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Volume 9, Issue 2
  • ISSN: 2054-7668
  • E-ISSN: 2054-7676

Abstract

Over the last ten years, a growing body of literature has centred on the contributions of arts therapies to patients in palliative care. However, there is scant literature on the role of psychodrama and drama therapy in palliative care. This article presents three cases illustrating psychodrama and drama therapy techniques with oncological palliative patients. The three cases suggest how somatic experiences, dramatic projection, role reversal and imagination-based techniques can enable a restorative process to emerge in which the patients may reconnect to the personal, communal and environmental domains of spirituality. The creative and spontaneous space of the therapeutic process helps maintain a sense of self-continuity, generates a path to greater awareness of fear of death, reinforces coping strategies and promotes the resolution of unfinished business with significant others. Future studies could provide a broader perspective on drama-based therapies in palliative care through larger more diverse samples.

Resumen

En los últimos diez años, un creciente corpus literario se ha centrado en las contribuciones de las terapias a través de las artes aplicadas en los pacientes en cuidados paliativos. Sin embargo, existe escasa literatura sobre el papel del psicodrama y de la dramaterapia en los cuidados paliativos. Este artículo presenta tres casos que ilustran técnicas de psicodrama y dramaterapia con pacientes en cuidados paliativos oncológicos. Los tres casos sugieren cómo las experiencias somáticas, la proyección dramática, la inversión de roles y las técnicas basadas en la imaginación pueden permitir que surja un proceso restaurativo en el que los pacientes pueden volver a conectarse con los dominios personales, comunitarios y ambientales de la espiritualidad. El espacio creativo y espontáneo del proceso terapéutico ayuda a mantener un sentido de autocontinuidad, genera un camino hacia una mayor conciencia del miedo a la muerte, refuerza las estrategias de afrontamiento y promueve la resolución de asuntos pendientes con otras personas significativas. Los estudios futuros podrían proporcionar una perspectiva más amplia sobre las terapias basadas en el teatro en los cuidados paliativos a través de muestras más grandes y diversas.

Résumé

Au cours des dix dernières années, un corpus grandissant de littérature s’est concentré sur les contributions des thérapies par les arts à l’égard des patients en soins palliatifs. Cependant, il existe peu de littérature sur le rôle du psychodrame et de la dramathérapie dans les soins palliatifs. Cet article présente trois cas illustrant les techniques de psychodrame et de drama thérapie avec des patients en oncologie palliative. Les trois cas suggèrent comment les expériences somatiques, la projection dramatique, l’inversion des rôles et les techniques basées sur l’imagination peuvent permettre l’émergence d’un processus réparateur dans lequel les patients peuvent se reconnecter aux domaines personnels, communautaires et environnementaux de la spiritualité. L’espace créatif et spontané du processus thérapeutique aide à maintenir un sentiment d’auto-continuité, génère un chemin vers une plus grande prise de conscience de la peur de la mort, renforce les stratégies d’adaptation et favorise la résolution des affaires inachevées avec les autres. De futures études pourraient fournir une perspective plus large sur les thérapies basées sur le théâtre dans les soins palliatifs, grâce à des échantillons plus larges et plus diversifiés.

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2023-10-05
2024-05-02
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References

  1. Armstrong, C. R., Tanaka, S., Reoch, L., Bronstein, L., Honce, J., Rozenberg, M. and Powell, M. A. (2015), ‘Emotional arousal in two drama therapy core processes: Dramatic embodiment and dramatic projection’, Drama Therapy Review, 1:2, pp. 147–60, https://doi.org/10.1386/dtr.1.2.147_1.
     [Google Scholar]
  2. Czamanski-Cohen, J., Wiley, J. F., Sela, N., Opher, C. and Weihs, K. (2019), ‘The role of emotional processing in art therapy (REPAT) for breast cancer patients’, Journal of Psychosocial Oncology, 37:5, pp. 443–52, https://doi.org/10.1080/07347332.2019.1590491.
     [Google Scholar]
  3. Ferrell, B. R., Twaddle, M. L., Melnick, A. and Meier, D. E. (2018), ‘National consensus project clinical practice guidelines for quality palliative care guidelines’, Journal of Palliative Medicine, 21:12, pp. 1684–89.
     [Google Scholar]
  4. Frydman, J. S., Cook, A., Armstrong, C. R., Rowe, C. and Kern, C. (2022), ‘The drama therapy core processes: A Delphi study establishing a North American perspective’, The Arts in Psychotherapy, 80, https://doi.org/10.1016/j.aip.2022.101939.
     [Google Scholar]
  5. Fisher, J. (2010), ‘Development and application of a spiritual well-being questionnaire called SHALOM’, Religions, 1:1, pp. 105–21, https://doi.org/10.3390/rel1010105.
     [Google Scholar]
  6. Harel, D. and Keisari, S. (2021), ‘Drama therapy in late life: Taking life-story work one step further’, Drama Therapy Review, 7:1, pp. 23–36, https://doi.org/10.1386/dtr_00059_1.
     [Google Scholar]
  7. Kaya Meral, D. (2022), ‘The effect of psychodrama group therapy on coping with stress and quality of life of nurses working in palliative care clinic’, Journal of Psychiatric Nursing, 13:4, pp. 279–85, https://doi.org/10.14744/PHD.2022.27482.
     [Google Scholar]
  8. Keisari, S., Gesser-Edelsburg, A., Yaniv, D. and Palgi, Y. (2020), ‘Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults’, PLOS ONE, 15:10, https://doi.org/10.1371/journal.pone.0239812.
     [Google Scholar]
  9. Keisari, S., Piol, S., Orkibi, H., Elkarif, T., Mola, G. and Testoni, I. (2022), ‘Spirituality during the covid-19 pandemic: An online creative arts intervention with photocollages for older adults in Italy and Israel’, Frontiers in Psychology, 13, https://doi.org/10.3389/FPSYG.2022.897158/FULL.
     [Google Scholar]
  10. Keisari, S., Yaniv, D., Gesser-Edelsburg, A., Palgi, Y. and Neimeyer, R. (2023), ‘Meaning reconstruction 70 years later: Processing older adults’ unfinished business in a drama therapy group’, Psychotherapy, online first, https://doi.org/10.1037/pst0000497.
     [Google Scholar]
  11. Kushnir, A. and Orkibi, H. (2021), ‘Concretization as a mechanism of change in psychodrama: Procedures and benefits’, Frontiers in Psychology, 12, pp. 1–13, https://doi.org/10.3389/FPSYG.2021.633069.
     [Google Scholar]
  12. Landy, R. (1996), ‘Drama therapy and distancing: Reflections on theory and clinical application’, Arts in Psychotherapy, 23:5, pp. 367–73, https://doi.org/10.1016/S0197-4556(96)00052-4.
     [Google Scholar]
  13. MacDonald, J. (2016), ‘Amazon journeys: Dance movement therapy interventions in palliative care’, in H. Wengrower and S. Chaiklin (eds), The Art and Science of Dance/Movement Therapy: Life Is Dance, Jerusalem: Routledge, pp. 183–96.
     [Google Scholar]
  14. Masterson, M. P., Slivjak, E., Jankauskaite, G., Breitbart, W., Pessin, H., Schofield, E., Holland, J. and Lichtenthal, W. G. (2018), ‘Beyond the bucket list: Unfinished and business among advanced cancer patients’, Psycho-Oncology, 27:11, pp. 2573–80, https://doi.org/10.1002/pon.4821.
     [Google Scholar]
  15. McConnell, T. and Porter, S. (2017), ‘Music therapy for palliative care: A realist review’, Palliative & Supportive Care, 15:4, pp. 454–64, https://doi.org/10.1017/S1478951516000663.
     [Google Scholar]
  16. Meezenbroek, E. J. de, Garssen, B., van den Berg, M., van Dierendonck, D., Visser, A. and Schaufeli, W. B. (2012), ‘Measuring spirituality as a universal human experience: A review of spirituality questionnaires’, Journal of Religion and Health, 51:2, pp. 336–54, https://doi.org/10.1007/s10943-010-9376-1.
     [Google Scholar]
  17. Moreno, J. L. (1985), Psychodrama, vol. 1, New York: Beacon House, https://doi.org/10.1037/11506-000.
     [Google Scholar]
  18. Neimeyer, R. A. (2019), ‘Meaning reconstruction in bereavement: Development of a research program’, Death Studies, 43:2, pp. 79–91, https://doi.org/10.1080/07481187.2018.1456620.
     [Google Scholar]
  19. Orkibi, H., Keisari, S., Azoulay, B. and Testoni, I. (2023), ‘Committing to arts-based palliative and bereavement care: Evaluation of students’ experiences in an online course’, The Arts in Psychotherapy, 85, n.pag., https://doi.org/10.1016/j.aip.2023.102064.
     [Google Scholar]
  20. Pendzik, S. (2006), ‘On dramatic reality and its therapeutic function in drama therapy’, The Arts in Psychotherapy, 33:4, pp. 271–80, https://doi.org/10.1016/j.aip.2006.03.001.
     [Google Scholar]
  21. Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., Chochinov, H., Handzo, G., Nelson-Becker, H., Prince-Paul, M., Pugliese, K. and Sulmasy, D. (2009), ‘Improving the quality of spiritual care as a dimension of palliative care: The report of the Consensus Conference’, Journal of Palliative Medicine, 12:10, pp. 885–904, https://doi.org/10.1089/jpm.2009.0142.
     [Google Scholar]
  22. Redhouse, R. (2014), ‘Life-story, meaning making through dramatherapy in a palliative care context’, Dramatherapy, 36:2&3, pp. 66–80, https://doi.org/10.1080/02630672.2014.996239.
     [Google Scholar]
  23. Rego, F. and Nunes, R. (2019), ‘The interface between psychology and spirituality in palliative care’, Journal of Health Psychology, 24:3, pp. 279–87, https://doi.org/10.1177/1359105316664138.
     [Google Scholar]
  24. Safrai, M. B. (2013), ‘Art therapy in hospice: A catalyst for insight and healing’, Art Therapy, 30:3, pp. 122–29, https://doi.org/10.1080/07421656.2013.819283.
     [Google Scholar]
  25. Srolovitz, M., Borgwardt, J., Burkart, M., Clements-Cortes, A., Czamanski-Cohen, J., Ortiz, G., Mabel, H., Molly, G., Kaimal, G., Lederman, L., Potash, J. S., Yazdian, R., Sarah, S., Daniel, W. A., Wood, M., Youngwerth, J. J, Christopher, A. and Kwok, I. B. (2022), ‘Top ten tips palliative care clinicians should know about music therapy and art therapy’, Journal of Palliative Medicine, 25:1, pp. 135–44, https://doi.org/10.1089/jpm.2021.0481.
     [Google Scholar]
  26. Testoni, I., Bortolotti, C., Pompele, S., Ronconi, L., Baracco, G. and Orkibi, H. (2020), ‘A challenge for palliative psychology: Freedom of choice at the end of life among the attitudes of physicians and nurses’, Behavioral Sciences, 10:10, p. 160, https://doi.org/10.3390/bs10100160.
     [Google Scholar]
  27. Williams, A. L. (2006), ‘Perspectives on spirituality at the end of life: A meta-summary’, Palliative and Supportive Care, 4:4, pp. 407–17.
     [Google Scholar]
  28. Wood, M., Jacobson, B. and Cridford, H. (2019), The International Handbook of Art Therapy in Palliative and Bereavement Care, Abingdon: Routledge.
     [Google Scholar]
  29. Woolf, S. and Fisher, P. (2015), ‘The role of dance movement psychotherapy for expression and integration of the self in palliative care’, International Journal of Palliative Nursing, 21:7, pp. 340–48.
     [Google Scholar]
  30. World Health Organization (WHO) (2020), ‘Palliative care’, 5 August, https://www.who.int/news-room/fact-sheets/detail/palliative-care. Accessed 13 August 2023.
  31. Yin, R. K. (2018), Case Study Research and Applications: Design and Methods, Thousand Oaks, CA: Sage Publications.
     [Google Scholar]
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Drama-based therapies for spiritual well-being: Three cases in an oncological palliative care setting
Drama Therapy Review 9, 259 (2023); https://doi.org/10.1386/dtr_00132_1
/content/journals/10.1386/dtr_00132_1
/content/journals/10.1386/dtr_00132_1
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  • Article Type: Article
Keyword(s): cuidados paliativos; drama therapy; drama thérapie; Dramaterapia; end of life; espiritualidad; fin de vida; fin de vie; oncologie; oncology; oncología; palliative care; psicodrama; psychodrama; psychodrame; soins palliatifs; spirituality; spiritualité

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