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Spontaneity’s relationship to PTSD, depression, anxiety, and traumatic grief: An analysis of psychodrama’s curative agent 自发性与创伤后应激障碍、抑郁、焦虑和创伤性悲伤的关系:对心理剧治疗剂的分析
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-15 DOI: 10.1016/j.aip.2025.102407
Scott Giacomucci , Joshua Marquit , Ritika Gupta , Haydn Briggs
This study (n = 148) explores the relationship between psychodrama’s curative agent, spontaneity, with PTSD, depression, anxiety, traumatic grief, and Prolonged Grief Disorder (PGD). Findings demonstrate moderate negative correlations between spontaneity and both PTSD and anxiety, as well as low-to-moderate negative correlations between spontaneity and both traumatic grief and PGD. A low-negative correlation was found between spontaneity and depression. These findings further support psychodrama’s spontaneity-creativity theory which positions spontaneity as a measure of health and wellbeing. Psychodrama’s founder, Jacob Moreno, hypothesized an inverse relationship between anxiety and spontaneity many decades ago; the findings of this research study support this claim. This study was conducted as a secondary data analysis, building off Giacomucci, Marquit, Briggs, & Gupta’s (2025) effectiveness study on psychodrama, to exploring spontaneity’s relationship to mental health disorder symptoms.
本研究(n = 148)探讨心理剧的治疗剂自发性与PTSD、抑郁、焦虑、创伤性悲伤和延长性悲伤障碍(PGD)之间的关系。结果表明,自发性与PTSD和焦虑之间存在中度负相关,自发性与创伤性悲伤和PGD之间存在低至中度负相关。自发性和抑郁之间呈低负相关。这些发现进一步支持了心理剧的自发性-创造力理论,该理论将自发性作为健康和幸福的衡量标准。心理剧的创始人雅各布·莫雷诺(Jacob Moreno)在几十年前就假设焦虑和自发性之间存在反比关系;这项研究的结果支持了这一说法。本研究以Giacomucci, Marquit, Briggs, & Gupta(2025)对心理剧的有效性研究为基础,作为二次数据分析,探讨自发性与心理健康障碍症状的关系。
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引用次数: 0
Synchrony as a therapeutic framework: Synchronization modulation transitions model through sensorimotor art therapy 同步性作为治疗框架:通过感觉运动艺术治疗的同步调制过渡模型
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-13 DOI: 10.1016/j.aip.2025.102406
Irit Shochat
This paper introduces the Synchronization Modulation Transitions (SMT) model as a preliminary theoretical framework for conceptualizing synchrony as a core therapeutic process rather than a secondary outcome. Despite growing interest in synchrony within psychotherapy research, an integrated framework encompassing its embodied, relational, and cognitive dimensions remains lacking. The SMT model offers an initial step toward defining synchrony as a dynamic, embodied mechanism that facilitates therapeutic change through actively modulated transitions aligned with neural and attentional shifts between Minimal and Narrative Self-states. It provides a multidimensional perspective on synchrony within embodied therapeutic practice and is illustrated through sensorimotor art therapy. By offering a structured and integrative foundation, the SMT model positions synchrony as an organizing principle spanning intrapersonal and relational processes in therapeutic change, and lays the groundwork for future clinical and interdisciplinary research on embodied experience.
本文介绍了同步调制转换(SMT)模型,作为一个初步的理论框架,将同步概念化为核心治疗过程,而不是次要结果。尽管在心理治疗研究中对同步性的兴趣越来越大,但一个包含其具体、关系和认知维度的综合框架仍然缺乏。SMT模型为将同步性定义为一种动态的、具体的机制提供了第一步,这种机制通过主动调节的过渡与最小自我状态和叙事自我状态之间的神经和注意力转移相一致,促进了治疗变化。它提供了一个多维的视角,在体现治疗实践的同步,并通过感觉运动艺术治疗说明。SMT模型提供了一个结构化和综合的基础,将同步性定位为治疗改变中跨越个人和关系过程的组织原则,并为未来体现体验的临床和跨学科研究奠定了基础。
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引用次数: 0
Dance in prisons: A systematic review and narrative synthesis. 监狱中的舞蹈:系统回顾与叙事综合。
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-11 DOI: 10.1016/j.aip.2025.102403
Thilaga Letchumi Sarunga Raja , Ella Dumaresq , Sabine Koch
The global prison population has grown by a total of 27 % since year 2000. Rehabilitation programs in prisons are based on ‘Risk Needs Responsivity Model’, however there is a need to avoid overintellectualized models of therapy. There is growing interest in creative arts therapies in forensic care, however, literature around dance and dance movement therapy (DMT) remains scarce. This systematic review aims to assess the application of dance and DMT in prisons and the state of research. Data was collected on therapeutic outcomes, target population, intervention dosage and outcome measurements. Due to the heterogeneous studies, a narrative synthesis was completed, and clusters were classified using the Dunphy Outcomes Framework. Six studies were included, revealing dance and DMT in prisons have an extensive range of effects on across the following domains of the DOF: emotional, social, physical, cultural, cognitive and integration. The studies remained at a low evidence level with just two controlled trials. The review highlights the need for more empirical research. Results so far are promising and suggest that dance and DMT can have beneficial effects in forensic settings.
自2000年以来,全球监狱人口总共增长了27% %。监狱中的康复项目是基于“风险需求反应模型”的,但是有必要避免过度智能化的治疗模式。创造性艺术疗法在法医护理方面的兴趣越来越大,然而,关于舞蹈和舞蹈运动疗法(DMT)的文献仍然很少。本文系统回顾了舞蹈和DMT在监狱中的应用及研究现状。收集有关治疗结果、目标人群、干预剂量和结果测量的数据。由于研究的异质性,我们完成了叙述性综合,并使用Dunphy结果框架对聚类进行分类。包括六项研究,揭示监狱中的舞蹈和DMT对DOF的以下领域有广泛的影响:情感,社会,身体,文化,认知和整合。这些研究只有两个对照试验,证据水平很低。这篇综述强调需要更多的实证研究。到目前为止的结果是有希望的,并表明舞蹈和DMT可以在法医环境中产生有益的影响。
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引用次数: 0
From perception to transformation: The contribution of dance movement therapy through phenomenological and neurobiological lenses 从感知到转化:现象学和神经生物学视角下舞蹈动作治疗的贡献
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-08 DOI: 10.1016/j.aip.2025.102405
Lenka Terezie Ruzickova , Veronika Andrashko , Roman Prochazka
This narrative review synthesises current knowledge on neural networks, relevant brain structures, and their functions with phenomenological perspectives on embodiment and creative processes in dance movement therapy (DMT). DMT is an established therapeutic approach, and the review presents a conceptual framework for mechanisms of change in DMT, while offering arguments for the integration of embodied, movement, and creative processes within integrative psychotherapy. The review discusses interventions engaging the bodily dimension through nonverbal and artistic modalities involving embodied experience and multisensory perception (interoception, exteroception and proprioception). In the proposed conceptual framework, From Perception to Transformation, bodily experience and movement contribute to the reconstruction of self-concept and personal meaning. This process is examined through a combined lens of phenomenological philosophy and contemporary neuroscience. From a phenomenological standpoint, artistic expression is understood as a pathway to truth through the lived experience of embodiment, grounded in attuned presence (Anwesenheit) and receptive openness (Gelassenheit), which allow concealed aspects of the self to emerge. Neuroscientific perspectives highlight neuroplasticity and the integrative role of the insular cortex in linking multisensory input with self-awareness within large-scale brain networks involved in introspection, executive functioning, and salience processing. The review concludes by outlining implications for therapeutic practice and future research directions.
本文综合了当前关于神经网络、相关大脑结构及其功能的知识,并从现象学的角度分析了舞蹈运动疗法(DMT)中的体现和创造过程。DMT是一种成熟的治疗方法,本综述提出了DMT变化机制的概念框架,同时为综合心理治疗中体现、运动和创造过程的整合提供了论据。这篇综述讨论了通过非语言和艺术方式参与身体维度的干预,包括具身体验和多感官知觉(内感受、外感受和本体感受)。在提出的概念框架中,从感知到转化,身体体验和运动有助于自我概念和个人意义的重建。这个过程是通过现象学哲学和当代神经科学的结合镜头来检查的。从现象学的角度来看,艺术表达被理解为通过化身的生活经验通往真理的途径,以协调的存在(Anwesenheit)和接受的开放性(Gelassenheit)为基础,允许隐藏的自我方面出现。神经科学的观点强调了神经可塑性和岛叶皮层在连接多感觉输入和自我意识的大规模大脑网络中的综合作用,这些网络涉及内省、执行功能和显著性处理。综述总结了对治疗实践和未来研究方向的启示。
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引用次数: 0
Gender-expression through a session of Psychotherapeutic Playback Theatre: A case study 心理治疗回放剧场的性别表达:个案研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-02 DOI: 10.1016/j.aip.2025.102394
António-José Gonzalez , Íngride Martins Correia , Margarida Pedroso de Lima , Miriam Bernardino , Francisco Forte
Psychotherapeutic Playback Theatre (PPT) is a form of group psychotherapy that was developed from Playback Theatre (PT). In PPT, participants share a narrative that is enacted theatrically by the other group members. As the narrative is central to the therapeutic process, the present study aimed to investigate the subjective experience of participants in a PPT session, particularly their relationship with the story told by the teller. In this in-depth case study, a qualitative methodology was used, applying Thematic Analysis to interviews conducted with five participants from the PPT group. The resulting themes were then crossed with the description of the audiovisual recording of the session and with responses from the respective Helpful Aspects of Therapy (HAT) questionnaires. Analysis revealed three principal themes: 1) Narrative as a meeting point; 2) Exploring vertical and transversal dimensions of the story: from the individual to the sociopolitical; and 3. Beyond the Narrative. The findings suggest that PPT, as a group therapy setting, served as a safe and affirming space for the protagonist, exploring his gender expression, fostering not only a sense of belonging and acceptance but also greater awareness of personal resources and of the complex roots of their suffering. Other members of the group referred to benefits that can be connected to common therapeutic factors of group and expressive therapies.
心理治疗回放剧场(PPT)是由回放剧场(PT)发展而来的一种团体心理治疗形式。在PPT中,参与者分享由其他小组成员戏剧性地制定的叙述。由于叙事是治疗过程的核心,本研究旨在调查PPT会话中参与者的主观体验,特别是他们与讲述者讲述的故事的关系。在这个深入的案例研究中,使用了定性方法,将主题分析应用于与PPT组的五名参与者进行的访谈。然后将结果主题与会议的视听记录描述以及各自治疗有益方面(HAT)问卷的回答交叉。分析揭示了三个主要主题:1)作为交汇点的叙事;2)探索故事的纵向和横向维度:从个人到社会政治;和3。超越叙事。研究结果表明,PPT作为一种团体治疗环境,为主人公提供了一个安全和肯定的空间,探索了他的性别表达,不仅培养了归属感和接受感,还增强了对个人资源和痛苦复杂根源的认识。该小组的其他成员提到了与群体和表达疗法的共同治疗因素相关的益处。
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引用次数: 0
Drama-based interventions for men in prison who use substances – A literature review 对监狱中使用药物的男子进行基于戏剧的干预-文献综述
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-30 DOI: 10.1016/j.aip.2025.102393
Emily Brooks, Steve Trenoweth, Maddy Greville-Harris
Over a third of men in UK prisons are known to be affected by drug dependency, alongside a rise in drug-related deaths since 2020. This crisis exposes limitations of punitive strategies that neglect the neurocognitive and emotional roots of addiction. Drama-based interventions are recognised for fostering emotional expression, identity exploration, and agency, while creating space to hear and value the voices of those in prison. This review draws on 18 studies (2000–2025) focused on men in prison—who face disproportionate risks linked to substance use, overcrowding, and suicide—to examine how creative approaches might disrupt entrenched paradigms. Findings reveal few longitudinal, UK-based studies and an overreliance on outcome-driven metrics. Future research should prioritise participant-centred, creative art methodologies that foreground lived experience and support more inclusive, contextually grounded carceral practice, without imposing predefined success criteria.
据悉,英国监狱中超过三分之一的男性受到毒品依赖的影响,自2020年以来,与毒品有关的死亡人数也在上升。这场危机暴露了惩罚策略的局限性,忽视了成瘾的神经认知和情感根源。基于戏剧的干预措施被认为可以促进情感表达、身份探索和能动性,同时创造空间来倾听和重视监狱中那些人的声音。本综述借鉴了18项研究(2000-2025年),重点关注监狱中的男性——他们面临着与药物使用、过度拥挤和自杀相关的不成比例的风险——来研究创造性方法如何打破根深蒂固的范式。调查结果显示,很少有纵向的、基于英国的研究,而且过度依赖结果驱动的指标。未来的研究应该优先考虑以参与者为中心的、创造性的艺术方法,这些方法突出了生活经验,并支持更具包容性的、基于背景的医学实践,而不是强加预先定义的成功标准。
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引用次数: 0
Multimodal vibroacoustic music therapy for functional neurological disorder: A case series using the MTFUND clinical protocol 多模态振动声学音乐治疗功能性神经障碍:使用MTFUND临床方案的病例系列
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-01 DOI: 10.1016/j.aip.2025.102390
Mikaela Leandertz , Esa Ala-Ruona , Jussi Joukainen , Tuula Pesonen , Jaakko Erkkilä
Functional Neurological Disorder (FND) is a neuropsychiatric condition caused by impairment of the functioning of the nervous system. Common subgroups include functional movement disorders (gait disturbances, limb weakness, tremor), and functional seizure disorders (dissociative seizures, non-epileptic attacks). Though not a requirement for diagnosis, prevalent comorbid diagnoses include anxiety and mood disorders. The interdisciplinary overlap between neurology and psychiatry combined with patients’ diverse experiences of the diagnosis and related symptoms makes it difficult for professionals to develop treatment plans truly individualised to meet the unique needs of each patient. Recent literature states that multimodal approaches to therapy would have strong implications for success in their ability to integrate the care of patients’ physiological symptoms and psychological needs. The MTFUND (Music Therapy for FND) clinical protocol utilises a multimodal music therapy approach, incorporating vibroacoustic therapy and active music therapy methods, utilising flexible interventions to meet the complex and individual needs of patients with FND. In collaboration with neurology and psychiatry units of the central regional hospital, a series of case studies were conducted in which the proposed protocol was utilised with patients diagnosed with FND, across different subtypes. Ten case descriptions are shared, illustrating the present variability in symptom experience, and the unique interactions with elements within the protocol. In addition to utilisation of flexible interventions to address unique and variable symptom experiences, treatment responses and factors of change are discussed in relation to known neurological mechanisms involved in current etiological understanding of FND.
功能性神经障碍(FND)是一种由神经系统功能损害引起的神经精神疾病。常见的亚群包括功能性运动障碍(步态障碍、肢体无力、震颤)和功能性发作障碍(分离性发作、非癫痫发作)。虽然不是诊断的必要条件,但普遍的共病诊断包括焦虑和情绪障碍。神经病学和精神病学之间的交叉交叉,加上患者对诊断和相关症状的不同经历,使得专业人员很难制定真正个性化的治疗计划,以满足每位患者的独特需求。最近的文献表明,多模式的治疗方法在整合患者生理症状和心理需求的能力方面具有很强的成功意义。音乐治疗FND临床方案采用多模态音乐治疗方法,结合振动声治疗和主动音乐治疗方法,利用灵活的干预措施来满足FND患者复杂和个性化的需求。与中央地区医院的神经病学和精神病学部门合作,进行了一系列案例研究,在这些研究中,拟议的方案被用于诊断为FND的不同亚型的患者。十个案例的描述是共享的,说明了目前的变异性症状经验,和独特的相互作用,在协议的元素。除了利用灵活的干预措施来解决独特和可变的症状体验外,还讨论了与目前FND病因学理解中涉及的已知神经机制相关的治疗反应和变化因素。
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引用次数: 0
Performance and catharsis: Interactions between performing arts and mental health 表演与宣泄:表演艺术与心理健康的互动
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-01 DOI: 10.1016/j.aip.2025.102392
Juan David Filizzola Bermúdez , María José Morillo Peña
A performance, defined through the lens of performing arts, is essentially an encounter that occurs between two main parts: a performer and a receptor. This encounter has been studied to provide multiple effects in both parties involved, as well as activating various mental functions and permitting emotional recognition. This manuscript examines how performing arts have facilitated methods for emotional recognition and representation; and the evolution of the viewer who can also encounter emotional response from its receptive role. It also explores catharsis, and its evolution into a therapeutic concept in psychotherapy through Freud and Breuer's work; and the intersection between performance arts and how it can relate to various concepts in psychotherapy, through the multidisciplinary lenses of psychotherapy and performing arts. Finally, it highlights how performing arts have been successfully integrated into mental health interventions, demonstrating their potential in both clinical and community settings. Through examining different theoretical frameworks and practical applications, the text illustrates how performance and catharsis serve as bridges between artistic expression and therapeutic practice, offering innovative approaches to mental health care that extend beyond traditional clinical boundaries.
从表演艺术的角度来看,表演本质上是两个主要部分之间的相遇:表演者和接受者。研究表明,这种相遇对双方都有多重影响,同时还能激活各种心理功能,并允许情感识别。本文探讨了表演艺术如何促进情感识别和表现的方法;以及观众的进化,观众也可以从其接受角色中遇到情感反应。它还通过弗洛伊德和布鲁尔的工作探讨了宣泄,以及它在心理治疗中演变成一种治疗概念;表演艺术之间的交集以及它如何通过心理治疗和表演艺术的多学科视角,与心理治疗中的各种概念联系起来。最后,它强调了表演艺术如何成功地融入心理健康干预措施,展示了它们在临床和社区环境中的潜力。通过检查不同的理论框架和实际应用,文本说明如何表现和宣泄作为艺术表达和治疗实践之间的桥梁,提供超越传统临床界限的精神卫生保健创新方法。
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引用次数: 0
Body mapping as a therapeutic activity in psychotherapy practice: A scoping review 身体测绘作为心理治疗实践中的治疗活动:范围回顾
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-01 DOI: 10.1016/j.aip.2025.102383
Megan E. Buys , Raquel Peel , Denise Buiten
Body mapping has gained popularity as a research method across diverse disciplines and is frequently reported to offer therapeutic benefits. However, a synthesis of studies specifically using body mapping as a therapeutic activity has not yet been undertaken. As a result, there remains limited understanding of how body mapping is applied therapeutically and in what contexts. This scoping review aimed to synthesise the available literature on body mapping as a therapeutic activity, identifying the clinical populations involved, how body mapping was used, and clients’/participants’ reported experiences and outcomes. Medline, Scopus, PsycInfo, Google Scholar, and citations were systematically searched to identify studies that used body mapping as a therapeutic activity. Fifteen studies were included that explicitly reported on the use of body mapping as a therapeutic activity, where eight were qualitative exploratory studies and seven were case studies. Body mapping was used in both one-to-one and group contexts. The majority of studies used body mapping in the context of trauma therapy or as a tool for fostering self-empowerment and self-compassion. Body mapping shows strong potential as a therapeutic activity, offering a creative and embodied pathway to emotional insight, empowerment, and client engagement across diverse clinical settings. While the existing literature affirms its promise, much of the work remains small in scale and exploratory in nature. Examining how body mapping as a therapeutic activity is therefore important to understand how it has been applied therapeutically, the clinical populations it has engaged, clients’ experiences and acceptability of body mapping, and to identify limitations and gaps to inform future practice and research.
身体测绘作为一种跨越不同学科的研究方法已经越来越受欢迎,并且经常被报道提供治疗益处。然而,专门使用身体测绘作为治疗活动的综合研究尚未开展。因此,对于身体测绘如何在治疗上应用以及在什么情况下应用,人们的理解仍然有限。本综述旨在综合身体测绘作为一项治疗活动的现有文献,确定所涉及的临床人群,如何使用身体测绘,以及客户/参与者报告的经历和结果。我们系统地检索了Medline、Scopus、PsycInfo、谷歌Scholar和引文,以确定将身体映射作为治疗活动的研究。15项研究明确报告了将身体测绘作为一种治疗活动,其中8项是定性探索性研究,7项是案例研究。身体映射在一对一和小组环境中都被使用。大多数研究在创伤治疗的背景下使用身体映射,或者作为培养自我赋权和自我同情的工具。身体测绘作为一种治疗活动显示出强大的潜力,为不同临床环境下的情感洞察、赋权和客户参与提供了一种创造性和具体化的途径。虽然现有的文献肯定了它的前景,但大部分工作的规模仍然很小,本质上是探索性的。因此,检查身体测绘如何作为一项治疗活动,对于了解它是如何应用于治疗的,它所涉及的临床人群,客户的经验和对身体测绘的可接受性,以及确定限制和差距,为未来的实践和研究提供信息,都是很重要的。
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引用次数: 0
Relational repair through recording: A music therapy case study with a child and parents following the october 7 attack 通过录音修复关系:10月7日袭击后一个孩子和父母的音乐治疗案例研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-01 DOI: 10.1016/j.aip.2025.102373
Tamar Hadar

Background

The October 7, 2023, terror attack in Israel caused mass displacement, leaving children and families facing acute psychological distress, emotional dysregulation, and relational strain.

Gap

While music therapy is increasingly used in crisis and trauma contexts, little is known about how recording can function as a therapeutic tool for displaced children and their families.

Aims

This case study examines how recording in music therapy may support emotional regulation, narrative processing, and relational repair in a post-crisis setting.

Method

A single-case qualitative design was employed, drawing on trauma-informed, relational, and dyadic music therapy principles.

Participants

The case involved an 8-year-old Israeli child and his parents who received therapy in a temporary clinic established for displaced families.

Data Collection and Analysis

Clinical notes, session recordings, and therapist reflections were thematically analyzed to trace therapeutic processes across sessions.

Findings

The intervention centered on musical play, improvisation, and multi-layered recording, culminating in a collaborative project involving both parents. The recording process created a co-creative space for self-expression, relational repair, and symbolic meaning-making. The child’s progression from structured exploration to creative leadership reflected increased safety, self-efficacy, and emotional openness.

Implications

This case highlights the potential of recording to facilitate both individual recovery and dyadic healing, underscoring the importance of including caregivers in early trauma interventions. It demonstrates the value of flexible, culturally sensitive, and developmentally appropriate music therapy in addressing complex trauma among displaced children and families in times of collective crisis.
2023年10月7日,以色列的恐怖袭击造成了大规模的流离失所,使儿童和家庭面临严重的心理困扰、情绪失调和关系紧张。虽然音乐疗法越来越多地用于危机和创伤环境,但人们对录音如何作为流离失所儿童及其家庭的治疗工具知之甚少。目的:本案例研究探讨了在危机后的环境中,音乐治疗中的录音如何支持情绪调节、叙事处理和关系修复。方法采用单例定性设计,借鉴创伤性、关系性和二元音乐治疗原则。该病例涉及一名8岁的以色列儿童及其父母,他们在为流离失所家庭设立的临时诊所接受治疗。数据收集和分析临床记录、会话记录和治疗师反映进行主题分析,以跟踪整个会话的治疗过程。研究结果:干预主要集中在音乐表演、即兴表演和多层录音上,最终以父母双方的合作项目告终。录音过程为自我表达、关系修复和符号意义创造了一个共同创造的空间。孩子从结构化探索到创造性领导的进步反映了安全感、自我效能感和情感开放性的增强。本病例强调了记录在促进个体康复和双体愈合方面的潜力,强调了在早期创伤干预中包括护理人员的重要性。它展示了灵活、文化敏感和发展适当的音乐疗法在解决集体危机时期流离失所儿童和家庭的复杂创伤方面的价值。
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引用次数: 0
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Arts in Psychotherapy
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