Dance Movement Therapy for Clients With a Personality Disorder:A Systematic Review and Thematic Synthesis

Background: People with a personality disorder (PD) suffer from enduring inflexible patterns in cognitions and emotions, leading to significant subjective distress, affecting both self and interpersonal functioning. In clinical practice, Dance Movement Therapy (DMT) is provided to clients with a PD, and although research continuously confirms the value of DMT for many populations, to date, there is very limited information available on DMT and PD. For this study, a systematic literature review on DMT and PD was conducted to identify the content of the described DMT interventions and the main treatment themes to focus upon in DMT for PD. Methods: A systematic search was conducted across the following databases: EMBASE, MEDLINE, PubMed, WEB OF SCIENCE, PsycINFO/OVID, and SCOPUS following the PRISMA guidelines. The Critical Appraisal Skills Programme for qualitative studies was used to rank the quality of the articles. The Oxford Center for Evidence-based Medicine standards were applied to determine the hierarchical level of best evidence. Quantitative content analysis was used to identify the intervention components: intended therapeutic goals, therapeutic activities leading to these goals, and suggested therapeutic effects following from these activities. A thematic synthesis approach was applied to analyze and formulate overarching themes. Results: Among 421 extracted articles, four expert opinions met the inclusion criteria. Six overarching themes were found for DMT interventions for PD: self-regulation, interpersonal relationships, integration of self, processing experiences, cognition, and expression and symbolization in movement/dance. No systematic descriptions of DMT interventions for PD were identified. A full series of intervention components could be synthesized for the themes of self-regulation, interpersonal relationships, and cognition. The use of body-oriented approaches and cognitive strategies was in favor of dance-informed approaches. Conclusions: Dance movement therapists working with PD clients focus in their interventions on body-related experiences, non-verbal interpersonal relationships, and to a lesser extent, cognitive functioning. A methodological line for all intervention components was synthesized for the themes of self-regulation, interpersonal relationships, and cognition, of importance for developing systematic intervention descriptions. Future research could focus on practitioners' expertise in applying DMT interventions for PD to develop systematic intervention descriptions and explore the suitability of the identified themes for clinical application. Clients' experiences could offer essential insights on how DMT interventions could address PD pathology and specific PD categories.</p

A comparative analysis of body psychotherapy and dance movement psychotherapy from a European perspective

The role of embodiment within contemporary psychotherapy practice and its discussion are gathering momentum, and are part of a paradigm shift in psychotherapy in which theory and practice are being reformulated. Body psychotherapy (BP) and dance movement psychotherapy (DMP) are playing a leading role in these deliberations. Although these two professions have separate professional bodies, distinct theoretical grounding and clinical methodology, they both place enormous value on the central role of the body and its movement as indicators of relational problems, and as agents of therapeutic change. There are few authors comparing and contrasting BP and DMP although they have much in common as they are both embodied, enactive psychotherapies. However, neither their overlaps in theory, methodology and some of their clinical practice nor their distinct character has been sufficiently delineated. This article elucidates some similarities and differences in fundamental assumptions, compares and contrasts definitions and terms and considers common and contrasting theoretical perspectives, techniques and methods. It is expected that this will contribute to the ongoing discussion of the articulation of core characteristics in both professions and will facilitate a better understanding and collaboration between them

Strafbaarstelling van seksuele deepfakes

Deepnudes zijn een toegankelijke vorm van seksueel misbruik met beeldmateriaal. Dit artikel behandelt de definitie van deepfakes en de achterliggende technologie alvorens de vraag te behandelen of het strafrecht een legitieme rol heeft bij aanpak van seksuele deepfakes. Geconcludeerd wordt dat pornografische deepfakes gerechtvaardigd strafbaar gesteld kunnen worden door hun schadelijkheid en onrechtmatigheid. Daarop volgt een analyse van bestaande strafwetsartikelen en hun geschiktheid voor aanpak van seksuele deepfakes. Het artikel wordt afgerond met een aanbeveling voor verbetering in strafwetgeving

A dance movement therapy intervention for people with a personality disorder: A Delphi study

Dance Movement Therapy (DMT) is an established treatment in mental health care for clients with a personality disorder (PD). Literature on DMT and personality disorder shows that self-regulation, interpersonal relationships, and cognition are key objectives to focus on during the clinical application of DMT for PD. To date, no systematic descriptions of DMT interventions for PD are available. A systematic review of the literature concluded that DMT interventions in PD mainly covered body-oriented approaches and cognitive strategies. This study aimed to collect opinions from expert dance movement therapists on applications of a DMT intervention for PD, and more specifically, the use of dance-informed procedures, such as improvisation and choreography. A Delphi approach was used to arrive at a consensus between five participants (DMT experts). From these findings, a systematised intervention description is presented for clinical application of DMT for PD clients that can be implemented and used for efficacy research. The intervention consists of three phases, with a focus on (I) embodied presence and somatic/sensory awareness, (II) dance improvisation and (III) choreography. These foci could enhance (body) self-efficacy beliefs, emotion regulation, the integration of experiences and healthy interpersonal functioning

Dance Movement Therapy for Clients With a Personality Disorder: A Systematic Review and Thematic Synthesis

Background: People with a personality disorder (PD) suffer from enduring inflexible patterns in cognitions and emotions, leading to significant subjective distress, affecting both self and interpersonal functioning. In clinical practice, Dance Movement Therapy (DMT) is provided to clients with a PD, and although research continuously confirms the value of DMT for many populations, to date, there is very limited information available on DMT and PD. For this study, a systematic literature review on DMT and PD was conducted to identify the content of the described DMT interventions and the main treatment themes to focus upon in DMT for PD.Methods: A systematic search was conducted across the following databases: EMBASE, MEDLINE, PubMed, WEB OF SCIENCE, PsycINFO/OVID, and SCOPUS following the PRISMA guidelines. The Critical Appraisal Skills Programme for qualitative studies was used to rank the quality of the articles. The Oxford Center for Evidence-based Medicine standards were applied to determine the hierarchical level of best evidence. Quantitative content analysis was used to identify the intervention components: intended therapeutic goals, therapeutic activities leading to these goals, and suggested therapeutic effects following from these activities. A thematic synthesis approach was applied to analyze and formulate overarching themes.Results: Among 421 extracted articles, four expert opinions met the inclusion criteria. Six overarching themes were found for DMT interventions for PD: self-regulation, interpersonal relationships, integration of self, processing experiences, cognition, and expression and symbolization in movement/dance. No systematic descriptions of DMT interventions for PD were identified. A full series of intervention components could be synthesized for the themes of self-regulation, interpersonal relationships, and cognition. The use of body-oriented approaches and cognitive strategies was in favor of dance-informed approaches.Conclusions: Dance movement therapists working with PD clients focus in their interventions on body-related experiences, non-verbal interpersonal relationships, and to a lesser extent, cognitive functioning. A methodological line for all intervention components was synthesized for the themes of self-regulation, interpersonal relationships, and cognition, of importance for developing systematic intervention descriptions. Future research could focus on practitioners' expertise in applying DMT interventions for PD to develop systematic intervention descriptions and explore the suitability of the identified themes for clinical application. Clients' experiences could offer essential insights on how DMT interventions could address PD pathology and specific PD categories.</jats:p