Single-Session Dance/Movement Therapy for People with Acute Schizophrenia: Development of a Treatment Protocol

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Single‑Session Dance/Movement Therapy for People with Acute Schizophrenia: Development of a Treatment Protocol Jacelyn Biondo1   · Nancy Gerber2  Accepted: 16 November 2020 / Published online: 7 December 2020 © American Dance Therapy Association 2020

Abstract People experiencing acute symptomatology associated with schizophrenia require interventions that support stabilization. Dance/movement therapy (DMT) can be a promising treatment option for this population due to the potential for verbal communication difficulties, alternative reality bases, and movement dysfunctions associated with schizophrenia. However, due to the improvisational nature of DMT, it is often difficult to identify the specific interventions or components of the therapeutic process that may support stabilization and symptom reduction. Moreover, as inpatient lengths of stay decrease, it is imperative that we implement shorter treatment protocols. This inquiry analyzed 14 single-session DMT group sessions for people with acute schizophrenia on an inpatient psychiatric unit to determine the components of the DMT process common amongst each session. Data analysis of therapist field notes informed the development of a single-session DMT treatment protocol to outline the four phases of a single-session DMT group: warm-up, thematic development, cool down, and verbal discussion. Results of this inquiry determined that there were repeated components of the 14 sessions. A systematic content analysis of the therapy process is potentially useful for the examination of what may specifically contribute to symptom reduction in DMT groups. Keywords  Dance/movement therapy · Single-session therapy · Schizophrenia · Inpatient psychiatry

* Jacelyn Biondo [email protected] 1

College of Nursing and Health Professions, Creative Arts Therapies, Drexel University, 1601 Cherry Street, Philadelphia, PA 19102, USA

2

Department of Art Education, College of Fine Arts, Florida State University, 1033 William Johnston Building, 143 Honors Way, Florida State University, Tallahassee, FL 32306, USA



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278

American Journal of Dance Therapy (2020) 42:277–295

Introduction Approaches to dance/movement therapy (DMT) sessions vary by therapist, population, and setting making it difficult to understand the precise mechanisms that promote wellness in each session. Although there is no universal way in which practitioners facilitate a DMT session, there may be ways of developing treatment protocol parameters to guide clinicians. A treatment protocol could outline specific interventions or group components, which would act as a guide for therapists to use in their DMT sessions. Such treatment protocol parameters may support increased knowledge in understanding the outcomes of single-session DMT groups. This paper examines the theoretical framework, intervention choices, and therapeutic mechanisms of a single-session DMT group for participants experiencing acute symptoms of schizophrenia. There are multiple benefits to developing and implementing brief t