Oon Phei Phei
Private Practice, Canada.
Clin Child Psychol Psychiatry. 2010 Apr;15(2):215-30. doi: 10.1177/1359104509352892. Epub 2010 Mar 1.
This case study examines an integrative approach combining drama therapy and the behavioural skill "shaping", as offered to Gladys, a 5-year-old girl diagnosed with selective mutism. This study found that shaping, when implemented in the context of play, with play as the primary reinforcer, elicited from Gladys vocalization and eventually speech within a very short time. Her vocalizations allowed her to enter dramatic play, which in turn propelled spontaneous speech. This article looks at how the three elements of dramatherapy - the playspace, role-playing and dramatic projection - brought about therapeutic changes for Gladys. Aside from spontaneous speech, Gladys also developed positive self-esteem and a heightened sense of spontaneity. Subsequently, these two qualities helped her generalize her speech to new settings on her own. Gladys's newly harnessed spontaneity further helped her become more sociable and resilient.This study advances the possibility of integrating a behavioural skill with drama therapy for the therapeutic benefits of a child with an anxiety-related condition like selective mutism.
本案例研究探讨了一种综合方法，该方法将戏剧疗法与行为技巧“塑造法”相结合，并应用于格拉迪斯，一名被诊断为选择性缄默症的5岁女孩。该研究发现，当在游戏情境中实施塑造法，并以游戏作为主要强化物时，能在很短时间内促使格拉迪斯发声，最终实现说话。她的发声使她能够参与戏剧游戏，这反过来又推动了自发语言的产生。本文探讨了戏剧疗法的三个要素——游戏空间、角色扮演和戏剧投射——如何为格拉迪斯带来治疗性改变。除了自发语言外，格拉迪斯还培养了积极的自尊心和更强的自发意识。随后，这两种特质帮助她自行将说话能力推广到新环境中。格拉迪斯新获得的自发意识进一步帮助她变得更加善于社交且更具适应力。本研究提高了将行为技巧与戏剧疗法相结合以造福患有选择性缄默症等焦虑相关疾病儿童的可能性。
