Title: The influence of the dance movement therapy on psychomotor symptoms of Parkinson's disease patients Objectives: The aim of this thesis is to evaluate the effects of dance movement therapy on postural instability and other motor and non-motor symptomatology of patients with Parkinson's disease. Changes are evaluated by using MDS-UPDRS and Computerized Dynamic Posturography (NeuroCom Smart EquiTest System). Another goal is to provide comprehensive information about dance movement therapy and other dance therapies promoted abroad and to highlight a possibility of their use as a non-pharmacological treatment of Parkinson's disease symptoms. Methods: This pilot study involved eight late onset Parkinson's disease patients at an average age of 68,87±6,69 years. Changes in their postural stability and motor and non-motor symptoms of Parkinson's disease were evaluated after the completion of two months of intensive dance movement therapy. Observed parameters were evaluated by using MDS- UPDRS and the Computerized Dynamic Posturography Smart EquiTest System created by the NeuroCom company, before and after the therapeutic programme. For effective assessment of the therapy, statistical methods (the Student's paired t-test and the Wilcoxon rank sum test) were used along with the rate of clinical...

abstract: The purpose of this case study is to observe how social dance combined with somatic practices can encourage internal, physical perception and experiences of the body perceived from within for an adolescent boy with high functioning autism and dyspraxia; an impairment or immaturity of the organization of movement (Boon 7). More specifically, this research seeks to observe the impact that social dance instruction can have on an individual’s kinesthetic responsiveness, such as efficiency in movement patterning through increased movement awareness and somatic facilitation. In addition, this study seeks to observe the impact that social dance lessons could have on the participant’s communication and listening skills; attentiveness; initiation of movement, such as taking the role of a leader and lead patterns; organization of movements, such as performing movements within a specific order; and performance of movements that might lead to personal and social growth. Finally, this study investigates exercises from Alexander Technique and ways to incorporate them into pedagogical practices for adolescents with psychological limitations. / Dissertation/Thesis / Masters Thesis Dance 2018

Numerous authors in the field of dance therapy have proposed that dance movement employed as a psychotherapeutic tool yields positive gains in mental health for participants. Self concept is frequently cited as the mechanism affecting these gains. In order to explore the relationship of dance movement alone to self concept fifteen college women were tested with the Tennessee Self Concept Scale before and after participation in a course of dance with those of nineteen women enrolled in lower division psychology courses. An analysis of covariance showed no significant changes in self concept scores in either group. It was concluded that self concept change is not a necessary outcome of dance training and that other variables in the therapy setting may affect gains in mental health.

This study is exploratory in nature. The material was highly individualistic and subjective, so I have deviated from the traditional empirical research approach. My purpose is to grasp what kind of person was attracted to attending a dance workshop. How does Halprin’s use of dance assist people in learning about themselves? What kinds of information do people learn about themselves through her dance process? What techniques does Halprin combine with the medium of dance to get results? Are people enhanced, or better integrated by the Halprin process? Finally, my intention was to be stimulated by the Halprin process to explore possible uses of dance in combination with my traditional psychodynamic, verbal approach to social casework.

Syftet med föreliggande kvalitativa studie var att undersöka terapeuters erfarenheter av läkningsprocessen av trauma under psykosomatisk behandling för att öka förståelsen för varför kroppen bör inkluderas i traumabehandlingen. De sex semistrukturerade intervjuer analyserades genom tematisk innehållsanalys. Resultatet genererade i fem teman: Den terapeutiska relationen, Intuitiv kommunikation, Kroppens budskap, Att låsa upp låsningar och Att smälta det som varit fryst. Resultatet visade vikten av att inkludera hela den mänskliga upplevelsen i behandlingen, vilken psykosomatisk behandling möjliggör. Vidare visade resultatet att traumat har satt spår i kroppen som förmedlar dessa spår genom låsningar och spänningar. I syfte för att nå dessa spårs ursprung får klienten under läkningsprocessen varsamt komma ur det frysta tillståndet genom rörelser, beröring och ett fysiskt lyssnade. Studien visade även på att det är när klienten börjar lyssna till sina kroppssensationer som man kan nå dess ursprung och smälta det som har varit fryst och vidare återgå till ett grundläggande tillstånd av avspänning och trygghet.

Addressing the comprehensive needs of individuals with brain injuries is a growing concern in brain injury rehabilitation as well as evaluating the efficacy of these conventional therapeutic modalities: cognitive rehabilitation, and physical, occupational, and speech therapies. Therapeutic dance/movement has not been an integral part of these core services. I have observed its potential, however, during the past thirteen years while providing this intervention to individuals with brain injuries. The focus of this dissertation was to gain a better understanding of the dynamics of a therapeutic dance/movement intervention for individuals with brain injuries by comparing it to conventional physical therapy. Physical therapy, given its longevity in providing rehabilitative services to individuals with brain injuries, afforded a means by which to more systematically explore therapeutic dance/movement. Five individuals with brain injuries were observed and analyzed as they participated in five weekly therapeutic dance/movement sessions and five weekly physical therapy sessions. Laban Movement Analysis (LMA) was used as the observation and analytic tool for the purpose of elucidating similarities and differences between the two interventions in relation to the five case studies. Two questions guided the inquiry: (a) What are the similarities and differences between a physical therapy intervention and a dance/movement intervention? and (b) What are the dynamics of a therapeutic dance/movement intervention? Findings revealed that the physical therapy intervention focused specifically on body level connectivity and single joint action movement from a <i>Body</i> perspective. In comparison, the dance/movement intervention incorporated body level connectivity in addition to the dynamics of <i>Breath/Core Support</i> and <i>Grounding</i>, <i>Effort-Life</i>, <i>Spatial Intent</i>, and Aspects of <i>Shape</i>, providing the spectrum of <i>Body</i>, <i>Effort</i>, <i>Space</i>, and <i>Shape</i> ( <i>BESS</i>) components in harmony with the <i>Movement Themes: Whole/Part, Inner/Outer, Function/Expression, Exertion/Recuperation</i>, and <i>Mobility/Stability</i>.The dance/movement intervention imparted an integrative mind-body approach to learning about one's Inner and Outer self and one's ability to cope with and connect to one's environment. Knowledge was added to the current literature at an opportune time in the brain injury rehabilitation field. Rehabilitation professionals are recognizing the need to transform current assumptions regarding the essential aspects of brain injury rehabilitation and seek additional non-medical model approaches to rehabilitation. This study offers a therapeutic modality along with a viable measurement tool that has the potential for meeting this need. Recommendations for future research are offered. / Ph. D.

京都大学 / 新制・論文博士 / 博士(人間健康科学) / 乙第13615号 / 論人健博第15号 / 新制||人健||8(附属図書館) / 京都大学大学院医学研究科人間健康科学系専攻 / (主査)教授 梁 楠, 教授 黒木 裕士, 教授 松田 秀一 / 学位規則第4条第2項該当 / Doctor of Human Health Sciences / Kyoto University / DFAM

The research presented in this thesis is an explorative study into the basic concepts and the effects of dance movement psychotherapy (DMP) intervention on the attunement behaviours of children and adolescents with autism spectrum disorders (ASD). From a retrospective analysis of positively evaluated single cases of DMP with ASD participants, movement markers of interpersonal relating behaviours have been formulated in terms of Social Engagement and Attunement Movement (SEAM) behaviours. These were organised into an observation scale, and used subsequently to generate nominal observation data on the behaviours of a small sample of children with ASD. Evaluation with the SEAM observation scale yielded a significant increase of SEAM behaviours in the course of the dance therapy. Retrospective analysis of the actions of the therapist throughout four single cases of DMP with ASD participants yielded a specific approach that was described as Shared Movement Approach (SMA). SMA has been specified as an improvisation based method of DMP that takes the child's interpersonal attunement and engagement behaviours as cues for the therapist to accommodate her interventions, so that the child's interpersonal relating behaviours are facilitated and supported. Through her kinaesthetically informed interventions the DMP therapist contributes to an increase of interpersonal engagement and attunement by the ASD participant from within the shared movement actions. The SEAM observation scale was explored on conceptual clarity and consistency in a group of independent movement analysts, and interrater agreement was used as an indication of its contents validity. An interval rating procedure with the SEAM scale yielded the best results on interrater agreement as expressed in Cohen's kappa. The Shared Movement Approach and the SEAM observation scale were then tested for replication of outcome on SEAM behaviours within four repeated single subject cases in a pilot study in a Dutch outpatient clinical setting. The outcome monitoring yielded the replication of increase of interpersonal relating behaviours as measured with the SEAM observation scale. Within subject therapy outcomes, although diverse in their individual profiles, were found to be significant when analysed with non-parametric tests. Group averages showed a significant increase of SEAM behaviours. The effects beyond therapy were evaluated with the somatic and social sub-scales of the Child Behaviour Checklist (CBCL) and the Social Responsiveness Scale (SRS), showing individual differences and a significant problem reduction on average. The outcomes as experienced by the juvenile participants were evaluated with the somatic and social sub-scales of the Youth Self Report (YSR), which on average showed a significant decrease of experienced social and somatic problems. The results obtained are discussed in view of current theories on experiential approaches and concepts for psychotherapy with an ASD population.

<p>This thesis presents hormonal, emotional, physical and visual status changes in female fibromyalgia (FMS) patients after treatment with the Creative Art therapy; dance/movement therapy, compared to controls. FMS is a syndrome of chronic pain involving musculoskeletal aches, stiffness and pain where perturbations in the stress-axis and high scores on somatic anxiety and muscular tension also have been found. The study comprises thirty-six female FMS patients divided in treatment- and control group. Serum concentrations of the hormones prolactin, dehydroepiandrosterone sulphate (DHEA-S), cortisol and neuropeptide Y (NPY) in plasma and cortisol in saliva were analysed. Different verbal self-rating scales concerning well-being, pain, personality and life events among other things have been used. Assessments of the condition of the FMS patients affected by video-viewing were evaluated together with interviews about the self-perception phenomenon of video viewing (a phenomenological hermeneutic method). </p><p>The results of the study show that six months of dance/movement therapy appears sufficient to improve both psychological and physical function, as indicated by the visual analyses. The video interpretation technique (VIT) and self-figure drawings captured treatment effects that were not evident from verbal scales or reflected in hormone levels. The biological markers probably need a longer treatment period to activate the HPA axis and its inter-related hormones and peptides. </p><p>The use of different assessment techniques most likely has affected the treatment outcome. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors discussed. The VIT may be useful for early identification of maladaptive movement patterns and as a mirror of facial and bodily expressions of emotions. In conclusion, this study indicates that both the dance/movement therapy and the VIT have had great influence on the FMS patient’s well-being, self-perception and perception of pain. </p>

This thesis presents hormonal, emotional, physical and visual status changes in female fibromyalgia (FMS) patients after treatment with the Creative Art therapy; dance/movement therapy, compared to controls. FMS is a syndrome of chronic pain involving musculoskeletal aches, stiffness and pain where perturbations in the stress-axis and high scores on somatic anxiety and muscular tension also have been found. The study comprises thirty-six female FMS patients divided in treatment- and control group. Serum concentrations of the hormones prolactin, dehydroepiandrosterone sulphate (DHEA-S), cortisol and neuropeptide Y (NPY) in plasma and cortisol in saliva were analysed. Different verbal self-rating scales concerning well-being, pain, personality and life events among other things have been used. Assessments of the condition of the FMS patients affected by video-viewing were evaluated together with interviews about the self-perception phenomenon of video viewing (a phenomenological hermeneutic method). The results of the study show that six months of dance/movement therapy appears sufficient to improve both psychological and physical function, as indicated by the visual analyses. The video interpretation technique (VIT) and self-figure drawings captured treatment effects that were not evident from verbal scales or reflected in hormone levels. The biological markers probably need a longer treatment period to activate the HPA axis and its inter-related hormones and peptides. The use of different assessment techniques most likely has affected the treatment outcome. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors discussed. The VIT may be useful for early identification of maladaptive movement patterns and as a mirror of facial and bodily expressions of emotions. In conclusion, this study indicates that both the dance/movement therapy and the VIT have had great influence on the FMS patient’s well-being, self-perception and perception of pain.