ADVANCING
THEORIES OF PSYCHODRAMA: PRELIMINARY NOTES
Adam Blatner, M.D., TEP
First
written August, 2004, Posted on Website November, 2005
A book is in
preparation, "Advancing Theories of Psychodrama," to be published, it
is hoped, by Routledge. This anthology of articles on different
approaches to the frontiers of theory in psychodrama, edited by Manuela
Maciel, Jorg Burmeister and Clark Baim, will be part of a series of
books about advancing theories in psychotherapy, the series in general
being edited by Keith Tudor, in the U.K. In Dr. Tudor's instruction
sheet, he posed a number of themes he’d like to have written about, and
this stimulated me to write out the ideas below. (When Dr. Tudor
approached me to be the editor, I referred him to the others as being
more able to offer an international representation of the field. These
editors in turn have arranged to have leaders in psychodrama write
about different aspects of the field. Before all that happened,
however, I had jotted down these notes.)
Theory of
Human Nature:
What is
the theory of human nature implicit in this theory? First, I submit
that there can be and should be NO SINGLE Theory, but rather an
entertainment of many theories. Speaking from a meta-theoretical
viewpoint, the idea of a single theory is itself profoundly misleading
and oversimplifying. To begin with, there are so many different frames
of reference involved with thinking about the mind (including
conscious, unconscious, interpersonal, and collective dimensions) that
no single theory can adequately begin to address. Humor, spirituality,
politics, fantasy, art, romance, and the like all advance by probing
the boundaries of any matrix of ideas or beliefs. Nevertheless, having
noted this impossibility in this preamble, I am intrigued by the
question.
The whole
philosophical movement that later came to be called existentialism, as
I understand it, stands as an antithesis to the idea that there is a
human nature, that it can be described, and in so describing,
limitations are then affirmed. Anything we say about human nature
implies that certain actions are beyond the boundary, inhuman, whatever
that means. It can be an insult–sub-human, unworthy; or a statement of
near worship, super-human. Either designation implies a range of
political responses. What is morally permissible to inflict on one who
is sub-human? What authority and prerogatives are to be given to those
deemed superhuman. The whole question of definition generates ethical
conundrums. (To Dr. Tudor: Since you mentioned critical theory, may I
assume that you have some sensitivity to issues of oppression, and as a
corollary, to questions that look at the political implications, the
power gradients, the social policy implicit in any seemingly neutral
theoretical stance, and indeed, in any way we “language” (as a verb) a
particular experience or phenomenon?) Given all this, I’ll
nevertheless venture some speculations:
I find the
concept of creativity to be enormously heuristic in today’s
world--creativity as a core of theology (in Moreno's or Whitehead’s
philosophy), creativity as a core value in society. ("Heuristic" is a
term that indicates the capacity of an idea to generate useful further
ideas, practices, questions.) I find the concept of creativity to be a
most open-ended concept, allowing for radical transformations of
consciousness. (In contrast, more deterministic theories address a
humdrum norm that doesn’t include a passion to reflect, know itself,
philosophize, and creatively revise.)
Applied to
psychodrama, we could say that the method rests on a philosophical view
that humans are creative, and the job of education as well as therapy
is to help people be more creative in their lives. While the early
psychoanalyst, Otto Rank, hinted at this, looking at life as a work of
art (perhaps because he was an artist before becoming a psychoanalyst),
Moreno was more explicit in this regard.
Theories of
Child & Adult Development
Again, I
am reluctant to presume that there are or should be less than a host of
component theories, and I don’t suppose that these theories compete,
but rather complement. To begin with, the general idea of “role
expansion” can to offer a useful frame for thinking about the many
elements that maybe involved in development.
Speaking at the
meta-theoretical level to the need for complexity in theory, just as in
medicine, in physiology, there are scores of new mechanisms being
identified at every level, atomic, molecular (e.g., Nitric Oxide),
sub-cellular (e.g., transport mechanisms, cell membrane structures),
cellular (immunologic cells, functions of astrocytes in brain), tissue,
organ, and organ systems, as well as psychosomatic dynamics, still
ill-understood (i.e., mind-body interactions); so, too, a theory is
needed that is broad and complex enough to include a wide range of
dimensions– play, spirituality, art, social creativity, temperament,
different learning styles and types of intelligence, genetics,
neurophysiology, cultural norms, humor, politics, etc.
Psychodrama
offers a number of component sub-theories to the overall mix.
Personally, I hold with a mixture of Adlerian, Jungian, Freudian, and
other kinds of ideas. From psychoanalysis, I find the concepts related
to the defense mechanisms particularly useful, and think that their
striving to identify basic motivational systems mildly fruitful, mixed
with their also being mildly misleading. (I’m reminded of a saying
about philosophy by a philosopher friend of mine, that every philosophy
is valid in what it affirms and mistaken in what it denies.) So, for
example, there is much of use in Kohut’s “self psychology,” and this
may be employed along with rather than instead of, say, “Object
Relations” theory, or “Ego Psychology.” And that’s just for
psychoanalysis, and an small sector of that field, to boot. That said,
from psychodrama I would first note that Moreno’s own writings are, in
my opinion, un-systematic and under-developed, and must be subjected
not only to interpretation, but to free revision and further
development.
Second, a key
concept that I think is most useful in thinking about child development
is the idea of role
expansion.
This recognizes the gestalt (in the sense of whole complex or
ecological field rather than Perls’ particular therapeutic approach)
implied by role, how it carries cultural, personal, family, and many
other elements all at once. Kids learn roles more than specific motor
or perceptual or cognitive elements. These have further elements of
style, sly compromises of different motives, and a greater potential
for dramatic enactment (which, for children, takes the form of
make-believe play).
The roles that
need to be included in an adequate theory of child development go way
beyond Freud and Jung, and perhaps even beyond Maslow. I think we must
include music and humor, theatricality and naughtiness (i.e., the
puncturing of the constructed social norm systems inherent in manners,
proper language, and various taboos), as well as spirituality,
philosophy, art, poetry, fashions, personal adornment, social status,
and many other dimensions. Indeed, the idea of role-shifting, breaking out of
earlier or fixed definitions--perhaps exemplified by the archetype of
the trickster--may also be a type of virtual or meta-role
function.
A third
concept–and I can think of many others, but want to note this one–that
is hardly noticed by other theories, derives from Moreno’s theory of
“sociometry.” Historically associated with psychodrama, in fact it
represents a parallel complex of issues and methods that can stand
alone: What are the psychological and social dynamics associated with
fluctuations in rapport (Moreno called it “tele”), interpersonal
preference, a sense of connectedness, liking and being liked? (For
example, how much of what Freud called the Oedipal Complex really has
its roots in the triangulations of kids playing together? With no sex
involved, there are still many issues of jealousy evoked.)
Fourth, again
not adequately addressed by most other theories, is the need
for an audience, for
self-expression, theatricality. Kohut’s theories of the need for
“mirroring” come close, but, as with most psychoanalytic approaches,
over-values the impact of the parent and under-values the influences of
peers and others in the neighborhood, plus more distant others.
An adequate theory of child development needs to be more sharply
inclusive of how kids play and thrive, and how play deficits can be
most problematic.
A fifth dynamic
mentioned by a few theories, being given more importance lately, but
more implicit in drama, is the power of physicality, touch. I’ve
proposed that more fundamental to babies than “orality” (as Freud wrote
about it) is what might be called the “dermal,” the power of holding, touch, the squeeze on the
shoulder, the pull of the arm, the caress of affection, whether one’s
diaper is changed roughly or with gentleness. A great deal of
psychodynamic richness can be found here, and therapeutic implications
abound.
A variation of
touch is action, and the feelings associated with doing should be
integrated into holistic programs as being as relevant–and often more
relevant–than any degree of talking, insight, thinking “about,” working
through, mere verbal therapy. To hear and feel oneself speak
forcefully, shout, affirm, gaze directly into another’s eyes, is
profound, and many have never experienced it. Moreno called the motive
for this experience act
hunger.
This applies also in thinking about children and their sheer
physicality, and theory needs to include its implications. Of course,
psychodrama builds on this, and it is through action that psychodrama
with children overlaps with play therapy and drama therapy.
Imagery is yet another
dimension, given a bit of attention as fantasy to be interpreted by
psychoanalysts, to be more respected by Jungians, but insufficiently
used therapeutically. (There have been a few pioneers writing about the
conscious use of imagery as a major tool in psychotherapy--Shorr,
Ahsen, Sheikh, Desoille, Leuner, etc., but their important work remains
insufficiently recognized.) Yet, along with fantasy and action and
touch, when combined with enactment, imagery becomes drama, and the
symbolic enactments of various events can generate a surprisingly
effective degree of reparation and healing.
The use of
people to play off of, and especially playmates, represents another
element in theory and practice. It may be too threatening to confront a
parent or teacher, so behavior and play is displaced to playmates, and
this becomes even safer if the playmates are “in role.” That way, the
other kids don’t take it personally. Applied to doing therapy, the
psychodramatic technique of having a third person–not the therapist,
but an "auxiliary
ego"–who
becomes the antagonist, takes much of the transference away from the
therapist. It may be argued that it’s good to have transferences onto
the therapist that then need to be analyzed; but it may also be perhaps
more cogently argued that it is safer, more supportive of the working
alliance, and in the long run, faster (and hence less expensive) to not
support transference. I hold with Jung in acknowledging that some
degree of transference will always happen, and there’s enough there to
work through; there’s no need to do anything that will promote further
transference, which only obscures the problem. All this is by way
of noting the theoretical foundations of the use of the auxiliary role
in psychodrama.
A Theory of
Psychological Disturbance (“Pathology”) and Health (“Sane-ology”)
Whitehead
said, “we should try to make things as simple as possible, but not
simpler.” I strongly believe there are literally hundreds of different
sources and types of disorder, and they operate at and among all levels
of human function, from the atomic and cellular to the organismic,
social systems, and cultural and economic levels. Almost always
multi-factorial, again, there can be and should be no attempt at
constructing a single theory. With that preamble, I can note that
psychodrama offers a number of perspectives that add to the
observations of thousands of other thinkers and innovators over the
last century and the many centuries preceding that.
Moreno saw a
major source of disturbance arising from a tendency to rely on what has
been created in the past, on social structures, given norms,
internalized beliefs, and the habitual and unthinking carrying forth of
these instructions–what have more recently been called “programming” in
light of current computer technology metaphors. Yet humans are capable
of the opposite, what Moreno called “spontaneity,” a fresh view, a
capacity to approach what has been given with a spirit of creativity.
The more habitual mode he called “robopathy,” and it is similar in,
say, cognitive therapy, to the concept of “automatic thoughts.”
(Therapy, then, is aimed at bringing what is automatic into present
consciousness and thus subjecting these inner rules to
“re-programming.”)
Another
disturbance is hinted at by Moreno’s emphasis on the encounter in the
here-and-now. Perls makes much of this in Gestalt therapy, but he
minimizes the degree to which he may have been influenced by Moreno,
who preceded Perls in this attention to the present moment. Many people
are hobbled by their fixations on resentments or remorse about their
past or anxieties about their future. Fearing disappointment, they
avoid daring to dream onward, to set goals and allow themselves to
clearly imagine those goals. Moreno utilized all three time dimensions,
with emphasis on the “now,” but, using drama, being able to address the
past as if it were now, and also the future. Health involves being able
to flexibly address past, present, and future, and to work with each as
it seems more useful. Sickness involves any fixations, the opposite of
flexibility.
There is no
definable set of qualities that can easily be articulated about health,
either. I hold with Adler, whose concept of social interest or
community feeling probably is the best succint point of reference, and
also share with a range of other theorists. Another pioneer in
psychiatry in the 1950s was Sandor Rado, in New York City, who added
the concept adaptation to the developing theory in psychoanalytic ego
psychology.
An important
development beginning in the 1970s has been the appreciation that
trauma and addiction have their own psychopathologies, aside from the
previous view that they served as stressors that brought out early
childhood issues. It’s now appreciated that many people can have a
perfect childhood and still be deeply disturbed by the processes
involved in trauma and/or addiction. Indeed, moving away from the myth
that insight into early childhood dynamics is necessary for healing has
been a major bit of progress that, alas, a large number of therapists
have not yet recognized.
Eric Berne
offered an incomplete concept of health–intimacy in the interpersonal
field. I have formulated intimacy as being a balancing of consciously
applied skills relating to gaining access while also forming
boundaries, and negotiating these satisfactorily. Yet intimacy may be
too precious for the full range of roles. It would be better to
recognize that with most people, a fair degree of cordiality, manners,
and clarity suffices.
A Theory of
Change:
Again,
should be many theories, for different ages and stages. A major form of
change is educational, the person consciously acquiring concepts and
skills and applying them to a point of mastery. I weight this highly,
if the person is adequately motivated and able to engage a capacity for
self-change, which involves refusing to be inhibited by the currents of
shame that are evoked as a by-product of creativity and
experimentation.
For many people,
though, the defensive system, the fear of devaluation, the low-grade
narcissism, if you will, interferes with a direct acceptance of the
prevalent influence of regressive tendencies. (Ideally, I think we need
to learn to recognize our vulnerabilities and “inner child” complexes
for what they are, without defensiveness, and then to consciously
sublimate them through art, drama, play, humor, and the like. But this
requires an infrastructure of learning attitudes and skills that is
still rare in our culture.)
For such
persons, my theory is that they need a way to marshal their
compensating strengths and bypass tendencies towards getting fixated in
coping with waves and currents of regression and the many feelings
aroused by life stress. Again the theme here is appreciating the sheer
complexity of mental activity, and the presence of many affirming and
striving complexes that balance their opposites, the doubting and
giving-up complexes.. My theory is that folks need to allow about
10-15% self-pity, some inner nurturance, cutting them some slack. To
this end, therapies that result in at least temporary symptom
remission–and religious experiences, too–operate through constructing
symbolic metaphors that allow the psyche to construct, in response, a
way to compromise their deeper aims with their overall social values.
Cutural change
is an important element here, written about by many advanced thinkers
in philosophy, economics, and other fields. For example, the
contemporary philosopher, Ken Wilber, has more recently written about
Cowan’s “spiral dynamics” and observed the evolution of cultural
world-views and how they might continue to evolve. The noted
psychoanalyst Erik Erikson wrote about eight psychosocial stages. Now,
applied role theory, which I think is a major foundation of
psychodrama, can utilize and translated many of these theories,
articulating the positions and definitions as components of various
roles. Roles evolve, what we expect of a teacher or parent or even God
changes with the times and the general worldviews, and dialogues about
such expectations make the process of change a more interactional,
political process.
Generalizations
about change in psychotherapy depend on diagnosis, and often a number
of different changes are involved, some being rather simple on the
surface, such as just entering a helping relationship. There hasn’t
been much evidence that the type of therapy or theoretical orientation
of the practitioner makes that much difference.
Theory of
Therapy
I believe
in differential therapeutics–in contrast to one method being applied
indiscriminately. (That is, I agree with Maslow--I think it was--who
said, "Those who only know how to use a hammer tend to treat everything
as if it were a nail.") I disagree with a few of my colleagues in
psychodrama who think psychodrama can stand as a full therapeutic
approach. I think it needs to be integrated with many other approaches.
Basic social work, assessment and management, support for basic life
skills where they’re missing (and we shouldn’t assume that normal
people have a full repertoire), and other factors are involved.
Elsewhere I note that more than any of the diagnostic categories in the
official manual, the variables of voluntariness, psychological
mindedness, overall ego strength, and access to socio-economic
resources together are more closely correlated with prognosis.
So I think we
need a meta-theory that allows for eclecticism. I challenge boldly and
strongly the idea that any separate theory alone is adequate or even
justifiable, because elements in theory A may be quite useful for
patient X, even if the practitioner is mainly oriented to theory
B. I hold with an intelligent integration, similar to Lazarus’
mulit-modal therapy. I think, in spite of Lazarus’ objections, that
there is a way of unifying the different therapies at a theoretical
level.
Nevertheless, I
think that the role theory that derives from (but need not be tied to)
psychodrama is a uniquely suited to provide a foundation linguistically
and conceptually for such an integrative and eclectic theory! Within
role theory, there is a concept of the meta-role, the role that
modulates how the other social roles are played. I submit that all
theories implicitly develop the meta-role functions. I think that
psychodrama offers the possibility of making these meta-role functions
even more effective by making this activity explicit, naming it, and
helping the client or patient to identify with this role beyond the
roles, the choosing self, inner director, etc. This dynamics allows for
an integration of all the therapies! (A bold proposition, but one I’d
be willing to argue.)
Issues of
Bias and Power
Dr.
Tudor, the series editor, wondered about our field's appreciation of
issues of bias and power in therapy. This is certainly relevant because
it reflects recent challenges to the practices of psychiatry and
psychotherapy, such as by the Scientologists. Who has a “right” to
declare others to be okay or not? What are the ethical dilemmas
regarding social policy for the problem of “involuntary
hospitalization.” (Nowadays, one might argue in the USA, at
least, about the opposite problem, the difficulty in keeping people in
hospital, voluntarily, even.) Also, the semantic implications of the
word “oppression” are loaded, because although the word calls into
question the norms and basic assumptions in various social and cultural
systems–a useful function–it also, alas, fosters a victimized and
blaming stance.
Ideally,
psychodrama offers a type of group work that empowers the various group
members, develops assertive skills, and acknowledged these issues of
power gradients in groups, not just between group leader / therapist
and group members / “clients,” but also among various sub-groups, such
as two men and seven women, etc. (See my paper on implications of
postmodernism for psychotherapy).
Contributions
of Psychodrama to Modalities of Theory:
Here is
where psychodrama is outstanding, because it can inform the practice of
all kinds of psychotherapy, and education, too, in a number of ways:
First, at a time
when most therapeutic approaches were “talk” approaches, Moreno
introduced the idea of having patients be more physically
active.
The idea of simple role playing, without any use of other aspects of
psychodrama, has become a part of behavior therapy, cognitive therapy,
and a variety of other approaches.
Another form of
action has family or group members portraying their perception of the
relationships in the group as a kind of tableau or living sculpture.
This technique, originally titled “action sociogram,” has become a part
of a variety of approaches to family and group therapy, used by
Virginia Satir, for example. Bert Hellinger uses these scupltures also
in his family-dynamic group approach, and Albert Pesso has a slightly
different but related method derived from his dance-movement approaches
in the 1960s.. In the nonscripted applied theatre approach called
Theatre of the Oppressed, the pioneer, Augusto Boal also uses living
tableaux.
Along with
action on the patients’ part, the therapist need not remain passive.
More directorial therapist styles have been evolving, beginning with
Moreno in psychodrama, but more influentially modeled by Salviador
Minuchin, Virginia Satir, and others.
Psychodrama
draws on the group members’ imaginations, and other
approaches that suggest more specific imagery have also emerged and
comprise a sub-field, with different styles being expressed by
different innovators. From Jung’s use of active imagination to
Desoille’s guided fantasy, Shoor’s psycho-imagination therapy, or
Sheikh & Ahsen’s work with eidetic imagery, alternative approaches
have emerged that carry forth the activity of the therapist in a
variety of ways.
Psychodrama
implies role theory, a dramaturgical perspective, and this in turn
involves a pluralistic
model of psyche: Psychotherapy that
treats each part of the psyche as a role that can be enacted has been
more notable when there was a fashion for the treatment of “Multiple
Personality Disorder” around the early 1990s. A variety of innovative
therapies absorbed this perspective, such as Hal Stone’s “Voice
Dialogue,” Richard Schwartz’ Internal Family Systems Therapy, and the
“ego state” therapies of Shapiro, Watkins, and others.
Another
derivative of psychodrama is the idea of the encounter
in here-and-now, which came to
influence Fritz Perls in his development of Gestalt Therapy, the early
T groups that evolved into “encounter groups,” and other trends. (The
philosophical writings of Martin Buber were also influential in the
1960s.)
Drama in general
became more acceptable as a more directorial style in play therapy
became respectable, and drama therapy emerged as a field, drawing as
one of its roots a foundation in psychodrama. Some people can’t handle
the sense of personal responsibility involved in classical psychodrama
and need to explore problems through more distanced roles, so role
playing, sociodrama, the use of puppets, masks, and other dramatic
modes become necessary so as to help people work at whatever level of
defensive structure they can manage. Many of the arts therapies also
allow for more symbolic forms of expression.
Psychodrama was
one of the truly interactive
group therapies, and Moreno spoke
about its value, even if no psychodrama is involved. Gradually, group
work became more mainstream, and used by therapists of all sorts.
Beyond group therapy proper, the process of therapy also opened
to include others, breaking the semi-sacred dyadic model, so that
families could be seen conjointly, and also friends and others in the
social network might be included.
The value of
imagining, using the “as if,” as a tool, became more extensive in part
because Moreno’s approach challenged the hegemony of understated
talking-about therapy. For example, in the 1950s, George Kelly had
people construct a role consciously and enact it as a kind of
role-playing practice, anticipating some constructivist approaches that
re-emerged in the 1980s. Postmodern trends may also be seen in the idea
of re-telling a story, the narrative approaches. (One of that field’s
pioneers, Ted Sarbin, started out working with Moreno in the 1940s.)
Another way we see this use of imagination is in the A.A. Twelve Step
doctrine called “fake it till you make it.”
I mentioned
creativity at the outset, and making
creativity a core value and aim generates a
particularly useful climate in therapy, strengthens the treatment
alliance, and sets up the frame for the other concepts and techniques.
Deriving from this, the associated concepts of spontaneity as an
especially useful way to develop creativity, play as an especially
useful way to foster creativity, and drama as a useful adult context
for promoting play, all apply to many therapies, not just psychodrama.
Psychodrama thus introduces these and other concepts that have been
ignored or under-emphasized by most other theories, and should be
viewed not as competing with or supplanting other ideas, but enriching
our view of what human nature and development should consider.
For example, Helping people to flow, to be more spontaneous, has been
articulated apart from psychodrama, but Mihaly Czikszentmihalyi’s
theories of “flow” and creativity resonate strongly and support
Moreno’s writings about spontaneity and its place in life. And
attending to the rich dynamism associated with the realm of liking,
preference, and rapport (i.e., sociometry) also can enrich the general
fields of psychology, sociology, and therapy.
Contributions
to Theories of Society
Psychodramatic
group work can be ideal for exposing bias, assigning roles to critique
leader, addressing postmodern themes (e.g., Pam Remer’s book on
feminist therapy). Role theory again more clearly notes the way roles
are cultural constructs and subject to constant re-definition. As such,
the process of asking about how different roles and sets of
expectations, norms, entitlements, etc. are established is part of the
process. Psychodrama notes through sociometry that society often is
structured in ways that interfere with the natural affiliations of
people, and seeks to develop ways of opening that function. (It is to
my knowledge unique in this regard)
Role theory is
exceptional because it is most resilient and capable of absorbing and
incorporating a wide range of theories from other approaches, such as,
for example, the culturally-oriented neo-Freudian, Erich Fromm, who
considered the cultural norms and underlying tendencies involved in
Western culture’s over-valuation of property, of “having,” and its
impact on life, on “being.” Similarly, scores of others also
offer value and my vision of psychology must transcend the foolish
narrowness of sectarianism.
Criticisms
Alas,
most of the criticism leveled at psychodrama is shallow and
misinformed, generally aimed at Moreno’s own style or his problematic
writing. That others since have built upon his work and written about
it is ignored, perhaps because that would require a bit more serious
study.
Not that
psychodrama should be free from criticism. First, it is not a method
that is so structured that it can’t be conducted poorly, used by
untrained people in clumsy and harmful ways. For this reason, in the
late 1970s, more formal requirements for training were established,
Board Certification programs, as are found in many specialty areas. So
some of the criticism is not about the method, but about its
injudicious use.
Second, the
method should not be used without appropriate selection and especially
follow-up. The idea of the “one-off” session being therapeutic was not
really all that responsible. Actually, Moreno’s open sessions had no
reported casualties that I’ve heard about, and these went on for
decades. However, in our present age of more diligent attention to
patient autonomy, confidentiality, and more subtle forms of coercion,
such approaches seem less safe.
Another source
of criticism rested on a simplistic ignorance about the actual nature
of psychotherapy. Not knowing about its integrative potential, or
providing direct followup, many psychiatrists in the 1940s through the
1990s felt that re-visiting upsetting or traumatic scenes potentially
re-traumatized the patient. Those who bothered to learn more about the
method soon had their fears allayed. Others just didn’t want their
patients “upset”–as if being in a psychiatric hospital wasn’t upsetting
in itself, and the reason they came in wasn’t because they were deeply
upset. To think of therapy as not examining the issues directly is like
thinking of medicine as never doing surgery. Well, before there were
safeguards, perhaps that was somewhat true, but there are ways of
following up and working through the insights gained in psychodrama,
but the uninformed don’t know this.
A variation of
this criticism is based on the misunderstanding of the nature of
catharsis, thinking that the method rests on mere expressiveness of
strong emotion. Actually, psychodrama aims at re-integrating parts of
the self that had been disowned, and this process often is accompanied
naturally by tears, anger, and other modes called cathartic.
From within, a
variety of criticisms abound. For example, I have noted that good
psychodrama practice doesn’t rely only on action. Participants need
time for discussion.
Another
criticism I bring to psychodrama and most other forms of psychotherapy
is an al-too-common prejudice against the potential value of
integrating psycho-pharmacology in a total treatment program. The
presumption that all psychopathology can be managed without these new
tools is akin to believing that faith can cure and no medicine is
needed.
Future
Directions:
I think
we need to re-formulate psychodrama not as a single approach to
therapy, but rather as a complex of techniques and concepts that can
generally be applied by all the other approaches, enriching them, and
helping the field as a whole move towards a more eclectic and
integrative approach.
Further, we need
to apply these approaches, and, indeed, all psychotherapeutic
approaches, with appropriate modification, beyond the context of
healing, the sick role, to include helping ostensibly healthy people
become healthier, more resilient. Thus, these methods need to be
applied in personal development programs, adult education, business and
management training, community building, team building, and throughout
the school systems, plus for recreation and the arts.
I see
psychodrama’s fundamental model, the idea of drama in human life, as
embodying a tool for increased reflexivity: To take on the role of
inner director as well as actor means that we are no longer, as
Shakespeare’s character of Jacques said in his “All the world’s a
stage” speech, no longer “merely players.” We become
co-playwrights, also.
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revision are welcome. Email me at adam@blatner.com