Dramatherapy for Borderline Personality Disorder: Empowering and Nurturing people through Creativity

Description

Dramatherapy for Borderline Personality Disorder: Empowering and Nurturing People Through Creativity demonstrates how dramatherapy can empower those individuals struggling to live with borderline personality disorder, and help them embrace and control the emotional inner chaos they experience. Based on current research into the aetiology, symptoms and co-morbid disorders associated with BPD (and emotionally unstable personality disorder), this book demonstrates the effectiveness of dramatherapy for individuals and groups on specialist personality disorder wards and in mixed diagnosis rehabilitation units. It also reveals a creative approach for making dramatherapy work in harmony with approaches such as dialectical behaviour therapy and cognitive behaviour therapy. Aimed at those working with service users, and utilising a range of case studies and clinical vignettes, Dramatherapy for Borderline Personality Disorder provides an insight into the potential of dramatherapy, which will be welcomed by mental health professionals. Cover Title Copyright Dedication CONTENTS Acknowledgements Foreword Part 1 Definitions, history, theory and treatment options 1 Introduction Battling stigma Personal motivation Summary of chapters References 2 BPD: A complex and emotional mental health disorder BPD historical overview Gender issues BPD defined as a psychiatric condition BPD in the twenty-first century Current statistics Diagnosis BPD in the DSM-5 EUPD in the ICD-10 Structured clinical interviews Aetiology Diagnosis in adolescence Co-morbidity Conclusion References 3 Psychological treatments for BPD Introduction Treatment pathway Treating co-morbidity Therapeutic interventions DBT – dialectical behaviour therapy MBT – mentalisation-based therapy Therapeutic communities The arts therapies CBT – cognitive behaviour therapy CAT – cognitive analytic therapy ST – schema therapy TFP – transference-focused psychotherapy IGP – interpersonal group psychotherapy OT – occupational therapy Multidisciplinary communication Final reflection References 4 Embrace and contain the chaos: Dramatherapy for BPD Dramatherapy: History and definition Ancient roots Theatre meets therapy Dramatherapy in the twentieth century Defining dramatherapy in the twenty-first century Dramatherapy for people with BPD Thirteen dramatherapists share their experience Dramatherapy for insecure attachment and trauma Reclaiming oneself through ritual theatre and myth Dramatherapy for men with BPD Evaluation and evidence Conclusion References Part 2 Dramatherapy clinical case studies and vignettes 5 Breaking inner chains: Dramatherapy on a secure ward for women with BPD Dramatherapy for women with BPD Five recurring themes Six key interventions A detailed case study illustrating the six interventions Initial steps into dramatherapy One-to-one trauma-focused dramatherapy Jean’s dramatherapy journey in relation to schema therapy Perspectives from the multidisciplinary team on dramatherapy The client’s voice References 6 A cry for freedom: Dramatherapy with women in a secure step-down unit A mixed-diagnosis dramatherapy group Schizophrenia, schizo-affective disorder and bipolar disorder A mother’s heartache A service user with BPD Dramatherapy group interventions An Imaginary Train Journey A Model Animal Community Therapeutic performance Singing Swans Self-revelatory performance Colleagues reflect on dramatherapy References 7 Dancing between life and death Dramatherapy and grief Losing a brother A father’s suicide Self-harm, suicide and lost souls Kit Lorna Chloe Jane Emotional impact on staff Suicide and self-harm Emotional projections and ambivalence Dr Preeti Gour reflects on suicide The role of clinical supervision Conclusion References 8 Hope, courage and creativity Belief and hope Courage and meaning Survivors Vignette 1 Vignette 2 References List of abbreviations Index