Drama Therapy and Eating Disorders: A Historical Perspective and an Overview of a Bolognese Project for Adolescents

Pellicciari, Alessandro; Rossi, Francesca Maria; Iero, Luisa; Pietro, Elena Di; Verrotti, Alberto; Franzoni, Emilio

doi:10.1089/acm.2011.0623

Cited by 12 publications

(15 citation statements)

References 9 publications

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“…A number of excellent articles and book chapters have been written on the intersection of drama therapy and eating disorders (Fereydoonzad 2009, Jacobse 1994Jennings, 1994;Pellicciari et al 2013;Rothman-Sickler 1999;Rubin 2008;Young 1994). While each presents a unique perspective on the use of drama therapy for the treatment of EDs, these writings share several common themes.…”

Section: Drama Therapy and Psychodrama In The Treatment Of Eating Dismentioning

confidence: 99%

Setting the stage for self-attunement: Drama therapy as a guide for neural integration in the treatment of eating disorders

Wood

Schneider²

2015

Drama Therapy Review

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setting the stage for selfattunement: drama therapy as a guide for neural integration in the treatment of eating disorders abstraCt This article explores the potential of drama therapy, with its ability to engage cognitive and affective systems through embodiment, to promote neural integration with adults with eating disorders. Case material is presented along with a discussion of how role-based techniques in drama therapy might facilitate greater flexibility, responsiveness and emotional regulation. This study adds to a growing literature on the relationship between embodied therapeutic techniques and optimal neural integration. KeyWordsdrama therapy neural integration self-attunement eating disorders the development and maintenance of the disorders' (Fairburn and Harrison 2003: 409), thus complicating treatment strategies. As Polivy and Herman (2002) argue, a biopsychosocial model which takes into account cultural, biological, familial, social, cognitive, learning and personality factors may best capture what causes ED.Recent studies suggest that rigidity and chaos in ED populations may be linked to issues of attachment. A meta-analysis completed by Ward, Ramsay and Treasure (2000) found that insecure attachment styles are common amongst people who suffer with ED. Insecure attachment styles are thought to develop due to the inability of a child, with the help of the parent, to learn to self-soothe and correctly modulate responses to the environment (Schore 1994; Siegel 2009b). A decreased ability to regulate emotions paradoxically increases attachment needs while instilling a compulsive need for self-reliance that perhaps contributes to an over-reliance on cognitive rules to manage stressful events and interpersonal demands (Connan et al. 2003;Crittenden 1995). Furthermore, traumatic events can precipitate an insecure attachment style; however, insecure attachment can also hinder an individual's ability to resolve traumatic events, perhaps explaining the high prevalence of unresolved trauma amongst those who suffer from eating disorders (Ward, Ramsay and Treasure 2000).Recent studies have also focused on potential neurobiological underpinnings of eating disorders (Tchanturia1 et al. 2012). Eating disorder behaviours may be used to regulate emotions (related to trauma or otherwise) by disconnecting from memories, relationships or bodily sensations that are experienced as overwhelming or dangerous (Crittenden 1995;Park, Dunn and Barnard 2011;Siegel 2012). As the process of disconnection is repeated, it causes changes in the neural wirings of the brain that can trigger repeated patterns of behaviours with little insight into their meaning (Van der Kolk 2006). These rigid, repetitive processes disrupt the ability of the brain to process information and flexibly respond (Siegel 2010a). Tchanturial et al. (2012) argue that a person with ED not only presents with inflexible eating related behaviours and other repetitive rituals (e.g. scheduling, cleaning), but also has difficulties with cognitive flexibility skills...

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Section: Drama Therapy and Psychodrama In The Treatment Of Eating Dismentioning

confidence: 99%

Setting the stage for self-attunement: Drama therapy as a guide for neural integration in the treatment of eating disorders

Wood

Schneider²

2015

Drama Therapy Review

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“…El psicodrama desarrollado por Moreno desarrolló técnicas específicas (1,43), aunque para efectos de investigación, se conjugan elementos artísticos, conceptuales y médicos (44) que dificultan homogeneizar En cuanto a los resultados, no se encontraron escalas objetivas previas y posteriores a las intervenciones, algunos de los estudios concluyeron que no había cambios significativos de la sintomatología en las personas intervenidas. Dos de los estudios mostraron resultados contradictorios y los demás estudios reportaron que el tratamiento "podría mejorar los síntomas ante el trauma y algunos otros síntomas asociados, sin cuantificar específicamente estos cambios.…”

Section: Discussionunclassified

Psicodrama como terapia en trauma y estrés postraumático

Gutiérrez-Segura¹,

Ocampo-Serna²

2021

Rev. Médica Risaralda

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Objetivo: Evaluar la evidencia disponible de la eficacia del psicodrama como terapia para el manejo del trauma psicológico, trastorno por estrés agudo y postraumático. Método: Se realizó una búsqueda sistemática de la literatura en MEDLINE, EMBASE, Cochrane Central, Scopus, LILACS y Ovid hasta abril de 2019. Se incluyeron los términos: (1)Psychodrama, (2)Role-playing, (3)Stress disorders, Acute, posttraumatic, y (4)Psychological trauma (MeSH). Se seleccionaron revisiones sistemáticas de la literatura, metaanálisis, ensayos clínicos aleatorios, cuasi aleatorios y estudios observacionales en inglés y español. Se seleccionaron los trabajos que incluyeran una descripción de las intervenciones con técnicas del psicodrama. Resultados: 14 trabajos cumplieron criterios de inclusión. Conclusión: No se encontró una asociación fuerte de la eficacia del psicodrama ante los síntomas de estrés postraumático. Se requieren más investigaciones con diseño metodológico ajustado para este tipo de intervenciones.

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“…In seven studies, the intervention took place in schools with primary and secondary schools accounting for three studies each and the remaining study (Godfrey & Haythorne, 2013) taking place across both. Two studies took place in outpatient Child and Adolescent Mental Health Services (CAMHS) (Jarman, 2014;McLachlan & Laletin, 2015), and one was in an inpatient eating disorder unit (Pellicciari et al, 2013).…”

Section: Rq2: Intervention Characteristicsmentioning

confidence: 99%

A systematic review of dramatherapy interventions used to alleviate emotional distress and support the well‐being of children and young people aged 8–18 years old

et al. 2023

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BackgroundDramatherapy, a creative form of psychotherapy, may be a useful treatment for child and adolescent mental health. As there is a growing evidence base, this systematic review sought to identify, describe and evaluate dramatherapy with children and adolescents who were experiencing emotional distress (anxiety, depression and trauma) in order to inform future research in this area.MethodsSeven databases (PsychInfo, PubMed, Scopus, Web of Science, CINAHL, EMBASE and Cochrane) were searched for peer‐reviewed articles exploring dramatherapy as a treatment for child and adolescent emotional distress. Hand searches of relevant journals were also conducted. Two reviewers coded articles for eligibility and independently appraised papers using the Joanna Briggs Institute Critical Appraisal Tools. Details relating to intervention and participant characteristics were extracted and, where data were available, effect sizes on measures relating to emotional distress were calculated.ResultsFifteen papers were included. Studies showed that dramatherapy was often delivered in schools (46%) and clinical settings (20%) and was more frequently delivered to adolescents (53%) (>11 years) than children (26%) (8–11 years). Dramatherapy was used as a treatment for diagnostically heterogeneous groups (40%), for emotional and behavioural difficulties (33%) and following a shared, traumatic, experience (20%). Seven papers reported relevant quantitative data however, just three of these studies were controlled and none were blinded. Pre‐to‐post intervention effect sizes ranged from d = 0.17 to d > 2 yet samples were small and participant response to treatment was not always consistent. The largest effects were seen in dramatherapy employed following trauma and in clinical settings. Medium to large effects were also seen in early intervention school‐based dramatherapy.ConclusionDespite promising results with regards to the treatment of child and adolescent emotional distress, the evidence base for dramatherapy is small and methodologically flawed. Larger, methodologically robust trials should test the efficacy of dramatherapy in future research.

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Drama Therapy and Eating Disorders: A Historical Perspective and an Overview of a Bolognese Project for Adolescents

Abstract: It is suggested that theater can be useful in decreasing defense mechanisms, allowing a patient-focused approach, mitigating specific symptoms, and improving the quality of life during the hospital stay.

Cited by 12 publications

References 9 publications

Setting the stage for self-attunement: Drama therapy as a guide for neural integration in the treatment of eating disorders

Setting the stage for self-attunement: Drama therapy as a guide for neural integration in the treatment of eating disorders

Psicodrama como terapia en trauma y estrés postraumático

A systematic review of dramatherapy interventions used to alleviate emotional distress and support the well‐being of children and young people aged 8–18 years old

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