Young women’s embodied inner narratives of desired future in mild-to-moderate depression
Keywords:
embodied narrative, late adolescence, dance-based participatory research, depression, model of narrative circulationAbstract
This paper examines the lived experiences of seven young women with mild-to-moderate depression on dance-based participatory research from the perspective of narrative futuring (NF). The data consists of letters on desired future and reflective letters. The letters were analyzed with inductive thematic content analysis and later abductively interpreted with the concepts of inner and lived narratives drawn from the model of narrative circulation. The findings were condensed into four themes: 1) Love, self-respect, and self-actualization; 2) The tripod of peace of mind; 3) Peer support at significant turning points; and 4) The future. Overall, the method of danced NF facilitated a bodily connection, allowing the individual to discover personal meaning-making on depression, to envisage the possible desired future and to take steps towards it. Therefore, the corporeally and socially affirmed inner narratives contributed to the lived narratives. In conclusion, the findings suggest that embodied inner narratives derived from the desired future may contribute to lived narratives and improve mood in the short term. Although the findings must be considered preliminary, they may have practical implications for the prevention and alleviation of depression and possibly offer a multimodal and youth-friendly approach in health-care services.
References
Abbott, H.P. (2002). The Cambridge introduction to narrative. Cambridge University.
Akandere, M., & Demir, B. (2011). The effect of dance over depression. Collegium Antropologicum, 35(3), 651–656.
Andersen, D., Ravn, S., & Thomson, R. (2020). Narrative sensemaking and prospective social action: Methodological challenges and new directions. International Journal of Social Research Methodology, 23(4), 367–375. https://doi.org/10.1080/13645579.2020.1723204
Angus, L.E., & Macleod, J. (2004). The handbook of narrative and psychotherapy practice, theory, and research. Sage.
Barrett, L.F., Quigley, K.S., & Hamilton, P. (2016). An active inference theory of allostasis and interoception in depression. Biological Sciences, 371(1708). https://doi.org/10.1098/rstb.2016.0011
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Brewer, R., Cook R., & Bird, G. (2016). Alexithymia: A general deficit of interoception. Royal Society Open Science, 3(10), Article 150664. https://doi.org/10.1098/rsos.150664
Buber, M. (2004). I and thou (2. ed.). Continuum.
Butterworth, J. (2009). Too many cooks? A framework for dance making and devising. In J. Butterworth, & L. Wildschut (Eds.), Contemporary choreography: A critical reader (pp. 177–194). Routledge.
Chappell, K., Redding, E., Crickmay, U., Stancliffe, R., Jobbins,V., & Smith, S. (2021). The aesthetic, artistic and creative contributions of dance for health and wellbeing across the lifecourse: a systematic review. International Journal of Qualitative Health and Well-being, 16(1), Article 1950891. https://doi.org/10.1080/17482631.2021.1950891
Csikszentmihalyi, M. (1993). The Evolving Self. HarperCollins.
Cuijpers, P., Sijbrandij, M., Koole, S.L., Andersson, G., Beekman, A.T., & Reynolds, C.F. (2014). Adding psychotherapy to antidepressant medication in depression and anxiety disorders: A meta-analysis. World Psychiatry, 13(1), 56–67. https://doi.org/10.1002/wps.20089
Damasio, A. (1999). The feeling of what happens: Body and emotion in the makng of consciousness. Harcourt Brace & Company.
Damasio, A. (2003). Looking for Spinoza: Joy, sorrow, and the feeling brain. Harcourt.
De Mol, J., D'Alcantara, A., & Cresti, B. (2018). Agency of depressed adolescents: Embodiment and social representations. International Journal of Qualitative Studies on Health and Well-being, 13(sup1), Article 1564516. https://doi.org/10.1080/17482631.2018.1564516
Duberg, A., Jutengren, G., Hagberg, L., & Möller, M. (2020). The effects of a dance intervention on somatic symptoms and emotional distress in adolescentg girls: A randomized controlled trial. The Journal of International Medical Research, 48(2), Article 300060520902610. https://doi.org/10.1177/0300060520902610
Dundon, E. (2006). Adolescent depression: A metasynthesis. Journal of Pediatric Health Care, 20(6), 384–392. https://doi.org/10.1016/j.pedhc.2006.02.010
Emslie, G., Kratochvil, C., Vitiello, B., Silva, S., Mayes, T., McNulty, S., Weller, E., Waslick, B., Casat, C., Walkup, J., Pathak, S., Rohde, P., Posner, K., March, J., Columbia Suicidality Classification Group, & TADS Team. (2006). Treatment for Adolescents with Depression Study (TADS): Safety results. Journal of the American Academy of Child and Adolescent Psychiatry, 45(12), 1440–1455. https://doi.org/10.1097/01.chi.0000240840.63737.1d
Federman, D., Shimoni, S., & Turjeman, N. (2019). Attentive movement as a method for treating depression. Body, Movement and Dance in Psychotherapy, 14(1), 14–25. https://doi.org/10.1080/17432979.2019.1586773
Foster, S. (2011). Choreographing empathy: Kinesthesia in performance. Routledge.
Frank, A.W. (1991). For sociology of the body: An analytical review. In M. Featherstone, M. Hepworth, & B.S. Turner (Eds.), The body: Social process and cultural theory (pp. 36–102). Sage.
Gao, L., Zhang, L., Qi, H., & Petridis, L. (2016). Middle-aged female depression in perimenopausal period and square dance intervention. Psychiatria Danubina, 28(4), 372–378.
Gergen, K. J. (2015). From mirroring to world‐making: Research as future forming. Journal for the Theory of Social Behaviour, 45(3), 287–310. https://doi.org/10.1111/jtsb.12075.
Granek, L. (2006). What’s love got to do with it? The relational nature of depressive experiences. Journal of Humanistic Psychology, 46(2), 191–208.
Hellem, T., Sung, Y. H., Ferguson, H., & Hildreth, L. (2020). The emotional dance with depression: A longitudinal investigation of OULA® for depression in women. Journal of Bodywork and Movement Therapies, 24(4), 413–422. https://doi.org/10.1016/j.jbmt.2020.05.007
Herrman, H., Patel, V., Kieling, C., Berk, M., Buchweitz, C., Cuijpers, P., Furukawa, T. A., Kessler, R. C., Kohrt, B. A., Maj, M., McGorry, P., Reynolds, C. F., Weissman, M. M., Chibanda, D., Dowrick, C., Howard, L. M., Hoven, C. W., Knapp, M., Mayberg, H. S., Penninx, B. W. J. H., … Wolpert, M. (2022). Time for united action on depression: a Lancet-World Psychiatric Association Commission. Lancet (London, England), 399(10328), 957–1022. https://doi.org/10.1016/S0140-6736(21)02141-3
Horst, R. (2021). Narrative futuring: An experimental writing inquiry into the future imaginaries. Art/Research/International:/A/Transdisciplinary/Journal, 6(1), 32–55. https://doi.org/10.18432/ari29554
Hydén, L-C. (2013). Towards an embodied theory of narrative and storytelling. In M. Hatavara, M. Hyvärinen, & L-C. Hydén (Eds.), The Travelling Concepts of Narrative, (pp. 227–244). John Benjamins.
Hyvönen, K., Pylvänäinen, P., Muotka, J., & Lappalainen, R. (2020). The effects of dance movement therapy in the treatment of depression: A multicenter, randomized controlled trial in Finland. Frontiers in Psychology, 11, Article 1687. https://doi.org/10.3389/fpsyg.2020.01687
Hänninen, V. (2004). A model of narrative circulation. Narrative Inquiry, 14(1), 69–85. https://doi.org/10.1075/ni.14.1.04han
Hänninen, V., Nguyen Long, L.A., & Sools, A. (2022). Cultural story models in making sense of a desired post-corona world. Futures, 141, Article 102989. https://doi.org/10.1016/j.futures.2022.102989
Issakainen, M. (2015). Young people's views of communicating their depression. International Journal of Adolescence and Youth, 20(1), 86–99. https://doi.org/10.1080/02673843.2013.770767
Issakainen, M., & Hänninen, V. (2016). Young people's narratives of depression. Journal of Youth Studies, 19(2), 237–250. https://doi.org/10.1080/13676261.2015.1059927
Jeong, Y. J., Hong, S. C., Lee, M. S., Park, M. C., Kim, Y. K., & Suh, C. M. (2005). Dance movement therapy improves emotional responses and modulates neurohormones in adolescents with mild depression. The International Journal of Neuroscience, 115(12), 1711–1720. https://doi.org/10.1080/00207450590958574
Johar, M., Shah, M., & Taha, H. (2015). Effect of low intensity dance exercise: Hostility, anxiety and depression among sedentary overweight women in Malaysia. Universal Journal of Psychology, 3(3), 73–79. https://doi.org/10.13189/ujp.2015.030303
Jola, C. (2013). Do you feel the same way too? In G. Brandstetter, G. Egert, & S. Zubarik (Eds.), Touching and being touched: Kinesthesia and empathy in dance and movement, (pp. 181–210). de Gruyter.
Karkou, V., Aithal, S., Zubala, A., & Meekums, B. (2019). Effectiveness of Dance Movement Therapy in the Treatment of Adults With Depression: A Systematic Review With Meta-Analyses. Frontiers in Psychology, 10, Article 936. https://doi.org/10.3389/fpsyg.2019.00936
Kella, K., Hyvönen, K., Pylvänäinen, P., & Muotka, J. (2021). Dance movement therapy for depressed clients: Profiles of the level and changes in depression. Body, Movement and Dance in Psychotherapy, 17(2), 133–149. https://doi.org/10.1080/17432979.2021.1927188
Koch, S. C., Riege, R. F. F., Tisborn, K., Biondo, J., Martin, L., & Beelmann, A. (2019). Effects of dance movement therapy and dance on health-related psychological outcomes: A meta-analysis update. Frontiers in Psychology, 10, Article 1806. https://doi.org/10.3389/fpsyg.2019.01806
Kok, J.K., Pheh, K.S., & Hor, G.L. (2018). Psychological and social factors of depression recovery: A narrative review. Pertanika Journal of Social Sciences and Humanities, 26, 41–58.
Lakshmi, P. M., Kishore, M. T., Roopesh, B. N., Jacob, P., Rusanov, D., & Hallford, D.J. (2023). Future thinking and anticipatory pleasure in adolescents with major depression: Association with depression symptoms and executive functions. Clinical Child Psychology and Psychiatry, Article 13591045231205004. https://doi.org/10.1177
Liu, P.Z., & Nusslock, R. (2018). Exercise-mediated neurogenesis in the hippocampus via BDNF. Frontiers in Neuroscience, 12, Article 52. https://doi.org/10.3389/fnins.2018.00052
López-López, J. A., Davies, S. R., Caldwell, D. M., Churchill, R., Peters, T. J., Tallon, D., Dawson, S., Wu, Q., Li, J., Taylor, A., Lewis, G., Kessler, D. S., Wiles, N., & Welton, N. J. (2019). The process and delivery of CBT for depression in adults: A systematic review and network meta-analysis. Psychological Medicine, 49(12), 1937–1947. https://doi.org/10.1017
Ludwig, A.M. (1999). How do we know who we are? A biography of the self. Oxford University.
Macleod, J. (1997). Narrative and psychotherapy. Sage.
Maddux, J.E., & Kleiman, E.M. (2021). Self-efficacy: The power of believing you can. In C. R. Snyder, S.J. Lopéz, L.M. Edwards, & S.C. Marques (Eds.), The Oxford Handbook of Positive Psychology (Eds.). Oxford Academic (3rd ed., online ed.). Retrieved from https://doiorg.ezproxy.uef.fi:2443/10.1093/oxfordhb/9780199396511.013.26. Accessed October 8, 2022
Meekums, B., Karkou, V., & Nelson, E. A. (2015). Dance movement therapy for depression. The Cochrane database of systematic reviews, 2015(2), Article CD009895. https://doi.org/10.1002/14651858.CD009895.pub2
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), Article e5614. https://doi.org/10.1371/journal.pone.0005614
Mische, A. (2009). Projects and possibilities: Researching futures in action. Sociological Forum, 24(3): 694–704. https://doi.org/10.1111/j.1573-7861.2009.01127.x
Murrock, C. J., & Graor, C. H. (2014). Effects of dance on depression, physical function, and disability in underserved adults. Journal of Aging and Physical Activity, 22(3), 380–385. https://doi.org/10.1123/japa.2013-0003
Murrock, C. J., & Graor, C. H. (2016). Depression, social isolation, and the lived experience of dancing in disadvantaged adults. Archives of Psychiatric Nursing, 30(1), 27–34. https://doi.org/10.1016/j.apnu.2015.10.010
Nakamura, J., & Csikszentmihalyi, M. (2021). The experience of flowtheory and research. In C. R. Snyder, S.J. Lopéz, L.M. Edwards, & S.C. Marques (Eds.), The Oxford Handbook of Positive Psychology (Eds.). Oxford Academic (3rd ed., online ed.). Retrieved from https://doiorg.ezproxy.uef.fi:2443/10.1093/oxfordhb/9780199396511.013.26. Accessed October 8, 2022
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking Rumination. Perspectives on psychological science. Journal of the Association for Psychological Science, 3(5), 400–424. https://doi.org/10.1111/j.1745-6924.2008.00088.x
Parviainen, J. (1998). Bodies moving and moved: A phenomenological analysis of the dancing subject and the cognitive and ethical values of dance art. Tampere University.
Paulus, M. P., & Stein, M. B. (2006). An insular view of anxiety. Biological Psychiatry, 60(4), 383–387. https://doi.org/10.1016/j.biopsych.2006.03.042
Paulus, M. P., & Stein, M. B. (2010). Interoception in anxiety and depression. Brain Structure & Function, 214(5–6), 451–463. https://doi.org/10.1007/s00429-010-0258-9
Pinniger, R., Brown, R. F., Thorsteinsson, E. B., & McKinley, P. (2012). Argentine tango dance compared to mindfulness meditation and a waiting-list control: a randomised trial for treating depression. Complementary Therapies in Medicine, 20(6), 377–384. https://doi.org/10.1016/j.ctim.2012.07.003
Pinniger R., Thorsteinsson, E.B., Brown, R.F., & McKinley, P. (2013). Intensive tango dance program for people with self-referred affective symptoms. Music and Medicine, 5(1), 15–22. https://doi.org/10.47513/mmd.v5i1.199
Pohjola, H., Ratinen, R., Hänninen, V., Kauhanen, J., & Lehto, S.M. (2019). Contemporary dance intervention in mild-to moderate depression: A pilot study. Journal of Dance and Somatic Practices, 11(2), 143–156. https://doi.org/10.1386/jdsp_00002_1
Punkanen, M., Saarikallio, S., & Luck, G. (2014). Emotions in motion: Short-term group form Dance/Movement Therapy in the treatment of depression: A pilot study. Arts in Psychotherapy, 41(5), 493–497. https://doi.org/10.1016/j.aip.2014.07.001
Purser, A. (2011). The dancing body-subject: Merleau-Ponty's mirror stage in the dance studio. Subjectivity, 4, 183–203. https://doi.org/10.1057/sub.2011.4
Pylvänäinen, P. M., Muotka, J. S., & Lappalainen, R. (2015). A dance movement therapy group for depressed adult patients in a psychiatric outpatient clinic: Effects of the treatment. Frontiers in Psychology, 6, Article 980. https://doi.org/10.3389/fpsyg.2015.00980
Pylvänäinen, P., Hyvönen, K., & Muotka, J. (2020). The profiles of body image associate with changes in depression among participants in Dance Movement Therapy group. Frontiers in Psychology, 11, Article 564788. https://doi.org/10.3389/fpsyg.2020.564788
Richardson, K., & Barkham, M. (2020). Recovery from depression: A systematic review of perceptions and associated factors. Journal of Mental Health (Abingdon, England), 29(1), 103–115. https://doi.org/10.1080/09638237.2017.1370629
Rosenthall, R. (1966). Experiencing Effects in Behavioral Research. Appleton-Century-Crofts.
Seligman, M. E. P., Railton, P., Baumeister, R. F., & Sripada, C. (2013). Navigating into the future or driven by the past. Perspectives on Psychological Science, 8(2), 119–141. https://doi.org/10.1177/1745691612474317.
Sleiman, S. F., Henry, J., Al-Haddad, R., El Hayek, L., Abou Haidar, E., Stringer, T., Ulja, D., Karuppagounder, S. S., Holson, E. B., Ratan, R. R., Ninan, I., & Chao, M. V. (2016). Exercise promotes the expression of brain derived neurotrophic factor (BDNF) through the action of the ketone body β-hydroxybutyrate. eLife, 5, Article e15092. https://doi.org/10.7554/eLife.15092
Sools, A. (2020). Back from the future: a narrative approach to study the imagination of personal futures. International Journal of Social Research Methodology, 23(4), 451–465. https://doi.org/10.1080/13645579.2020.1719617
Sools, A., & Mooren, J.H. (2012). Towards narrative futuring in psychology: Becoming resilient by imagining the future. Graduate Journal of Social Science, 9(2), 203–226.
Sools, A., Triliva, S., & Filippas, T. (2017). The role of desired future selves in the creation of new experience: The case of Greek unemployed young adults. Style, 51(3), 318–336. https://doi.org/10.5325/style.51.3.0318
Sools, A. M., Tromp, T., & Mooren, J. H. (2015). Mapping letters from the future: exploring narrative processes of imagining the future. Journal of Health Psychology, 20(3), 350–364. https://doi.org/10.1177/1359105314566607
Stoppard, J. (2000). Understanding depression: Feminist social constructionist approaches. Routledge.
Suddendorf, T., & Corballis, M. C. (2007). The evolution of foresight: What is mental time travel, and is it unique to humans? Behavioral and Brain Sciences, 30(3), 299–313. doi:10.1017/S0140525X07001975
Sugimori, E., Yamaguchi, M., & Kusumi, T. (2024). Writing to your past-self can make you feel better. Frontiers in Psychology, 15, Article 1327595. https://doi.org/10.3389/fpsyg.2024.1327595
Tao, D., Gao, Y., Cole, A., Baker, J. S., Gu, Y., Supriya, R., Tong, T. K., Hu, Q., & Awan-Scully, R. (2022). The physiological and psychological benefits of dance and its effects on children and adolescents: A systematic review. Frontiers in Physiology, 13, Article 925958. https://doi.org/10.3389/fphys.2022.925958
Tarragona, M. (2021). Personal Narratives, Expressive Writing and Wellbeing. In C. R. Snyder, S.J. Lopéz, L.M. Edwards, & S.C. Marques (Eds.), The Oxford Handbook of Positive Psychology (Eds.). Oxford Academic (3rd ed., online ed.). Retrieved from https://doiorg.ezproxy.uef.fi:2443/10.1093/oxfordhb/9780199396511.013.26. Accessed October 8, 2022
Thapar, A., Collishaw, S., Pine, D. S., & Thapar, A. K. (2012). Depression in adolescence. Lancet (London, England), 379(9820), 1056–1067. https://doi.org/10.1016/S0140-6736(11)60871-4
The World Health Organization. (2010). ICD-10. International statistical classification of diseases and related health problems. Retrieved from: https://www.who.int/classifications/icd/ICD10Volume2_en_2010.pdf. Accessed November 20, 2021
The World Health Organization. (2018). Depression. Retrieved from https://www.who.int/mediacentre/factsheets/fs369/en/. Accessed November 2, 2022
The World Health Organization. (2020). Guidelines on promotive and preventive mental health interventions for adolescents: Helping Adolescents thrive (HAT). Retrieved from https://iris.who.int/bitstream/handle/10665/336864/9789240011854-eng.pdf?sequence=1. Accessed November 27, 2023
The World Health Organization. (2021). Mental health of adolescents. Retrieved from https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health. Accessed November 27, 2023
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