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Volume 46, Issue 2
  • ISSN: 0263-0672
  • E-ISSN: 2157-1430

Abstract

Dramatherapy is practised within Europe across diverse cultural contexts and a wide range of professional settings. To promote greater alignment in the profession’s profile, the European Federation of Dramatherapy (EFD) established a working group to coordinate collaboration among its member associations. However, this proved challenging and to avoid continuing disputes over educational prerequisites, the group prioritized creating a broadly agreed definition of dramatherapy. This article argues that such a definition, when clearly articulated and widely endorsed, strengthens the profession internally by providing a foundation for professional standards, curriculum design and the systematic advancement of knowledge. Externally, it fosters interprofessional collaboration, facilitates clearer communication with clients and supports dialogue with policy-makers, thereby contributing to recognition and legitimization of the field. The article details the methodological process undertaken, the challenges encountered and the eventual unanimous ratification of the definition by EFD members in 2025. The definition identifies dramatherapy’s distinctive qualities: intersubjective engagement, creative exploration and playfulness as catalysts for transformation; a commitment to holistic health and well-being and adaptability to both independent practice and multidisciplinary contexts. The inclusive process demonstrated that professional unity can be achieved without diminishing the diversity of traditions, methodologies and cultural perspectives represented within the EFD. Further refinement of the agreed definition has the potential to strengthen the articulation of the professional attributes and expertise essential to the practice of dramatherapy, thereby providing a more solid foundation for achieving consensus on a comprehensive professional profile.

This article is Open Access under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence (CC BY-NC-ND), which allows users to copy, distribute and transmit the article as long as the author is attributed, the article is not used for commercial purposes, and the work is not modified or adapted in any way. To view a copy of the licence, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
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2026-04-07
2026-04-12

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References

  1. Ahmed, Sirwan Khalid, Mohammed, Ribwar Arsalan, Nashwan, Abdulqadir J., Ibrahim, Radhwan Hussein, Abdalla, Araz Qadir, Ameen, Barzan Mohammed M. and Khidhir, Renas Mohammed (2025), ‘Using thematic analysis in qualitative research’, Journal of Medicine, Surgery, and Public Health, 6:6, n.pag., https://doi.org/10.1016/j.glmedi.2025.100198.
    [Google Scholar]
  2. Andersen-Warren, Madeline and Grainger, Roger (2000), Practical Approaches to Dramatherapy: The Shield of Perseus, London and Philadelphia, PA: J. Kingsley.
    [Google Scholar]
  3. Berghs, Marij, Prick, Anna-Eva J. C., Vissers, Constance and van Hooren, Susan (2022), ‘Drama therapy for children and adolescents with psychosocial problems: A systemic review on effects, means, therapeutic attitude, and supposed mechanisms of change’, Children, 9:9, n.pag., https://doi.org/10.3390/children9091358.
    [Google Scholar]
  4. Bourne, Jane, Andersen-Warren, Madeline and Hackett, Simon (2018), ‘A systematic review to investigate dramatherapy group work with working age adults who have a mental health problem’, The Arts in Psychotherapy, 61, pp. 19, https://doi.org/10.1016/j.aip.2018.08.001.
    [Google Scholar]
  5. Cassidy, Susan, Turnbull, Sue and Gumley, Andrew (2014), ‘Exploring core processes facilitating therapeutic change in dramatherapy: A grounded theory analysis of published case studies’, The Arts in Psychotherapy, 41:4, pp. 35365, https://doi.org/10.1016/j.aip.2014.07.003.
    [Google Scholar]
  6. Casson, John (2004), Drama, Psychotherapy and Psychosis: Dramatherapy and Psychodrama with People Who Hear Voices, Abingdon: Routledge.
    [Google Scholar]
  7. de Gruijter, Emilia, Wouters, Hans and Haeyen, Suzanne (2024), ‘Perceived effects of drama therapy in people diagnosed with personality disorders: A qualitative study’, The Arts in Psychotherapy, 87, https://doi.org/10.1016/j.aip.2024.102117.
    [Google Scholar]
  8. de Witte, Martina, Orkibi, Hod, Zarate, Rebecca, Karkou, Vicky, Sajnani, Nisha, Malhotra, Bani, Ho, Rainbow Tin Hung, Kaimal, Girija, Baker, Felicity A. and Koch, Sabine C. (2021), ‘From therapeutic factors to mechanisms of change in the creative arts therapies: A scoping review’, Frontiers in Psychology, 12, https://doi.org/10.3389/fpsyg.2021.678397.
    [Google Scholar]
  9. Dokter, Ditty (1992), ‘Dramatherapy: A psychotherapy?’, Dramatherapy, 14:3, pp. 911, https://doi.org/10.1080/02630672.1992.9689822.
    [Google Scholar]
  10. Dokter, Ditty and Sajnani, Nisha (eds) (2023), Intercultural Dramatherapy: Imagination and Action at the Intersection of Difference, London: Routledge.
    [Google Scholar]
  11. Duggan, Mary and Grainger, Roger (1997), Imagination, Identification, and Catharsis in Theatre and Therapy, London and Bristol, PA: Jessica Kingsley Publishers.
    [Google Scholar]
  12. EFD (2025), ‘About EFD’, https://www.efdramatherapy.com/about-efd/. Accessed 20 August 2025.
  13. Emunah, Renee (2019), Acting for Real: Drama Therapy Process, Technique, and Performance, 2nd ed., New York: Taylor and Francis.
    [Google Scholar]
  14. Fancourt, Daisy and Finn, Saoirse (2019), ‘What is the evidence on the role of the arts in improving health and well-being? A scoping review’, Health Evidence Network Synthesis Report No. 67, Copenhagen: World Health Organization.
    [Google Scholar]
  15. Feniger-Schaal, Rinat and Orkibi, Hod (2020), ‘Integrative systematic review of drama therapy intervention research’, Psychology of Aesthetics, Creativity, and the Arts, 14:1, pp. 6880, https://doi.org/10.1037/aca0000257.
    [Google Scholar]
  16. Feniger-Schaal, Rinat, Constien, Tobias and Orkibi, Hod (2024), ‘Playfulness in times of extreme adverse conditions: A theoretical model and case illustrations’, Humanities and Social Sciences Communications, 11:1, https://doi.org/10.1057/s41599-024-03936-z.
    [Google Scholar]
  17. Frydman, Jason S. and Pitre, Renée (2018), ‘Utilizing an embodied, play-based intervention to reduce occupational stress for teachers’, Drama Therapy Review, 5:1, pp. 13955, https://doi.org/10.1386/dtr.5.1.139_1.
    [Google Scholar]
  18. Frydman, Jason S., Cook, Angelle, Armstrong, Calli Renee, Rowe, Chyela and Kern, Chelsi (2022), ‘The drama therapy core processes: A Delphi study establishing a North American perspective’, The Arts in Psychotherapy, 80, n.pag., https://doi.org/10.1016/j.aip.2022.101939.
    [Google Scholar]
  19. Grainger, Roger (1990), Drama and Healing, London: Jessica Kingsley Publishers.
    [Google Scholar]
  20. Haythorne, Deborah and Seymour, Anna (eds) (2017), Dramatherapy and autism, Abingdon and New York: Routledge.
    [Google Scholar]
  21. Ivers, Meabh (2024), ‘A review of literature on the therapeutic use of drama to support communication with young autistic children’, Dramatherapy, 45:1, pp. 5169, https://doi.org/10.1386/dj_00004_1.
    [Google Scholar]
  22. Jennings, Sue (1992), Dramatherapy with Families, Groups and Individuals: Waiting in the Wings, London and Philadelphia, PA: Jessica Kingsley.
    [Google Scholar]
  23. Jennings, Sue (ed.) (2014), Dramatherapy with Children and Adolescents, Abingdon: Routledge.
    [Google Scholar]
  24. Jennings, Sue and Holmwood, Clive (eds) (2016), Routledge International Handbook of Dramatherapy, London: Routledge.
    [Google Scholar]
  25. Johnson, David Read (1998), ‘On the therapeutic action of the creative arts therapies: The psychodynamic model’, The Arts in Psychotherapy, 25:2, pp. 8599, https://doi.org/10.1016/s0197-4556(97)00099-3.
    [Google Scholar]
  26. Johnson, David Read and Emunah, Renee (eds) (2021), Current Approaches in Drama Therapy, 3rd ed., Springfield, IL: Charles C Thomas Publisher, Ltd.
    [Google Scholar]
  27. Jones, Phil (1996), Drama as Therapy: Theatre as Living, London: Routledge.
    [Google Scholar]
  28. Jones, Phil (2016), ‘How do dramatherapists understand client change? A review of the “core processes” at work’, in S. Jennings and C. Holmwood (eds), Routledge International Handbook of Dramatherapy, Abingdon: Routledge, pp. 7791.
    [Google Scholar]
  29. Keiller, Eleanor, Murray, Aisling, Tjasink, Murray, Bourne, Jane, Ougrin, Dennis, Carr, Catherine Elizabeth and Lau, Jennifer Y. F. (2024a), ‘Children and young people’s perception of the active ingredients of dramatherapy when used as a treatment for symptoms of emotional disorders: A meta-synthesis’, Adolescent Research Review, 9:2, pp. 31738, https://doi.org/10.1007/s40894-023-00221-z.
    [Google Scholar]
  30. Keiller, Eleanor, Hutchinson, Taryn, Ougrin, Dennis, Carr, Catherine Elizabeth and Lau, Jennifer Y. F. (2024b), ‘Therapist perceived active ingredients of school-based dramatherapy for children and young people with emotional distress’, The Arts in Psychotherapy, 90, n.pag., https://doi.org/10.1016/j.aip.2024.102190.
    [Google Scholar]
  31. Keisari, Shoshi (2021), ‘Expanding the role repertoire while aging: A drama therapy model’, Frontiers in Psychology, 12, https://doi.org/10.3389/fpsyg.2021.635975.
    [Google Scholar]
  32. Keulen-de Vos, Marije, van den Broek, Elsa P. A., Bernstein, David P., Vallentin, Roos and Arntz, Arnoud (2017), ‘Evoking emotional states in personality disordered offenders: An experimental pilot study of experiential drama therapy techniques’, The Arts in Psychotherapy, 53, pp. 8088, https://doi.org/10.1016/j.aip.2017.01.003.
    [Google Scholar]
  33. Kurtz, Thomas (2022), ‘The end of the profession as a sociological category? Systems-theoretical remarks on the relationship between profession and society’, The American Sociologist, 53:2, pp. 26582, https://doi.org/10.1007/s12108-021-09483-3.
    [Google Scholar]
  34. Landy, Robert J. (1996), ‘Drama therapy and distancing: Reflections on theory and clinical application’, The Arts in Psychotherapy, 23:5, pp. 36773, https://doi.org/10.1016/s0197-4556(96)00052-4.
    [Google Scholar]
  35. Landy, Robert J. (2006), ‘The future of drama therapy’, The Arts in Psychotherapy, 33:2, pp. 13542, https://doi.org/10.1016/j.aip.2005.10.003.
    [Google Scholar]
  36. Landy, Robert J. (2008), The Couch and the Stage Integrating Words and Action in Psychotherapy, Lanham, MD: Aronson.
    [Google Scholar]
  37. Langley, Dorothy (1993), ‘When is a dramatherapist not a therapist?’, Dramatherapy, 15:2, pp. 1618, https://doi.org/10.1080/02630672.1993.9689351.
    [Google Scholar]
  38. Leather, Jessica and Kewley, Stephanie (2019), ‘Assessing drama therapy as an intervention for recovering substance users: A systematic review’, Journal of Drug Issues, 49:3, pp. 54558, https://doi.org/10.1177/0022042619845845.
    [Google Scholar]
  39. Milward, Helen and Seymour, Anna (eds) (2023), Dramatherapy and Learning Disabilities: Developing Emotional Growth, Autonomy and Self-Worth, London: Routledge.
    [Google Scholar]
  40. Orkibi, Hod, Keisari, Shoshi, Sajnani, Nisha L. and de Witte, Martina (2023), ‘Effectiveness of drama-based therapies on mental health outcomes: A systematic review and meta-analysis of controlled studies’, Psychology of Aesthetics, Creativity, and the Arts, 19:4, pp. 87895, https://doi.org/10.1037/aca0000582.
    [Google Scholar]
  41. Pendzik, Susana (2006), ‘On dramatic reality and its therapeutic function in drama therapy’, The Arts in Psychotherapy, 33:4, pp. 27180, https://doi.org/10.1016/j.aip.2006.03.001.
    [Google Scholar]
  42. Pitruzzella, Salvo (2004), Introduction to Dramatherapy: Person and Threshold, New York: Brunner-Routledge.
    [Google Scholar]
  43. Pitruzzella, Salvo (2009), ‘Creativity and arts therapy: A dramatherapist’s perspective’, in S. Scoble, M. Ross and C. Lapoujade (eds), Arts in Arts Therapy: A European Perspective, Plymouth, MN: University of Minnesota Press, pp. 5465.
    [Google Scholar]
  44. Pitruzzella, Salvo (2016), Drama, Creativity and Intersubjectivity: Foundations of Change in Dramatherapy, London: Routledge.
    [Google Scholar]
  45. Reisman, Michael D. (2024), ‘The potential of drama therapy in Ukraine during wartime’, Art Research of Ukraine, 24, pp. 15968, https://doi.org/10.31500/2309-8155.24.2024.318914.
    [Google Scholar]
  46. Sajnani, Nisha, Willemsen, Marc and Butler, Jason D. (2023), ‘A scoping review of observed benefits of developmental transformations (DvT)’, Drama Therapy Review, 9:2, pp. 273315, https://doi.org/10.1386/dtr_00133_1.
    [Google Scholar]
  47. Saks, Mike (2012), ‘Defining a profession: The role of knowledge and expertise’, Professions and Professionalism, 2:1, pp. 110, https://doi.org/10.7577/pp.v2i1.151.
    [Google Scholar]
  48. Schramme, Thomas (2023), ‘Health as complete well-being: The WHO definition and beyond’, Public Health Ethics, 16:3, pp. 2108, https://doi.org/10.1093/phe/phad017.
    [Google Scholar]
  49. Wildschut, Angelique, Mbatha, Nomkhosi A. and Meyer, Tamlynne (2025), ‘The utilization of the concept of profession to understand social problems: Sharing preliminary results from systematic review’, Frontiers in Sociology, 10, n.pag., https://doi.org/10.3389/fsoc.2025.1515427.
    [Google Scholar]
  50. Willemsen, Marc and Pitruzzella, Salvo (2023), EFD Standards of Professional Practice and Code of Ethics, n.p.: EFD.
    [Google Scholar]
  51. Williams-Saunders, Jessica, Bailey, Bruce, Schrader, Clare and Horwood, Tone (1997), ‘The dramatherapy/psychotherapy debate’, Dramatherapy, 19:2, pp. 1421, https://doi.org/10.1080/02630672.1997.9689447.
    [Google Scholar]
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