Content uploaded by Itai Ivtzan
Author content
All content in this area was uploaded by Itai Ivtzan on Apr 30, 2014
Content may be subject to copyright.
THE ART AND SCIENCE OF SOMATIC PRAXIS
INCORPORATING US ASSOCIATION FOR BODY PSYCHOTHERAPY JOURNAL
volume thirteen ● number one ● spring 2014
EUROPEAN
ASSOCIATIONFOR
BOD Y-
PSYCHOTHERAPY
EABP
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
THE IMPACT OF BODY AWARENESS
95
The Impact of Body Awareness on Subjecve Wellbeing:
The Role of Mindfulness
Olga Brani, BA MSc1, Kate Heeron, PhD, Tim Lomas, PhD, Itai Ivtzan,
PhD, Joan Painter, PhD, University of East London
Received 4 February 2013; accepted in November 2013
Abstract
Positive psychology has been criticized for the lack of research on the role of the
body in wellbeing. As the research into the many variables that influence subjective
wellbeing (SWB) continues, the important role of body awareness (BA) on SWB
has been neglected. It was hypothesised that there would be a significant predictive
relationship between BA and SWB, and moreover that this relationship would be
moderated by mindfulness. One hundred and nineteen participants from the general
population completed relevant self-report scales through an online survey. BA had
a positive relationship with SWB, but this relationship was not moderated by
mindfulness. These findings have implications for positive psychology that reinforce
the argument for more body-based interventions and overall embodiment within
the discipline.
Keywords: body awareness, subjective wellbeing, mindfulness, positive psychology
International Body Psychotherapy Journal The Art and Science of Somatic Praxis
Volume 13, Number 1, spring 2014 ISSN 2169-4745 Printing, ISSN 2168-1279 Online
© Author and USABP/EABP. Reprints and permissions secretariat@eabp.org
Introduction
The Mind-Body Problem
The nature of the connection between the physical body and the subjective psyche has
been of great interest to the field of psychology for many years (Hefferon, 2013). Indeed, this
‘mind-body problem’ has occupied thinkers throughout the centuries, giving rise to a range
of philosophical positions on the subject. For example, materialistic monism grants primacy
to the physical body while the subjective mind is regarded as an illusion or epiphenomenon.
Conversely, transcendental monism (or idealism) gives ontological primacy to the mind
while the material body is viewed as an aspect of mind (e.g., a mental construct). Finally, a
number of perspectives acknowledge the reality of both material body and subjective mind,
with different positions on the nature of their interaction. For instance, in Chalmer’s (1995)
dual-aspect theory, the fundamental ‘reality’ underlying both mind and body is information;
this information is then manifested both physically (as the body and brain) and experienced
subjectively (as the mind).
Amidst debates around the mind-body problem, further confusion is generated by the
ambiguous semantics of the word ‘body’. In the philosophical positions above, ‘body’ refers
to the physiological organism — which includes the brain — in contrast with the subjective
mind. However, subjectivity also includes the felt experience of our own bodies, a construct
i Corresponding author: olga.brani@gmail.com
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
-
96
referred to as ‘embodiment’ (Riva et al., 2003). Thus, there are two ways of conceptualizing
and approaching the mind-body question: the relationship between the material body
(including the brain) and subjective mind; and the relationship between somatic aspects of
conscious experience (e.g., embodied sensations) and mental aspects of conscious experience
(e.g., thoughts). Examining the mind-body connection has become a prominent point of
concern in psychology, particularly in consciousness studies under the rubric of the ‘neural
correlates of consciousness’ paradigm (Fell, 2004). However, in many areas of psychology, the
relevance of the body is under-researched and under-theorised. One such deficiency pertains
to our understanding of wellbeing.
Wellbeing and Positive Psychology
The notion of wellbeing is of interest to many areas of psychology (e.g., health
psychology) as well as other disciplines more broadly (e.g., economics). Recent years have
seen the emergence of ‘positive psychology’, a term uniting scholars interested in issues
of happiness and wellbeing (Seligman & Csikszentmihalyi, 2000). Among the concepts
articulated and explored in positive psychology is ‘subjective wellbeing’ (SWB). SWB is
viewed as comprising a cognitive and an affective component (Diener, Suh, Lucas, &
Smith, 1999). The cognitive component refers to satisfaction with life. The affective
component pertains to the balance or “ratio” of positive and negative affect. Thus, broadly
speaking, SWB reflects how people think and feel about their lives (Ozmete, 2011).
SWB is viewed as a substantive good, desirable on its own terms. However, researchers
have also investigated the extent to which it is an instrumental good, that is, associated with
other positive outcomes. Lyubomirsky, King, and Diener (2005) have identified beneficial
consequences of SWB in four areas of life. First, SWB is correlated with increased sociality.
Second, SWB is linked to greater work enjoyment and higher levels of remuneration
(Diener, Nickerson, Lucas, & Sandvik, 2002). Third, SWB has been causally associated
with greater health and indeed longevity (Roysamb, Tambs, Reichborn-Kjennerud, Neale,
& Harris, 2003). Fourth, not only does SWB have a positive impact on an individual level,
but also on societies as a whole (Tov & Diener, 2008). For example, individuals with high
SWB tend to be less prejudiced, more trusting, and show higher levels of cooperation.
In addition to the concept of SWB, related constructs have been proposed to account
for other dimensions of wellbeing. For example, the importance of purpose and meaning
in life have been recognized and incorporated within the idea of psychological wellbeing
(PWB), which is also referred to as ‘eudaimonic wellbeing’ (Ryff, 1989). Eudaimonia —
from the Greek term meaning ‘true self ’ — is used within positive psychology to refer to
flourishing in life.
However, positive psychology has received criticism for not having sufficiently engaged
with the body and its relevance to wellbeing (Hefferon & Boniwell, 2011; Hefferon, 2013).
Recent efforts have been made to redress this lacuna. For instance, the concept of a ‘positive
body’ has been proposed, featuring five components thought to promote SWB and PWB
(Hefferon & Boniwell, 2011). These five components include: “human touch, positive
sexual behavior, physical activity, nutrition, and even physical pain” (Hefferon & Boniwell,
2011, p.176). More recently, bringing together diverse disciplines, Hefferon (2013) has
explored anthropological, sociological, neurological, biological, and phenomenological
perspectives on the role of the body on wellbeing and flourishing. This paper continues
this emergent focus on the body in positive psychology, with body awareness being a
THE IMPACT OF BODY AWARENESS
97
potentially useful area that has hitherto not been investigated.
Body Awareness
The notion of body awareness (BA) is an “overall concept for experience and use of the
body, representing body consciousness, body management and deepened body experience”
(Roxendal, 1985, p.10). Although there are many definitions of BA (Bekker et al., 2008),
Mehling et al. (2009) usefully conceptualise it as attention to and awareness of internal body
sensation. In the early 1990s, BA was predominantly studied in relation to anxiety or panic
disorder, where it was believed that over-attention to symptoms or body reactions had adverse
consequences (Cioffi, 1991). For example, high BA was associated with somatosensory
amplification — a tendency to experience somatic qualia in an intense and often noxious way
— leading to hypochondriasis, anxiety, and somatization (Cioffi, 1991). However, opposing
this negative appraisal of BA, recent studies indicate that attending to inner sensations can
have beneficial physiological and psychological consequences (Mehling et al., 2009). For
example, studies involving patients with chronic back pain found that patients who focused
on the ‘sensory components’ of their physical pain experienced reduced subjective pain
compared to patients who tried to suppress their pain (Burns, 2006). There have also been
intriguing studies exploring the impact of BA on symptomology in those recovering from
physiological or psychological trauma (Price & Thompson, 2007) and people suffering from
eating disorders and substance abuse (Burns, 2006).
Findings on the benefits of BA have led to the emergence of various therapies, referred
to collectively as body awareness therapies (BAT), centered on increasing BA (Gard, 2005).
BATs include Basic Body Awareness Therapy (BBAT; Gyllensten, 2001), Feldenkrais therapy
(Feldenkrais, 1977), and the Mensedieck system (Gard, 2005). These BAT therapies, especially
BBAT, are becoming increasingly utilized in treating psychiatric disorders, particularly
in Nordic countries such as Sweden (Archer, 2005). The main components of BBAT are
massage, breathing regulation, presence in the situation, and a focus on the experience of the
individual’s own movement2 (Johnsen & Raheim, 2010).
A number of studies have shown the impact of BATs on wellbeing, particularly in clinical
populations. For example, Skateboe, Friis, Hope and Vaglum (1989) suggest that personality
disorders are associated with issues around BA, such as distortions of body image, limited
BA, and disturbed emotional awareness and psychomotor functioning. Exploring the use of
BBAT with this population, Skateboe et al. found that BBAT promoted psychological growth
and personal development through the “harmonizing” of movements (measured with the
Global Physiotherapy Muscle Examination, observations, and self reports). Similarly, a study
with female patients with severe personality disorder found that patients who undertook
BBAT showed greater improvement than those given psychodynamic group therapy, and
also reported greater satisfaction with their treatment (Leirvag, Pedersen & Karterud, 2010).
Furthermore, a pilot study with patients suffering from eating disorders found that BBAT
improved symptomology (Catalan-Matamoros, Helvik-Skjaerven, Labajos-Manzanares,
Martinez-de-Salazar-Arboleas, & Sanchez-Guerrero, 2011). Finally, Johnsen & Raheim
(2010) studied patients with a range of psychiatric disorders, reporting that BBAT had a
positive impact on sleep and rest patterns, ability to overcome demanding situations, and
overall physiological and psychological balance.
The studies above indicate that BATs can have a beneficial impact in clinical
2 Some of these components are very similar to the theories of mindfulness and its practices, and this will be
discussed later.
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
-
98
populations, with patients already suffering from pain, illness, or stress. However,
Anderson (2006) suggests that it may be easier for people to proactively develop BA
when they are in a healthy state, rather than waiting until a physical or mental health
issue arises. Anderson thus proposes that BA training should begin early in life, in the
same period of childhood as language acquisition.
What motivation would a person in good health — with no stress, pain or illness
— have to train in BA? A possible answer from positive psychology is that BA may be
linked to SWB. As such, as individuals come to experience incrementally greater BA,
they might enjoy corresponding rises in SWB, thus motivating them to increase BA still
further. This link between BA and SWB is as yet untested — reflecting the lack of focus
on the body in positive psychology as noted above — a deficiency the current study seeks
to remedy. However, studies have made a connection between SWB and a concept that
shares conceptual kinship with BA, namely, mindfulness.
Mindfulness
Academic and clinical interest in mindfulness, a construct derived from Buddhism,
has significantly grown in recent years (Brown et al., 2007). Questions around how to
conceptualize, define, operationalize, and measure mindfulness are a source of much
debate in the field of psychology (Hart, Ivtzan, & Hart, in press). However, Jon Kabat-
Zinn (2003, p.145) offers a widely cited “operational working definition” of mindfulness
as “the awareness that emerges through paying attention on purpose, in the present
moment, and nonjudgmentally to the unfolding of experience moment by moment”.
Beyond orienting definitions, efforts have also been made to construct more detailed
theoretical models of mindfulness. For example, Bishop et al. (2004) have proposed
a two-component model: The first component concerns self-regulation of attention,
such that “it is maintained on immediate experience thereby allowing for increased
recognition of mental events in the present moment” (p.232). The second component
involves the adoption of a particular attitudinal orientation to experiences, characterized
by “curiosity, openness and acceptance” (p.232).
A large body of work has consistently linked mindfulness to wellbeing, both in
terms of the alleviation of distress and mental health issues as well as the promotion of
positive outcomes like SWB (Ivtzan et al, 2011; see Mars & Abbey, 2010, for a recent
review). There are various explanations for this positive impact. Ryan and Deci (2000)
suggest that mindfulness helps individuals disengage from automatic actions and
thoughts, such as unhealthy behaviors and habits, and thus plays a role in promoting
behavioral regulation. Additionally, Brown and Ryan (2003) hold that mindfulness
promotes wellbeing by increasing the “moment to moment” intensity of a person’s
life. In terms of accounting for the beneficial impact of mindfulness on wellbeing,
of particular interest in the context of the present study are explanations focusing on
the parallels between mindfulness and BA. Mehling et al. (2009) have highlighted the
close conceptual kinship between the two constructs. They argue that mindfulness
encompasses awareness of inner sensations (as well as thoughts), which overlaps with
the concept of BA. Similarly, in terms of the development of mindfulness and BA, skills
required in order to achieve mindfulness (e.g. attention, non-judging, concentration)
are also of importance in developing BA. Lastly, and perhaps most relevantly, Mehling
et al. (2011) report that one motivation for people in the West to practice mindfulness
is as a means of getting “closer” to their bodies, with the aim of enhancing wellbeing.
THE IMPACT OF BODY AWARENESS
99
This last finding pertains to the as-yet untested possibility, noted above, of people
seeking to develop BA as a route to greater SWB.
Thus, we have a nexus of three interrelated constructs: mindfulness, BA, and SWB.
This study seeks to examine the relationship that might exist between these, as it has not
hitherto been researched. More specifically, we broke this question down into a number
of sub-questions. First, we investigated whether mindfulness and BA both predicted SWB
(and if so, which had the greater impact). Second, we observed whether mindfulness
mediated the relationship between BA and SWB. There were two main hypotheses:
H1: There will be a significant predictive relationship between BA and SWB, and
also a significant predictive relationship between mindfulness and SWB.
H2: The relationship between BA and SWB will be moderated by mindfulness.
Methods
Participants
The research sample consisted of 119 males (42.9%) and females (57.1%) who
undertook an online survey. Participants were all adults from the general population.
Participants were contacted with an email, which included a description of the research
purpose and procedure as well as a link to the online survey. Inclusion criteria were
that individuals had to be over 18 years old and have a good knowledge of the English
language. Demographic variables, including age, country of origin, and gender, were
also collected at the start of the online survey. The first author’s nationality is Greek,
so consequently the largest percentage of participants was of Greek nationality (67%).
Participants’ ages ranged from 18 to 69 with a mean age of 32.3 (SD=13.41).
Design
Data were gathered through an online survey featuring three questionnaires measuring
the three variables of interest: SWB, BA and mindfulness. Firstly, SWB was assessed
using the Satisfaction with Life Scale (Diener et al., 1985). This scale is a well-validated
self-report tool that allows respondents to assess their lives as a whole according to their
own chosen criteria (Diener & Pavot, 1993). The scale features five statements that
participants are asked to rate on a 7-point Likert scale, ranging from (1) strongly disagree
to (7) strongly agree (Diener et al., 1985). The scale has strong reliability and stability
(with an alpha coefficient of 0.87, and a 2-month test-retest stability coefficient of 0.82)
(Pavot & Diener, 1993).
Secondly, BA was assessed using the Body Awareness Questionnaire (Shields et al.,
1989). This is a self-report measurement tool that assesses the level of attention given
by respondents to normal ‘non-emotive’ body processes. The questionnaire has 18 items
(e.g. ‘I notice differences in the way my body reacts to various foods.’) which are rated on
a 7-point Likert scale ranging from (1) not at all true of me to (7) very true of me. This
questionnaire is reliable for men (alpha coefficient = .82) and women (alpha coefficient
= .80), has good test-retest reliability (r =.80), and has discriminant validity and stability
in factor structure (Shields et al., 1989).
Finally, mindfulness was measured by the Mindful Awareness and Attention Scale
(Brown & Ryan, 2003). This assesses an individual’s frequency of mindful states, and
focuses on attention on and awareness of what is happening in the present (Brown &
Ryan, 2003). It includes 15 items (e.g. ‘I could be experiencing some emotion and not
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
-
100
be conscious of it until sometime later.’), rated on a 6-point Likert scale ranging from
(1) almost always to (6) almost never. The scale has been validated for diverse groups and
has a test-retest reliability of .81 (Brown & Ryan, 2003).
Procedure
This study was designed and conducted according to the guidelines of the British
Psychology Society (BPS) Code of Ethics and Conduct as well as in accordance with
the guidelines of the University of East London (UEL) Code of Good Practice. Initially,
participants were contacted by email to invite them to participate. Prior to the study,
participants were informed of the procedure through an information sheet and asked to
sign an informed consent form. After completion of the surveys, participants were fully
debriefed about the purpose of the study and given the contact details of the researchers
should any questions or problems occur. Anonymity and confidentiality were protected, and
data collected were stored in a password-protected computer. This study received ethical
approval from the ethics committee of the University of East London.
Analysis and Results
Hypothesis 1
In order to examine whether there was a predictive relationship between BA and SWB,
or between mindfulness and SWB, a multiple regression analysis was conducted. BA and
mindfulness were the predictor variables, and SWB was the DV. The results of the standard
multiple regression are detailed in Table 1 below.
Table 1. Standard Multiple Regression results for BA and Mindfulness as the predictor
variables and SWB as the DV.
BStd.Error Beta Sig.
BA .087 .041 .184 .034
Mindfulness .212 .049 .374 .000
R Squared=.182, Adj. R Squared=.167
A significant predictive relationship was observed between BA and SWB, and between
mindfulness and SWB. However, mindfulness had greater predictive power, accounting for
14% of the variance in SWB, against 3% for BA.
Hypothesis 2
A moderation analysis was conducted with BA as the main effect, mindfulness as the
mediator, and SWB as the dependent variable. BA was entered into the analysis first,
followed by mindfulness and then the interaction term (it must be noted that the predictor
variables were centered prior to the analysis). The results, shown in Table 2, indicate that the
relationship between BA and SWB is not moderated through mindfulness.
THE IMPACT OF BODY AWARENESS
101
Table 2. Results of the Moderation Analysis between BA and Mindfulness
BStd.Error Beta Sig.
Step1 ba .098 .044 .207 .027
Step2 ba .087 .041 .184 .034
mind .212 .049 .374 .000
Step3 ba .103 .044 .218 .021
mind .219 .049 .387 .000
ba x
mind
-
.003
.334 -.091 .334
Step 1: R Square= .043 , Adj. R Square=.034
Step 2: R Square=.182, Adj. R Square=.167
Step 3: R Square=.189, Adj. R Square=.167
Discussion
The data analysis produced a set of intriguing findings that both confirmed and also
challenged our expectations. Firstly, we observed a predictive relationship between BA
and SWB. While this was in line with our hypothesis, this is the first study to confirm
an explicit statistical link between these two constructs. There was also a strong predictive
relationship between mindfulness and SWB. This too confirmed our hypothesis, since the
connection between these constructs has been well-established in the literature (Mars &
Abbey, 2010). However, it was striking to see the extent to which the predictive power of
mindfulness on SWB (14%) exceeded that of BA (3%). Evidently, these two constructs are
not interchangeable, but can influence SWB in different ways. Secondly, corroborating this
last point, we were surprised to observe that the impact of BA on SWB was not moderated
by mindfulness. Again, this tends to indicate that BA and mindfulness, while conceptually
similar constructs, both have their own contributions to make vis-à-vis individual wellbeing.
The predicted finding that BA has a positive predictive relationship with SWB is notable
for many reasons. First of all, participants were drawn from the general population. To
our knowledge, all the research studies in the current literature have been conducted on a
targeted sample of physiologically or psychologically unhealthy participants, or with people
who had undertaken a form of BAT. These previous studies have shown that BAT has the
potential to reduce mental health issues and improve symptomology in clinical populations
(Johnsen & Raheim, 2010). However, the present study indicates a link between BA and
SWB in a nonclinical population. The implication here is that BAT has the potential to
be used with “healthy” populations as a way of promoting SWB. Indeed, as Anderson
(2006) suggests, it may be desirable to factor BA training into the early-years education of
children, thus engendering BA from a young age. Moreover, these finding are one answer to
Anderson’s question of what might motivate healthy individuals to undergo BAT training:
one inducement would be experiencing increments in SWB as a result of improving BA.
A predictive relationship was also observed between mindfulness and SWB. This finding
adds to the ever-increasing body of work linking mindfulness to various outcomes of wellbeing.
Studies indicate that interventions to train and develop mindfulness, like Mindfulness-Based
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
-
102
Stress Reduction, can serve to elevate levels of SWB (Carmody & Baer, 2008). Moreover,
so-called ‘trait’ mindfulness — relatively stable levels of mindful awareness conceptualized
as a personality characteristic, indexed by the Mindful Awareness and Attention Scale
used in the present study (Brown & Ryan, 2003) — has been linked with higher levels
of SWB (Carlson & Brown, 2005). Although this particular finding in the current study
simply serves to corroborate these previous studies, the unique angle offered here concerns
the interrelationship of mindfulness, BA, and SWB. The 3% predictive power offered by
BA constitutes a further discriminant predictive power over and above the 14% given by
mindfulness. This indicates that both mindfulness and BA make unique contributions to
wellbeing and that conceptually one cannot be reduced to or subsumed within the other.
This latter point is also supported by the rejection of the second hypothesis in the
analysis, namely the prediction that the link between BA and SWB would be moderated by
mindfulness. This prediction was informed by literature that indicated that many aspects of
BA, such as somatic awareness and attention-focusing techniques, were perhaps captured more
directly by the concept of mindfulness (Mehling et al., 2011). Indeed, Mehling et al. (2009)
suggest that many people who practice mindfulness use it as a means to develop BA, thus
directly implicating mindfulness as a key process within the development of BA. However, the
independent predictive powers of mindfulness and BA, and the regression analysis indicating
that mindfulness was not a meditating factor in the BA-SWB link, show that mindfulness
and BA are distinct, albeit related, concepts. One explanation for the greater predictive power
of mindfulness can perhaps be found in Bishop et al.’s (2004) two-component model. This
holds that the efficacy of mindfulness does not reside in people simply becoming more aware
of subjective qualia, but imbuing this awareness with particular qualities such as kindness
and compassion (Shapiro et al., 2006). While mindfulness and BA both share a common
emphasis on internal awareness, only mindfulness implies a particular attitudinal stance. This
stance may well itself play a crucial role in SWB, thus giving mindfulness “the edge” over BA.
However, it is also notable that in our study BA offered predictive power not accounted for
by mindfulness, indicating that BA does not completely overlap or fall within the concept
of mindfulness. Indeed, while some adaptations of mindfulness do focus specifically on the
body (Ditto, Eclache, & Goldman, 2006), mindfulness practices arguably focus more on
cognitions rather than somatic qualia (Teasdale, Segal, & Williams, 2003). In this sense
then, it appears that mindfulness practices may be able to learn from BA practices, like BAT,
in terms of engaging more with the body. Indeed, this last comment could equally apply to
positive psychology more generally, as noted above.
However, the limitations of the study mean that caution should be exercised with these
interpretations of the findings, and show the need for future research in this area. One key
limitation is that participants were not screened for previous knowledge or experience with the
concept or practice of mindfulness, or the concept or practice of BATs. Issues around relying
on self-report scales assessing ‘trait’ levels of mindfulness, such as the Mindful Attention
and Awareness Scale, have been raised by Grossman (2011). It is argued that such scales
lack content validity and overlook external referents that would determine the validity of
the construct. Grossman (2011) queries whether the self-reported mindfulness “skills” of an
individual are reflective of actual behavior. Further issues include response biases influenced
by each respondent’s level of knowledge and practice of mindfulness, and variations in
the semantic interpretations of each item. There are further limitations around the data-
gathering techniques in the present study. Using an online survey makes it hard to control
THE IMPACT OF BODY AWARENESS
103
the participatory environment: participants may have different software, equipment, and
even Internet connectivity. Thus, it cannot be assured that all received the information and
measurement tools correctly (Riva et al., 2003). Another limitation to online data collection
is that it may exclude particular sections of the population from participating (i.e, those with
less access to or familiarity with the Internet, such as older populations) and skew the sample
towards those from the higher ends of the socioeconomic and educational spectra (Riva et
al., 2003).
Recognition of these limitations illuminates the way ahead for further research. The current
research has indicated that there may be complex links between mindfulness, BA, and SWB.
Responding to the first limitation raised above, future studies will ideally screen participants
in terms of previous mindfulness experience, to shed further light on whether mindfulness
plays a moderating role between BA and SWB. Issues around online data collection methods
skewing the sample in particular directions means greater efforts should be made to recruit
from harder-to-reach populations as well as to explore alternative methods of data collection.
In addition, it would be interesting to explore the intersections of mindfulness, BA, and SWB
with people from different cultural backgrounds. Mindfulness as presented in the West tends
to be generally decontextualized from its antecedent Buddhist origins (Kabat-Zinn, 2003).
However, people from Asian cultures may have a more contextualized appreciation and
understanding of mindfulness (i.e., awareness of the broader religious context in which it was
developed), which may alter the way in which their experience of mindfulness intersects with
BA and SWB. Such cross-cultural research will help to refine and develop the connections
revealed in the current study.
Conclusion
The study found a predictive relationship between BA and SWB. This finding is valuable
as it suggests that individuals could benefit from becoming more bodily aware as a potential
route to increased SWB. Further research on whether healthy individuals from the general
population could be trained to increase levels of BA would be a fruitful line of inquiry. In
addition, a predictive relationship was found between mindfulness and SWB. Compared
to the BA-SWB relationship, mindfulness had greater predictive power. However, it was
notable that BA still had an impact independent of mindfulness. Similarly, it was striking
that mindfulness was not found to mediate the relationship between BA and SWB. This
indicates that BA and mindfulness are not isomorphic constructs, but that each impact upon
SWB in subtly different ways. Future research will be able to further tease out the subtle
connections among these three constructs.
BIOGRAPHIES
Olga Brani holds a BA in psychology and an MSc in applied positive psychology. Her clinical
experience mostly focuses on adolescents and her research interests include wellbeing, positive
aging, and embodiment. Dr. Kate Hefferon, PhD, is a chartered research psychologist
and senior lecturer at the University of East London. She is the author of several peer-
reviewed papers, books, and book chapters and has presented at conferences nationally and
internationally. Her research interests include wellbeing, post-traumatic growth, resilience,
physical activity, and embodiment.
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
-
104
Dr. Itai Ivtzan is a chartered psychologist and holds a position as a senior lecturer of
positive psychology at the University of East London as part of the Masters in applied positive
psychology (MAPP) programme. He is also the programme leader of the MAPP Distance
Learning. He has run seminars, lectures, workshops, and retreats at conferences and various
educational institutions, in the UK and around the world, while focusing on a variety of
psychological and spiritual topics such as psychological and spiritual growth, consciousness,
meditation, and positive psychology. Itai is the author of a variety of peer-reviewed papers
and book chapters. His main areas of research are mindfulness, spirituality, personal
meaning, eudaimonic happiness, and self-actualisation. He is the co-author of Applied
Positive Psychology: Integrated Positive Practice due for publication by Sage in September 2014.
Dr. Tim Lomas is a lecturer and module leader in the MSc in applied positive psychology
program at the University of East London. Tim undertook an MA (Hons) and an MSc in
psychology at the University of Edinburgh. During that time he also worked as a psychiatric
nursing assistant and was a Samaritans volunteer. In 2012 he completed his PhD, funded by
the Institute of Health and Wellbeing at the University of Westminster. His thesis, entitled
Journeys towards wellbeing: Men, meditation, and mental health, explored the impact of
meditation on wellbeing using a mixed methods design comprising narrative interviews,
cognitive testing, and EEG measurement. On completing the PhD Tim worked as a researcher
at Warwick University, before taking up his first academic post at UEL in March 2013.
His interests include meditation, religion/spirituality, neuroscience, and multidimensional
models of wellbeing. His first academic book, entitled Masculinity, Meditation and Mental
Health, is due to be published by Palgrave MacMillan in spring 2014. He is also co-authoring
a positive psychology textbook, entitled Applied Positive Psychology: Integrated Positive Practice,
due for publication by Sage in September 2014.
REFERENCES
Anderson, R. (2006). Body intelligence scale: Defining and measuring the intelligence of the
body. The Humanistic Psychologist, 34(4), 357-367.
Archer, S. (2005) Body awareness therapies emerging. IDEA Fitness Journal, 4(2), 87.
Bekker, M.H., Croon, M.A., van Balkom, E.G. & Vermee, J.B. (2008). Predicting individual
differences in autonomy connectedness: The role of body awareness, alexithymia, and
assertiveness. Journal of Clinical Psychology, 64, 747-765.
Bishop, R.S., Lau, M., Shapiro, S., Carlson, L., Anderson, D.N., Carmody, J., Segal, V.Z.,
Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational
definition. Clinical Psychology: Science and Practice, 11(3), 230-241.
Brown, K.W., Ryan, R.M. (2003). The benefits of being present: Mindfulness and its role on
psychological well-being. Journal of Personality and Social Psychology, 84(4), 822-848.
Brown, K.W., Ryan, R.M., Creswell, J.D. (2007). Mindfulness: Theoretical foundations and
evidence for its salutary effects. Psychological Inquiry, 18(4), 211-237.
Burns, J.W. (2006). The role of attentional strategies in moderating links between acute pain
induction and subsequent psychological stress: Evidence for symptom specific reactivity
among patients with chronic pain versus healthy non patients, Emotions, 6, 180-192.
Carlson, L.E., & Brown, K.W. (2005). Validation of the Mindful Attention Awareness Scale
in a cancer population. Journal of Psychosomatic Research, 58(1), 29-33.
Carmody, J. & Baer, A.R. (2008). Relationships between mindfulness practice and levels of
THE IMPACT OF BODY AWARENESS
105
mindfulness, medical and psychological symptoms and wellbeing in a mindfulness-based
stress reduction program. Journal of Behavioral Medicine, 31, 23-33.
Catalan-Matamoros, D., Helvik-Skjaerven, L., Labajos-Manzanares, M.T., Martinez-de-
Salazar-Arboleas, A., Sanchez-Guerrero, E. (2011). A pilot study on the effects of Basic
Body Awareness Therapy in patients with eating disorders: A randomized controlled trial.
Clinical Rehabilitation, 25(7), 617-626.
Chalmers, D. J. (1995). Facing up to the problem of consciousness. Journal of Consciousness
Studies, 2, 200-219.
Cioffi, D. (1991). Beyond attentional strategies: Cognitive perceptual model of somatic
interpretation. Psychological Bulletin, 109, 25-41.
Diener, E., Emmons, R.A., Larson, R.J., & Griffin, S. (1985). The satisfaction with life scale.
Journal of Personality Assessment, 49, 71-75.
Diener, E., Suh, E.M., Lucas, R.E., Smith, H.L. (1999). Subjective wellbeing: Three decades
of progress. Psychological Bulletin, 125, 276-302.
Diener, E., Nickerson, C., Lucas, R.E., & Sandvik, E. (2002). Dispositional affect and job
outcomes. Social Indicator Research, 59, 229-259.
Diener, E., & Ryan, K. (2009). Subjective well-being: a general overview. South African
Journal of Psychology, 39(4), 391-406.
Ditto, B., Eclache., M., & Goldman, N. (2006). Short-term autonomic and cardiovascular
effects of mindfulness body scan meditation. Annals of Behavioral Medicine 32(3), 227-234.
Feldenkrais, M. (1977). Awareness through movement. London: Penguin handbooks.
Fell, J. (2004). Identifying neural correlates of consciousness: The state space approach.
Consciousness and Cognition, 13(4), 709-729.
Gard, G. (2005). Body awareness therapy for patients with fibromyalgia and chronic pain.
Disability and Rehabilitation, 27(12), 725-728.
Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during
everyday awareness and other intractable problems for psychology’s (re)invention of
mindfulness: Comment on Brown et al. (2011). Psychological Assessment, 23(4), 1034-
1040.
Gyllensten, A. L. (2001). Basic Body Awareness Therapy: Assessment, Treatment and Interaction.
University of Lund, Lund, Sweden.
Hart, R., Ivtzan, I., & Hart, D. (in press). Mind the Gap in Mindfulness Research: A
comparative account of the leading schools of thought. Review of General Psychology.
Hefferon, K. (2013). The body and positive psychology: The somatopsychic side to
flourishing. UK: McGraw-Hill.
Hefferon, K. & Boniwell, I. (2011). Positive Psychology: Theory, research and applications.
UK: McGraw-Hill.
Ivtzan, I., Gardner, H. E., & Smailova, Z., (2011). Mindfulness meditation and curiosity:
The contributing factors to wellbeing and the process of closing the self-discrepancy gap.
International Journal of Wellbeing, 1(3), 316-326.
Johnesen, R.W., & Raheim, M. (2010). Feeling more in balance and grounded in one’s own
body and life. Focus group interviews on experiences with Basic Body Awareness Therapy
in psychiatric healthcare. Advances in Psychotherapy, 12, 166-174.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present and future.
Clinical Psychology: Science and Practice, 10(2), 144-156.
Kashdan, B.T., Biswas-Diener, R., & King, A.L. (2008). Reconsidering happiness: The
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
-
106
costs of distinguishing between hedonics and eudemonia. The Journal of Positive
Psychology, 3(4), 219-233.
Leirvag, H., Pedersen, G.,& Karterud, S. (2010). Long-term continuation treatment
after short-term day treatment of female patients with severe personality disorders:
Body awareness group therapy versus psychodynamic group therapy. Nordic Journal of
Psychiatry, 64, 115-122.
Lyubomirsky, S., King, L., & Diener, E. (2005). The benefits of frequent positive affect:
Does happiness lead to success? Psychological Bulletin, 131, 803-855.
Mars, T. S., & Abbey, H. (2010). Mindfulness meditation practise as a healthcare intervention:
A systematic review. International Journal of OsteopathicMedicine 13(2), 56-66.
Mehling, W.E., Gopisetty, V., Daubenmier, J., Price, C.J., Hecht, F.M., & Stewart, A. (2009).
Body awareness: Construct and self report measures. PLos One 4(5): e5614.doi:10.1371/
journal.pone.0005614.
Mehling, W.E., Wrubel, J., Dauvenmier, J.J., Price, J.C., Kerr, E.C., Silow, T., Gopisetty, V.
& Stewart, L.A. (2011). Body awareness: A phenomenological inquiry into the common
ground of mind-body therapies. Philosophy and Humanities in Medicine, 6(6), 1-12.
Naughton, M.J. & Wiklund, I. (1993). A critical review of dimension-specific measures of
health related quality of life in cross-cultural research. Quality of Life Research, 2, 397-432.
Ozmete, E. (2011). Subjective wellbeing: A research on life satisfaction as cognitive component
of subjective wellbeing. International Journal of Academic Research, 3(4), 55-61.
Pallant, J. (2007). SPSS Survival manual . McGraw Hill: Open University Press.
Pavot, W. & Diener, E. (1993). Review of the satisfaction with life scale. Psychological Assessment,
5(2), 164-172.
Price, J.C, & Thompson, E.A. (2007). Measuring dimensions of body connection: Body
awareness and bodily dissociation. The Journal of Alternative and Complementary Medicine,
13(9), 945-953.
Radloff, L.S. (1977). The CES-D scale: A self report depression scale for research in the general
population. Applied Psychological Measurement, 1(3), 385-401.
Riva, G., Teruzzi, T. & Anolli, L. (2003). The use of the internet in psychological research:
Comparison of online and offline questionnaires. Cyber Psychology and Behavior, 6(1), 72-80.
Roxendale, G. (1985). Body awareness therapy and the body awareness scale. Goteborgs
Universitet, (Thesis).
Roysamb, E., Tambs, K., Reichborn-Kjennerud, E., Neale, M.C., & Harris, J.R. (2003).
Happiness and health: Environmental and genetic contributions to the relationships
between subjective wellbeing, perceived health, and somatic illness. Journal of Personality
and Social Psychology, 5, 1136-1146.
Ryan, R.M. & Deci, E.L. (2000). Self determination theory and the facilitation of intrinsic
motivation, social development and wellbeing. American Psychologist, 55, 68-78.
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of
psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081.
Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction.
American Psychologist, 55, 5-14.
Shapiro, L.S., Schwartz, G.E., Astin, J.A & Freedman, B. (2006), Meditation and Positive
Psychology. New York: Oxford University Press.
Shields, A.S., Mallory, E.M. & Simon, A. (1989). The body awareness questionnaire:
Reliability and validity. Journal of Personality Assessment, 53(4), 802-815.
THE IMPACT OF BODY AWARENESS
107
Skatteboe, U.B., Friis, S., Hope, M.K., Vaglum, P. (1989). Body awareness group therapy
for patients with personality disorders. 1. Description of the therapeutic method.
Psychotherapy and Psychosomatics, 51(1), 11-17.
Teasdale, J. D., Segal, S. V., & Williams, J. M. G. (2003). Mindfulness training and
problem formulation. Clinical Psychology: Science and Practice, 10(2), 157-160.
Tov, W., & Diener, E. (2008). The wellbeing of nations: Linking together trust,
cooperation and democracy. In B.A. Sullivan, M. Snyder, & J.L. Sullivan (Eds),
Cooperation: The political psychology of effective human interaction (pp. 323-343),
Malden, MA: Blackwell Publishing.
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
123122
Online issues are available free of charge
www.eabp.org www.usabp.org
Print subscriptions are also available:
Printed single issue: Members €17.50, Non-members €20
Yearly subscription: Members €30, Non-members €35
Two-year subscription: Members €55.00, Non-members €60.
Payment through bank transfer, American Express or PayPal.
http://www.eabp.org/ibpj-subscribe.php
THE ART AND SCIENCE OF SOMATIC PRAXIS
INCORPORATING US ASSOCIATION FOR BODY PSYCHOTHERAPY JOURNAL
INTERNATIONAL BODY PSYCHOTHERAPY JOURNAL THE ART AND SCIENCE OF SOMATIC PRAXIS
124
This is the 14th Congress of the European Association for Body Psychotherapy (EABP),
organized together with the International Scientific Committee of Body Psychotherapy.
The Congress focuses on Body Psychotherapy in its current richness, bringing together
professionals from many European countries, Latin America and the United States. It
covers theory, clinical practice, the embeddedness of our work in society as well as the
cultural diversity of the movement.
We welcome you to this exchange and to a celebration of the many methodological
approaches and cultural stances in the understanding of human beings that Body
Psychotherapy represents.
Website: http://lisbon2014.eabp-isc.eu/
TABLE OF CONTENTS
04 Editorial
Jacqueline A. Carleton, PhD
08 Self-ReeconsonArtandPsychotherapy
Terry Marks-Tarlow, PhD
10 Two Poems
Jeanne Denney, BS, MA
ARTICLES
03 ShadowsintheHistoryofBodyPsychotherapy:PartI
Courtenay Young with Gill Westland
31 TheEndoSelf:ASelfModelforBody-OrientedPsychotherapy?
Will Davis
52 TowardanIntegraveModelforDevelopmentalTrauma
Homayoun Shahri, Ph.D., M.A.
67 AwarenessandMindfulnessinConsciousness-CentredBodyPsychotherapy
ChrisanGowald,MD
80 HelpingtheBodyGrieve:ABodyPsychotherapyApproachtoSupporngthe
CreaonofConnuingBondsAeraDeathLoss
Dyana Reisen, MA, CT
95 TheImpactofBodyAwarenessonSubjecveWellbeing:
TheRoleofMindfulness
OlgaBrani,KateHeeron,TimLomas,ItaiIvtzan,JoanPainter
108 TheEntericNervousSystemandBodyPsychotherapy:Culvanga
RelaonshipwiththeGutBrain
Stephanie Pollock, MA
Journal (ISSN 2169-4745)
EUROPEAN
ASSOCIATIONFOR
BOD Y-
PSYCHOTHERAPY
EABP
THE ART AND SCIENCE OF SOMATIC PRAXIS
INCORPORATING US ASSOCIATION FOR BODY PSYCHOTHERAPY JOURNAL
volume thirteen ● number one ● spring 2014