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Sunday, May 13, 2012

Assistive Technology for Students with Auditory Processing Disorder: the Case of Mary

by Alex Colombos, MA, MPS


                         Abstract
This paper aimed to present evaluation and recommendation for Assistive Technology for people, especially children with Central Auditory Processing Disorder (CAPD) and problems with speech perception and reception based on a case study.  Description of Assistive Technology products was offered.  Human Activity Interface Technology (HAAT) model was used.    Recommendations were made for further assistive technology evaluation, follow-ups, follow-alongs, and referral services.

Key words:  CAPD, HAAT, Case Study, Assistive Technology Evaluation, Recommendations


 
Introduction 
    Auditory Processing Disorder (APD) or Central Auditory Processing Disorder (CAPD) can appear in early childhood or at birth.  Hearing is not always affect and it is rather a neurological disorder that involves problems in processing auditory information.  People with this disorder have difficulties in the following functions:  sound localization and lateralization , auditory discrimination, auditory pattern recognition, temporal aspects of audition, including temporal resolution, temporal  masking, temporal integration, temporal ordering, auditory performance decrements with competing or degraded acoustic signals (MI Dep of Ed, 2006). 

Focus: Human Activity-Assistive Technology (HAAT)
   This is one of the most frequently used models in Assistive Technology (AT) that takes into consideration client’s individual needs and interaction patterns with AT & environment Human Activity-Assistive Technology (HAAT) in a more humane, accurate and holistic approach.  In HAAT, human, activity, and environment are seen in context: social environment (familiar peers, non-familiar peers, stranger and the individual alone), setting (the individual’s home, the individual’s interaction in home or group home, employment/work school and community), and physical environment (light, sound, and heat).  In this paper, the case will focus on children’s auditory processing disorder (Angelo, 2000 - Cook & Hussey, 2008).  So for a nine year-old elementary student, school and sound are important factors as well as interaction, support, and motivation from the social and familial environment (Angelo, 2000).  

Client’s Description: 
        This case study is based on a real person, a student I am currently teaching at a Greek parochial Evening School (after school program) in New York.  However, for confidentiality reasons, the name is fictitious and personal data, including student record information has not been released here.  It is not necessary anyway, as the emphasis is given on what assistive technology could be considered for a person with the general characteristics of Mary.  Mary is a 9 year-old elementary student, a third grader.  She is White (race), Greek-American (ethnic origin) and Greek Orthodox (religion).  Her family belongs to the working class and they live in a small house in the Riverdale, NY.  Mary’s parents are very caring, but obviously cannot afford very expensive AT.  For this reason, AT cost and insurance options need to be taken into consideration. 
    Mary is a highly functioning consumer with high performance in both public school and the Greek parochial school.  She is very good in math and art, but she needs special assistance in reading, speaking, and especially listening.  Although she is in a honor’s class, she is having speech therapy at school and in past she had special education classes in reading and writing.  Although she speaks quite well and she does not have any articulation disorder, her inability to understand instructions and her often misunderstanding of verbal cues and complex speech may result a certain difficulty in learning both a spoken and written foreign language, such as Greek, which a complex and demanding language with different alphabet and pronunciation.  For instance, she may read “o” as “ou”, as I observed in our initial interview.  Her essays also reflect misperception of spoken language and sounds, which is not an accident as Auditory Processing Disorder is a type of phonological disorders. 
    Her ENT (Ear Nose and Throat) doctors (otorinolaryngologists) has exclude any ear, auditory nerve or vocal cord problems.  As a result, it is rather the brain and in particular Wernicke’s Area, which is responsible for understanding both written and spoken language and probably its networking with temporal (sound and music) and frontal lobes (verbal skills and high association process) (Gillam et al, 2011).  Therefore, she needs the use of manipulatives and visual information (manipulatives, audiovisual technology and books with pictures and concrete and specially formatted drills and assessment) in the classroom (MI Dep. of Ed, 2006), which really work for her, as I have observed before and after their implementation of those methods of instruction.      

Client’s Service System Involvements and Transitions:
a Early Intervention: Mary saw ENT (no ear/vocal cord damage/speech production problem), audiologist (no hearing problem).  She also has SLP (Speech and Language Pathologist aka Speech Therapist) since Kindergarten. 
 \
    Special-Education Preschool through High School: Mary had special education classes for reading and writing in the past, but now she is fully mainstreamed and actually even in an honor’s class, but she is still having speech therapy as a third-grader at school.

c    Vocational Rehabilitation
Mary systematically sees her School Counselor to discuss educational issues and other concerns she may have that may relate to or affect academics.  At age 9 and grade 3, it would be feasible and appropriate for Mary to have for vocational rehabilitation some experience with career Exploration (interests, values, aptitudes-abilities-intelligence).  For instance, for intelligence, aptitudes, and abilities, she could have WRAT-4 or Beta III with some more time granted as an accommodation for her disability and more detailed and concrete instruction given to her with questions that request feedback to confirm mutual understanding of the instrument and the procedure.  For interests, she could have Career-for-Me for Elementary Students with Special Needs, which explores both career interests and work values.  The Mirror Tracing is also good and easy with not much instruction needed and very accessible and it explores manual and finger dexterity as well as spatial perception and manual work skills and aptitudes.

d    Post-Secondary Education
Although too early for post-secondary education, Mary has some good aptitudes, such as numerical and spatial, and manual abilities that if she uses and practices them she may have a very good prognosis.  Speech therapy may help her also improve her limited areas, but also enhance and strengthen some speech and hearing functional capabilities that may later bring her to the level of being able to pursue even college and even have an ambitious  professional career.

e     Insurance Coverage
As a minor with disabilities, Mary receives Medicaid (including the Waivers)/Medicare.  However, she does not have any other insurance.  Her parents are working class people and cannot afford expensive equipment.  However, some equipment, such as digital audio recorder could be purchased as tax exempted.

Assistive Technology (Initial) Evaluation
a      a. Tasks/Activities:
Mary likes arts/crafts, animals & nature.  She has numerical, spatial, and manual abilities that can be effectively used in mathematics, science, and art classes.   

b. Psycho/Social/Cultural/ Physical Environments:
Mary comes from a Greek-American cultural/community family, whose cultural characteristics, though her mother is second generation of American, they still carry the cultural barriers that Greeks from agrarian areas of Greece have that is they are high achievers with many demands from their children for academic excellence.  Also she comes from working class family which expects her daughter to have a better job with more benefits and higher Socio-Economic Status (SES).

c. Capacities: normal hearing, vision & sensory-motor skills and manual/finger dexterity. 

d. Skills: normal speech production & good numerical skills

e. Limitations: speech perception/reception problem; marginal reading comprehension, needs additional instruction/directions, writing coherent sentence structure, and piecing written & speech information together; challenge in second language acquisition/learning a foreign or second language, careless mistakes in reading & writing, learning & performance in music (e.g. voice).

f. Functional Capabilities:  cooperative, well-articulated, social/behavioral skills, hearing, eye-hand coordination.  She can use those capacities in order to function better and compensate for her limitations or outbalance her limitations, as the term functional capabilities means (Cook & Hassey, ).

g. Possible Extrinsic AT Software: 
Primary Software/Devices:  Those can be used for everyday life improvement, some of them in the classroom, but most of them can also facilitate independent living and home study.
WYNN by Freedom Scientific comes with two different software packages: WYNN Wizard and WYNN Reader.  These programs “are voice output, web browser, and text editor programs intended to help individuals with learning disabilities to read, write, study, and comprehend text more effectively” (Abledata, 2012).  It writes and reads aloud in multiple languages and accents, it executes optical character recognitions (OCR), word prediction, web browsing, highlights sentences for study strategies, and offers dictionary services.  It is a little pricey as it ranges from $943.00 to $379.00. 

Kurzweil 300 comes as software for Windows and also as a machine.  It has OCR and test program with voice output designed for use by individuals with dyslexia and other learning disabilities. This OCR software scans documents and reads scanned or electronic text aloud using synthetic speech. Documents are shown on screen with words highlighted as they are spoken.  It can be used based on IEP.  The Read Station, the read-only version costs $349.00 while a scan/read color version may cost $1,895 and a scan/read black-and-white version may cost $1,095 (Abledata, 2012).  “Kurzweil 3000 Learning Lab Packs are available for schools or school districts wishing to provide assistance to multiple students with reading difficulties” (Abledata, 2012), so it can be ordered by Mary’s school and funded by it.
Scan and Read Pro Scan is a software from Readingmadeeez.com  that “changes printed text into understandable sound. The program helps you in reading and comprehension by highlighting each word as it's read aloud. Scan and Read Pro's voice can also be turned off if you prefer to focus on the visual input only” (Readingmadeeez.com, 2012).  It costs only $149.95 (Readingmadeeez.com, 2012).

Don Johnston Products include software such as Co:Writer, and Read:OutLoud, WriteOutLoud.
Co:Writer 2.0 “is a word prediction software program that uses artificial intelligence to predict words based on subject-verb agreement, grammar rules, word relationships, proper names, frequency, redundancy, frequency, and user preference for individuals who struggle with writing due to physical limitation, language delay, or learning disability” (Abledata, 2012).  Write:Outloud is a voice output word processor program that supports students while composing, editing, or revising. The program, like Read:Outloud, features a homonym checker and a dictionary, as well as clear, concise speech output” (Abledata, 2012).  Those two are part of the SOLO package.  Prices range from $99 to $325 (Abledata, 2012).

Digital Voice Recorder for recording class lessons and verbal instruction.  Digital recorders are quite cheap in comparison to software and AT devices and can be found everywhere.

Secondary software: Treatment software that focuses on treating disability itself and its limitations, teacher’s applications and also alternative software and software that can be used in the classroom or it can help with music and auditory processing challenges.

Dragon Dictation from Dragon Systems “is a voice input, voice output and voice input text editor program designed for use by individuals with spinal cord injury or upper extremity, vision, or learning disabilities. This voice recognition application allows hands-free operation of an Apple iPhone, iPod Touch or iPad. The program allows the user to speak and instantly see the text of what is said appear in the document, email message, or other input area” (Abledata, 2012).  The most interesting with this product in Mary’s case is that it is for free and it can be downloaded from the Dragon Systems website (Abledata, 2012). 

A Touch of Music “is an auditory training activity designed for use with individuals with cognitive, sensory, and neurological disabilities. This portable board also encourages gross motor movement. The wooden board features a built-in carrying handle and a stand. Mounted to the board are cymbals, a drum, a bugle horn, a call bell, and an eight-note xylophone. Mallets are included with the set” (Abledata, 2012).  This can be used both in Mary’s Music class as well as by Mary at her home for her music training and home study.  Price is not available and it is provided only after contact with manufacturer (Abledata, 2012).  

SoundSmart is “a cognitive skills tutorial program and auditory training activity designed to improve listening skills, following directions, phonemic awareness, working memory, mental processing speed, and impulse control” (Abledata, 2012).  It consists of the Attention Coach and the Math & Memory Coach, with the first one more important for Mary, especially for practicing listening skills.  Price is provided only after contacting manufacturer..

No-Glamour Auditory Processing Interactive Software “improves auditory processing skills in these areas: auditory reception, following directions, recognizing absurdities, phonological awareness, details, exclusion, identifying the main idea, problem solving, riddles, and comprehension”(Abledata, 2012)t has a CD-ROM with customized lessons for auditory training, pre-test and post-test assessment and student responsinses that can be documented for tracking student’s progress (Abledata, 2012).  Another great feature is its very cheap price of only $41.95 which is very important when one considers that it is specially designed for students with Mary’s diagnosis and similar diagnoses (communication disorders) (Abledata, 2012).

Other devices and software are the Activity Table, though it is rather for younger children, it still could probably be good for auditory stimulation combined with visual cues for Mary’s treating limitation (auditory) by using her functional capabilities (visual) (price info upon contacting manufacturer) and  the Foundations in Speech Perception CD-ROM for auditory training and future risk of hearing loss that can be used in the classroom, home or speech therapy.  Price is given upon contacting manufacturer.

    Also, Hearit SE-Model 560 is “The Hearit SE 3 Step Training Kit, model 560, is an auditory training activity designed for use with individuals with dyslexia, attention deficit disorder (ADD), attention deficit/hyperactivity disorder (ADHD), or hearing or auditory processing disabilities. This kit includes the Hearit SE, accessories for Speech Therapy/Bilingual Kit and Broadcaster (see entries) to facilitate individual, small group, or classroom work.  Price is not provided, but most product of this series by Banana Speech Therapies are usually very expensive that can be used by speech therapist and be purchased by the school, though (Abledata, 2012).

h. AT devices based on related Functional Capabilities: teaching material with visual stimuli and large legible fonts and easy-to-understand cues.

i. Devices’ Potential Effects on Client’s Environment: high cost that may not be covered by insurance  

j. Possible Abandonment Issues: 1) financial reason; 2) lack of motivation, 3) frustration using the device as excessive instructions/guidance are needed due to reception disorder (most probable) & 4) device as stigma identifier resulting use of device avoidance in front of peers or relatives or even device abandonment in the long run.

Recommendations/ Conduct/Extended Evaluation
    We will measure performance before and after implementation in an interval of six months or one year.
Referral and consultation (SLP, review IEP with Specal Education teachers at a school visit or over the phone and obtaining IEP via fax; contacting the same way the School Psychologist to review Psychometric tests and likewise contacting the school counselor to discuss Mary’s academic issues and how they interfere with her disability limitations as well as discuss early transition, career exploration and future vocational rehabilitation.  Child neuropsychologists can provide neuroipsychological evaluation that may crucially affect decision upon AT selection and neurologists may provide medical evaluation which is very important as Mary’s disability relates rather to the brain and the neurophysiology of listening and auditory processing.  Also audiologiscal evaluations should be carefully reviewed in order to rule out any latent hearing interference or risk of future interference with auditory processing and getting updated with Mary’s audiology follow-ups.

Conclusion
    In conclusion, it is rather crucial to have a comprehensive assessment in collaboration with the parents, teachers and other specialties.  Also very crucial is the careful review of past evaluations, services/referrals, past history and early interventions.  Follow up should take place right after implementation.  Annual follow along should take place every school year throughout Mary’s school years.


References
Abledata  (2012).

Angelo, J. (September/October 2000). Factors affecting the use of a single switch with assistive technology devices. Journal of Rehabilitation Research & Development 37 (5), 591 – 598.

Cook, Albert M., Polgar, Jan M. & Hussey, Susan M. (2008). Assistive technologies: Principles and practice (3rd ed.).  St. Louis, MO: Mosby/Elsevier.

Gillam, R.B., T.P. Maarquardt & F. N. Martin (2011). Communication Sciences and Disorders: From Science to Clinical Practice (4rd ed.).  Sudbury, MA: Jones and Barlett LLC.

Michigan Department of Education (2006).  Michigan Speech-Language Guidelines: Auditory Processing Disorders.

Byzantine Influences on Gothic Illuminated Manuscripts



By Alex Colombos, MA, MPS, MAEd
Historian-Archaeologist
Certified History/Social Studies/Greek Teacher


The purpose of this paper is to examine a particular piece of Gothic Art that may stand as an example of the Byzantine influence in the West. Description, style and iconography of the art work will be discussed and a comparison between the particular art work and examples from the Middle Byzantine Art of various media will follow with an emphasis in style.


One of the most significant stylistic influences in Gothic Art and in the West in general, during the late years of Middle Byzantium (1150-1261) took place basically in Italy and Germany. However, the most representative country in Gothic Art and the most original places of the Gothic Art are France and Germany (Demus, 197).  The so-called Byzantinizing style takes place in Germany basically in the first half of the 13th century. In Germany, we see astonishing affinities of Venetian Art with German art works of the 13th century. Evidently, the Byzantine influence in the Germany‘s original Gothic style helped her to create its own, such as the zigzag style in the third quarter of the 13th century (Demus, 198). The Byzantine influence in German art finally reached its peak in the third quarter of the 13th century.


The Master of the Berthold Missal (died in 1235) is the painter of a series of missals (liturgical illuminated book) from the Bavarian abbey of Weingarten, Germany. In his Hainricus Missal at the Pierpont Morgan Library, the Master of the Berthold Missal is characterized by his eccentric and impressive style (active between 1220-1230) that incorporates features of expressiveness, sense of tragic as well as sense of humor in a form of parody. These features of style remind us his Byzantine models in his attempt to “out-Byzantine Byzantium”, as Otto Demus claims (Demus, 197).The blend of the styles often make scholars misidentify it even as Romanesque (AVEDA, 2012).  The particular illumination we will study is a scene of the Crucifixion that comes from the Hainricus missal, a book that dates c.1217 and it is kept at the Pierpoint Morgan Library in New York (Swarzenski, 82).


The media is tempera on vellum and gold. Jesus Christ is on the cross and on the left is the Virgin Mary, and on the right is Saint John. The virgin with her head inclined and her right foot protruding to the front, with hands touch a cross in a solemn gesture of prayer has a ritualistic expression of sadness, but her insisting, agonizing look strays to her hands isolated. The cross is ornamented in a floral motif that unfolds to the background and frames the scene. Saint John looks upwards at the dead body of Jesus with his hands solemnly crossed. Circular miniatures mark each corner of the picture the one on the right depicting a kneeling angel holding a book, and the other three are animal symbols of the Apocalypse. Such are a grotesque bird to the upper left, as (I personally think) those birds of Hieronymus Bosch (e.g. “The Garden of the Earthly Delights”), and a lion and a bovine holding books, both to the bottom left. The plasticity of the bodies and the sobriety of the compositions as well as the play of grotesque details make a contrast and remind us of the same artist’s creation: the Brandenburg Gospels. Drapery is detailed with thick expressive, but elegant lines shadowing the light colors in a contrast. Such characteristics of drapery are similar to those of other illuminations of the Hainricus Missal, like the Byzantine webbed highlights of the folds of drapery in the Canon (picture) (Swarzenski, 83).


Eccentric treatment of the composition causing fear and awe are Gothic characteristics that kept Nordic freshness contracted and paralleled with the Byzantine characteristics of pathos (passion), sobriety and elegance. The symbolism emerges from the New Testament: the narrative of the scene comes from the Gospels and the animal and angel miniatures radiate a mystique from the book of the Apocalypse. The book is the "Theios Logos" (Θείος Λόγος=Divine Providence), including the moral teachings of Jesus and the apocalyptic prophesies. The symbols announce in a pictorial style the meaning of the Crucifixion and its soteriological and eschatological character. The praying John is a symbol of devotion and loyalty as described in the Gospels. Mary also expresses a mix of sacred sadness and devotion.


In order to get a complete picture of the particular piece of art and also in order to trace the Byzantine influences that group this work to the Byzantinizing Style of the Gothic Art, we need to compare it with other works in a proper chronological and local framework primarily based on style. I would begin with “a canon page with the Crucifixion, from a sacramentary” which comes from Lower Saxony, Germany, probably from the town of Hildesheim, and dates ca.1160. The medium is tempera and gold leaf on vellum and its size is 30.2x20 cm. It is a part of the collection of Ernst and Marthe Kofler-Truniger in Lucerne and it is exhibited in the Museum of Fine Arts in Huston, Texas. The Houston leaf marks the early development of art works with Byzantine stylistic influences in Saxony (Evans & Wixom, 475). Jesus is on the cross with the Virgin Mary and Magdalene on each side, like in our work, but with floral decoration in the frame or circular miniatures on each corner. This work is representative of the Saxon style, but our Bavarian piece still has comparable and similar features. According to Jack Schrader, the Virgin’s facial type, and particularly her poise and mantle, are characteristics of the Byzantine Art. However, here the elements are restrained in the smooth and simple planes of drapery and in the strong outline (Evans & Wixom, 476). Strong outline occurs in the case of our work, but the plane is more complicated as there are folds and curves in drapery. The Virgin’s facial type is quite different as she inclines her head (more Byzantine in origin) stairing at her hands in an expressive gesture, while in the Saxon style we have Virgin stairing at Jesus with her head raised upwards and with her hands crossed. Saint John has also different hand gesture and declines his head, though in our work, he does the opposite with his hands crossed on his chest.


The next is a Byzantine icon which is irrelevant to the Western Art and it can help us to see the purely Eastern/Byzantine elements of style in comparison to our Western (Gothic) piece. This “icon with the Annunciation” has also a Crucifixion scene and comes either from Constantinople or probably Mt Sinai, since similar scenes occur in some of the treasures of the Monastery of St Catherine on Mt Sinai in Egypt. The medium is tempera on oil and the work dates late 12th century. Jesus on the cross is sat below a baldachin with angels around, while John inclines his head, like Mary who looks at her right hand, as in our work. However, in our Bavarian work, John does not incline his head, but he stairs at Jesus with his hands crossed on his chest. Here, first the left hand touches the neck and the right touches the cloth in a gesture of nervousness and agony. In this exceptionally sophisticated piece, the icon is remarkable for its saturated golden tonality, erudite forms, and elaborate messages, with the biblical figures around the frames. In the late Komnenian style, which has a dynamic and often mannered mode of painting, linear highlights and shadowy figures appear, as in our work, and Jesus’ head inclines the same way.


Finally, we have an Italian, probably Sicilian, illumination with the Crucifixion on the upper part) and the Anastasis (Resurrection) on the lower part. The illumination appears on a page that belongs to a New Testament dating ca.1200 and it is tempera on vellum. The size of the illumination is 24.7x15.8 cm and the piece is found in the Getty Museum in Los Angeles, California. Although it is Italian and not from a country directly related to the Gothic style, but rather it has a Romanesque influence, this is a picture with circular miniatures and frame ornamentation. With prophets depicted that remind us the prophetic meanings of the animal depictions in the Bavarian piece. The Virgin stairs in agony at Jesus’ nailed feet, just like John does in agony, though our Virgin seems to stair only at her hair in aew and puzzlement. Jesus’ poise as his body is twisted to the right (left as we see it), alike the Bavarian. The drapery has Nordic features as it best corresponds to illuminations of English manuscripts. The ornamentation has meanders, geometric and perplexed floral patterns, as the Byzantine mosaics, showing a Greek and Eastern influence, and we see also a pattern of moon and sun above Jesus, unlike the Bavarian. The full-page depiction, as our Bavarian piece, is a characteristic of the missals.


In conclusion, we see that Byzantine influence is apparent in this Crucifixion scene from the Hainricus Missal of the Master of the Berthold Missal, but the painter keeps his Nordic and Gothic elements, but this blend makes some think that for some to consider it Romaneaque (AVEDA, 2012)  that contrast with the Byzantine features, which are more like an adaptation to the Gothic Art rather than totally Byzantine in comparison to the variety of works we saw.



BIBIOGRAPHY
A. Image
- ADEVA (2012).  The Hainricus Missal.
http://www.adeva.com/faks_detail_en.asp?id=5



B. Text

- Demus, Otto. Byzantine Art and the West. New York: New York University Press, 1970. Swerzenski, W. The Berthold Missal and the Scriptorium of Weingarten Abbey. New York, 1943.


-  Evans, C. Hellen and Wixom, D. William. The Glory of Byzantium. New York: The Metropolitan Museum of New York, 1997.


Fetal Conditioning and Prenatal Development across Cultures and Times: a cross-cultural psychological perspective on historically significant and respectable ancient and indigenous cultural practices of the body and illegitimate and dangerous New Age trends


 by Alex Colombos, CRC, MA, MPS, MA Ed

ΝΟTE: Often a technical error occurs and makes challenging the reading of the following article.  If thick white lines hide part of the following text, please highlight them with left click and the hidden lines will recover.

    The purpose of the following paper is to examine a hard and scarcely discussed topic, fetal conditioning and rituals of the prenatal development, first from the western perspective of advanced research in fetal psychology and clinical treatment using fetal conditioning, and then from a cross-cultural and interdisciplinary perspective. The second section, the more emphasized one, attempts to shed light on the symbols and archetypes of the fetus as they emerge from various traditional ancient and still existing cultures as well as New Age religious customs and rituals associated with prenatal development, a special and quite interesting issue.



Introduction
Dr. Zavos
    Today, medicine is supposed to do the same with eugenics, but for the well-being and survival of the fetus and the mother, though in the case of some experiments, ethical questions arise and leaders of various religions object such interventions. We live in times, when geneticists, such as the Cypriot Nicholas Zavos and the Italian Severino Antinori, announce that the first human clone will be born in January 2003. Such a delicate issue is also fetal conditioning. But before fetal conditioning, what were the origins of fetal psychology?

I. Fetal Psychology and the Modern Western World
a. Origins of Fetal Psychology
    Far before the behaviorists and the advanced neurocognitive and embryological research, the famous psychoanalyst Otto Rank, in his The Trauma of Birth, spoke first about fetal memory, fetal learning, and fetal trauma, as he accepted full human identity and enough intellectual and psychological functions for the fetus. David Winnicott, another major psychoanalyst, believed that “in full term, there is already a human being in the womb, one who that is capable of having human experiences and of accumulating a body of memories and even of organizing defensive measures to deal with traumata...” (De Mause, 1996, p.1). Winninicott even dealt with prenatal experiences in his analyses with children who had them more freshly on their subconscious. He used to take the child patient in his coat and tell it to turn upside down with the head between his legs, as in the fetal posture! (De Mause, 1996). Other psychotherapists who followed Winnicott were Fodor, Mott, Roskovsky, Janov, Grof, Verny, Fedor-Freybergh, Janus, and others. They successfully treated patients with birth feelings of being trapped, feelings of crushing head pressures, cardiac distress, death-rebirth struggles, and emotional explosions due to prenatal trauma (De Mause, 1996). Lloyd de Mause (1996) reports that 60 % of the dreams content prenatal and perinatal images as this is manifested from the professional experiences of most psychotherapists. Lynda Share pointed that “early trauma produces an overwhelming fear of all progress in life.” (De Mause, 1996, p.2).

    Alessandra Piontelli, an Italian psychotherapist reported case studies, such as one on an 8-month boy who felt much psychological pain and anxiety to other’s responses, since as a fetus, he had experienced frustration with his non-responding co-twin, also a male, who was dead two weeks before birth. Piontelli has spent thousands of hours in a combination of ultrasound research and clinical psychoanalytic work and much of her findings match those of other therapists who have mentioned pre- or perinatal “Fantasies” in children (De Mause, 1996). Lloyd de Mause has reported himself traumas from children who were fetuses, while there was war. It seems that the frightening noise of crushing bombshells, the noise of the planes crossing above houses and screams and cries of agony and despair were aversive auditory stimuli that caused fear and anxiety to the same individual at an older age at a degree even of post-traumatic anxiety (De Muse, 1996).

b. Fetal Conditioning
Pavlov's dog and Classical Conditioning
    Learning theories, such as conditioning and habituation have been applied on animal and human fetuses in medical laboratories for a long time. By definition, Fetal conditioning is the classical conditioning of the fetus in utero, which is when the fetus learns to elicit a CS (conditioned response) after an UCS (unconditioned stimulus) (Hepper, 1996), such as a tone, light, or a galvanic skin stimulus (electrical stimulation of the fetal skin).

    In an experiment on Conditioned Galvanic Skin Response in the chick embryo, conducted by R.Fried and S. Gluck, from Hunter College of the City University of New York, two 14-,15-, 16-, 17-, and 18-, day-old chick embryos were conditioned to a tone associated with a shock (Fried - Gluck, 1967). W.S. Ray paired a vibration (CS) with a loud noise (UCS). Ray reports that the subject, when grew up, suffered “no ill effects from her prenatal education”, as he wrote himself (Hepper, 1996, p.2). However, a noise in that early age, might be an anxiety-provoking experience. Using a similar method, D.K. Spelt paired vibration (CS) with a loud noise. After, 15-20 pairings most fetuses in the last 2 months of gestation, responded to the vibration (CS) alone (Harper, 1996). P.G. Hepper (1996) replicated Spelt’s procedure in an fetal memory experiment, using 24 pairings of audio stimuli and after 32-39 weeks and 19-20 trials 50 % (10/19) of the fetuses were conditioned (Harper, 1996). Hepper’s and the other experiments in the field of cognitive behaviorism, mentioned above, showed hard evidences of fetal memory, a serious prerequisite for learning.

    Habituation is a behavioral concept essential to fetal perception. Habituation is “the decrement in response to stimuli following repeated presentation of the same stimulus” (Harper, 1996). In other words, the fetus gets used to certain stimuli. Most fetal experiments use audio stimuli, unlike the newborn experiments which also use visual (Harper, 1996). That is because the fetus has not yet developed its visual functions and it is more habituated to audio stimuli. That is very important, since fetal mental representations, to use a cognitive term, memories, and experiences play an important role to later development.


c. Fetal Conditioning in Medicine
    Fetal conditioning is studied in clinical medicine, in cases such as of chemical stimulation, as in Fetal Alcohol Syndrome (FAS), soap in uterus, and hormones, as well as mother’s weight loss, blood diseases, or in behavioral medicine. From the above I will prefer to discuss a more psychological issue only, such as behavioral medicine. It could be interesting to refer to a series of longitudinal studies conducted by Dr. Catherine Monk, Dr. Michael Myers, and Dr. William Fifer (2000) from the developmental psychobiology department of Columbia University. They studied both the prenatal, prenatal and post-natal (from birth to four-months) neurobehavioral characteristics of subjects, whose mother suffered from maternal anxiety or depression.
    The purpose of the study was to detect a pattern of familial transmission of mental disorders, such as maternal anxiety and depression. The results showed that there were more probabilities for the children of mentally ill mothers to be affected by the same disorder, than those whose mother was not mentally ill. Fetuses and newborns of mothers with mood disorders, such as depression were more likely to alter states of mood, especially when their mothers did so (http://nypisys.cpmc.columbia.edu).


II. Fetal Conditioning across Cultures and Rituals of the Prenatal Development
a. New Age Rituals of the Prenatal Development
    It is evident that Eastern Religions, other ancient religions polytheistic in origin, and indigenous practices are currently fashionable and often reinterpreted and rediscovered in a naive and distorted consumerist context which often lead to an unhealthy and ambiguous "spirituality", often syncretistic (related to religious eclecticism or all-faith accretion) which has nothing to do with real healing and spiritual direction.  There are current trends of misleading and often very dangerous neo-Pagan and New Age cults that deceive and manipulate a lot of people and especially the inexperienced and troubled youth who are looking for answers to their problems or are disappointed by organized religion or act impulsively and often join New Age cults disguised as patriotic and nationalist organizations that claim to recover ancient practices.   In a post-modern and in particular deconstructionist fashion, concepts and notions get revised and too often misdefined and misrepresented in the dark world of New Age politics, such as "tribal" and "tribalism", "folklorism", "Hellenism" and many more.  "Folklorism" is a dry utilitarian and naive misuse of customs and traditions which are used by subcultures and deviant groups as well as by everyday youth  culture that sometimes can take elements of various respectable and legitimate ancient and indigenous cultures and conncet it with marginilized and even deviant patterns of social behavior.  "Hellenism" is another misdefined word which originally means "Greekness" and Greek culture in its diachronicity and historical continuity and not exclusively "ancient Greek" or "Hellenic/Greek Pagan" or "ancient Greek religion" or "neo-Pagan revival", as unfortunately now stands for for most people. One also needs to be very careful with some groups and practitioners who combine science with superstition (http://www.oodegr.com/ ; http://www.apologitis.com/ ).


There are books by ignorant and uneducated
revisionists with suspicious and hidden agenda who attempt to re-write history based on lies and inaccuracies in order to fight Christianity and  proselytize innocent people to their dangerous and mischievous cults.  Some of them express ideas and even commit actions that are fascist, religiously intolerant, anti-monotheistic, especially anti-Christian, racist, white suprematist, neo-Nazi, satanist, totalitarian, and authoritarian.  Here, OODE, a Greek Orthodox Christian group that watches such cults and books and warn against them, criticizes with a sense of humor one of those "authors" and cult leaders in Greece by changing the author's name, book title and publishing house's name (For further inquiry, see http://www.odee.com/).
  




    In our post-human, post-modern and globalized world, there are places on Earth were traditional societies co-exist with science and quantitative research. It is thrilling when scientific research meets cultural studies and religion, without prejudice and taboos, not just for the favor of research, but also in the realm of religious practice. New Age cult leaders deceive their victims by claiming that this combination manifests the goals of the New Age religions. An example of merging new age ambitions and practices with traditional religious practice in situ, in the original country of the religion, is a prenatal research and ritual practice in India. Hinduism is an open-minded and highly sophisticated and spiritual religion, rich in important archetypal images, mythology, and symbols.  However, New Age occultists often exploit public's interest in Hindu esotericism and spirituality and Ayuverda or Indian Medicine and take advantage of Hinduism's open-minded and holistic perspective by placing it in a distorted cheap consumerist postmodern context.  Thus, they confuse their victims and give them the wrong idea about ancient and indigenous practices and they also belittle and tarnish those practices.  They mix up original ancient and indigenous spirituality with New Age consumerist "spirituality" or pseudo-spirituality.  New Age religious attitudes and scientific research, though India is a developing and traditionalist society and only traditional. In Hinduism, Ayurverda or Indian medicine is very ancient and it is a combination of medicine, philosophy, and cosmology as well as ecological, spiritual and religious practices often combined with herbalism, Indian Astrology and tarot (www.oodee.com; www.apologitis.com).

    Gajanan S. Kelkar is the director of the “Manashakti Research Center in Lovavla, India. This institute runs the “Manashakti REST (Research Education Sanatorium Trust) New Way. Its activities are: study seminars, machine test (which assess the inner energy quanta expenditure and ways to attain that energy), publications, performance of social and cultural rituals, and outstation programs. Manashakti means “new way” in Sanskrit and the goal of the prenatal program Sanskar is to research, teach, and practice that new way. Sanskar is the Sanskrit word for “good or positive values. According to Mahabharata, the great Hindu work and source of Hindu mythology, Abhimanyu, son of Arjuna, fought for those good values the evil forces in the womb of his mother, to be later reborn. The goal of this program is to administer fetal conditioning applied in prenatal moral education.  Specifically, the official goal statement is: “I. To welcome the baby with good thoughts, II. Imparting Sanskar to the fetus, III; improve the emotional health of the parents, IV; increasing the courage and confidence of mother during labor” (www.birthpsychology.com/life before/sound7.html). The tests and procedures are: “Stage I: Temperament coordination test of both parents before marriage. Stage II. Post-marriage adjustment test; Stage III: Three-day study course to be taken before or during pregnancy (preferable before conception); Stage IV: Stroboscope test for improving the concentration of the parents (during the first six months of pregnancy). Stage V: Fetuscope test”, which is recording of heart pulse rate and the monitoring of the development of the fetus’ main organs “(after six moths of pregnancy). Stage VI. Post-delivery personality test for parents” (Ibid.). The researcher who administers the tests and procedures is Swami Vijnanand. (For more information, see www.birthpsychology.com).

    In America, as also in Europe, there are many nationwide New Age and neo-Pagan organizations, convents, circles, churches, community service agencies, and the like, found on the Internet, that provide information about pagan parenting, spiritual teachers, and ancient recipes for fetal and mother conditioning, though they usually do not use this term, but that is exactly what they do. Such are www.paganparenting.net and www.goddessmoon.org, just a very few samples of the inumerous popular websites on this subject. They suggest the use of incense, music, and massage for the relaxation and peace of mind of both mother and the fetus. Many such societies reconstruct and practice rituals for the fetus and range from Druid/Celtic, Wicca, Green Magic, Earth Mother/Moon Goddess religions to neo-Gnostic/Christopagan , Greek and Roman Pagan, Phrygian/Egyptian/Chanaanite Revivals to various cults of Animism/Syncreticism/Eclecticism, and also Shamanism/Vudoon/Ayuvenda/Yuruba/Native American Religions, not to mention the New Age movements related to Sufism and Eastern religions. Christianity considers neopaganism and new Age incompatible with its doctrines and dangerous for humanity and its salvation (http://www.apologitis.com/gr/ancient/ -http://www.scribd.com/doc/7011279/http://www.oodegr.com/ )

b. Couvade
    Beliefs that maternal anxiety and depression, especially postpartum, are maternal problems or other similar environmental factors (quarrels, noise, depressive environment, father’s or relatives aggressive attitude towards the mother) that may affect the fetus’ psyche, are not only western, though traditional societies may have not been aware of such scientific concepts. Yet, have they felt them in everyday life and dealt with them in their traditional shamanistic, animistic, or transcendental way through rituals and religious ceremonies of purification, exoneration, and evocation of the spirits.

    Some cultures practice couvade, French word for “hatch”, in which father expects on his bed very specific taboos of the prenatal development, shortly before birth. What is not pointed much by couvade researchers is that it is a practice of “fetal conditioning”, as the expectant father not only deals with his own situation toward the pregnancy phenomenon, but also “purifies” and “exonerates” the evil spirits that posses the fetus for the fetus’ well-being and its future luck. Such couvade practicing culture is the Arapesh of New Guinea, who interprets childbearing as a heavy burden and drain of energy for both mother and father. The main purpose of couvade is to have the father “distract the attention of the evil spirits so that the mother and the baby can easily go through the childbearing transition , more safely” (Helman, 1990, Newman & Newman, 2003, p.124). Other cultures, such as the Thai were studied. A study conducted by Knonobdee, C. et al (1993), observed 179 Thai males whose symptoms were very similar to what many American and European males have experienced (www.childbirth.com). Couvade is not just a traditional practice after all. It derives from the same motives that other expectant fathers in western societies have, then they naturally feel the tendency to observe their partner’s belly and appear symptoms of general fatigue, stomach cramps, dizziness, or backache, exactly as those the couvade fathers experience. According to H. Klein, symptoms often appear from the end of the first trimester to culminate in the end of pregnancy, and disappear after birth (Klein, 1991, Newman & Newman, 2003).

    The expectant father’s crisis in couvade is eloquently explained by M. Finley, who presents him as a confused and anxious human being who finds himself “at the bottom of a barrel of his manhood” facing the unknown and his only weapon is his faith. Finley (1984) correctly observes that both the ancient and the modern man are quite alike as they both “value their security” and “they are both threatened when their manly armor starts to crack.” Trethowan (1972), the first to document and talk about couvade, suggested that the pregnant wife’s physical appearance causes those symptoms which are products of man’s emotional ambivalence toward his partner’s pregnancy. He tries to empathize with his wife’s pregnancy and thus he identifies himself with her. As Newman & Newman (2003) shrewdly pointed out, that many unexpressed unconscious feelings of the expectant father are amplified in his conscious worries about his wife’s and his child’s health and security and the produce stress might be what causes the couvade syndrome, as Newman & Newman call it. They also pointed that an unconscious envy of the expectant father for his wife’s pregnancy might be a crucial factor that intrapsychic conflict, which sounds very Karen Horney’s kind of thinking, who spoke of men’s womb envy (Fadiman & Frager, 2002). However, this concept is not mentioned by Newman & Newman, and we do not know whether the authors were influenced by her theory or their opinions accidentally match with hers and of other feminist psychologists.

c. Other Reactions to and Rituals of Prenatal Development in non-Western Societies
    Besides the unconscious reverence that some men may have for childbearing, conscious appreciation of this miracle of life exist in both the western and the non-western world, but are more explicitly expressed in the non-western traditional societies through rituals and formal practices. Thus, in many such societies, women are considered blessed, chosen, or even magic, and thus they are respected by their community. In Jamaica, the nana, or midwife, serves also as a spiritual advisor for the pregnant women and of course she is key figure in Jamaican society. Her rituals during pregnancy and the first 9 months of childbirth are not only to purify the woman from the evil spirit and prepare her psychologically and spiritually, but also does a kind of fetal conditioning, of course unaware of its scientific concept (Kitzinger, 1982 - Newman & Newman, 2003).

Arapesh of New Guinea
    On the other side of the coin, in some other traditional societies, such as the Arapesh of New Guinea, which are already mentioned, or the Kadu Gollas of India and the Vietnamese villagers, the pregnant withdraws from the village, while the Cuna Indians view pregnancy as a sickness (Newman & Newman, 2003). This withdrawal, besides the psychosocial needs of both the woman and the community, might also have some demonological character, since evil spirit may be supposed to possess both mother and fetus. As a result, withdrawal may serve as a prescription generally as a purification or preventive ritual and specifically as a kind of fetal conditioning, since the isolated environment, the lack of audio stimulus, such as talking may affect fetus. Mother’s feelings of loneliness, frustration and isolation may also affect the fetus.

d. Ancient Rituals and Symbols of Prenatal Development
    We have discussed about existing societies and now it is time to go back in time, in a reverse way than it usually happens, but this is also the journey the modern man has to take, to go back to his roots and discover the origins of humanity and finally of his own self. We mentioned the positive and negative tendencies toward prenatal development and childbearing among various non-Western societies. Besides the non-Western world, the ancient western world is quite interesting and spiritual and many of its symbols, mentalities, and rituals match with non-western, as both traditional and un-standardized, unlike the standardized modern world of globalization and technocracy.

Aegean steatopygous figurines



Marija Gimbutas 


The Minoan Snake Goddess of Crete
    From the down of civilization, from prehistory, the image of pregnancy took a magic character, as the image of the pregnant goddess persists in many unearthed artifacts from the western (Greece: Neolithic cultures of the mainland; Balkans: Vinça, Cucuteni, and Karanovo cultures) and non-Western (Mesopotamia, India) worlds. The study of archaeomythology, or the mythological research in ancient art and archaeology is best represented from the work of a unique woman, Marija Gimbutas. Marija Gimbutas was a great archaeologist and archaeomythologist who was connected to the work of Joseph Campbell, the great mythologist and cultural researcher, and immersed in Carl Jung’s theories of symbols and archetypes, which we will explain in later section. Gimbutas in her books Gods and Goddesses of Old Europe and the Language of the Goddess, she saw that Neolithic Balkan and Greek artifacts indicated a reverence and sense of divinity for the pregnant woman, as it is expressed in steatopygus figurines, or figurines which emphasized the protruding waist and the blown belly (Gimbutas, 1989 and Gimbutas, 1974). Long or many breasts on female figurines and the image of the mistress of the animals, a symbol of fertility and an indication of a metaphysical fear were dominant in both western and oriental cultures of the ancient world (Ibid). The Minoan (prehistoric Cretan) snake goddess, Eilethyia or the original image of mother Earth or Gaia and Artemis, the goddess of hunting and nature, is a symbol of fertility, as is the snake, a universal symbol of fertility, primitive and wild instincts of preservation and metaphysical fear, thus an apotropaic image (Giimbutas, 1989, Burkert, 1977, Campbell, 1974, and Gimbutas, 1974). Images of the mighty goddess are such as Tara in Buddhism (Campbell, 1974).
Aegean fresco

Idean Cave in Crete: Zeus' cave
    The egg symbol that appears in Greece and the Balkans, but probably in non-western places of the world as well, is a symbol of germination, gestation and prenatal development and resembles the theory of panspermia, or the theory that the primordial substance of the world was a seed that infinitely spread and multiplied. The image of the fetus was also found in rock art, cave painting, and figurine sculpture. The multiplied eggs, a symbol of gestation and cell multiplication, converges with the symbols of the spiral and the meander, whose unfolding lines resemble the regenerating course of life, which as the DNA strand does, it unfolds and develops in a spiral, spreading, and multiplying fashion. Prehistoric birth shrines in Greek caves may also indicate a worshiping of the fetus and the newborn, as well as, of the mother or they were just considered vehicles of that miraculous and divine process (Gimboutas, 1989).

Cycladic steatopygous fertility figurine
Besides, the celebrating and positive sense of the symbol of the fetus, it represented the transition from death to life and for this reason, in many cultures, from Mesoamerica to the prehistoric civilization of the Greek island-complex of the Cyclades and the Homeric Age of Greece, the dead was buried in a fetus position (Burkert, 1977). In Greek after-life mythology, Hades or after life was a personified deity, but also the underworld, a surrealist dark world, a resemblance of womb (Burkert, 1977). Similar was the after-life in the Aztec and Mayan mythologies, a journey to a dark, humid netherland (Coe, 1962), a resemblance to the womb, the liquid, humid, dark environment of the amniotic sack. The fertility goddesses and mighty goddesses which accompanied the fetal images were also ladies of death and life, fear and beauty (Gimbutas, 1989).

Hemenaios
sernikovotano
    In Classical Greece, there were many deities of prenatal development and birth, such as Hymenaios (god of wedding and conception) who blessed and guided the wedding ceremony or hieros gamos (sacred wedding) and Leto (goddess of nursing and childbearing), not to mention Hera, goddess of mating and family, and Zeus’ wife, and Hestia, goddess of the house, in a general sense and household (Berkert, 1977). The power of those deities was supposed to be associated with lifestyles and foods, such as walnuts and herbs. A similar herb is the so-called sernikovotano or the “male herb”, which was and is still used in the Greek provinces as the magic or healthy nutrient that is supposed to affect or alter the sex determination process in prenatal development and causes childbearing of a male child. The concept of divine and magic food or simply healthy reminds us common beliefs and practices in Hinduism. In the wedding, the newly married couple should eat a pastry in shape of placenta, called placus (Venizelos, 1873), from which the Latin word placenta derives! This ritual of fertility served also for good luck in the fetal development and, as I would suggest, had an a priori shamanistic character of fetal conditioning that goes beyond the modern conventional concept of conditioning, applied even before conception, since the couple had to dance, drink from the same cup a lot of red wine (resemblance of the Dionysian orgiastic sense and even a resemblance of blood, the red life-giving power!?) and eat the wedding cake. In a way the divine powers of Hymenaios would be put to work in the wife’s womb.

    Yet, even if we accept that all the idea of those rituals was a self-fulfilling prophesy, in other words a make-belief play, then we may speak of a behaviorist fashion of conditioning, since the bride may have conditioned herself to the idea of getting pregnant and thus she models her behavior in a way that will lead her to bed with her groom and then to pregnancy. Now, for the “male herb”, if behind the myth, there is also even the slightest bite of truth, then it could be explained, in my opinion, as the classical conditioning of sex determination, though it is hard to explain how, but I am sure that what happens in psychosomatic medicine and the conversion and somatoform diseases happens also and in this kind of cases. Psychodynamic (unconscious) and cognitive (schemata and mental representations) theories could also explain such phenomena. Finally, the wedding cake and the drinking from the same cup are customs still occurring in the reception parties of our modern western society and such a similarity suggests an assimilation of the pagan customs in the Christian world, but at the same time similar images and symbols derive from the universal intellectual capabilities of humanity.

e. Theories of Interpretation: combining different perspectives
Jung and one of the mandala he painted
    In a previous section, we saw how the modern western society and how psychology and science has dealt with fetal psychological traumas. One name that was not mentioned was Jung and that because he did not really dealt that much with early development. He was more preoccupied with adult development and that is what gave him more credit. However, we cannot discuss symbols and archetypes if we do not mention Jung. “The universal intellectual capability of humanity”, mentioned above, is what Jung thought to content the collective unconscious or that area of unconscious that is biologically rooted, as individual unconscious was meant by Freud to be. The collective unconscious “as the ancestral heritage of probabilities of representation, is not individual, but common to all men, and perhaps even to all animals, and is the true basis of the individual psyche” (Jung, 1983). It pertains all the shared culturally transmitted information that emerges in dreams, visions, peak and psychedelic experiences (to use a transpersonal terminology), mind trips, and the so-called occult phenomena, such as telepathy, and ESP (extra-sensory perception), or in other weird situations, such as in our case, the lapses of prenatal memories and traumas in children and adults.

    The power of the collective unconscious and the archetypes is best manifested that two or more people share such experiences, when those people have not met or they are not aware of the process. Such collective unconscious procedures may take place in all fashions and manifestations of fetal conditioning that we have examined here. Another useful concept of Jungian theories is the archetypes or “typical forms of behavior which, once they become conscious , naturally present themselves as ideas or images, like everything else that becomes a content of consciousness” (Jung, 1983). Jung believed that archetypes are biologically rooted, but they are not inborn ideas, as many people may fall to that trap (Jung, 1983).

Cycladic Steatopygus figurines and
egg shaped sacred sculpture
as a fertility symbolism in prehistoric art
    An interesting archetype here is the divine infant, since Jung did not talk about any fetus archetype. Yet, the idea of cosmological order in the theory of the archetypes is the master-key to unlock the many different doors of cultures and their religions, as it contains a common denominator: the symbol of death and regeneration, symbolized in the mythic images of the mask, the egg inside the egg, the homocentric circles, the fish inside the fish, which is also the mythical image of Christ, the Christian personification of the savior who through his death he regenerated and as force of good, he defeated the evil, which is the master of death, the devil. So the fetus is the transition from death and non-existence to life and existence (Jung, 1959). All these are mythic images of the fetus, whose birth is represented in the archetype of the divine infant. As Joseph Campbell has shown, there are such mythic images, symbols, and archetypes in every culture and religion, from the West to the East, from prehistory to the present. The image of the egg, the fetus and the infant occur from the Virgin Mary (Christianity) and the Child to Krisna (Hinduism), Moses (Judaism), and even to the deities of many aboriginal cultures of tropical islands (Campbell, 1974). The image of the Madonna is a symbol of procreation which produces the divine seed/fetus/infant, and it is the assimilated and convoluted form of the prehistoric mighty goddess, or the Greek goddess Athena, who was also a virgin, but instead of giving birth to a savior, she gave birth to ideas, as she was the goddess of wisdom. So under a Jungian prism, all these cross-cultural images are projections of the same archetypes. Thus, fetal conditioning and fetal rituals are overt expressions of the human esoteric needs to identify the real object of life, the fetus, with its archetypal image, its ideal one, the absolute depiction of hope and regeneration.

  
Animus and Anima: Gender Archetypes
    The Freud’s and Klein’s concept of the death instinct, as well as Maslow’s survival instinct and self-actualization instinct (Fadiman & Frager, 2002) could interplay here in a vicious circle of life and death representations manifested in actions of changing the human condition, such as in the case of fetal conditioning and the various scientific or ritualistic interventions in the fetal development. Death instinct operations in the collectively unconscious creation of cultural and mythical images might be detected in negative representations of the self, as those of the fearsome deities, such as Kali in Hinduism or the spooky Minoan snake goddess with the bare breasts of fertility. This negative self is what Jung called the shadow. The feminine ideal imagery is the anima occurring in the collective unconscious of every man, while for the women, the male counterpart is the animus (Jung, 1983 and Jung, 1959). Human has the tendency to play God and prove to himself/herself that can handle things. The essence of that play-God game, as happens in shamanism, is the death and life transition that occurs in any change: something you lose, something you gain. The point is to lose the negative, troubled, weak, defeated self and gain a positive, peaceful, strong, heroic self.

    Charlie D. Laughlin (2002) is a professor of neuroanthropology and anthropology of religion, a painter for pleasure (he has painted mandala and meditated on them), a Buddhist and Tantric practitioner, and a person who lived for many years with and closely observed the Navaho people of the American southwest. He combined his strong transpersonal and Jungian background with his religious experiences and the anthropological theory of biogenetic structuralism, which, as he wrote, has “to do with the brain, consciousness (including alternative states of consciousness) and culture. In other words, biogenetic structuralism is a kind of neuroanthropology with touches of neurophenomenology” (www.neurognosis.com). His combination of brain theory and phenomenology is much supported by Jung’s assertion that the phenomenology of the self, which manifests the conscious actions, hides unconscious forces which are biologically determined and in their collective sense, they act as biologically rooted archetypal mechanisms (Jung 1983 and Jung 1959).

Archetype of Wholeness: when animus and anima meet
    The knowledge that spontaneously springs through our neural functions is called neurognosis. Thus, all our fetal experiences are unconsciously interpreted through our neurognosis by our holistic operator of the brain, as Laughlin calls the neural component for integrating all experiences into the already existing and inherited archetype of wholeness. In his examination of the Buddhist pictures of meditation or mandala, Laughlin wrote that some of them help us recall birth experiences and he actually implied even the fetal experiences, that reflect “the calling” of the anima. This “calling” is rooted in the cosmology that we inherit through enculturation, or the lifetime process of integrating into our self our cultural experiences. This calling of the anima may all be what happens in the collective unconscious of the couvade expectant father. Laughlin wrote that “the cosmology that people mainly carry around in our heads, is imagined and expressed by way of their culture’s stock of symbolic material in such a way that people are able to participate in their version of a symbolically pregnant mythic reality” (www.neurognosis.com).

Navajo Indians
    Laughlin delved into the Navajo mythology and found interesting representations of the anima and the animus, as in their mythical images of the “Blue Corn Girl” and the “Blue Corn Boy.” An anima mythical image of the Navajo or “the holy people” as they are called, is the “Changing Woman”, their beloved and most revered goddess, the Earth Mother (www.neurognosis.com). If for them the “Changing Woman”or the “Blue Corn Girl” and the “Blue Corn Boy” have a personal meaning, for us who see similar mythical images from different cultures melted in the same pot of the human neurognosis and collective unconscious, the meaning is transpersonal. Thus, there are two parallel cycles of meaning, the personal cycle of meaning and the transpersonal cycle of meaning (www.neurognosis.com). In the transpersonal cycle of meaning, we discover our cultural relation to the others and we understand and realize all the mythical images and symbols. Such might be couvade, shamanist practices of the nana, the egg and spiral symbolisms of the fetal position, or images of the Navajo that may ring a bell for our own personal meanings, such as meanings of our own self, which came through our own cultural experiences, let’s say the modern western experiences, and are all embodied in the archetype of wholeness.

Mantra (ritual song or sound repetition) in Sanskrit inside
a mandala (meditation picture) 
    The realization (conscious) of this process is a way to explain the tendency of modern artists to primitivism and abstraction, since art, besides art, drama, music, and literature, is the most expressive way to mirror the archetypal images of human nature, and consequently of ourselves, since the visual stimuli are stronger and more imaginative. However, the fetus does not have developed visual skills and therefore most lapses of fetal experiences could more easily emerge through a combination of mantra (meditation on sacred sounds) and mandala (meditation on psychedelic/sacred/imaginative/visual images), as Laughlin tried himself.
We discussed cognitive behaviorism in previous section, and now after merging all this body of different theories with neurognosis and neuroanthropology, I would like to connect neurognosis with neurocognition, since I think that the first is a part of the second. Neuro-cognition is a main concept of modern cognitive theory and is the study of the relationships between brain (“mind-hardware”) functions and cognitive functions (“mind-software”) (Solso, 1995). Research in neurobehavioral organization and sensory input has showed that spontaneous fetal activity appears at about eight weeks of post-menstrual age, while even after complete elimination of sensory input, by surgical lesion in both humans and animals has shown no effect in normal spontaneous movement, specially of the leg (Michel & Moore, 1995, p.309). Research has showed that “some relevant auditory originate from the external environment, but the mother is a particularly rich source of these stimuli in the movements of her internal organs and her voice. Thus, fetal conditioning through music or other auditory stimulation is possible. That is also supported by fetal brain plasticity, an important factor for adaptation (Michel & Moore, 1995). Neurognosis may be more flexibly developed, rather than being just plugged in the fetus by inheritance. Fetal brain plasticity may welcome changes, maturation, and integration of the body of neurognosis.

    As sensory signals are recorded in the fetus’ LTM (Long-Term Memory) after monitoring and filtrating operations of various neural centers of perception. Perception and pattern recognition is rooted to geoms or basic geometric patterns and other cognitive structures that help us to reconstruct images in our memory, dreams, day-dreaming, or art. That is how we may cognitively explain lapses of fetal memory through meditation on mandala or mantras. It is hard to talk, about mental imagery or mental representation, or even dreaming in fetus, since the visual skills of the fetus are not yet fully developed, but stored sensory information is used in later development for the formation of mental representations (Solso, 1995) and as a result, for the formation of schemata or general themes that help us to remember in respect to the situation and in a larger picture, are sets of cognitions about people and social experiences (Feldman, 1996). An almost equivalent to understand Jung’s archetypes in cognitive terms is the schemata. If we combine all these theories, we will see how universal is the situation of the fetus, as well as the concepts of fetal conditioning and prenatal development. The holistic sense of the universality of the functions of human psyche may one day meet a truly holistic approach of interpretation of cultural and other psychological phenomena.


Conclusion
    In this journey throughout cultures, time-periods, and various rituals and transcendental experiences related to fetal conditioning and prenatal development, we may realize that there is always a common denominator in all these and that is the human nature itself. Tools to explain human nature and its process of symbolism as well as its expression in art and religion, range from the least applicable for cultural interpretation, but good to explain fetal conditioning, such as the behavioristic concepts of learning theory (classical conditioning and habituation) to the most efficient to explain culture, the Jungian theories.

    Also, we examined recent research in fetal memory in the realm of cognitive behaviorism, cognitive theories of schemata and mental representation, the various psychoanalytic (Freud, Klein, Horney), and Maslow’s schools and also some new concepts of modern anthropological theory, such as biogenetic structuralism and neuroanthropology. From modern western applications of advanced medicine to reconstruction and revival of old cults and practices, from the non-traditional and ancient symbols and rituals to the neo-Pagan and New Age movements, we spot the same archetypal (Jung) or schematic (cognitive) representations of cultural material.Psychology should also be open to practically examine emerging trends in subculture and cults and other psychosocial problems that jeopardize everyday human condition instead of being an aloof mechanistic quantitative discipline.  It is time to see things in a historical and cultural perspective and it is time for psychology to leave the taboos of modern bureaucratic style (e.g. it's a taboo to talk about religion in some psychology classes), dogmatic attitudes (e.g. psychoanalysis Vs. behaviorism) and the curse called “political correctness” and have an open mind. The cross-cultural study of fetal development interpreted from a well-rounded theoretical perspective of psychology is still a "terra incognita" that awaits for us to be finally explored. Being open to examine the psychological, cultural, and anthropological dimensions of not only fetal development, but of all themes, is to delve into the deep roots of the problem and actually take a look to our own human nature. Otherwise, we play the game of the ostrich who hides its head in the dirt. We should not forget that nothing is closed to an open mind.

    However, we have to be careful with some people and groups who misleadingly use the terms such as "holistic" or " complimentary and alternative medicine" or "spirituality" and in fact all they do is blending science with culture and superstition to create a pseudoscience of witch doctors for financial interests and narcissistic concentration of power.  Also, human rights are in danger when science is manipulated by corporate interests and the government without following certain ethical standards and respecting religious objections, especially when it comes to genetic control and interventions in prenatal development.  Bioethics is a growing field that needs to take into account many of the out-of-control emerging trends that may find loopholes in laws, professional codes of ethics, and societal institutions.  A dialogue between research institutes and religious groups should be done in depth and on the basis of mutual respect and equal treatment.  Other words that often ill-defined and misrepresented in the dark world of New Age politics is "Tribal" and Tribalism".  "Folklorism" is a dry utilitarian and naive misuse of customs and traditions which are used by subcultures and deviant groups as well as by everyday youth  culture that sometimes can take elements of various respectable and legitimate ancient and indigenous cultures and connect it with marginalized and even deviant patterns of social behavior. 

    "Hellenism" is another ill-defined word which originally means "Greekness" and Greek culture and not ancient Greek religion or neo-Pagan revival, as unfortunately now stands for for most people. In these times of economic crisis and decadence not only in economy, but especially in value systems, aesthetic and intellectual development and moral standards, where atheism and materialism prevail along with deterministic science, we have to be extra careful with neo-Pagan and New Age religions that not only create a pseudoscience of witch doctors, but also cults that are fascist, religiously intolerant, anti-monotheistic, especially anti-Christian, racist, white suprematist, neo-Nazi, satanist, totalitarian, and authoritarian.  Such cults use the glorious ancient past to invoke sentiments of nationalism and patriotism often turned to a dark direction that is antagonistic and hostile toward Christianity and other monotheistic religions.  Such tendencies can lead to religious intolerance, worsen person's psychological condition, intensify family and social problems and financially exploit cult members.


REFERENCES

1. Books
----Burkert, W. (1977). Greek Religion, trans. J. Raffan. Cambridge, Massachusetts: Harvard University Press.
----Coe, M.D. (1962). Mexico, from the Olmecs to the Aztecs. London: Thames &Hudson, Ltd.
----Campbell, J. (1974). Mythic Image. New Jersey: Princeton University Press.
----Fadiman, J. & Frager, R. (2002). Personality and Personal Growth, (5th ed.). New Jersey: Pearson Education, Inc.
----Feldman, R.S (1996). Understanding Psychology (4th ed.). New York: McGrow Hill, Inc.
----Gimbutas, M. (1989). The Language of the Goddess. New York: Thames & Hudson.
----(1974) Gods and Goddesses of Old Europe. California, New York: California University Press.
----Helman, C.G. (1990). Culture, Health, and Illness, (2nd ed.). London: Wright.
----Jung, C.G. (1983). The Essential Jung, selected/introduced by Arthur Storr. New Jersey: Princeton University Press.
----(1959). Aion: Researches into the Phenomenology of the Self, trans. R.F.C. Hull. New Jersey: Princeton University Press.
----Michel, G.F. & Moore, C.L. (1995). Developmental Psychobiology: an Interdisciplinary Science. Massachusetts: Massachusetts Institute of Technology.
----Newman, B.M. & Newman, P.R. (2003) Development through Life, (8th ed.). New York: Thomson/Wadsworth.
----Solso, R.L. (1995). Cognitive Psychology, (4th ed.). Massachusetts: Allyn & Bacon.
----Venizelos, T.V. (1873). On the Private Life of the Ancient Greeks. Athens: Demiourgia (in Greek).

2. Articles
----de Mause, L. (1996). Restaging fetal traumas in war and social violence. Pre & Post=natal Psychology Journal 1996, 10 (4), 227-258.
----Fried, R. & Gluck, S. (1967). Conditioned Galvanic Response. Conditional Reflex, 3 (2).
----Hepper, P.G. (1996). Fetal memory: does it exist? What does it do? Acta Pediatrica Scand. Suppl. 416: 16-20.
----Kitzinger, S. (1982). The social context of birth: some comparisons between childbirth in Jamaica and Britain. In C.P. MacCormack (Ed.), Ethnography of Fertility and Birth (pp.181-203). London: Academic Press.
----Klein, H. (1991). Couvade syndrome: male counterpart to pregnancy. International Journal of Psychiatry in Medicine, 21, 57-69.
----Trethowan, W. (1972). The couvade syndrome. In J. Howells (Ed.), Modern Perspectives in Psycho-obstetrics. New York: Brunner/Mazel.

3. Internet
-----Apologitis.gr ("The Apologist": Greek Orthodox Christian website published in Greek language).
-----Αποστολική Διακονία, Νεοπαγανισμός: η απειλή από το παρελθόν
(Apostolic Service, Neopaganism: the threat from the past)
http://www.scribd.com/doc/7011279/-
----de Mause, L. (2002). Restaging fetal traumas in war and social violence, Part 2.
www.psychohistory.com
----Finley, M. (1984). Couvade and the cloud of unknowing.
www.mfinley.com/articles/couvade.htm
----“Goddessmoon Circle”, (2002). Pregnancy and childbirth.
www.goddessmoon.org
--------Knonobdee, C. et al. (1993). Couvade: sympathetic pregnancy.
www.childbirth.org
----Monk, C. - Myers, M. - Fifer, W. (2000). Maternal emotion, fetal behavior and etiology of psychopathology.
http://nypisys.cpmc/columbia/edu
----Kelkar, G.S. (2002). A prenatal project.
www.birthpsychology.com/lifebefore/sound7.htm
----Laughlin, C. (2002). The anima project.
http://www.neurognosis.com/
----Ορθόδοξη Ομάδα Δογματικής Έρευνας ("Orthodox Group for Reasarch on Dogma": Greek Orthodox Christian website published in Greek language).
http://www.scribd.com/doc/7011279/-
----Pagan Parenting Network, (2002). Pregnancy and childbirth professionals.
www.paganparenting.net