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  • Past Talking: Drama Therapy

    Drama therapy relies on a range of techniques to meet numerous therapeutic goals and outcomes, including, according to the Drama Therapy Association, the ability of clients to tell their stories, rehearse desired behaviors, practice relationship skills, set goals, improve interpersonal skills, achieve catharsis, appropriately express feelings, and perform the change they wish to be and see in the world.

    Among the drama techniques yoked to other methods of therapy to achieve these goals are storytelling, role-playing, improvisation, performance, and the use of puppetry and masks.
    Among its many uses, “Drama therapy is spot-on for working with recovering addicts,” Bailey says. “Addicts are afraid of feelings and have been numbing their feelings out for years with their substances of choice. Drama therapy is all about experiencing and expressing feelings, but it tends, especially in the beginning, to be fun, so addicts can work on slowly learning how to feel again, and feel with other people, without becoming stressed and feeling the urge to get high.”

    As with other creative arts therapies, an especially powerful aspect of drama therapy rests in its ability to promote relationship building, and its nonthreatening nature encourages participation. “Drama therapy, because it generates strong bonds of trust, helps addicts work on their fears of getting close to others, asking for help, and wanting to give and take in a relationship,” Bailey says.

    Another group of clients for whom drama therapy can be particularly helpful are those on the autism spectrum who have difficulty understanding and expressing emotion, Bailey says. “Drama therapy,” she adds, “provides lots of practice on these nonverbal as well as verbal communication skills. It creates trusting relationships and provides training in give and take as well as flexibility—very needed abilities for people on the spectrum.” What’s more, she says, it’s fun, so it’s easy to motivate people to participate.

    A registered drama therapist is a master’s-level credential administered by the North American Drama Therapy Association (NADTA) to individuals who have completed courses in psychology and drama therapy as well as two clinically supervised internships and 1,500 hours of work experience coupled with theater experience. Candidates have either attended an accredited drama therapy master’s program or completed the NADTA Alternative Training Program under the mentorship of a board certified trainer.

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  • Watch “An introduction to music therapy”

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  • Past Talking: Art Therapy

    According to the American Art Therapy Association, art therapy is “the therapeutic use of art making, within a professional relationship, by people who experience illness, trauma, or challenges in living, and by people who seek personal development. Through creating art and reflecting on the art products and processes, people can increase awareness of self and others; cope with symptoms, stress, and traumatic experiences; enhance cognitive abilities; and enjoy the life-affirming pleasures of making art.”

    Registered art therapists are credentialed by the Art Therapy Credentials Board of the American Art Therapy Association after obtaining a master’s degree in art therapy and gaining supervised postgraduate clinical experience.
    There’s no client who can’t be helped by art therapy, Goebl-Parker says—not even the blind. That, she suggests, is because art is felt as well as seen. “Art therapists really can be anywhere; any setting in which it would make sense that there would be a therapist or a counselor is where art therapy can be helpful. For example, it’s increasingly used, she says, in substance abuse, where it can help provide the motivation for treatment.” Goebl-Parker uses it “as a way to crystalize for clients what they can get out of therapy so they can stay committed to something and to help people locate their own impetus for change.”

    One of the leading strengths of art therapy rests in its ability to harness the power of the metaphor. “There’s a huge range in how it’s used,” Goebl-Parker says, noting it might be “a metaphor of the material engagement—what it feels like to have your hand in the clay bucket—or the story of the object one makes.” Children in a session may be nonverbal, but in the process of “messing around with materials” they create clear metaphors for what they’re experiencing that can later be discussed. “So people who would have a hard time doing that work verbally can work in metaphor and the materials become an adjunctive way for them to have language, to have a different kind of voice,” Goebl-Parker says.

    An offshoot of art therapy that’s increasingly popular is phototherapy. “Photo therapy techniques can be used for most psychotherapy situations, and there are numerous applications for different age populations and diagnostic groups, such as adolescents, people with schizophrenia, abuse survivors, and bereavement groups,” explains Gontarz York, who describes herself as a “lifelong gerontological social worker” who finds photographs to be powerful therapeutic tools.
    While phototherapy can be useful with any population, Gontarz York uses it chiefly to elicit memories for reminiscence and life review work with older adults.

    “Everyday photographs, found in albums and boxes, framed by the bedside, mounted on walls, posted on mirrors and refrigerators, offer therapists wonderful opportunities to begin conversations, develop relationships, and offer older adults the opportunity to engage in meaningful interactions through reminiscence and life review.” Every photograph, she explains, is a self-portrait, a window into the inner world of the client. “As clients discuss their photographs, we receive a fuller understanding of who that person is and how they perceive their world,” Gontarz York says. “Besides being a lasting memory of lives and actions, photographs document the past and contain valuable information regarding relationships and personal values,” she adds.

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  • Watch “The Journey Into Art Therapy: Part 2 – Graduate Training”

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  • Setting boundaries

    Setting boundaries is an essential skill in life, especially for people in recovery. Addicts often grow up in dysfunctional homes, where boundaries were either too rigid (leading to suppressed emotions or distant relationships) or too enmeshed (depriving them of a sense of personal identity). Later in life, their interpersonal relationships may continue to be defined by old roles and patterns, increasing the risk of depression, anxiety and addictive or compulsive behaviors.

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    As part of recovery, addicts learn how to set boundaries and to respect other people’s boundaries in return. In the addiction field, treatment providers often refer to this process as embracing the authentic self. While it may sound like psychobabble, it is really a process of discovering who you want to be, how you want to interact with other people, and taking responsibility for the consequences of your choices.

    Why are boundaries important? They keep you safe from being manipulated, abused or taken advantage of, while also protecting other people from harm you may consciously or unconsciously inflict. They prevent both parties in a relationship from blurring the lines between self and others, which can lead to enmeshment and codependency. With healthy boundaries in place, you can begin to tune in to your inner voice and trust your own thoughts and feelings, and then communicate those to other people.

    Distinguishing Healthy and Unhealthy Boundaries

    Without a healthy role model, it can be difficult to know what healthy boundaries look like. First, let’s cover what healthy boundaries are not. They are not threats or attempts to control or manipulate others into doing what you want. They are not rigid rules or “walls” designed to keep people out or shield you from expressing your emotions.

    Healthy boundaries are simply a delineation of what type of treatment is acceptable to you, and what consequences will result from violating a boundary. People with healthy boundaries share their thoughts and feelings, take care of their own needs, and are able to say no when necessary.

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    By contrast, people with weak boundaries often:

    • Sacrifice their personal values, plans or goals to please others

    • Allow others to define who they are and make decisions for them

    • Expect others to fulfill all their needs

    • Feel guilty when they say no

    • Hesitate to share their opinions or assert themselves if they are being treated unfairly

    • Frequently feel used, threatened, victimized or mistreated by others

    • Frequently offer unsolicited advice, or feel pressured to follow someone else’s advice

    • Take responsibility for other people’s feelings

    • Tell others how to think, feel or act

    A Boundary-Setting Roadmap

    Every individual is called upon to set their own boundaries. What works for some may seem either too intrusive or too distant to others. When laying out your boundaries, work through the following steps:

    Create a Personal Bill of Rights. Before you can start setting boundaries, you have to recognize your right to have your own feelings, values and beliefs and to express to others how you want to be treated. For some, this requires a colossal leap in self-worth.

    Identify Your Emotions. Our parents always admonish us to “think before you act.” When you have a strong response, take a time-out to identify the underlying emotion and figure out what you want to convey. Doing so allows you to interact with other people in an honest, direct way rather than blaming or lashing out.

    Set Limits. Once you have a few guidelines in place for how you expect to be treated, practice setting limits with people in a clear, direct way. Examples of healthy boundaries are: “I choose to be around sober people” or “I’ll be happy to talk with you when your voice is calm.”

    Assert Your Needs. If you feel that your boundaries are being violated, speak up. This doesn’t mean lashing out or blaming others, but rather assertively communicating your needs. Ask for what you want and say no, politely yet firmly, if something isn’t right for you.

    Listen to Your Instincts. If a situation feels uncomfortable or inappropriate, chances are a boundary is being pushed. By tuning into your instincts, you’re more likely to respond in ways that are true to your authentic self.

    Defend Your Boundaries. Once you set boundaries, expect that they will be tested. Before this happens, set consequences that you are willing and able to enforce (e.g., “If you continue this behavior, I will…”). Know that by setting limits, you may disappoint the other person, especially if they have weak boundaries themselves. While you should always act with dignity and respect, you can’t control other people’s feelings and behaviors.

    If someone continually violates your boundaries, you may need to minimize contact with them, or if they are toxic to your recovery, cut ties altogether. By choosing not to let people violate your boundaries, you stop being the victim, stop blaming others and start reclaiming responsibility for your own life.

    Respect Other People’s Boundaries. Just as important as honoring your own boundaries is respecting other people’s, even if they are different from yours. If they don’t have defined boundaries, show them the respect you know they deserve anyway.

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