BEYOND
PSYCHOTHERAPY:
THE GLOBAL REACH OF MORENO'S IDEAS
AND HOW THEY MERGE WITH OTHER TRENDS
Adam Blatner, M.D.
(April, 7, 2013) (This is the plenary talk
to the ASGPP annual conference in Arlington, Virginia, April 12,
2013)
The
theme for this conference is the Global presence of psychodrama,
and I want to add to the very real fact that psychodrama in the
last twenty years has indeed expanded in South America, Mexico,
Taiwan, Turkey, and many other countries---and especially in
Europe with the Federation of
European and Mediterranean Psychodrama Training Organizations
(FEPTO). (It's worth looking around on
their website!) So, though we'll note this again
tomorrow night, the USA, though it may have been the cradle of
psychodrama (if not its precursors in Vienna), has been
superseded in the sheer numbers of psychodramatists by other
countries. My theme this morning, though, will focus not on the
global reach of psychodrama as psychotherapy, but rather the
global nature of all of Moreno's methods being used beyond the
clinical context, beyond the medical model. These theories and
methods are applicable in business and education and social
action and so forth, and folks both here and overseas are using
these approaches also in non treatment contexts. For example, a
sociodrama conference will be held this fall in Italy. And my
talk---which will only take about 15 minutes---then we'll do
some experiential activities that extend these concepts---my
talk will speak to applications beyond therapy. It will note the
existence of related fields who carry forth the essential ideas
of improvisation, enactment, and collaborative creativity. I'll
also note that Moreno's approaches should be re-framed not just
as a method of therapy, but as a technology, a complex of tools,
which again have great applications in many fields beyond
therapy.
Not that this is all so new. Moreno wrote a foreword for my
Acting-In in 1972, and there he said that psychodrama's
associated forms of sociometry, sociodrama, spontaneity
training, and other variations have value also for fields of
community development, education, business, professional
training, and many other areas.
(The actual quote: “I have always
tried to show that my approach was meant as much more than a
psychotherapeutic method—my ideas have emphasized that
creativity and spontaneity affect the very roots of vitality
and spiritual development, and thus affect our involvements in
every sphere of our lives. Furthermore, I have always wanted
to have people attend to the processes of health as well as to
the problems of illness. Thus, I am glad Dr. Blatner has noted
the applications of psychodrama in the home, school, and world
of business.”)
The International Association for
Group Psychotherapy (IAGP) has added three words to its
title: “... and Group Processes.” I don’t know if they mean it
this way, but as businesses are emphasizing teamwork more, as
community organizations are recognizing the power of feedback
and grass-roots initiative, the whole theme of group process has
taken on a life largely apart from analytic theories about this
dynamic. It’s much more task-oriented and role-diversified.
Well, I won’t go into that.
Over the last decade and more I’ve been attending not only our
own conferences but also conferences put on by related fields—
drama in education, theatre of the oppressed, therapeutic
recreation, the arts therapies, spirituality, and so forth. You
might want to know there’s a busy international field that’s
opened up in the last decade called “Applied Improvisation.”
These are mainly theatre artists who’ve gotten into improv and
from thence into consulting to organizations regarding ways to
increase morale and efficiency. Very few of them know of Moreno.
Most start with Viola Spolin and her theatre games and Keith
Johnstone and his book Improv in the 1970s. But they’re sort of
applying role playing—or at least some components—in business.
Again, few of them know of Ray Corsini’s book on this in 1951.
Similarly, few in the field of drama in education have any idea
that Moreno’s colleagues wrote about this arena of application
around 1950.
Other related fields include therapeutic recreation, where I
presented on my application of Morenian approaches in the
service of recreation and perhaps elder care. Another
presentation was to the art therapists, and the point is that
expressive methods are good not just for patients but for
healthy people, for consciousness expansion. A presentation at
a spirituality conference carries forth this idea. Positive
psychology has opened up our thinking about health and helping
healthy people to be healthier. A number of you have already
explored the possibilities of coaching. Professionals are
using simulations to get continuing education in law and
medicine. So what I’m proposing is that we do what the
actors did—branch laterally. Therapy is fine, but in my
understanding of what Moreno was getting at in the word
“sociatry,” his vision aimed at a far wider application of these
methods.
I’m proposing that we re-formulate what we’re doing not just as
therapy but as a method for consciousness-raising, for groups as
well as individuals. Indeed, let me acknowledge that many of you
already have branched out and now apply our field’s methods
beyond the clinical context. I’ll be calling on you to help me a
little later.
A Complex of Tools
One way to re-think this
challenge is to re-imagine what we do not as offering a school
of thought or a method of psychotherapy, but a workshop full of
tools. What if we could bring to chemists in the early 19th
century the lab tools in the mid-20th century? What if we could
bring to carpenters in the early 20th century the richness and
variety of electric power tools developed in the last sixty
years? I see Moreno's concepts and methods as tools that have
many areas of applications. Remember that concepts and
words, theoretical constructs and metaphors are also tools! That
they came to be applied mainly within the clinical context is a
fluke of history, economics, culture, and it might merit a
discussion in another context but not here. Moreno's methods do
indeed have many applications in group psychotherapy,
psychiatric treatment of those in the sick role, also known as
the clinical context. And I honor those applications. They are
what I came from as a psychiatrist. But I’ve come to realize
that the methods we know about transcend treatment—which is how
psychodrama is defined by the vast majority of dictionaries—or
is one of the definitions. Rarely is it hinted that these
methods have rich applications in education business, and other
fields.
But lest we be too provincial, good ideas come forth from many
sources. Some of the the tools Moreno invented have also been
discovered by others—what I call our relatives—and we need to
recognize this global trend, and be available to learn from them
and in turn share what we know. That’s the thrust of what I’ll
be saying and then later in the hour what we’ll be doing all
together. So I'll say it again: We need to learn
from our related fields and in turn share what we know.
As for us: Even now many people use psychodrama beyond the
clinical context, in education, business, social action,
spiritual development, etc. I’ll be asking y’all to help us. Now
I want to say a little about how what we are about is more than
therapy, it is about a technology that has applications in many
fields including and beyond therapy. They are tools because they
involve ways to amplify the creative process. I’ll hint at why
and explain at great length in the revised editions of my books
that I hope to be ready next year. To explain this, here’s
another bit of history: In the 1950s as computers were on the
front edge of research and development at IBM. According to a
story I heard, someone said that it would help progress to shift
from thinking that business machines were still in the business
of complex calculations. A better term, considering the speed of
the operations, would be “information processing.” That
re-framing the challenge makes a big difference, allowing for,
say, pictures and not only numbers.
Cybernetics
Computers work in thousands,
millions of operations per second, which allows them to do stuff
that ordinary minds can't begin to do. They can grope, explore.
they don't have to be precise because in-course correction
sub-routines are built in. This is crucial. Cybernetics is a
fancy word for groping. If you grope fast enough and use the
feedback to make corrections, you grope ever more accurately.
When you double for a client, knowing you’re wrong, and the
client corrects you, and you allow yourself to be corrected—it’s
not resistance to an interpretation, it’s a correction—and you
modify your next sentence accordingly, you’re using cybernetics.
Again the client corrects you a little. Again you allow yourself
to be corrected. You may even set the technique up by
saying, “I’m trying to get on your wavelength so you need to
correct me even if I miss a little.” And gradually you reflect
back and the client or protagonist feels you really understand.
So what computers did—and this is true of very highly complex
systems—is that they cannot be absolutely precisely right, but
they continue to make little in-course corrections, and they end
up right enough. That is how the space ship to the moon was able
to do it. It was off course most of the time, but less and less
so, because it kept making in-course corrections. Cybernetics.
My point is that the context of drama and re-play, not really
performance so much as extended rehearsal, allows for people to
become more effectively empathic and expressive! This is big!
Psychodrama applies the principles of cybernetics in
interpersonal communications, and it changes the nature of
so-called expertise, the nature of helping from the authority as
one who knows the answer to one who knows how to find out what
is needed. This is a huge shift! Also, it makes helping far more
flexible, able to be changed according to individual needs of
the person and occasion. Thus, Morenian methods, artfully
applied, are more personalized and humane.
A Few Other Elements
Other things Moreno introduced
include
- collaborative creativity from his work with
the prostitutes in Vienna around 1912, mixing in emotional
support as well as information pooling, heart and head
- sociometry, the precursors of which were the
radical idea of letting people choose those with whom they’d be
housed. Letting people choose? Respecting people’s feelings,
preferences? Now we vaguely even know the concept: That’s what
has really made the difference in feminism, that people have
preferences that many not always be grounded in reasons. But
still we don’t respect preferences half enough. Sociometry—its
basic idea—eliciting preferences—has a big future way beyond
psychotherapy.
- drama—Moreno knew there was something great here,
but not the way it was done. Something about improvising,
playing your own truth. He began with improvising other stories
in his Theatre of Spontaneity. There’s s a little role distance
here—it’s closer to drama therapy. Only in the 1930s did he move
to people playing their own stories. But bringing drama into
life as a modality was big. We’ll come back to that.
- Meanwhile, concepts were whirling in Moreno’s mind:
Spontaneity, creativity as a cosmic force, a theological
imperative. Some folks thought he was crazy for daring to
realize that the sources of vitality itself was divine—but since
the 1960s lots of folks have gotten on board, and centuries
prior to this mystics in other countries sort of knew
this. In the materialistic world of the mid-20th century,
though, this stuff was unacceptable. But Moreno was like Jung in
this noting that how one perceives and interprets spirit and how
one relates to the deep unconscious does make a difference. It’s
a form of humanism, if you think about it.
Well, I could go on and on—the point is that there are many
tools we have now, role, the distribution of responsibility for
the action—using auxiliaries and a director—and so forth that
all are equivalent to the thousands of refinements to computer
technology in the last fifty years.
So my point is that we re-think our identity as far more than
just therapists. I honor those who apply this rich methodology
in healing, but I want to speak up for the idea that it can be
used in prevention, in fostering psychological literacy, in
raising consciousness, in peace-making and social action. I
think sociodrama and role playing in business may have a far
greater impact on the future—on what Moreno meant by
sociatry—than all the psychotherapy within the medical model put
together.
[Psychotherapy emerged at a time when it was by default less
inhumane than the physical treatments for mental illness, a time
when neurosis was not differentiated from psychosis. There was a
socio-cultural blanket here as it was supported by the general
thrust of advances in medicine in general and psychiatry
secondarily.]
So in summary, my key point is that what we’re about is that
original vision of Moreno that this applies to therapy, but it
was and is far greater in lots of ways. The whole theme of
valuing creativity is still a bit new, though people give it lip
service. In fact, there are innumerable institutions and norms
that stifle creativity, so there’s still a great deal of work to
do, just to get everything lined up.
Surgery was no great technology—in fact it was rather untrained
barbers who did it—until a number of side-technologies emerged,
from anatomy and the invention of the microscope to anesthsia,
the recognition of germs, aseptic surgery, the manufacture of
tools that could be effectively sterilized, and many other
components Until these were in place, surgery was all-too-often
horribly painful and furthermore often followed by
infection and death.
People working together has been similarly contaminated by
misunderstanding and pride and psychodramatic methods offer good
tools for countering some of these effects. As I segue into a
group process of inviting you all to contemplate and explore
non-clinical types of applications, sociatric applications,
think about how you might branch out.
Exploring Your
Extra-Therapeutic Interests
Okay, that’s the didactic. Now
the experiential, the sociometric, the fact that more than
talking at you—which you can read on my website—is getting you
doing, empowering yourselves, making connections. Because we
respect that you may have several areas of interest or potential
interest, we’re going to ring this bell and have three occasions
when you can change sub-groups and connect with yet another area
of interest. For starters we have these banners and we will post
eight places around the room:
1. Applications in life coaching, or for personal
people-skills, for general having more vitality and mental
flexibility.
2. Business and organization, to promote greater
effectiveness in managers, supervisors, teams, etc.
3. In Education: There are applications of modified
forms such as sociodrama in schools and with appropriate
modifications, at all levels.
See my
paper on sociodrama. Take note of activities that teach social
and emotional learning, anti-bullying, etc.
- Teaching classes in
psychology in college, or literature, or other topics, or other
college applications—including colleges that have many
undergraduates over 30.
- Applications in
professional and contuing education, post college law ,
medicine, others.
4. Programs for conflict resolution,
peacemaking, learning or applying tools for these activities.
5. Programs for social action, empowering
the oppressed—not an easy task—
6. for Spiritual
Development—bibliodrama , whatever the religion, telling the
stories, getting at their hidden wisdom or maybe foolishness,
making it your own
(Bibliodrama is also useful for teaching literature and even
social science.)
7. For Play, the Art of Play, classes in
re-claiming vitality, using the arts, etc.
Open to further comments.
Addendum:
Marcia Karp in England writes that FEPTO was
founded in Stockholm more than 20 years ago. It was called
ESCOPE at first, and there were about ten or so of us. Although
we thought we were part of the IAGP, the actual psychodrama
section of the IAGP came later. Our purpose was for trainers to
come together and share their thoughts, difficulties and,
through enactment, the futures of their training organization.
We were able to establish a training standard for this part of
the world. Then we re-named our organization FEPTO and signed a
charter in Belgium By that time there were 40 of us. Now we have
more than 100 trainers as members who come to our meetings every
year---this next being 14-18 April, 2013 in Santander, Spain.
(The chairman of the organizing committee is IAGP President
Roberto de Inocencio. (The conference is before the actual
business meeting. The conference is for everyone and has more
people coming from the local country. The meeting is just for
members or prospective members representing organizations---or
founding members.).
For responses, email
me at adam@blatner.com
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