Psychiatry and Psychology Commons^™

Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans

Expressive Therapies Capstone Theses

The process of hospitalization and the environment of a typical psychiatric hospital is often counter-therapeutic. To challenge this problem, clinicians may introduce the concept of psychological containment. To elaborate, being hospitalized anywhere can be disorienting, frightening and even traumatic. This problem is only further exacerbated in psychiatric hospitals where patients may be disorganized, manic, or struggling with psychosis. Furthermore, psychological containment is essentially the ability for psychiatric patients to prevent their intense emotions from effecting others negatively, and to act with resiliency when other patients are unable to contain their own disruptive behaviors. This paper utilizes both an initial literature …

Language As The Medium: A Literature Review. Harnessing The Prolific Power Of Dramatic Language As A Therapeutic Tool In Drama Therapy, Edward Freeman

Expressive Therapies Capstone Theses

Language in and of the theatre, with its palate of variegated writing styles and playwrights from throughout time, has the potential to be harnessed, focused, and systematized for use as a therapeutic tool within drama therapy – the field’s artistic medium. Drama therapy could benefit from having a specific medium germane to its artform which has the potential to provide practitioners with a common resource and means of communication, assessment, diagnosis, and treatment planning, as well as align the field with other creative arts therapies. Language encompasses all forms of human communication – speaking, writing, signing, gesturing, expressing facially – …

Exploring The Usefulness Of Mindfulness Practices Through Zoom Meetings In Reducing Anxiety And/Or Stress Of Adults With Learning And Developmental Disabilities During The Covid-19 Pandemic, Thatiane Abra

Expressive Therapies Capstone Theses

This thesis explored which mindfulness meditations or mindfulness practices could be beneficial in the online sessions, the extent to which adults with learning and developmental disabilities could learn the practices remotely, and how stress and anxiety disorders could be reduced through online mindfulness interventions. Furthermore, it was also necessary to address the online sessions as the only mental health treatment possibility during the Coronavirus pandemic for the clients observed and the benefits and limitations of these interventions. Additionally, the importance of structure and routine for this population, the multi-modal structure of the interventions, and how attunement plays an important role …

Storytelling As An Expressive Arts Therapy Intervention With Children Via Telehealth, Sidney Marie Joines

Expressive Therapies Capstone Theses

As an expressive arts therapist in training working in the midst of a global pandemic, I sought to develop a creative, safe, accessible, and effective intervention for children via telehealth during a time of great uncertainty. Coronavirus 2019 has had a massive impact on mental and physical health and disrupted the lives of billions across the globe; the pandemic also forced mental health professionals to online formats. I found a significant lack of literature around expressive arts therapy via telehealth. Through considering theoretical approaches from cinematherapy, narrative therapy, metaphor therapy, play therapy, and expressive arts therapy, I developed an eight-week …

Exploring Tactile Art-Making With Deafblind Students And Their Families: An Opportunity For Creative Play, Alice Rodgers

Expressive Therapies Capstone Theses

The impact of a deafblind diagnosis on an individual’s mental health and the well-being of the family involved can be profound. However, current research and available literature for the mental health treatment and therapy practices of deafblind persons and their families is limited (Kyzar et al., 2016; “WFDB Global Report 2018,” n.d.). This thesis used the Leeds Family Psychology and Therapy Service principles (Leeds FPTS) and the Expressive Therapies Continuum with established deafblind teaching strategies to facilitate an original arts-based community project entitled: “Things We Like.” This project provided an opportunity for deafblind students (ages three to 22) and their …

Moving Through Depression: Development Of A Dance/Movement Therapy Method In Psychiatric Inpatient Care, Melissa Olmedo

Expressive Therapies Capstone Theses

Short-term psychiatric hospitalization is a challenging health care model due to its short duration of care, treating the highest risk psychiatric population. Priority care within a short-term psychiatric hospitalization involves monitoring a patient’s safety for stabilization by decreasing acute mental health symptoms. Holistic psychotherapy treatment options are needed to meet the severity of patients’ symptoms for effective stabilization within a short-term model of care. This paper investigates the first implementation of a dance/movement therapy (DMT) method within two short-term units in a notable Boston hospital. The DMT group called Mindful Movement was facilitated weekly as single sessions to adults ranging …

Dance/Movement Therapy And Its Implications In A Studio-Based Dance Program: A Community Engagement Project, Akeila Sharp

Expressive Therapies Capstone Theses

Adolescent females often struggle with emotional regulation, developing relationships, and poor body image. Research indicates that taking dance classes or participating in dance movement therapy sessions can be an effective technique to improve in these areas. However, there is limited research on the use of both in one setting. Therefore, this capstone explored the impacts of dance on adolescent females and the implications of dance/movement therapy (DMT) in a studio-based dance program. The objective of this project was to examine how restructuring a dance class using DMT interventions could improve problem areas such as low self-esteem, lack of communication skills, …

What Was Lost: How Dance/Movement Therapy Can Support The Retention And Repair Of Cognitive Abilities In Cancer Patients, A Literature Review, Sarah E. Menser

Expressive Therapies Capstone Theses

This literature review examines research surrounding the effects of chemotherapy on cognitive abilities alongside methods of increasing cognitive functioning throughout treatment. Cancer-related cognitive impairment (CRCI) is seen in many patients undergoing chemotherapy yet has had little attention in cancer research. However, research that has been performed shows that by increasing physical activity during chemotherapy often results in improved cognitive abilities as well as increasing individual’s memory, focus, and multi-tasking abilities. With this connection between physical exercise and cognitive functioning, this author is interested in investigating the idea that dance/movement therapy can assist in the recovery and repair of residual cognitive …

Warming Up To Dance/Movement Therapy Through Humor, Amanda E. Ouimette

Expressive Therapies Capstone Theses

This thesis examined the effects humor has on a Dance/Movement Therapy (DMT) warm-up intervention in increasing engagement for individuals in a grief setting who are new to DMT practices. Studies have demonstrated the positive effects humor has on individuals’ sense of comfort and there were notable similarities with the benefits of DMT. The healing advantages of humor were thoroughly studied and the comedic principle of the “Rule of Threes” was chosen and translated into a movement warm-up intervention to create a space that allowed for humor and laughter. This humor strategy for the warm-up intervention was used in a group …

Recovery-Oriented Dance Movement Therapy: A Controlled Trial In Mental Health Rehabilitation, Talia Bendel-Rozow

Expressive Therapies Dissertations

This dissertation evaluated the appropriateness of using a recovery-oriented dance movement therapy (RODMT) intervention for people who were experiencing severe mental illness. Dance movement therapy (DMT) has been used for decades to support people with psychological and psychiatric symptoms but, before this research, has not been studied in context of the recovery approach to mental health rehabilitation. The theoretical assumption of this study was that movement-based experiential activities could be used as the primary agent to demonstrate and convey specific recovery concepts among participants. The researcher developed a protocol for 13 sessions of group intervention that merged DMT with Illness …

Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim

Expressive Therapies Dissertations

This study aimed to explore whether Open Studio Process (OSP) increased wellbeing of middle and high school students when facilitated by teachers as a part of the regular art curriculum. It was hypothesized that OSP might increase the sense of wellbeing among middle and high school students as well as facilitating teachers. The research was conducted as a mixed methods study in South Korea where students need preventative interventions for their wellbeing. The researcher trained eight teachers to facilitate OSP and five of them implemented it with their classes for seven sessions. Quantitative data (K-YSR; pre- and posttest) were collected …

How Dance And Music Stimulate Therapeutic Change In A Personal Movement Ritual, Cassidy Bingham

Expressive Therapies Capstone Theses

This thesis investigates the therapeutic effects of the researcher’s own arts practice or personal movement ritual, which is based in her tacit knowledge and intuition. The researcher is also the participant of this study. Her personal movement ritual, which was formalized as the method, was conducted before the literature review in order to prioritize tacit knowledge before introducing the influence of other scholars. In the literature review, Ellen Dissanayake’s and other scholars’ rationale for the emotional and cognitive changes that take place during rituals through music and dance are explained. These rationales, or the five constructs of entrainment, “ …

Rhythm And Safety Of Social Engagement: Polyvagal Theory Informed Dance/Movement Therapy, Suzanne Weare

Expressive Therapies Capstone Theses

The polyvagal theory has exerted great influence on the field of clinical therapy since the 1990s by proposing an understanding of the psychological expression seen in clients as a reflection of their physiological state of safety or threat of danger. When affect and psychological states are viewed through the lens of the autonomic nervous system directed by neuroception through bidirectional vagal nerve information, therapeutic presence and somatic therapy practices, such as those utilized in the field of dance/movement therapy, become more conceivable as best practices to treat a variety of psychological conditions to include trauma recovery, autism spectrum disorders, and …

Mental Associations And Music Therapy: Including The History Of Associationism And The Neurology Of Associations, Dianna Rose

Expressive Therapies Capstone Theses

Associations are formed in our minds based upon three elements: sensory experience, emotions, and memories. These associations, unique to each individual, dictate thoughts, beliefs, behaviors, and actions. Some are necessary and supportive, while others can be maladaptive. Established associations can be changed, and new associations can be formed, to align with a client’s goals. The literature presents a strong history of associationism, as well as a body of research that demonstrates the neurological processes of how mental associations are formed. There are also studies showing how music activates the brain. However, there is a lack of research which draws direct …

Embodied Transformation: A Review Of Play And Dance Movement Therapy For Complex Post-Traumatic Stress Disorder, Kaiyue Chen

Expressive Therapies Capstone Theses

This thesis explores the potential role of play and playfulness in dance movement therapy (DMT) for the treatment of complex post-traumatic stress disorder (CPTSD), which results from exposure to complex trauma. As its name suggests, CPTSD symptoms can be more severe than that of PTSD, and the prevalence of CPTSD is estimated at 3.8% of the U.S. population (Cloitre et al., 2019). Given these factors, this mental health issue warrants further research and treatment support. Towards this end, a critical review of the literature on the topics of complex trauma/CPTSD, play, and DMT has been conducted. Based on a synthesis …

Co-Leadership In Dance/Movement Therapy: An Art-Based Literature Review, Siyao Li

Expressive Therapies Capstone Theses

The co-leadership model is an unseen thread in the current picture of the field of dance movement therapy (DMT). Even if it’s deeply rooted in the development of the field, its significance for the current context of culture-informed and evidence-based practice is still under-investigated. This thesis sheds light on the importance of co-leadership in DMT through a historical review of the development of the field, the rationale of using co-leadership in DMT from neuroscientific, psychological and practical perspectives, and a synthesis of empirical studies on effectiveness of co-leadership in DMT. Co-leadership is a tradition in the field of DMT which …

Gaming Intentionally: A Literature Review Of The Viability Of Role-Playing Games As Drama-Therapy-Informed Interventions, Jonathan Mendoza

Expressive Therapies Capstone Theses

Tabletop role-playing games (TTRPGS) and live-action role-playing (LARP) games have recently risen in popularity in the cultural zeitgeist with the advent of popular gaming shows like Critical Roll and The Adventure Zone, as well as popular media like Community and Stranger Things. While some literature exists linking the concepts of roleplaying to theater and psychotherapy in the pursuit of deeper game design, little exists that attempts to bridge the gap by examining the potential of role-playing games (RPGs) as therapeutic tools informed by drama therapy practices and theories. This literature review provides a brief overview of basic RPG …

Promoting Resilience In Economically Disadvantaged Adolescents Through School-Based Expressive Arts Groups, Bailey Knox

Expressive Therapies Capstone Theses

Since 2013, the majority of students served by the public school system in the United States have been considered “low-income” by the federal government. The stressors associated with low socioeconomic status significantly increase risk for social, emotional and behavioral challenges at all age levels, but can be particularly damaging to adolescents coping with heightened stress levels related to the intense multi-dimensional changes that define this developmental period. As the correlation between economic disadvantage and negative socio-emotional and academic outcomes is increasingly evidenced, schools have begun to recognize their responsibility for providing preventative mental health care to high-risk students. Over the …

A Literature Review Of Nature-Based Expressive Arts Therapy For Bereaved Children, Wendy Dalton

Expressive Therapies Capstone Theses

There is a need for increased visibility of child bereavement to expand research in and accessibility of developmentally appropriate supports, which views the child holistically and within their biopsychosocial context. Worden’s (1996) formative work with child bereavement resulting in the "tasks" of child bereavement was the first and most recent study of its scale and kind. This marked an affirming of grief as normative response to death and occurring throughout the developmental lifespan. This work also highlights the need for additional inquiry to expand and deepen understanding of child bereavement. A growing body of research suggests that ecotherapy and expressive …

Dance/Movement Therapy As A Tool To Improve Social Skills In Children And Adolescents With Autism Spectrum Disorder: A Literature Review, Holly Berlandy

Expressive Therapies Capstone Theses

Abstract

Autism spectrum disorder is a neurodevelopmental disorder diagnosed by the presence of social communication and interaction deficits present in their day to day. The deficits present in this disorder appear within the first three years of life and lead to problems with connecting and interacting with other individuals including their own family members. As a result, children and adolescents with Autism spectrum disorder often experience negative self-image and lack the proper skills to interact with others. Autism spectrum disorder is becoming more commonly diagnosed and yet there remains a gap in interventions and treatment due to the individualized appearance …

Moving Blind Spots: Cultural Bias In The Movement Repertoire Of Dance/Movement Therapists, Ebony Nichols

Expressive Therapies Capstone Theses

This thesis explores the need for cultural diversity in the field of dance/movement therapy and the impact of unconscious bias as it relates to cultural rhythmic patterns, movement styles, and music choices in therapeutic practice. This literature review examines the historical context that has contributed to the field of dance/movement therapy while outlining cultural competency and ethical considerations in practice as it relates to cultural and/or race identity. Common themes are summarized notating the effects of oppression, bias, and trauma on populations of statistically marginalized communities with specific emphases on African American cultural identity. With consideration toward action steps, culturally …

Breathing Life Into Life: A Literature Review Supporting Body-Based Interventions In The Treatment Of Trauma, Andrea Werbalowksy

Expressive Therapies Capstone Theses

In the recent turn toward a more trauma-informed practice of mental health counseling, a glaring gap remains between the research validating that trauma is a somatic experience and the continued privileging of cognitive and behaviorist interventions commonly used to treat trauma. In an effort to explore this gap, this paper presents a literature review inquiry into the neurophysiological and overall life effects trauma can have on the people who experience it. The review further explores how Stephen Porges’s Polyvagal Theory elucidates the benefits of using body-based therapeutic interventions in the treatment of trauma. The inquiry investigates the wide gap between …

“There Was Something Magical About This Group”: Building Cohesion In A Psychiatric Hospital, Mariah L. Logan

Expressive Therapies Capstone Theses

This capstone details the development and implementation of Hope Notes, an expressive arts therapy intervention used in a private psychiatric hospital setting. Hope Notes was carried out in the group setting with adolescent and adult clients in a partial-hospitalization or inpatient hospitalization with a range of diagnoses and symptoms including, but not limited to, depression, anxiety, bipolar disorder, schizophrenia, trauma disorders including post-traumatic stress, and obsessive-compulsive disorder with symptoms of delusions, hallucinations, suicidality and homicidally. Using expressive arts therapy the clients worked together to collaboratively discuss, create, design, and build an art piece intended to increase group cohesion and connection …

Expressive Mindfulness: A Trauma-Sensitive Expressive Arts Therapy Group Method, Meghan Daly

Expressive Therapies Capstone Theses

Mindfulness and expressive arts therapy are both supportive of directing attention in a manner that promotes integration and function of a person. In this paper, a trauma-sensitive method was created for use in a day treatment setting for adults with severe and persistent mental illness (SPMI). This method utilized expressive movement, visual art making with three different materials, and creative writing to encourage mindful, non-judgmental acceptance of the present moment; a sense of relaxation; and an overall increase in quality of life. During development of the method arts-based research informed the choice of materials, music, and structure of the group. …

Watering Black Roots: Exploring Black Ecological Identity Development Within Nature-Based Expressive Arts Therapy, Stormy Saint-Val

Expressive Therapies Capstone Theses

Nature-based expressive arts therapy promotes the holistic healing and recovery of individuals by interweaving the practices of ecopsychology, ecotherapy, and expressive arts therapy. These interventions have been proven to mediate ranges of symptomologies, such as anxiety disorders and PTSD. Research conducted by the U.S. National Park Services indicates that African- Americans are less likely to have a positive relationship to nature than all other racial groups. The amplification of this report without introspection of its context perpetuates racialized generalizations. This can limit a black individual’s ability to embrace their ecological identity and be receptive of nature-based expressive arts therapy interventions. …

Doing From Being: Creating Organizational Integrity Through Mindful Self-Leadership, Adam Stonebraker

Mindfulness Studies Theses

Mindfulness in the workplace is a subject that has seen significant growth in recent years. Mindfulness, which is rooted in ancient contemplative practice, has gained much traction among Western audiences over the last few decades. The application of Mindfulness practices is prevalent now in workplaces, where its efficacy has been well-documented, and impact has included the reduction of employee stress, increased productivity, and enhancement of one’s well-being.

The principles of mindfulness can be applied across disparate workplace settings and in nearly any situation to help bolster employees’ presence and focus in the day-to-day and retain them in the place of …

Forgotten Children & Bonds That Heal: The Critical Nature Of Attachment, August Ashbaker

Lesley University Community of Scholars Day

Human attachment is one of the most critical factors in proper neurological and physiological development. Attachment is built through the mutuality of emotional impact, as well as the regular reception of physical touch. Infants and children who have been deprived of these vital necessities through the lacking initiatives of their caregivers—through neglect—display visible signs of its physiological, cognitive, emotional, and behavioral impact. Research has found neglect to be the highest risk factor for permanent damage to brain development in comparison to other forms of complex trauma (i.e. chronic caregiver interpersonal trauma in childhood); it is also the most prevalent …

Meeting Point: Partner Dancing As Couple's Therapy, Rami Eckhaus

Expressive Therapies Dissertations

This dissertation research explored the experience of partner dancing as a therapeutic process that reflects upon the dynamics and interactions of couples who are in the process of couple's therapy. The research also aimed to gain insight on the ways in which the experience of partner dancing can support these couples' therapeutic processes. Partner dancing is a dance-form that is based on the interaction between two individuals. Such interaction requires the dancing couples to communicate on many levels that may uncover layers of their relational dynamics. In this research, five couples who were undergoing couple's therapy were asked to participate …

How Can Developmental Transformations Address Culture Shock To Those Moving From Collectivist Societies Into Individualistic Ones, Such As, Chinese Immigrants Into The United States?, Fabiola Valdivia

Expressive Therapies Capstone Theses

Immigration has always existed, and lately with the heyday of social networks and media, we have witnessed high rates of immigration due to different social and political contexts that have forced people to leave their homes looking for a better situation. Many of these individuals have emigrated and continue to emigrate to the United States of America, in search of, what in some cases they believe will be, the American dream.

This document explores the implementation of developmental transformations (DvT), originally a drama therapy approach, with an immigrant population coming from a collective society such as the Asian into an …

Imagination Station: Activating Creativity In Children With Disabilities, Allison Dukes

Expressive Therapies Capstone Theses

Play is a major topic of conversation when discussing childhood development is associated with creativity and imagination. Although there has been some research involving the creative process amongst children, little has been explored in regards to expressive arts as a technique to further current studies on play. This paper presents a combined method of intermodal expressive arts therapies and play therapy techniques to aid in the fostering of creativity within children with disabilities by utilized the theoretical framework provided by the Expressive Therapies Continuum (ETC). A current review of literature on the ETC, cognitive functions, and expressive arts modalities is …