Bielańska A, Cechnicki A, Budzyna-Dawidowski P
Day Treatment Center, Nicolaus Copernicus Academy of Medicine, Kraków, Poland.
Am J Psychother. 1991 Oct;45(4):566-75. doi: 10.1176/appi.psychotherapy.1991.45.4.566.
The authors describe the development of drama therapy and its place in the system of psychosocial treatment of schizophrenic patients. Organizational and therapeutic elements are illustrated with the help of work done by a group of 12 patients on an adaptation of Shakespeare's Hamlet. The aim of this form of outpatient treatment is to use the acting technique in order to make it easier for patients to improve their understanding of themselves--their feelings, motivations and behaviors--and also of other people. The participation of a professional director and the general attractiveness of this type of therapy are considered to play an important role in motivating those patients who would not benefit from traditional psychotherapy. In this form of group psychotherapy verbalization of feelings and problems are structured by the role; thus creating a safe atmosphere and greater motivation to participate. The purpose of our work is to make the roles and the play a constructive aspect of the patient's functioning. This is only possible by uniting what for a schizophrenic patient is characteristically separate, namely, internal experience with external expression. Clinical effects are documented by two case vignettes.
作者描述了戏剧疗法的发展及其在精神分裂症患者心理社会治疗体系中的地位。通过一组12名患者改编莎士比亚的《哈姆雷特》的工作，展示了组织和治疗要素。这种门诊治疗形式的目的是运用表演技巧，使患者更容易增进对自身——他们的情感、动机和行为——以及他人的理解。专业导演的参与以及这类疗法的普遍吸引力，被认为在激励那些无法从传统心理治疗中受益的患者方面发挥着重要作用。在这种团体心理治疗形式中，情感和问题的言语表达由角色来构建；从而营造出一种安全的氛围，并增强参与的动力。我们工作的目的是使角色和戏剧成为患者机能的一个建设性方面。这只有通过将精神分裂症患者典型地分开的东西，即内在体验与外在表达结合起来才有可能。两个病例 vignettes 记录了临床效果。
