Dramatherapy for Borderline Personality Disorder

Nicky Morris is an HCPC registered dramatherapist and BADth member, who has worked in NHS and private mental health services for thirteen years, predominantly with women diagnosed with BPD.

Table of Contents

Dramatherapy for Borderline Personality Disorder:

Empowering and Nurturing people through Creativity

(Author – Nicky Morris)

Dramatherapy: Approaches, Relationships, Critical ideas

(Series Editor - Anna Seymour)






Title



Dedication



Acknowledgements



Contents



Foreword - Kate McCormack

Part One: Definitions, History, Theory and Treatment Options

Chapter 1: Introduction






Battling Stigma



Personal Motivation



Summary of Chapters



References

Chapter 2: BPD: A Complex and Emotional Mental Health Disorder






BPD Historic Overview



Current Statistics



Aetiology



Diagnosis:

BPD in the DSM V

EUPD in the ICD.10

Structured Clinical Interviews

Diagnosis in Adolescence






Comorbidity



Conclusion



References

Chapter 3: Psychological Treatments for BPD






Introduction

Treatment Pathway

Treating Comorbidity






Therapeutic Interventions:

DBT - Dialectical Behaviour Therapy

MBT - Mentalisation Based Therapy

Therapeutic communities

Arts Therapies:

Dramatherapy

Art Therapy

Music therapy

Dance Movement Therapy

CBT - Cognitive Behaviour Therapy

CAT - Cognitive Analytical Therapy

ST - Schema Therapy

TFP - Transference Focused Therapy

IGP – Interpersonal Group Psychotherapy

OT - Occupational Therapy:

OT for BPD, by Georgia Ntzimani






Multidisciplinary Communication



Final Reflections



References

Chapter 4: Embrace and Contain the Chaos: Dramatherapy for BPD






Dramatherapy: History and Definition

Ancient Roots

Theatre meets Therapy

Dramatherapy in the Twentieth Century

Defining Dramatherapy in the Twenty First Century






Dramatherapy for BPD

Thirteen Dramatherapists share their experience

Dramatherapy for Insecure Attachment and Trauma

Reclaiming Femininity through Ritual and Myth

Dramatherapy for Men with BPD

Evaluation and Evidence






An Overview

Part Two: Dramatherapy Clinical Case Studies and Vignettes

Chapter 5

Breaking Inner Chains:

Dramatherapy on a Secure Ward for Women with BPD






Dramatherapy for Women with BPD



Five Recurring Themes:

Freedom

Hope

To be seen and heard as a human being, rather than a diagnosis

Bringing all parts of oneself – including the shadow – into the light

A new way to look at familiar emotions or issues






Six Key Interventions:

Releasing tension and repressed emotion via simple, effective methods

Symbolic Tools and Projective Methods

Ritual, Story and Myth

Sensory work

Play

Poetry, Song and Creative Writing






A Detailed Case Study illustrating the Six Interventions:

Initial steps into Dramatherapy

1:1 Trauma-Focused Dramatherapy

Jean’s Dramatherapy journey in relation to Schema Therapy






Perspectives from the Multi-Disciplinary Team on Dramatherapy



The Client’s Voice



References

Chapter 6

A Cry for Freedom:

Dramatherapy with Women in a Secure Step-Down Unit






A Mixed Diagnosis Dramatherapy Group

Schizophrenia, Schizoaffective Disorder and Bipolar Disorder

A Mother’s Heartache

A Service User with BPD






Dramatherapy Group Interventions

An Imaginary Train Journey

A Model Animal Community






Therapeutic Performance

Singing Swans

Self-Revelatory Performance






Colleagues Reflect on Dramatherapy



References

Chapter 7: Dancing Between Life and Death






Dramatherapy and Grief

Losing a Brother

A Father’s Suicide






Self-harm, Suicide and Lost Souls

Kit

Lorna

Chloe

Jane






Emotional Impact on Staff

Suicide and Self-Harm

Emotional Projections and Ambivalence

Dr Preeti Gour reflects on Suicide

The Role of Clinical Supervision






Conclusion



References

Chapter 8: Hope, Courage and Creativity






Belief and Hope



Courage and Meaning



Survivors



References






Abbreviations



Index