The expression of emotions through body movement is one of our earliest ways of communication, preceding spoken language, and the use of movement to identify, address, and support change in emotional state has since long been recognized in the research literature (Darwin, 1872; Fuchs and Koch, 2014; Shafir, 2016). Dance movement therapy (DMT) prioritizes dance and movement as an emotional experience. It uses movement as locus for expression of emotions, to foster emotional resiliency and as an agent of change within the dance therapeutic context (Fuchs and Koch, 2014; Acolin, 2016; Tsachor and Shafir, 2017; Payne et al., 2019). An important aim of DMT includes the support of the client to unfold and articulate inner sensations, impulses, and expression of emotional content. Exploration of specific elements of movement and vitalizing movement experiences can provide the client with the possibility to connect to embodied sources of joy and well-being, and have an effect on the clients’ self-esteem, improve well-being, and increase positive emotional experiences (Koch et al., 2007, 2019; Gendlin, 2012; Gordon, 2014).

Dance movement therapy and its clinical practice builds its theoretical background by relating and contributing to existing theoretical traditions that are in accord with DMT principles. Embodiment is a concept that matches the theory and practice of DMT. The term embodiment refers to theories and research in which the body and movement play an integral part and central role in our thinking, feeling, perception, and action (Laird, 1984; Strack et al., 1988; Merleau-Ponty, 2003; Winkielman et al., 2015). One of the main assumptions of embodiment research is that of bidirectionality between subjective experience (for example, an emotion) and the body’s sensations and movements contributing to this experience (Wallbott, 1982, 1990; Riskind, 1984; Zajonc and Markus, 1984; Neumann and Strack, 2000). Hence, the way in which we are moving does not only affects how others understand our non-verbal expressions (expressive function: Darwin, 1872). Following the James-Lange theory, this movement behavior also influences our emotional experience through our kinesthetic body feedback (impressive function: James, 1884; Laird, 1984; Riskind, 1984; Strack et al., 1988; Wallbott, 1990; Fuchs and Koch, 2014; Koch et al., 2014). In this feedback process, the body receives and supplies intero- and proprioceptive information (sensory data) via the central nervous system to the brain, which results in the formation of neural patterns. In turn, these play a causal role in the experience of, for example, emotions and feelings (Damasio, 2001; Bechara and Damasio, 2005). Imagine a person who is feeling sad. Their body posture and movement may be collapsed, slowed down, and directed to the ground. Based on the reciprocal influence of body- and cognitive-affective systems and circuits, this movement also reinforces the person’s feeling of sadness. This way, emotions can be regulated by the conscious use of movement and the associated body feedback.

The impact of movement and movement tendencies such as gestures and body posture has received a lot of attention in the scientific field, with inconsistent findings. Some studies demonstrated a direct influence on affect. For example, studies showed that people’s affective responses can be influenced by the proprioceptive input coming from specific body postures (Cuddy et al., 2018), specific gestures like arm extension and flexion (Cacioppo et al., 1993), and facial expression such as smiling or pouting (Strack et al., 1988; Laird et al., 1989; Duclos and Laird, 2001; Davis et al., 2010). However, a large replication study did not find a relation between people’s affective responses and their facial expression (Wagenmakers et al., 2016). The inconsistency of findings may be explained by differences between static expressions involving a limited part of the body (face/limbs) versus dynamic movements involving the whole body. The latter includes the Body parts doing the movement and their actions, the qualitative dynamics of the muscular contraction or Effort, the change in the mover’s Shape, and the advancement of the movement through Space. It seems timely to analyze the influences of dynamic whole-body movement on affective responses and to specify findings for a clinical application such as DMT, which emphasizes the dynamic character of movement.

Emotions are not only felt on the individual level due to the proprioceptive-kinesthetic feedback on one’s own affect, but are also displayed and visible in expression and behavior within our environment. According to Fuchs and Koch (2014), this also induces processes of interaffectivity, where our body is affected by the other’s expression, and we experience the kinetics and intensity of his/her emotions through our own bodily kinaesthesia and sensations. This interactional resonance implies a dynamic mutual feedback between two bodies which can occur through the visual, auditory, or tactile channel, but also through the kinesthetic channel (Koch, 2011; Koch et al., 2011). DMT actively addresses this interaffectivity. The therapeutic relationship is achieved through movement and dance (Chaiklin and Wengrower, 2015). In DMT, movement intervention occurs in a variety of relational modes showing strong similarities with embodied relationships and self-other relatedness as known from dance (Samaritter and Payne, 2013; Samaritter, 2020). For example, we distinguish a solo movement situation without a partner, from a partnered movement situation (duet), during which there is a focus on a partner (therapist or peer). During individual (solo) movement the clients’ own movement expressions directly affect themselves and form feedback for their own emotional experience (impression of their own expression), whereas in a shared movement situation, both persons simultaneously experience their own and each other’s emotions through the process of interaffectivity (Samaritter and Payne, 2013; Fuchs and Koch, 2014). In DMT, the therapist will actively route the therapeutic relationship using his/her own bodily movement to attune to the movement patterns of the client. By using the technique of modal mirroring (Eberhard-Kaechele, 2019), the therapist relates to the client in shared whole-body actions and mirrors him/her by moving in response with the same mode of emotional expression and movement elements. Through the highly attuned, mirrored movement intervention of the therapist, the client is offered a double impression: by sensing the other individual via the visual, auditory channel, while at the same time s/he is experiencing her/his own movements through the kinaesthetic senses. The client may develop a sense of being seen, and awareness about the expressed emotions and state may increase (McGarry and Russo, 2011). Schore (2003) proposed that the brain responds with a discharge of dopamine when a person is mirrored during movement engagement with as close as possible similar movement patterns, resulting in positive feelings like pleasure and bonding to each other. In order to reflect a more realistic situation of DMT practice in research, it can be meaningful to extend the bidirectionality model and to incorporate these different loops of body feedback into the research design. Therefore, in addition to dynamic body feedback, the present study also incorporates the interactive dimension that takes place between the therapist and client, and the consequences of this dynamic body feedback on affective state.

To observe, analyze, and assess movement patterns, most dance movement therapists (DMTh) use Laban movement analysis (LMA; Bartenieff and Lewis, 1980; Laban and Ullman, 1980). LMA provides a theory-based tool to look at the quality of movement in a quantifying manner, and classifies movement components in four main categories: Body (what moves?), Effort (how does the body move?), Shape (how does the shape of the body change?), and Space (where does the body move?). LMA identifies aspects of movement with words such as strong, free, direct, forward, rising, or retreat (Studd and Cox, 2013). In DMT, the therapist uses LMA to observe and attend to the client’s movement to change and expand movement components, observe subtle expression of emotion, share these observations with the client, and suggest how to use movement components to foster emotional resiliency in everyday life (Laban and Ullman, 1980; Shafir et al., 2016; Tsachor and Shafir, 2017). In research, LMA has been used to describe movement associated with diverse topics from personality (Levy and Duke, 2003; Van Koningsveld, 2011), mental health issues (Koch et al., 2007; Samaritter and Payne, 2017), interpersonal behavior (Roudposhti et al., 2012), emotion and emotional expression (Lourens et al., 2010; Gross et al., 2012; Shafir et al., 2016), and affect, attitude, and cognition (Koch, 2014; Koch et al., 2014).

Previous studies within the DMT domain place the dynamic, qualitative components of self-movement and the effect on the emotional experience at the forefront of their research. In his study (N = 60), Günther (2006) compared a jump movement (rope jumping) with a kick movement (kicking the ball). The light, continuous and rhythmic quality of the jumps caused more relaxation and joyful, indulgent, peaceful, and playful feelings among the participants. The pounding and spurting quality of the kick movement caused more negative feelings, including tension, aggression, and conservatism. The results from the study by Koch (2014), focusing on the changing shape of the body, show that after performing enclosing movements of the arms and opening movement of the hands, participants felt significantly more peaceful and relaxed, while performing an avoidance movement evoked more tension and aggressive feelings. In another study by Koch et al. (2014), participants reported more positive feelings and memories after moving with a light, free, and indulgent quality, while moving with a fighting quality (powerful, strong, and bound movements) became more related to negative feelings and memories. In their study, Shafir et al. (2013) demonstrated that the dynamic whole-body movement expression of discrete emotions (happiness, fear, and sadness) also enhanced this emotion among the participants. In a follow-up study by Shafir et al. (2016), specific sets of Laban movement elements were identified which, when applied, elicit feelings of the associated emotion (happy, angry, scared, and sad). Participants (N = 80) applied different combinations of LMA movement elements and rated the emotion they felt while moving. Results showed that each individual discrete emotion was predicted by a unique set of LMA movement elements and that no Laban movement element was significantly predictive for more than one emotion. The opposite effect has also been demonstrated: when the movement expression/characteristics associated with a specific emotion of an individual is limited, this leads to a reduced experience of this emotion (Laird and Lacasse, 2013; Koch et al., 2014; Shafir et al., 2016).

Results from the studies mentioned above indicate that integrating specific movement elements within a movement intervention can influence emotion. In a further exploration within the DMT domain, a few studies base their intervention on Laban and Laban theories (Koch et al., 2007; Koch, 2014; Shafir, 2016; Tsachor and Shafir, 2017) or are aimed at improving mood, affect, or emotion regulation (Haboush et al., 2006; Betty, 2013; Gordon, 2014; Punkanen et al., 2014). These findings are important for the DMT domain and are useful for the development of movement interventions where emotion regulation is an important goal. However, there is little concrete research into which specific movement elements within a movement intervention actually have their effect on a particular emotion. For the evaluation of outcomes for the DMT practice, the relationship between a specific dynamic movement intervention danced solo or together with a DMTh and the experienced emotional state with the mover would therefore be particularly relevant for further investigation.

Presenting the mover with vitalizing movement interventions to experience sources of happiness and increase positive affect is a frequently utilized practice within DMT (Koch et al., 2007), as well as offering embodied experiences to recuperate emotional expressiveness (Harris, 2007). The DMTh will guide the client in expressive movement sequences to overcome emotional stagnation and to express and experience emotions such as anger, sadness, happiness, or fear. This focus is in line with the new concept of positive health, which defines health as people’s ability to adapt and self-manage in response to the physical, emotional, and social challenges of life (Huber et al., 2016, p. 1). In DMT theory and research, interventions and treatment that address the increase of positive affect are not yet reflected well (Gordon, 2014). Rather, research focuses primarily on reducing negative emotions or symptoms, assuming that this leads to an increase in positive affect. In addition to reducing negative symptoms, it is also an increasingly important focus in therapeutic practice to support clients in experiencing positive emotions (Van der Meer, 2010; Gordon, 2014). A positive emotion like happiness can serve as a protective factor and strengthen resiliency. It seems meaningful to further integrate and extend the influence of dynamic movement and investigate the resulting body feedback on an emotional state, and more specifically happiness, into research within DMT. Such research would make a unique contribution by focusing on the relation between movement and emotion, and thereby build on the theoretical framework that answers the question of how DMT works.

The aim of the present study is to investigate whether the experience of happiness can be enhanced through the use of a dynamic movement intervention based on specific LMA movement elements associated with the expression and experience of happiness (see Table 1 for specific LMA “Happy” movement elements used for this movement intervention). In this study, we aim to differentiate between performing a movement sequence with a DMTh and performing the same movement sequence alone. Including an interactive dimension taken from DMT techniques offers a more realistic reflection of the practical DMT context. Results of this study can extend existing findings in body feedback research by incorporating dynamic movement and the interbodily resonance that takes place between the therapist and client, and the consequences of this dynamic body feedback on the affective state. Following up on the study by Shafir et al. (2016), this study aims to verify and broaden previous results by including young adults (18–25 years old) with no LMA experience or training. Following the results from neuroscience, participants’ brain responses to seeing an action are influenced by their acquired motor skills (Calvo-Merino et al., 2005; Borgomaneri et al., 2015). Participants who are not trained and experienced in LMA may have a different association between movement based on these Laban movement elements and emotion. Furthermore, the present study aims to make a contribution to the body of research that ultimately can assist DMTh in helping clients to build positive affect, in support of mental health and well-being.

We hypothesized that happiness will be enhanced the most when a participant is supported by a DMTh who uses targeted DMT techniques, including attuning and mirroring, compared to dancing the associated movement elements independently. Second, it is expected that a single dance movement intervention based on LMA movement elements associated with the expression of happiness leads to a greater increase in the experience of this emotion, compared to a single dance movement intervention that does not contain the LMA movement elements associated with the expression of happiness.

Examination of the forms revealed that all participants executed the movement sequences as planned in the study protocol and showed no further deviations of the intended protocol. In one case (participant 10, condition B), there was a remark that the RA and the participant were acquainted, which could have influenced the attitude of the RA and the participant. The results gave no rise to a post-session validation of each video to assess the inclusion of the LMA movement elements and no participants were excluded from analyses.

Table 2 shows the mean and standard deviation of the scores of the PANAS-p and VAS. The paired samples t-test showed a significant increase of PANAS-p. We found a significant increase from pre- to post-test for condition A t(1,24) = −3.43, p < 0.01 and condition C t(1,24) = −5.89, p < 0.01, but not for condition B t(1,24) = −1.56, p < 0.13. Regarding the VAS score, we found a significant increase from pre- to post-test for condition A t(1,24) = −2.09, p < 0.05. No difference between pre- and post-test VAS score was seen for condition B t(1,24) = −0.70, p > 0.05 and condition C t(1,24) = 0.49, p > 0.05. Regarding PANAS-p, GLM repeated measures analyses showed no significant main effect for condition F(2,48) = 0.535, p > 0.05, partial η² = 0.02. Instead, there was a significant main effect for time F(1,24) = 23.19, p > 0.05, partial η² = 0.49 as well as a small significant interaction effect condition × time F(2,48) = 3.23, p < 0.05, partial η² = 0.12. Figure 3 graphically shows the effects on positive affect at pre- and post-test for all three conditions. The within subject contrasts showed that there is a difference between the three conditions with respect to the increase of PANAS-p pre–post scores, in which conditions A and C both showed more increase from pre to post compared to condition B. Regarding VAS, GLM repeated measures analyses showed a significant main effect for condition F(2,48) = 6.36, p < 0.01, partial η² = 0.21. However, there was no significant main effect for time F(1,24) = 1.82, p > 0.05, partial η² = 0.07, nor a significant interaction effect condition × time F(2,48) = 1.58, p = 0.22, partial η² = 0.062. Figure 4 graphically shows the effects on happiness at pre- and post-test for all three conditions.

Results of the questionnaire on experience of the participants showed that 72% of the participants (N = 18) chose study condition A for having caused the strongest feeling of happiness, followed by condition C with 16% of the participants (N = 4) and condition B with 12% (N = 3). The item “the type of movements made me happier” was agreed by 50% of the participants for condition A, by 33.3% of the participants for condition B, and no participants rated this item for condition C. The qualitative answers of the participants that further explained this item were roughly categorized by the LMA movement elements that were selected for this movement sequence. Jumping (Body), the opening and extending of the arms (Shape) and the light, loose and free movements (Effort) were specifically mentioned.

There were differences between the conditions on the amount of physical effort F(2,48) = 18.174, p < 0.05, partial η² = 0.431. Pairwise comparison showed that more physical effort was experienced in condition B compared to condition A [M_dif = 19.52, 95% CI (9.53, 29.51), p < 0.0005] and condition C [M_dif = 14.84, 95% CI (7.82, 21.86)]. There was no difference in physical effort between condition A and C [M_dif = 4.680, 95% CI (−13.51, 4.150), p = 0.555].

In this study, we investigated the effect of specific movement feedback on the experience of happiness on the individual and interpersonal levels. The findings provide evidence that the kinaesthetic movement feedback of a “happy” movement sequence while being supported by a DMTh (condition A) is best proved to increase the feeling of happiness. No significant evidence is found for the influence of dynamic body feedback on the increase of the targeted emotion when solo executing a “happy” movement sequence (condition B). The execution of movement elements not associated with happiness (condition C) had no effect on the feeling of happiness, but improved the positive affect.

The findings show improvement on both outcome measures for condition A. This condition was also identified by the majority of the participants as the condition that increases happiness the most. Here, participants were supported by a DMTh who attuned to and mirrored them during the “happy” movement sequence. Within the attuned DMT intervention, both the DMTh and the client/participant are actively involved with their own body and movement, and this ensures an interbodily play of expressions and reactions. The client’s body is informed, not only by their own body feedback, but also by perceiving the therapist’s movement expression as an additional component (Suitner et al., 2012; Fuchs and Koch, 2014). The client therefore not only experiences the emotions through body feedback and the physical resonance in his/her own body, but in addition experiences the movement qualities as reflected in the therapist’s movement. This interaction of internal sensations and external perception of the other attuning to and mirroring the personal movement patterns offers experiential deepening of kinaesthetic quality and stimulates embodied emotional awareness (Samaritter and Payne, 2016). This finding is in line with the non-verbal attunement and shared movement experiences in DMT and the effect of DMT interventions that facilitate emotion regulation and resiliency (Samaritter and Payne, 2016; Tsachor and Shafir, 2017).

Contrary to our expectations, happiness, and positive affect did not show any meaningful results for condition B on both outcome measures. These findings give no support for the association between specific movement elements associated with happiness and the elicitation of that emotion. This is in line with the inconsistency of findings on body feedback effects as demonstrated by Wagenmakers et al. (2016). In addition, condition A and C showed more similarities with the structure of the pre-session, whereas condition B not only differed in structure, but also in the presence of a RA in the back of the room. Both aspects may have affected the findings for condition B. Based on our findings for condition A, integrating an interactive dimension into the body feedback processes seems necessary to result in meaningful effects on happiness and positive affect.

Regarding the specific type of movement elements, participants frequently reported jumping as a movement element that contributed to their experience of happiness. This finding is in accordance with Shafir et al. (2016) who found that happiness was significantly predicted by the movement element jumping. In a study by Koch et al. (2007), happiness was not measured directly, but the use of rhythmic jumps in a circle dance was found to improve vitality and reduce depression. The findings of Günther (2006), in which a jump movement generated more positive feelings compared to a kick movement (which caused more negative feelings), corresponds with the participants’ reports for this item. Descriptions for the movement qualities free flow and light weight were also frequently reported to cause the experience of happiness according to the participants. These answers are in line with a study by Koch et al. (2014) in which participants reported significantly more positive memories (p = 0.023) and positive affect (p = 0.012) after moving with a light weight quality. In combination with free flow, these movement elements form a permissive way of moving with minimal (muscle) tension, which gives a cheerful, happy, and relaxed impression (Bender, 2007). Stretching was reported several times as an active movement element in experiencing happiness by the participants. This seems to indicate the combination of opening the torso (spreading) and reaching with the arms (rising) that were selected as movement elements for the Shape category in order to induce the experience of happiness. This effect of postural expansiveness on affect and emotional state is in line with findings (power posing makes people feel more powerful) from the study by Cuddy et al. (2018) although results must be considered with reservations due to replication studies that question this claim (Garrison et al., 2016; Cesario et al., 2017; Simmons and Simonsohn, 2017).

In contrast to the effect of “happy movements,” execution of “non-happy movements” in condition C showed no effect on the feeling of happiness, but interestingly did show an increase in positive affect. This was not in line with our hypothesis nor with results in previous studies. We assumed that the selected movement elements for condition C such as strong weight, direct space, and quick time should rather result in the experience of negative emotions, like anger, sadness, or fear (Shafir et al., 2013, 2016). The findings also contrast with the study by Günther (2006), in which a kick movement (an effortful body action also used for the movement sequence in condition C) caused more negative feelings (i.e., more tense, fighting, aggressive feelings). An explanation for the increase in positive affect in condition C may be that the execution of these selected movement elements may also stimulate the body’s vital engagement in movement behaviors and may yield the feeling of being strong, proud, and determined. In Laban’s movement theory, some of the selected movement elements for condition C have been defined as movements with a fighting quality, which are associated with a sense of power, resistance, and strength (Laban, 1967; Bartenieff and Lewis, 1980). This line of thinking is confirmed when looking at individual items of the PANAS-p such as strong, proud, or determined. Analysis on an item level for PANAS-p showed that these specific items increased after performing the movement sequence of condition C, while this was not seen in items such as interested, excited, enthusiastic, and alert (see Figure 5). These accidental findings support the idea that in anger-inducing situations, positive affect is activated (Harmon-Jones et al., 2009). A person may also feel alert, attentive, or active in a threatening and anxious situation, or proud and strong when executing specific movement elements to express and experience a socially less accepted emotion such as anger. In additional explorative analysis of the VAS scores on “angry,” this emotion showed a significant increase for condition C. Viewed from a movement analytical perspective, anger is comparable to certain positive affects in that the movement approach related to this emotion develops from the center to the periphery (on outward or outgoing movement) and that its combination of kinetic qualities such as pressing, slashing, or punching are in LMA theory of Space Harmony in association with the three-dimensional spatial pulls. Moving with this approach and qualities in space creates a mobilizing flying and falling pattern, which can have a stimulating and regenerating impact on mood (Laban and Ullmann, 1966, 1984).

The self-report results showed that the experienced physical effort involved in the movement sequences was not the same for the three conditions. Participants reported more physical effort after performing the movement sequence in condition B, compared to conditions A and C. The experience of physical effort may have contributed to positive feelings or mood (Wood et al., 2013). The change of scores in condition B could therefore be overestimated, however, since there was no pre–post difference in condition B, this will not influence our overall conclusion. In the development of the movement sequences, we took into account a comparable physical effort per sequence, but this was not based on a solid methodology. For future studies, we recommend that the movement sequences are properly validated for the physical effort involved, before starting the experiment. Also, we suggest that objective measures for physical effort are included in addition to the subjective self-report measure.

The small sample (N = 25) can be seen as a limitation of this study. Therefore, replication in a larger sample would be recommended. The higher number of female participants in this study does not allow a generalization of the findings to a male population. In the same vein, results cannot be generalized to another age range. We recommend to replicate this study among both men and women above 25 years of age using a sampling strategy in the general population. Furthermore, although the combination of visual (VAS) and linguistic (PANAS) measurement instruments may be advantageous, all measuring instruments in this study were self-evaluation measurements. The results of this study could become more robust by linking these measurements to psychophysiological measurements. Further development and validation of the movement sequences can be explored in future studies, for example by comparing dynamic body feedback with more static body feedback in a control condition, or by using motion capture methods to objectively validate the movement sequences. Considering the unexpected results concerning condition B, it might be meaningful to create more equal and similar conditions in view of physical effort, structure and design of the conditions. In addition, the impact of personal movement preferences on the experience of the presented movement elements has not been explored in this study. It might be the case that not all movement elements associated with happiness need to be selected for the movement experiment to provoke the emotional experience. To further examine this assumption, we recommend to address the nature of how LMA movement elements need to be phrased and compiled in a solo movement intervention to support a shift in emotional state. A more personalized study approach might follow from this, offering participants the option to choose movement elements that would fit their individual experience of happiness. However, a personalized choice of movement elements would require thorough consideration of research methods to produce systematic and replicable results.

In conclusion, this study demonstrated that happiness can be enhanced by executing a movement intervention based on LMA movement elements associated with happiness together with a DMTh, due to the resulting dynamic and interbodily feedback. The results support the role of movement in changing or influencing an emotional state and complement and expand the still limited research on the influence of dynamic body feedback on affect on the individual and interpersonal dimension. The results can be used to inform DMT-specific interventions that contribute to the regulation of emotions. More specific, this type of intervention may be well suited for young adults and perhaps be used as an effective public health intervention at schools and campuses to improve the students’ well-being. The relationship between body and emotion is an integral part of DMT, and the relationship of these two entities is the central aspect of the therapeutic process. The results of these findings indicate that dynamic movement elements are a fertile research theme with much potential for DMT practice and the opportunity for the profession to associate more with research on body feedback, the interbodily resonance that takes place between therapist and client, and the impact on the affective state.

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

With regard to ethics approval, this study was conducted in 2017 and an ethics approval from the National Medical Ethical Board was not required as per our institution’s guidelines and national regulations (Dutch “Law of medical research involving Human Subjects” [“Wet Medisch-wetenschappelijk Onderzoek (WMO)].” The participants of this study consisted of young adults between the age of 18–25, which were asked to perform movement sequences in three conditions and fill in several questionnaires regarding their emotional state per condition before and after execution of the movement sequences. Prior to the study experiment, these participants were provided with information with regard to the research procedure and received specific movement training (1 h) to familiarize with the movements. The actual study experiment had a duration of 1 h per participant. This research procedure was not considered as a risk of bringing the participants any possible harm. All participants provided written informed consent both for the purposes of research participation as well as for the publication of the manuscript in accordance with the Declaration of Helsinki. Dancing movement sequences with specific instructions as used in this study is common in clinical practice of dance movement therapy and therefore considered as not harmful for participants. Prior to the study, the DMTh and research assistants (dance movement therapy students) who executed the research conditions were provided with written information with regard to the research aims and procedures, and participated in a 1.5 h training session. This research procedure was not considered to be at risk of bringing the dance movement therapist and DMT students any possible harm. Written informed consent was obtained from all therapists and students in accordance with the Declaration of Helsinki.

JG developed the research design, conducted the research, and first authored this manuscript. RS and SH supervised the development of the research design and co-authored this manuscript. JG and SH performed the analysis. All authors approved the manuscript and agreed to be accountable for all aspects of the work.

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.