Effect of Neurofeedback on Performance Anxiety in Dancers” was published in the December, 2004, edition of the Journal of Dance Medicine & Science.  He has given presentations of this research with dancers at the 2004 Annual Conference of the International Association for Dance Medicine and Science, as well as at the 2005 Annual Conference of the International Society for Neuronal Regulation where he also received a Student Research Award.  He also presented this research at the 2005 Annual Conference of the North American Society of Psychology for Sport and Physical Activity as a poster presentation.
Prenatal and Perinatal Memories in Preverbal Children: Clinical Observations Using Videotape Examination
Tara Maria A. Blasco Jauregui

The investigation of prenatal and perinatal memories in preverbal children has been overlooked in psychological research. In this study, I explored the degree to which trained observers could accurately identify preverbal children’s prenatal and perinatal experiences based on the children’s behavior in a therapeutic setting. Accuracy was assessed by the degree of correspondence between the observers’ interpretations and the pregnancy and birth history as described by the child’s parents and/or his or her therapist(s). This investigation was a first effort to subject to an empirical test prenatal and perinatal psychology’s foundational claims that (a) preverbal children (and others) have memories of their prenatal and perinatal experiences, (b) preverbal children reenact significant memories through play and other behavior, and (c) trained observers can accurately identify the prenatal and perinatal memories of preverbal children.
Five short video clips were presented for observation to five therapists trained in the field of prenatal and birth therapy and unfamiliar with the children’s history. The observers were then interviewed about their observations and completed a “multiple-choice” questionnaire listing 10 prenatal or perinatal experiences for which they were to select one for each clip.
The interviews revealed a high degree of congruence among the observers’ interpretations of the children’s behavior and between those of the observers and the therapists. Further, the observers chose the expected answer to the questionnaire 18 out of 25 times. Using binomial probabilities with an alpha level of .05, there were significantly more correct answers than expected by chance, p < .001 (one-tailed). The high degree of correspondence (72%) between observers’ interpretations and the children’s prenatal or perinatal histories suggests that these behaviors have a direct relationship to particular prenatal or perinatal experiences. From this, we might make the inferential leap that preverbal children appear to be capable of accessing and reenacting memories from their prenatal or perinatal lives. If true, this has implications for our understanding of the importance of prenatal and perinatal life to the subsequent physical, emotional and mental development and wellbeing of the child.

Tara Maria A. Blasco Jauregui, who earned her PhD in Clinical Psychology (specialty in Prenatal and Perinatal Psychology) at the SBGI in 2006, has worked at the Building and Enhancing Bonding and Attachment (BEBA) clinic since 1996. A graduate of Dr. Ray Castellino's Foundation Training, she has used his method to facilitate adult process workshops in the US and her native country, Spain. Prior to relocating to California five years ago, Tara worked as a psychologist, craniosacral therapist, English interpreter and yoga teacher in Barcelona, Spain. In 2003, she published an article, "Assisted Reproductive Technology: Psychological Effects on Offspring," in the Journal of Prenatal and Perinatal Psychology and Health. The following year she published a booklet, “How To Make a Difference for Your Baby if the Birth Was Traumatic.”

The Alchemical Dance of Mother and Infant:
A Blueprint for Co-Creative Dyadic Unity during the Prenatal and Perinatal Period

Becky Hicks

This theoretical dissertation proposes a unifying dance metaphor “pre-perinatal maternal-infant alchemical dance” from ancient and multidisciplinary sources. It uses a unifying dance metaphor to provide a new psychological term, describing the postulated first organizing co-creative relational dynamics between mother and infant. It is hypothesized that this “alchemical dance” is Nature’s blueprint for the prenatal and perinatal period, whose function is to create new life, to organize/pattern infant embodiment, to facilitate mother infant unity and sense of belonging in relationship. This is an innate unfolding developmental process. It operates through the vast complexity of multidimensional symbiotic connections and entrainment on energetic, biophysical, mental, emotional and energetic dimensions. Each mother-infant dance is unique and co-creative. It is enhanced by various properties of dance relating. This dance is continuous through the prenatal and perinatal period yet there are differences between the two phases. It is also hypothesized that optimal growth and development for first foundations can be furthered by high level maternal physical and psychological health, conscious maternal awareness, supportive mutual psychobiological attunement, which can be furthered by the development of new educational programming.
            The development of this construct is interdisciplinary and bridges current scientific thought with ancient philosophies. It draws from multidisciplinary ideas from quantum physics, dynamic systems and chaos theory; from modern psychoanalytic theory and from developmental psychological theory on contributions of mother-infant dyadic relating; from pre-perinatal psychology, infant programming, new biology; and affective neuroscience, and from the knowledge of the divine feminine, dance, alchemy and sacred geometry.
            The use of metaphor is the primary methodology for this dissertation which advances the construction of theory. Use of metaphor creates an appreciation for the dynamic wholeness of all systems and also generates new descriptive concepts. Theoretical use of metaphor is based on the writings of Kuhn, Pribram, Lakoff and Johnson, Hillman and Ricoeur. The proposed theoretical construct is expressed by a unifying metaphor, which expresses the contributions of alchemical dance to first developmental infant processes and to optimal relating.
            Implications place new value on educational preparation for maternal role starting before pre-conception. The art and science of mothering is furthered with principles from pre and perinatal psychology and somatic psychology in the development of new programming.

Becky Hicks, who earned her PhD in Prenatal and Perinatal Psychology from SBGI in 2006, is The Mothering Coach and  Parent Educator at Villa Majella Maternity Home in Santa Barbara. Becky has been a registered dance-movement therapist for thirty years in private practice. She has taught dance therapy courses at Washington University in St. Louis where she was also the Director/ Founder of the Expressive Arts Psychotherapy Institute, Baby Bright Infant Programs, and Mensana Institute. Clinically, Becky has worked with all population groups but is now dedicated to prevention. She wants all babies and their families to receive the very best possible start in life.

Mothering Wholeness: Two Women’s Experiences of Mothering Through the Lens of An Emerging New Paradigm
Carrie A. Contey

Evidence informing a new model of human development is coming out of the field of prenatal and perinatal psychology. Prenatal and perinatal psychology is a multidisciplinary field that looks at how our earliest experiences, from conception through the first few years after birth, influence and shape our lives. Findings from this field are informing new ways of thinking about and being with babies. The purpose of this qualitative study was to observe, listen, identify, comprehend and portray how two women who have completed coursework in a prenatal and perinatal psychology Ph.D. program experienced and integrated the information and personal process of going through the program and how that has influenced, informed and been informed by their parenting experiences. These women were interviewed and observed in their homes, with their families by the researcher for three to four days. The interviews and research notes were analyzed to find emergent themes. Portraits of each participant were created. This information will be used to create new models of care and education for women and their families.

Carrie Contey recently received her Ph.D. in Prenatal and Perinatal Psychology from Santa Barbara Graduate Institute.
As a nationally recognized early parenting coach, consultant, speaker and educator, founder of Early Parenting www.earlyparenting.com she trains professionals and provides parents with the support, information and tools needed to create conscious, connected and balanced lives in all stages of early parenting, from before conception through childhood. Dr. Contey serves on the board of directors of the Association for Prenatal and Perinatal Psychology and Health (APPPAH) and currently lives, works and plays in Austin, TX.

Exclusive Breastfeeding: Does the Provision of Formula in the
Hospital Affect Breastfeeding Duration and Transition ?
Heather Nicole (Koenig) Thomsen

The purpose of this research was to address the question, Does the provision of formula in the hospital (immediately following parturition) decrease breastfeeding rates at 1-month post–hospital discharge? This quantitative study was a four-question telephone survey of approximately 400 mothers in northern California who gave birth at two hospitals (Lucile Packard Children’s Hospital at Stanford Medical Center in Palo Alto and Sequoia Hospital from Catholic West Healthcare in Redwood City) about the provision of formula in the hospital and to learn if it was related to infant-feeding outcomes (rates) at 1-month post–hospital discharge. The hypothesis of this investigation was that the provision of formula in the hospital will show a decrease in breastfeeding rates at 1-month post–hospital discharge thus affecting breastfeeding duration and transition. The independent variable was whether the baby received formula in the hospital, and the dependent variable was the 1-month infant-feeding outcome.
 
In testing the hypothesis, Does the provision of formula in the hospital affect the rate of infant feeding at 4-weeks post-discharge a chi-square was calculated between mother’s choices of feeding in the hospital and mother’s feeding behavior at 4-weeks post-discharge. As hypothesized there was a significant association between these variables, c ²(4, N = 427) =100.10, p < .001.



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