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JOURNAL OF PRENATAL AND PERINATAL PSYCHOLOGY AND HEALTH publishes research and clinical articles from the cutting edge of the science of prenatal and perinatal psychology and health. The journal, published quarterly since 1986, is dedicated to the in-depth exploration human reproduction and pregnancy and the mental and emotional development of the unborn and newborn child.


Volume 34, Issue 2

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Current Issue > Volume 34, Issue 2

Publication Date: 12/2019
Journal Articles:
  • Open and Closed Knowledge Systems, The Four Stages of Cognition, and the Cultural Management of Birth: Part 2
  • Birth with No Regret in Turkey
  • Traumatic Birth History as a Predictor for Burnout in NICU Nurses: Time for a Paradigm Shift
  • Prenatal Sentience, Psychedelic Healing, and the Future of Therapy
  • Spiritual Midwifery, Empty Chair Meditation, and Prenatal Memories: Helping Clients Navigate Pregnancy, Birth, Lifelong Stress, and Communication
  • Readers' Comments & Prior Issue Corrections - Winter 2019


We are fresh off APPPAH’s 2019 International Congress in Denver, CO, and abuzz with excitement. Our associate editor, Jeane Rhodes, and managing editor, Keelee Lynn DeRosier, co-chaired this wonderful event, which drew attendees and speakers from 12 countries and prompted feedback of positivity, deep connections, and hope. If you missed the international congress this year, we hope you will join us for the next, two years from now.

This will be the final issue of JOPPPAH featuring Jeane Rhodes as our associate editor. Jeane has served in many capacities with APPPAH and JOPPPAH over the course of 17 years, including Editor-in-Chief of JOPPPAH for 30 issues, and her expertise, enthusiasm, and dedication will be deeply missed. We thank you for your incredible service to APPPAH and JOPPPAH, Jeane, and wish you the very best in the next chapter of your life.

We open this issue with the second part of Robbie Davis-Floyd’s two-part article, “Open and Closed Knowledge Systems, the Four Stages of Cognition, and the Cultural Management of Birth.” The first part of her “conceptual think piece” appeared in the previous (fall) issue of JOPPPAH. Part one looked at four stages of cognition, relating each of them to an anthropological concept. Part two builds on this, by categorizing birth practitioners within these four stages. It describes how ongoing stress can derail even fluid thinkers into what Davis-Floyd terms substage—a condition of cognitive regression that can result in obstetric violence. She discusses how ritual and other practices can help ground and rejuvenate practitioners.

Next, we feature an article from Hakan Çoker, Neşe Karabekir, and Serpil Varlık titled, “Birth with No Regret in Turkey.” The article is based on a new model of birth care in Turkey that is expanding training based on its success. In this model, the birth mother and family are cared for by a non-hierarchical team including an obstetrician, midwife, and birth psychologist. The model’s major innovation is the birth psychologist, who ensures that the family experiences birth with no regret, and helps the team process their emotions.

Our third article is from Karin Kushniruk, titled, “Traumatic Birth History as a Predictor for Burnout in NICU Nurses: Time for a Paradigm Shift.” This quantitative study explored how neonatal intensive care unit nurses’ own traumatic perinatal histories may be associated with their burnout. The author found that younger age, history of NICU hospitalization, heelsticks, and precipitous delivery were significant predictors of burnout for NICU nurses. The author states that this is novel research warranting future longitudinal research.

 We have two contributions to our Sharing Space. The first, “Prenatal Sentience, Psychedelic Healing, and the Future of Therapy,” is from Serge Marc Lazard. The author discusses both uncovering and healing his own prenatal experience with the Amazonian plant medicine ayahuasca. He shares implications of the use of psychedelics in psychotherapy within current cultural constraints.

Finally, Rev. Satoshi Ueda shares “Spiritual Midwifery, Empty Chair Meditation, and Prenatal Memories: Helping Clients Navigate Pregnancy, Birth, Lifelong Stress, and Communication.” Rev. Ueda states that he helps facilitate safer births as a spiritual midwife, as well as promoting both the release of stress and better communication, by practicing spiritual healing and daily empty chair meditation with his clients.  

 We hope you enjoy this latest issue. Thank you for your continued support of APPPAH and its journal.


Stephanie Dueger, PhD, LPC