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Using psychodrama for information gathering.

Based on the results presented here, psychodrama has a definite place in the treatment of acute and chronic psychiatric clients. It works especially well with these clients on an information-gathering level to elicit information about a client's past unresolved conflicts and feeling relating to them. This data is not often available in the social and psychological history. An additional benefit of this exercise is the accelerated acceptance of the new client into the open-ended, ongoing group. It has also proved to make future group sessions more meaningful to the new member. The implementation of psychodrama at the information gathering level has benefited the therapists clinically and, at the same time, enhanced the client's total participation in group.

Community Mental Health Services↗

[Knowledge about the relationship through protagonist-director interactions in psychodrama groups].

This report follows emotional behavior in two psychodrama groups from the "present moment" until "moment of contact" using the Consensus Rorschach method. In the analysis of verbal and nonverbal material of protagonist-director dyads the following patterns were distinguished: a) early relationship patterns; b) affective attunement; c) fit of knowledge about the relationship. The author describes the relationship between the concept of "present moment" in therapy and the role of eye contact. Eye contact produces emotional tension in the context of the "present moment". Moments of contact, however, require implicit and explicit knowledge about the relationship to be constructed simultaneously as well as development of affective interactions. Emotional impulses are stored in implicit memory, which has no immediate availability. However, therapy--including psychodrama--attaches words to behaviors that are beyond the verbal levels as well, and therefore it extends the domain of memory. This is the way in which non-symbolized emotional behavior (including eye contact) and the play's verbal level with symbolic representations of memories are interconnected.

Adult↗

[Notes concerning two psychodrama treatments in a psychiatric institution (author's transl)].

After describing the introduction and evolution of two psychodrama treatment sessions in a psychiatric service, the author proposes an analysis of the processes underscoring the observed effects. On the one hand, the effects of the psychodrama game are indicated : elaboration of fantasies, projections and repetitions, emergence of identifications, analysis of transfert and effect of the comment. On the other hand, an indirect psychotherapeutic effect is demonstrated : modifications in institutional relationships seem to have been an important factor in the patients' course.

Chronic Disease↗

Art therapy, psychodrama, and verbal therapy. An integrative model of group therapy in the treatment of adolescents with anorexia nervosa and bulimia nervosa.

Anorexia nervosa and bulimia nervosa typically afflict individuals in adolescence. Given the intractability of these diseases in combination with the natural recalcitrance of adolescence, treatment with this population presents a daunting challenge. Traditional group therapy that focuses on verbal therapy is often not effective with this population, particularly in the acute stages of the diseases. A group therapy approach that integrates art therapy, psychodrama, and verbal therapy offers an innovative alternative to traditional group therapy.

Adolescent↗

The use of role-play and psychodrama in the education of the dental undergraduate.

The delivery of effective information flow through self learning, critical thinking and problem solving is one of the objectives of current curriculum development within the Dental Faculty of the University of Hong Kong. These objectives reflect a desire to encourage skills related to 'comprehension learning' and 'meaning orientation' rather than 'rote' learning and 'surface' approaches. This paper explains the way in which role-play and psychodrama are used in an effort to achieve these objectives.

Cognition↗

Psychodrama group therapy for patients with functional gastrointestinal disorders--a controlled long-term follow-up study.

Patients with gastric dyspepsia and irritable bowel syndrome at a primary health care centre were offered a special form of group psychotherapy once a week during a 3-month period. The therapy included psychodrama and relaxation training. Results were evaluated by means of self-administered questionnaires on symptoms and anxiety, comparing pretherapy levels with levels 6 months after the start of the therapy as well as 3 years later. In the studied treatment group--as well as in a control group selected in the same way but not undergoing the special treatment--the symptom levels decreased 3 months after therapy. In both groups, however, they tended to increase again after 3 years. Anxiety, on the other hand, decreased 6 months after the start of therapy in the specially treated group and no similar tendency was observed in the control group. In the treatment group subjects who reported immediately after treatment that they had learned 'a new behaviour' were more likely to report fewer symptoms of the irritable bowel syndrome 3 years later than other subjects.

Adult↗

The origins and practice of psychodrama.

Psychodrama, a method of human relations training and psychotherapy, is traced from its creation by Moreno fifty years ago to its present resurgence with the growth of 'humanistic' psychology. The basic techniques are described, together with Moreno's concepts of social interaction, e.g. encounter, spontaneity, the moment, cathersis and role playing. Its uses and limitations are discussed briefly.

Catharsis↗

[Psychodrama as a pedagogical strategy: experiences in undergraduate teaching of women's health services].

As the result from a discussion by the Grupo de Estudos sobre Saúde da Mulher--GEM (Group of Studies on Women's Health), psychodrama has been used as a pedagogical strategy to develop the topic Female's Conditions and Women's Health. Written and oral individual accounts as well as stories constructed in "group meetings" were treated by the gender perspective. The dynamics has facilitated relationships and self-knowledge, making it possible for day-by-day situations to emerge. The reflection between what is lived and what is theoretical has allowed the visibility of women's insertion in the public and private sectors as well as created situations for the construction of concepts.

Brazil↗

[Psychodrama as a pedagogical teaching strategy about worker's health].

This study had the objective to report the experience of using pedagogic psychodrama as a teaching and learning strategy about the worker's health. It was developed with 18 students from the Master Program from the School of Nursing of the University of São Paulo at Ribeirão Preto, during the second semester of 2002. Interactive, dynamic and interpersonal activities, and role playing were initially conducted looking for students and educator's spontaneity. Moreno's psychodramatic theory was the theoretical framework used. Creativity, logical reasoning, involvement with learning, and organization of concepts using their own living experience were observed, contributing to the experience as a whole. Therefore, the experiment was considered successful.

Education, Nursing, Graduate↗

[Psychodrama in psychotic patients].

This experience was carried out over the years 1979/81 and 1983/4 at the Magnan ward of the Braulio Moyano Women's Neuropsychiatric Hospital in Buenos Aires, Argentina. Theory and the techniques of Psychodrama were applied to different groups of chronic psychotics, one of those groups being in a deep state of deterioration. Objects and therapeutic aims were to achieving changes in the patients' behavior, improving their socialization level as well as their communication links with their inmates and both their doctors and nurses. By means of both role playing and the nucleus of both the Ego and Scheme of Roles as a frame of reference it was aimed at recovering patients' integrative activity, thus increasing their re-adaptability to the familiar group an the society structure as well.

Adaptation, Psychological↗

[Parameters and frames in psychodrama].

Psychodrama is considered as a parabola in the sense of an open curve formed by the intersection of a cone with a plane, for the scenes enacted by the participants can be viewed as a cutting in the actual life aimed to revive the personal past as well as to begin the building of the personal future. It is considered also as a parable, a fictitious narrative that yields a moral truth and a learning, for while there is no reality in it, the purpose that supports it is to improve one's psychic equilibrium, which means to live according to true feelings. One special way of materializing this is explained. It consists, in offering certain themes to dramatize to the members or the group. These themes are chosen by their power to activate significant zones of the personality, and always taking into account the emotional climate that prevails. Sometimes they emerge from the initiative of the participants and they can also be changed during the performances. Some examples are given, which have revealed themselves as adequate to the parameters pursued, which resume themselves in the promotion of autonomy and authenticity.

Female↗

[From N-doep to psychodrama].

The interest taken in traditional African Therapies was classically supported by a system of anthropological eurocentric references, motivated amongst other things by a folkloric curiosity. The socio-political evolution has progressively modified the vision of ethnologic teams of psycho-sociologists and psychiatrists. COLLOMB and LAMBO permitted recognition of a psycho-pathology which integrates with the cultural reality of the Africans and the Negros. The O.M.S. at present is supervising a number of enquiries into traditional African medicine. Obviously, such an ideological mutation imposes on occidental psychiatry the conceptualisation sociometry of certain traditional group therapies, distinctly making n'doep the forerunner in morenian psychodrama, and putting the healer in the position of leader in certain domains of modern psychiatry. Should occidental Europe be listening to the African Models?

Africa↗

[An anorexia nervosa case and an approach to this case with pharmacotherapy and psychodrama techniques].

Anorexia nervosa in an eating disorder that primarily affects female adolescents and is more commonly seen in westernized countries. Although it is a sociocultural problem of developed societies, nowadays it is also increasing rapidly in developing cultures such as Turkey. Difficulties in the treatment of anorexia nervosa have directed clinicians to understand the disorder better. Although it is well known that various factors play a role in the etiology of anorexia nervosa, psychodynamic factors also have considerable importance. In addition, social and familial interactions contribute to the development of anorexia nervosa. In the light of these facts, treatment with psychotherapy and pharmacotherapy might be used to cure this disorder. In this article, the definitive features and process of anorexia nervosa along with its psychodynamics were discussed on the basis of a case. In the treatment of the patient, psychodrama techniques with drugs were thought to be useful. The patient became aware of the unfavourable relationship and improved by the use of this method. Thus she gained emotional-cognitive insight.

Adolescent↗