Social and Behavioral Sciences Commons^™

A Group Music Therapy Method To Promote Mentalization Skills In Clients With Narcissistic Personality Disorder, Lisa Riggs Hobbs

Expressive Therapies Capstone Theses

Abstract

This paper investigates the development of a group music therapy method by adapting elements of mentalization-based treatment (MBT) to help clients with narcissistic personality disorder (NPD). A prominent characteristic of NPD is a deficiency in empathy. The fostering of empathy and emotional awareness forms the basis of MBT. Music therapy offers a means to explore these skills on a nonverbal level. This work is even more impactful in a group setting. Unfortunately, there is a dearth of literature specific to music therapy and NPD. Furthermore, despite the availability of writings separately concerning NPD, MBT, group therapy, and music therapy, …

Storytelling And Narrative Therapy Through Art Among Refugee Children: A Literature Review, Haley E. Lansing

Expressive Therapies Capstone Theses

This literature review introduces the importance of art therapy, storytelling, and narrative therapy for refugee children. While familiarizing themselves with a new habitat and way of living, this population battles being a minority, an immigrant, learning a new culture and language, and social-economic difficulties. This literature review brings to light the challenges and difficulties children face within their own trauma and anxiety. The passing on of trauma generationally, historically, culturally, or genetically is common, as is parents’ countertransference. Re-adaptation is essential for children who experience trauma, especially when escaping war. Childhood trauma affects the future adult state of mind. This …

Adolescents And Art Therapy: Exploring Safe Spaces Through Telehealth, Sarah Murphy

Expressive Therapies Capstone Theses

This thesis discusses an art therapy intervention in a virtual partial hospitalization program (PHP) with an adolescent population. Research involving the use of safe spaces in therapy, telehealth, adolescent group development, group dynamics, and digital technology in art therapy was explored. The intervention involved adolescent clients depicting a visual safe space using digital tools and exploring the concept of safety through telehealth. After the intervention, clients reported an increase in self-reported mood on average. Common themes found in the artwork include physical safety by holding boundaries and being around items or people they felt comfortable around. Personal artistic responses were …

How Clay In Group Art Therapy Helps Female Veterans Maintain Well-Being: Development Of Methods, Sooho Park

Expressive Therapies Capstone Theses

Using clay in art therapy has emerged as an evidence-based therapeutic approach to enable treatment for people with anxiety. While clay in art therapy has been researched and proven to be highly effective with children, there is limited research on the benefit for the population of female veterans. Therefore, this study examines the possibility of how clay in art therapy helps female veterans to reduce anxiety and maintain their well-being at Veterans Affairs Hospital (VAH). Three female veterans were engaged in weekly intervention for six weeks through both in-person and online sessions. Results indicate participants experienced beneficial changes in anxiety …

Preparing For An Unpredictable Future: A Community Engagement Project, Rebecca Coates-Finke

Expressive Therapies Capstone Theses

The COVID-19 Pandemic has upended lives across the world for the past two years, and it is hard for anyone to say if or when life will return to what we may have called “normal.” Communities must learn how to support and protect one another in rapidly changing circumstances, while holding space for the collective trauma and grief of this pandemic. In this thesis, there is a review of literature regarding trauma, collective healing within communities and families, and COVID’s impact on Jewish communities, with a particular focus on drama therapy. This is followed by a description of a workshop …

Intermodal Transfers Offer Creative Recovery Options From Postpartum Depression: A Critical Literature Review With Recommendations For Treatment, Sarah Swedlow

Expressive Therapies Capstone Theses

Postpartum depression (PPD) is considered as a universal health epidemic, affecting between 10-20% of mothers. Despite this high prevalence rate, symptoms of PPD often go overlooked and underdiagnosed in physical and mental healthcare due to a lack of research and awareness. The expressive therapies have introduced creative treatment options for PPD; however the modalities are often kept separate. Intermodal transfers, informed by the Expressive Therapies Continuum (ETC), can provide effective and accessible benefits to mothers with PPD. This literature review critically analyzes the efficacy of intermodal transfers in the treatment of PPD. The findings show that a multimodal approach is …

Building Nature: A Nature-Based Drama Therapy Method In An Urban Program, Courtney Bennett Mcduffee

Expressive Therapies Capstone Theses

Finding a mental health center that fits the needs of an individual can take time. Some individuals must travel to different states and enter large metropolises to find the specific type of support they need for their mental health journey. This can mean that for extended periods of time, as individuals go through residential treatment, partial hospitalization programs (PHP), and/or intensive outpatient programs (IOP), they can not only find themselves in a completely new community, but also entirely removed from nature. For this reason, my thesis focused on creating a method to reconnect humans ‘trapped’ in an urban setting with …

Combining Non-Traditional Therapeutic Competencies With Dance/Movement Therapy In Response To Client Reactivity: The Development Of A Method, Nicole Koontz

Expressive Therapies Capstone Theses

Individuals with reactive attachment disorder present as guarded towards therapeutic care and respond passively to treatment or become combative and aggressive. Previous body-based interventions for individuals with reactive attachment disorder included dangerous and unethical approaches that led to traumatization, distrust, and even death. Historical attachment therapies focused on making the client feel powerless and hopeless to accept care rather than practitioners adjusting to individualized client-centered care. A dance/movement therapy-informed method was developed to provide a nonthreatening therapeutic space to foster genuine participation for clients who present with reactivity towards treatment. The method was implemented over the course of seven weeks …

Using Animal As Metaphor In Drama Therapy With Psychiatric Patients In An Intensive Outpatient Program Group Therapy Session: An Intervention, Juliana Fort

Expressive Therapies Capstone Theses

Abstract

Drama therapy may be uniquely suited to help people with mental illness who have negative beliefs about what it means to be mentally ill. It focuses on helping the individual expand their sense of what a person with mental illness can be, as well as their awareness of the other roles they may play in their lives. In the current study, the author developed a drama therapy intervention for psychiatric patients in an intensive outpatient program (IOP). The intervention uses pre-made cards that depict images of various animals. During the intervention, the participants were asked to discuss how they …

Examining The Role And Benefits Of Dmt In Adults With Down Syndrome: A Critical Review Of The Literature, Melissa Briggs

Expressive Therapies Capstone Theses

This critical literature review investigates the use of dance/movement therapy (DMT) as a form of treatment for adults diagnosed with Down syndrome (DS). It examines how DMT can help adults with DS achieve higher functioning, enhanced well-being, and realize a greater sense of self-identity. The existing literature includes research studies, peer-reviewed articles, juried journals, theses, and dissertations which address how DMT has been used alone or in conjunction with other expressive therapies, to improve the overall quality of life in adults with DS. The material reviewed is organized according to the outcomes and benefits conferred upon adults with DS who …

Creative And Expressive Arts Therapy In Motivational Interviewing, Mary Hunt

Expressive Therapies Capstone Theses

The practices of Creative Arts Therapies (CATs), Expressive Arts Therapy (EATs), and Motivational Interviewing (MI) are regarded as profoundly impactful for use in mental health professions. While there is extensive literature supporting the benefits of the practices individually, research to date on combining CATs or EATs with MI is limited. This Capstone investigates the combination of the fields, including research linking MI to the fields under the CATs umbrella of art, dance/movement, drama, and music therapies. The key elements of each practice are defined, and their overlapping similarities are identified, examples of complementary CATs interventions to the practice of MI …

Group Scriptwriting For Male Survivors Of Childhood Sexual Abuse: A Community Engagement Project, Anna Coleman

Expressive Therapies Capstone Theses

The objective of this community engagement project was to explore the experiences of a group of male survivors of childhood sexual abuse via a writing process through a drama therapy-based lens, which included the use of scaffolding sessions with projective writing techniques, the use of aesthetic distance, verbally sharing written works to the witnessing audience, and embodied feedback and response by the witnessing audience to the performer. The participants were part of a grant-funded male sexual abuse survivor support group at an American outpatient, in-office mental health counseling group practice. All sessions were held in audio-video telehealth sessions. There were …

The Traumatology Of Adverse Childhood Experiences In High Risk Youth: Examining The Healing Potential Of The Neurobiological Processes In Art Therapy- Option 1: Development Of A Method, Marisa Massaro

Expressive Therapies Capstone Theses

Examining the healing potential of neurobiological processes in art therapy with high risk youth who have experienced adverse childhood experiences (ACEs) vitally needs to consider the neuroscience perspective of trauma. Practicing through a trauma-informed approach, there is a need to further investigate the impacts of art therapy for this population within the field of traumatology. Existing literature provides an understanding of ACEs, the neurobiological changes in functionality of the brain from toxic stress, the impacts on the brain, neurobiological processes in art therapy, prevalence of ACEs in high risk youth, and studies of art therapy with adverse childhood experiences in …

Patient-Drama: A Literature Review Of Simulated Patient Experiences In Medical Education And Training, Shelby Davis

Expressive Therapies Capstone Theses

Simulated patient experiences are commonly used in medical education and training. These experiences have the benefit of training students in real-world environments without risks to real patients. However, these forms of training can be expensive to implement. Additionally, there may be room to improve their effectiveness for training medical providers in humanistic skills like empathy and relationship building. These experiences can be considered dramatic encounters with the incorporation of dramatic elements like role, story, and improvisation. Given the intentional use of drama in these simulated patient experiences, it can be argued that the definition of drama therapy broadly applies to …

Development Of A Method - All In The “Letters”: Exploring The Relationship Between Expressive Arts Therapy And The Grieving Process With Adolescents, Robby Auld

Expressive Therapies Capstone Theses

There are more than 5.3 million bereaved youth in the United States (Judi’s House/JAG Institute & The New York Life Foundation, 2022), a number that is only growing. Finding effective therapeutic interventions for bereaved youth is an ethical imperative. This capstone thesis considers the relationship between expressive therapies and bereavement work with adolescents, specifically the use of expressive arts therapy. Grief theories are explored in a literature review, along with a survey of existing empirical research conducted using expressive therapies with bereaved populations. Few empirical studies have focused on expressive arts therapy and bereavement work with adolescents, an observation which …

An Embodied Drama Therapy Approach To Restorative School Practices: A Method, Sarah Harmer

Expressive Therapies Capstone Theses

Restorative School Practices offer schools a circle structure to shift the punitive mindset and power dynamics commonly found in America’s schools, to a model that focuses on relationship, connection, and mutual respect. Drama therapy interventions utilize embodied or active work that engage the entire person. The purpose of this thesis was to create a method to explore the addition of embodied drama therapy techniques to deepen the experience of the restorative school circle process. Three community-building and social emotional learning focused circles, in a second, fourth, and sixth grade class, were compared using the traditional scripts and then the same …

Building Character By Building Characters: A Literature Review Examining The Efficacy Of Tabletop Roleplay As A Creative Intervention For Developing Social Skills In Adolescents, Kathleen Angela L. Bautista

Expressive Therapies Capstone Theses

In the realm of tabletop roleplay games, Dungeons & Dragons (D&D) earned a reputation as the most prolific franchise within the genre and has since prevailed as a popular bonding activity for peer groups of all ages and backgrounds. Among the player base in the D&D community are those that gleaned its potential to offer a conducive space for personal growth, particularly in the realm of psychosocial development, given that D&D sessions facilitated dynamic social interactions among the members. The emphasis on imagination in D&D nurtures the tenets of intermodal expression, as players are encouraged to explore their creativity through …

Art Therapy Interventions For Fear Of Childbirth: A Model For Implementing Expressive Arts Interventions In Prenatal Populations, Cheyne West

Expressive Therapies Capstone Theses

This capstone investigates fear of childbirth (FOC) and correlated prenatal anxiety and/or prenatal depression. This literature review examines the current research related to FOC in prenatal birthing populations and art therapy interventions. Careful considerations were taken in regard to language for this population. Gender neutral terminology is used to be inclusive of trans, non-binary, and queer pregnancies. FOC is common, affecting about 80% of birthing individuals (O’Connell et al., 2021). Symptoms and implications for FOC are vast, including anxiety, depression, preeclampsia, increased medical inventions, and possible long term mental health risks. The baby's wellbeing is also affected by FOC, including …

“Hey! Whoa.”: Enhancing Dialectical Behavior Therapy With Drama Therapy For Patients On A Short-Term Inpatient Unit And Trauma/Dissociative Inpatient Unit: Development Of A Method, Sarah Moore

Expressive Therapies Capstone Theses

Dialectical behavior therapy (DBT) is a widely used treatment approach for many different populations across an array of clinical settings. There is ample supporting evidence on its effectiveness, however there is also emerging literature on the barriers and challenges when engaging with this treatment modality. Drama therapy is an embodied treatment approach that uses theatre processes and techniques to achieve therapeutic goals. The aim of this thesis was to combine drama therapy and DBT into a proposed method to explore the impact of this infusion with clients on two inpatient units: a short-term unit and a trauma/dissociative unit. This method …

Creating Order Out Of Chaos: A Method Of Cognitive Behavioral Art Therapy For Psychosis (Cbatp), Alexandra Hayes

Expressive Therapies Capstone Theses

Psychosis is a mental health condition in which an individual loses touch with reality. Therefore, it is often considered difficult to study and treat and highly stigmatized. Left untreated, psychosis can have devastating and debilitating effects on the individual and their loved ones. The integration of cognitive behavioral therapy (CBT) and art therapy (AT) as cognitive behavioral art therapy (CBAT) may yield greater benefits to individuals with psychosis than either treatment method administered alone. Using a combined approach of AT and CBT may aid delivery of therapy, reinforce skill retention and feelings of mastery, and facilitate social interactions. This capstone …

Allyship Of Teachers And Drama Therapists: How Drama Therapy Can Empower Educators Restricted By Neoliberalism; A Literature Review, Madelyn Dominiski

Expressive Therapies Capstone Theses

The philosophy of neoliberalism has made a significant impact on America’s public school system, as its principles push for an emphasis on standardized testing and increased evaluation in the classroom and curriculum that will ultimately make a student more marketable in the American workforce. This systemic approach leads to increased stress and anxiety among teachers, students, and school-based drama therapists alike. In this literature review, I investigate the literature on neoliberalism, its impact on teachers and therapy practices, specifically drama therapy, and how educators and therapists may resist this system through pedological approaches. I will argue that teachers and school-based …

Moral Distress And Allostatic Overload In Clinicians: Mitigating Burnout Through Expressive Arts Therapy - A Literature Review, Kate Salonen

Expressive Therapies Capstone Theses

Work-related stress conditions such as burnout and moral distress have been observed to have significant negative impacts on the mental and physical health of helping professionals, contributing to higher allostatic load and stress-related disease, higher rates of job turnover, and overall poorer consumer outcomes. This paper provides an overview of burnout, moral distress, and allostatic overload pertaining to clinicians, and discusses the unique potential of Expressive Arts Therapy as an intervention for mental health providers experiencing moral distress, toward mitigation of stress-related impacts on provider mental and physical well-being. Analysis of available literature in each topic area was completed through …

Touch In Drama Therapy: A Literature Review, Sara Hood

Expressive Therapies Capstone Theses

This article is a cursory look at how touch is perceived in the field of drama therapy. Touch is integral to our experience as humans and can be present in drama therapy sessions. Ethical guidelines for touch in the literature are identified and relevant drama therapy texts and articles describing touch are discussed. While drama therapy has a clear voice when it comes to ethically engaging in touch with a client, very little research was found exploring the intention and outcome of touch in a drama therapy session. Other therapeutic modalities, specifically Developmental Transformations and dance/movement therapy, are identified as …

A Dance Movement Therapy Tool: To Name It To Tame It: A Development Of A Method With Grieving Children And The Four Zones Of Emotional Regulation, Khary Green

Expressive Therapies Capstone Theses

Emotions have the capacity to influence the body at every level. Research studies have confirmed that emotions can be recognized from facial expressions and linked to the four zones of regulation (Ekman, 1972). The study aimed to help children identify their feelings and teach them strategies that would support them in coping with their feelings. This thesis explored ways clients can be aware of themselves and the skills needed to improve their understanding and tolerance of emotions. The method contributed to the current literature on emotion regulation and bereavement. The data collected were from several parts of written journals and …

Using Expressive Arts Therapies To Aid The End-Of-Life Transition For Older Adults: A Literature Review, Rosemary Lape

Expressive Therapies Capstone Theses

This literature review presents the use of expressive arts therapies as they may be applied to end-of-life care for older adults. Death is inevitable and if given the chance to prepare, the expressive arts modalities provide a foundation to process the emotions associated with the ending of a life on earth. Expressive arts provide the opportunity to communicate in non-traditional ways which have the ability to locate subconscious themes. End-of-life care previously revolved around pain management. In more recent years it has evolved to caring for the whole person emotionally, socially, psychologically, and physically. Sources were found utilizing resources provided …

Parental Support, Dance/Movement Therapy, And Early Childhood Self-Regulation – A Literature Review, Yuliana Santos Pagan

Expressive Therapies Capstone Theses

Self-regulation is one of the main factors to contribute to successful social-emotional development during early childhood. Healthy attachment patterns between the parent/caregiver and child relationship, as well as safe and supportive environments in school contribute to children’s abilities to develop and learn to use self-regulating skills. This literature review explores the relationship dance/movement therapy has with the enhancement of parent-child relationships during early childhood, which is potentially contributing to the development of early childhood self-regulation. Using a citation chasing method, and research in online databases, inclusion criteria for resources consisted of peer reviewed quantitative, qualitative, arts-based, and mixed methods research …

Expressive Arts Therapy And Therapeutic Relationship With A Child With Selective Mutism: Development Of A Method, Sophie Mclaughlin

Expressive Therapies Capstone Theses

Selective mutism (SM) is a rare, yet severe, anxiety disorder that affects primarily children. SM is characterized by a failure to speak in certain social situations (i.e., school), despite being able to speak comfortably in other settings (i.e., home). There is an ongoing effort to understand this diagnosis and best treatments are being debated. The therapeutic relationship is argued to be one of the greatest predictors of positive treatment outcomes, regardless of the diagnosis or treatment method; however, the failure to speak that characterizes SM impacts the development of a therapeutic relationship and that alliance cannot be formed using typical …

Music Of The Parts: Exploring Clinician Reflexivity, Internal Family Systems, And Community Music Therapy: A Critical Review Of The Literature, Sophia Inaba

Expressive Therapies Capstone Theses

This capstone thesis aims to explore internal family systems and music therapy as tools for enhancing clinician reflexivity in community settings. Relational awareness is identified as a key skill within the broader definition of reflexivity. Various approaches in music therapy, internal family systems and the combination of IFS and the expressive therapies are described and connected to lift out common themes that provide greater understanding of how IFS and music therapy may complement each other to enhance relational awareness. Results indicated that embodiment is a key skill that is practiced within IFS and music therapy which could help develop relational …

Healing Collective Generational Trauma And Building Resilience Through Art Therapy, Ruzanna Carter

Expressive Therapies Capstone Theses

Current research is limited in the transmission of transgenerational trauma. Most

of the research available on the topic was specific to the survivors of the

Holocaust. The focus in this thesis is on the Armenian population and how the

trauma of the wars and the Genocide has transmitted to future generations and

continues to impact the population today. The literature reviewed for this topic

explored how trauma transcends these generations but also how the resilience

transcends. My goal was to help build resilience through the artmaking

process more in the style of Jungian art therapy in a semi-open studio structure. …

The Role Of Dance/Movement Therapy On Inmates After Restrictive Housing – A Literature Review, Savannah Melo

Expressive Therapies Capstone Theses

The aim of this literature review is to highlight the impact dance/movement therapy has on individuals who have experienced segregated housing in a correctional facility and the mental health effects segregation may cause. The negative effects this housing may cause will be explored. This exploration will include related applications of dance/movement therapy (DMT), demonstrating how in past research it has been shown to improve different mental health symptoms. Though dance/movement therapy is not as readily available to the prison population, the intention of this thesis is to investigate expressive arts, specifically DMT, as a treatment modality for inmate mental health. …