Dance therapy

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Dance/Movement Therapy
Intervention
MeSH D003614

Dance/movement therapy, (DMT) or dance therapy is the psychotherapeutic use of movement and dance to support intellectual, emotional, and motor functions of the body.[1] As a form of expressive therapy, DMT looks at the correlation between movement and emotion.[2] A typical DMT session has four main stages: preparation, incubation, illumination, and evaluation.[3] Organizations such as the American Dance Therapy Association and the Association for Dance Movement Therapy, United Kingdom maintain standards of profession and education throughout the field. DMT is practiced in various clinical settings.

History[edit]

Dance has been used therapeutically for thousands of years. It has been used as a healing ritual in the influence of fertility, birth, sickness, and death, since earliest human history but, the establishment of dance as a therapy and as a profession occurred in the 1950s.[4]

Over the period 1840 to 1930, a new philosophy of dance developed in Europe and the United States, defined by the idea that movement could have an effect on the mover i.e. that dance was not simply an expressive art.[5]

Although dance has been a method of expression for centuries, it wasn’t until the past half century that it was characterized as a form of therapy. The development of DMT can be split into two waves throughout history.

First wave[edit]

Marian Chace, “The Grand Dame” of dance/movement therapy, is the woman responsible for introducing the idea of DMT to the United States and therefore inspiring the first wave of DMT. She is considered the principal founder of what is now dance therapy in the United States.[6] In 1942, through her work, dance was first introduced to western medicine. Chace was originally a dancer, choreographer, and performer. After opening her own dance school in Washington, D.C., Chace began to realize the effects dance and movement had on her students.[7] She was soon asked to work at St. Elizabeth’s Hospital in Washington, D.C. once psychiatrists too realized the benefits their patients were receiving from attending Chace’s dance classes.[8] In 1966 Chace became the first president of the American Dance Therapy Association, an organization which she and several other DMT pioneers founded.[7]

Second wave[edit]

The second wave of DMT came around the 1970s to the 1980s and it sparked much interest from American therapists. During this time, therapists began to experiment with the psychotherapeutic applications of dance and movement. As a result of the therapists' experiments, DMT was then categorized as a form of psychotherapy. It was from this second wave that today’s DMT evolved.[7]

Principles[edit]

The theory of DMT is based upon the idea that "the body and mind are inseparable".[7] DMT rests on certain theoretical principles, which are that Body and mind interact, so that a change in movement affects total functioning; that movement reflects personality; that the therapeutic relationship is mediated partly non-verbally, for example through the therapist's mirroring the client’s movement; that movement has a symbolic function and as such can reveal unconscious processes; that movement improvisation allows the client to experiment with new ways of being; and that DMT can permit the recapitulation of early object relationships through non-verbal mediation.[9]

Through the unity of the body, mind, and spirit, DMT provides a sense of wholeness to all individuals.[7]

Dance therapy works to improve the social skills, as well as relational dynamics among the clients that choose to participate in it. Through this form of therapy clients will gain a deeper sense of self-awareness through a meditative a process that involves movement, motion, and realization of one's body.[10] Dance therapy is focuses on that it is different from other forms of rehabilitative treatments because it allows creative expression and is more holistic, meaning it treats the full person: mind, body, and spirit.

The therapy process[edit]

The therapy process has four stages, which occur during DMT and can be a creative time for both the therapist and patient(s). Each stage contains a smaller set of goals which correlate to the larger purpose of DMT. The stages and goals of DMT vary with each individual. Although the stages are progressive, the stages are usually revisited several times throughout the entire DMT process. The four stages are:

Preparation: the warm-up stage, safety is established
Incubation: relaxed, let go of conscious control, movements become symbolic
Illumination: meanings become apparent, can have positive and negative effects
Evaluation: discuss significance of the process, prepare to end therapy[9]

Dance styles used[edit]

A variety of dance styles are used in DMT, including: modern dance with its emphasis on the pure elements of movement, various culturally-based dances, Turkish dance, ballroom dance, tango, waltz, foxtrot, aerobic dance, line dancing and body psychotherapy[11]

Research[edit]

Proposed mechanisms[edit]

Various hypothesis have been proposed for mechanisms by which dance therapy may benefit participants. There is a social component to dance therapy, which can be valuable for psychological functioning through human interaction. Another possible mechanism is the music that is used during the session, which may be able to reduce pain, decrease anxiety, and increase relaxation. Since dance requires learning and involves becoming active and discovering capacities for movement, there is also the physical training that could provide benefits as well. Dancing may be consider more uplifting and enjoyable than other types of exercise. Dance therapy can also involve nonverbal communication, "which enables participants to express their feelings without words. This might be helpful when normal communication is absent or has broken down (eg, for patients with dementia)."[12]

Studies[edit]

A review by The Cochrane Collaboration on dance/movement therapy for improving psychological and physical outcomes in cancer patients stated "We did not find support for an effect of dance/movement therapy on body image. The findings of one study suggest that dance/movement therapy may have a beneficial effect on QoL. However, the limited number of studies prevents us from drawing conclusions concerning the effects of dance/movement therapy on psychological and physical outcomes in cancer patients."[13]

Another review for patients with schizophrenia concluded, "This therapy remains unproven" and "There is no evidence to support - or refute - the use of dance therapy in this group of people."[14]

One review of the effect of DMT on Parkinson's disease noted that there have been few studies in this area. DMT appears to meet most requirements for exercise programs for patient's with Parkinson's. Benefits in gait function, balance, and quality of life were found in short-term studies, though further studies need to be done to see if any of these benefits are seen long-term.[15]

Another review concluded, that while studies have found benefits for DMT, these were based on poor quality evidence, so higher quality research is needed to come to any firm conclusion and suggested DMT "should be considered as a potentially relevant add-on therapy for a variety of conditions that do not respond well to conventional medical treatments."[12]

The American Cancer Society states, "Few scientific studies have been done to evaluate the effects of dance therapy on health, prevention, and recovery from illness. Clinical reports suggest dance therapy may be effective in improving self-esteem and reducing stress. As a form of exercise, dance therapy can be useful for both physical and emotional aspects of quality of life."[16]

Adverse effects[edit]

Most trials studying dance therapy did not specifically comment on whether or not adverse effects occurred, though one noted a broken finger thought related to dancing.[12]

Locations[edit]

DMT is practiced in a large variety of locations. Such locations include:[4]

Organizations[edit]

Organizations such as the American Dance Therapy Association were created in order to uphold high standards in the field of DMT. Such organizations help connect individuals to therapists and DMT.[17]

American Dance Therapy Association[edit]

American Dance Therapy Association (ADTA) was founded in 1966 in order to uphold high standards throughout dance therapy. The ADTA was created by Marian Chace, the first president of the ADTA, and other pioneers in dance movement. Along with setting standards for which therapists must attain to become licensed therapists, ADTA keeps an updated registry of all movement/dance therapists who have met ADTA’s standards. In addition, ADTA also publishes the American Journal of Dance Therapy and sponsors annual professional conferences.[17]

Association for Dance Movement Psychotherapy, United Kingdom[edit]

The Association for Dance Movement Psychotherapy, United Kingdom (ADMP UK) was one of the first organizations established to regulate the field of dance therapy. ADMP UK accredits therapists and oversees that all regulations are followed.[18]

Allied professions[edit]

Allied professions are areas that a person could do, special studies, short courses, or eventually become trained in the area of DMT.[19]

Therapist qualifications[edit]

ADTA is the main regulator of the required education and training in order to become a dance/movement therapist.[17] A master's degree is required to become a dance/movement therapist. “Registered Dance/Movement Therapist” (R-DMT) is the title given to entry-level dance/movement therapists who have completed requisite education and a minimum 700-hour supervised clinical internship. Those who have completed over 3,640 hours of supervised professional clinical work may hold the advanced credential “Board Certified Dance/Movement Therapist (BC-DMT).[8]

Education[edit]

Because becoming a dance therapist requires a graduate degree of at least a Master's level, the undergraduate track that a student chooses to take is very important, as well. There is no specific undergraduate degree that a student is required to obtain. However, it is highly recommended that they choose a degree in a behavioral science, like Psychology, or in something related to dance, such as Performing Arts.[20]

There are only 6 ADTA approved master's programs from which to earn Registered Dance/Movement Therapist (R-DMT) credentials: Antioch University New England in New Hampshire, Columbia College Chicago in Illinois, Drexel University in Pennsylvania, Lesley University in Massachusetts, Naropa University in Colorado, and Pratt Institute in New York [1]. Each of these programs require two to three years of study. Students are expected to complete sixty to sixty-two credit hours, along with an internship/practicum of two to four semesters.[21]

Those with a master's or doctoral degree in a human services-related field may have the option to become an R-DMT via Alternate Route [2].

In addition to the R-DMT, which stands for Registered Dance Movement Therapist, there is the BC-DMT, which stands for Board Certified Dance Movement Therapist. The R-DMT requires a master’s degree with 700 hours of supervised clinical work, while the BC-DMT is the “advanced” qualification requiring a master’s degree of 3,640 hours of supervised clinical work and passing a grueling exam.[22]

There are five universities in the United Kingdom that offer graduate programs in Dance Movement Therapy and have been approved by the ADMP-UK: Dance Voice Therapy and Education Centre, Bristol, Derby University, Goldsmiths University of London, University of Roehampton, and Queen Margaret University in Edinburgh, Scotland. Goldsmiths University even offers a doctoral degree in dance therapy. Each of these programs require two to three years of study, depending on whether the student chooses to take a full-time or part-time track. The curriculum is quite rigorous. The students are expected to complete a total of 240 credit hours, or more, in the short time they are enrolled. Along with regular coursework, students are obligated to undergo psychotherapy while in the program. Most programs also require that each student create their own method of dance therapy prior to graduation.[23]

List of dance therapists[edit]

See also[edit]

References[edit]

  1. ^ Ekman, S.-L.; Palo Bengtsson, L., B. Winblad (1998). "Social Dancing: A Way to Support Intellectual, Emotional and Motor Functions in Persons with Dementia.". Journal of Psychiatric and Mental Health Nursing. 6 5: 545–554. 
  2. ^ Schore, A. (1994). "affect regulation and the origin of the self: the neurobiology of emotional development". Journal of the American Academy of Child & Adolescent Psychiatry. 11 35: 325. 
  3. ^ Hadamard, J. (1954). "The Psychology of Invention in the Mathematical Field". Journal of Chemical Education. 2 32: 110. 
  4. ^ a b Strassel, Juliane; Daniel Cherkin; Lotte Steuten; Karen Sherman; Hubertus Vrijhoef (May–June 2011). "A Systematic Review of the Evidence for the Effectiveness of Dance Therapy". Alternative Therapies 17 (3): 50. Retrieved 5 December 2013. 
  5. ^ Schwartz, H. (1992) Torque: The new kinaesthetic of the twentieth century. In Crary, J. and S. Kwinter (Ed.) Zone 6: Incorporations. New York: Urzone ISBN 9780942299298
  6. ^ “Who was Marian Chace?,” American Dance Therapy Association, http://www.adta.org/resources/chace_bio.cfm.
  7. ^ a b c d e Levy, Fran J., Dance Movement Therapy: A Healing Art, (Reston, VA: The American Alliance for Health, Physical Education, Recreation, and Dance, 1988).
  8. ^ a b “Dance Therapy,” American Cancer Society. http://cancer.org/doctoor/MIT/content/MIT_2_3X_Dance_Therapy.asp.
  9. ^ a b Meekums, Bonnie, Dance Movement Therapy, (Thousand Oaks, CA: SAGE Publications Inc.).
  10. ^ Yoga, Dance, and Movement Therapy. (n.d.). Retrieved from http://www.navigatingthespectrum.org/yoga.html
  11. ^ Strassel, Juliane; Daniel Cherkin; Lotte Steuten; Karen Sherman; Hubertus Vrijhoef (May–June 2011). "A Systematic Review of the Evidence for the Effectiveness of Dance Therapy". Alternative Therapies 17 (3): 53. Retrieved 5 December 2013. 
  12. ^ a b c Strassel, JK; Cherkin, DC; Steuten, L; Sherman, KJ; Vrijhoef, HJ (May–Jun 2011). "A systematic review of the evidence for the effectiveness of dance therapy.". Alternative therapies in health and medicine 17 (3): 50–9. PMID 22164813. 
  13. ^ Bradt, J; Goodill, SW; Dileo, C (Oct 5, 2011). "Dance/movement therapy for improving psychological and physical outcomes in cancer patients.". The Cochrane database of systematic reviews (10): CD007103. PMID 21975762. 
  14. ^ Ren, J; Xia, J (Oct 4, 2013). "Dance therapy for schizophrenia.". The Cochrane database of systematic reviews 10: CD006868. PMID 24092546. 
  15. ^ Earhart, GM (Jun 2009). "Dance as therapy for individuals with Parkinson disease.". European journal of physical and rehabilitation medicine 45 (2): 231–8. PMID 19532110. 
  16. ^ "Dance Therapy". American Cancer Society. Retrieved 30 April 2014. 
  17. ^ a b c “Who We Are,” American Dance Therapy Association, http://www.adta.org/about/who.cfm.
  18. ^ Payne, Helen, Dance Movement Therapy: Theory, Research, and Practice, (Hove, East Sussex: Routledge, 2006).
  19. ^ Payne, Helen. Dance Movement Therapy: Theory and Practice. Taylor & Francis. Retrieved 11 February 2013. 
  20. ^ "Undergraduate Coursework". Retrieved 5 December 2013. 
  21. ^ Approved Graduate Programs in Dance/Movement Therapy. (n.d.). Retrieved from http://www.adta.org/ApprovedGraduatePrograms
  22. ^ "Alternative Therapy-Art Therapy, Dance Therapy, Music Therapy, and Imagery". Beaumont Health System. Beaumont Health System. Retrieved 5 December 2013. 
  23. ^ Association for Dance Movement Therapy UK: Training. (n.d.). Retrieved from http://www.admt.org.uk/training.html

Further reading[edit]

  • Meekums, B. (2002). Dance Movement Therapy: a Creative Psychotherapeutic Approach. London: Sage.
  • Chodorow, J. (1991). Dance Therapy and Depth Psychology. London.
  • Lewis, P. (1984; 1986). Theoretical Approaches in Dance Movement Therapy. Vols I & II, USA: Kendall/Hunt.
  • Payne, H. (ed). (2006). Dance Movement Therapy: Theory, Research and Practice (2nd edn). Tavistock / Routledge.
  • Siegel, E. (1984). Dance Movement Therapy: Mirror of Ourselves: The Psychoanalytic Approach. New York: Human Science Press.
  • Stanton-Jones, K. (1992). An Introduction to Dance Movement Therapy in Psychiatry. London: Tavistock/Routledge.
  • North, M. (1990). Personality Assessment Through Movement. Northcote House.
  • Payne, H.L. (2000). Creative Movement and Dance in Groupwork. Oxon: Speechmark.
  • McCormack, D. (2003) An event of geographical ethics in spaces of affect. Transactions of the Institute of British Geographers, 28, (4), 488-507.

External links[edit]