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1981
Volume 41, Issue 1
  • ISSN: 0263-0672
  • E-ISSN: 2157-1430

Abstract

This case study shows how Dramatherapy can engage clients with communication difficulties, which exclude them from standard mental health pathways in early intervention in psychosis services. Deliberately prioritising the client’s newfound modes of expression to shape the narrative within, it is evident Dramatherapy processes; embodiment, projection and role enabled this client to create and then inhabit his own playful metaphors. These metaphors continued to facilitate every-day life challenges.

During his Dramatherapy relationship, the client within this case study transitioned from supported accommodation to his own property, progressed to residential rehabilitation for alcohol misuse and finally engaged in cognitive behavioural therapy. From feedback interviews we know he continued to create and use his own protective metaphors 10 months after drama therapy ended. He returned to education as part of his plan to seek appropriate employment and was discharged to his GP.

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2024-06-07
2026-04-18

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References

  1. Armstrong CR, Rozenberg M, Powell MA, et al.. (2016) A step toward empirical evidence: Operationalizing and uncovering Dramatherapy change processes. The Arts in Psychotherapy 49: 2733.
    [Google Scholar]
  2. Berry C (1991) Voice and the Actor. 2nd ed. New York: Wiley.
    [Google Scholar]
  3. Boal A (2004) Games for Actors and Non-actors. 2nd ed. New York: Routledge.
    [Google Scholar]
  4. Casson J (2004) Dramatherapy, Drama and Psychosis. Hove: Brunner-Routledge.
    [Google Scholar]
  5. Castelein S, Knegtering H (2011) Treatment of negative symptoms: Which psychosocial interventions are effective? Schizophrenia Bulletin 37: 261.
    [Google Scholar]
  6. Cattanach A (1994) The developmental model of Dramatherapy. In: Jennings S, Cattanach A, Mitchell S, et al.. (eds) The Handbook of Dramatherapy. London: Routledge, pp. 2840.
    [Google Scholar]
  7. Cermolacce M, Naudin J, Parnas J (2007) The ‘minimal self’ in psychopathology: Re-examining the self-disorders in the schizophrenia spectrum. Consciousness and Cognition: An International Journal 16(3): 703714.
    [Google Scholar]
  8. Clarke A, Moss P (2001) Listening to Young Children: The Mosaic Approach. London: National Children’s Bureau for the Joseph Rowntree Foundation.
    [Google Scholar]
  9. Emunah R (1994) Acting for Real: Dramatherapy Process, Technique and Performance. New York: Brunner-Routledge.
    [Google Scholar]
  10. Escher S, Romme M, Buiks A (1998) Small talk: Voice hearing in children. Openmind: The Mental Health Magazine 29: 1214.
    [Google Scholar]
  11. Helgason C, Sarris J (2013) Mind-body medicine for schizophrenia and psychotic disorders – A review of the evidence. Clinical Schizophrenia & Related Diagnosis 7(3): 138148.
    [Google Scholar]
  12. Jennings S (1996) Brief Dramatherapy: The healing power of the dramatized here and now. In: Gersie A (ed.) Dramatic Approaches to Brief Therapy. London: Jessica Kingsley, pp. 201215.
    [Google Scholar]
  13. Jennings S (2011) Assessment and EPR. In: Johnson DR, Pendzik S, Snow S (eds) Assessment in Dramatherapy. Springfield, IL: Thomas, pp. 177196.
    [Google Scholar]
  14. Jones P (2002) Drama as Therapy, Theatre as Living. 2nd ed. London: Routledge.
    [Google Scholar]
  15. Jones P (2010) Drama as Therapy -Volume 2 Clinical Work and Research into Practice. London: Routledge.
    [Google Scholar]
  16. Jones P (2016) How do Dramatherapists understand client change? A review of the ‘core processes’ at work. In: Jennings S, Holmwood C (eds) Routledge International Handbook of Dramatherapy. Hove: Routledge, pp. 7791.
    [Google Scholar]
  17. Landy RJ, Butler JD (2011) Assessment through role theory. In: Johnson DR, Pendzik, Snow S (eds) Assessment in Dramatherapy. Springfield, IL: Thomas, pp. 148176.
    [Google Scholar]
  18. Langley D (2006) An Introduction to Dramatherapy. London: SAGE.
    [Google Scholar]
  19. McAlister M (2011) From transitional object to symbol: Spiderman in a Dramatherapy group with mentally disordered offenders. In: Dokter D, Holloway P, Seebohm H (eds) Dramatherapy and Destructiveness. New York: Routledge/Taylor & Francis Group, pp. 145156. Available at: http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2011-15919-011&site=ehost-live
    [Google Scholar]
  20. McGorry PD, Killackey E, Yung A (2008) Early intervention in psychosis: Concepts, evidence and future directions. World Psychiatry 7(3): 148156.
    [Google Scholar]
  21. Mitchell S (1990) The theatre of Peter Brook as a model for Dramatherapy. Dramatherapy Journal 13: 1317.
    [Google Scholar]
  22. Nelson B, Torregrossa L, Thompson A, et al.. (2020) Improving treatments for psychotic disorders: Beyond cognitive behaviour therapy for psychosis. Psychosis. Epub ahead of print 19 June 2020. DOI: [Crossref]
    [Google Scholar]
  23. NHS England (2016) Implementing the early intervention in psychosis access and waiting time standard: Guidance. Available at: https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/04/eip-resources.pdf
  24. NICE (2019) Dramatherapy in early intervention in psychosis. Available at: www.nice.org.uk/sharedlearning/Dramatherapy-in-early-intervention-in-psychosis
  25. NICE Guideline [CG155] (2013) Psychosis and schizophrenia in children and young people: Recognition and management. Available at: https://www.nice.org.uk/guidance/cg155/chapter/Recommendations
  26. Pendzik S (2003) Six keys for assessment in Dramatherapy. The Arts in Psychotherapy 30: 9199.
    [Google Scholar]
  27. Reisman MD (2016) Dramatherapy to empower patients with schizophrenia: Is justice possible? Arts in Psychotherapy 50: 91100.
    [Google Scholar]
  28. Romme M, Escher S, Dillon J, et al.. (2009) Living with Voices: 50 Stories of Recovery. Ross on Wye: PCCS.
    [Google Scholar]
  29. Stanghellini G (2009) Embodiment and schizophrenia. World Psychiatry 8(1): 5659.
    [Google Scholar]
  30. Startup M, Jackson MC, Bendix S (2004) North Wales randomized controlled trial of cognitive behaviour therapy for acute schizophrenia spectrum disorders: Outcomes at 6 and 12 months. Psychological Medicine 34(3): 413422.
    [Google Scholar]
  31. Stern D (1998) The Interpersonal World of the Infant: A View from Psychoanalysis and Developmental Psychology. 2nd ed. New York: Basic Books.
    [Google Scholar]
  32. Thirioux B, Harika-Germaneau G, Langbour N, et al.. (2020) The relation between empathy and insight in psychiatric disorders: Phenomenological, etiological, and neuro-functional mechanisms. Frontiers in Psychiatry 10: 966.
    [Google Scholar]
  33. Thomas P, Bracken P, Leudar I (2004) Hearing voices: A phenomenological-hermeneutic approach. Cognitive Neuropsychiatry 9(1): 1323.
    [Google Scholar]
  34. Thorn R (2011) Sugar and spice and all things nice: A black woman’s anger in a forensic setting. In: Dokter D, Holloway P, Seebohm H (eds) Dramatherapy and Destructiveness. New York: Routledge/Taylor & Francis Group, pp. 133144. Available at: http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2011-15919-010&site=ehost-live
    [Google Scholar]
  35. Torregrossal LJ, Snodgress MA, Hong SJ, et al.. (2019) Anomalous bodily maps of emotions in schizophrenia. Schizophrenia Bulletin 45(5): 10601067.
    [Google Scholar]
  36. Tschacher W, Giersch A, Friston C (2017) Embodiment and schizophrenia: A review of implications and applications. Schizophrenia Bulletin 43(4): 745753.
    [Google Scholar]
  37. Winnicott D (1971) Playing and Reality. London: Tavistock.
    [Google Scholar]
  38. Yotis L (2006) A review of Dramatherapy research in schizophrenia: Methodologies and outcomes. Psychotherapy Research 16(2): 190200.
    [Google Scholar]
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  • Article Type: Article
Keyword(s): Arts; dramatherapy; early; embodiment; intervention; metaphor; projection; psychosis; role
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