Psychodrama
Comprehensive Review of the Effectiveness of Psychodrama in Sexual Abuse Trauma
Abstract
Abstract: Sexual abuse is a phenomenon present in all social classes and cultures and has become more relevant in recent decades. Victims suffer traumatic consequences in the short and long terms and one of the possible approaches to be used in treatment is Psychodrama. This study presents an overview of Psychodrama and the Role Reversal technique, as well as its effectiveness, especially in the treatment of trauma, in particular, trauma resulting from sexual abuse. For this study, we searched the main international databases. We have discovered that psychodrama can serve as a highly effective intervention model for individuals who have experienced sexual abuse. However, our primary finding emphasizes the necessity for additional research regarding the efficacy of Psychodrama and its Role-reversal technique specifically for victims of sexual abuse.
References
2020). Integrating cognitive behavioral group therapy and psychodrama for social anxiety disorder: An intervention description and an uncontrolled pilot trial. Clinical Psychology in Europe, 2(1), 1–21. https://doi.org/10.32872/cpe.v2i1.2693
(2016). Teatro espontáneo y psicodrama a dos
([Spontaneous theater and psychodrama for two] . Psicoterapia y Psicodrama, 4(1), 94–157.2012). Health status after traumatic injury. Journal of Trauma Acute Care Surgery, 72(6), 1702–1708. https://doi.org/10.1097/TA.0b013e318246bfe9
(2010). Além da catarse, além da integração, a catarse de integração
([Beyond catharsis, beyond integration, the catharsis of integration] . Revista Brasileira de Psicodrama, 18(2), 97–106.2006). Psicoterapia aberta. O método do psicodrama, a fenomenologia e a psicanálise
([Open psychotherapy. The psychodrama method, phenomenology and psychoanalysis] . Ágora.2012).
(Psicodrama Bipessoal [Bipersonal psychodrama] . In M. NeryM. ConceiçãoEds., Intervenções Grupais: O Psicodrama e seus Métodos[Group interventions: Psychodrama and its methods] (pp. 237–262). Ágora.2013). Diagnostic and statistical manual of mental disorders (5th ed.). APA. https://doi.org/10.1176/appi.books.9780890425596
. (2013). A elaboração narrativa no abuso sexual: O papel das vítimas enquanto protagonistas no processo de mudança
([Narrative elaboration in sexual abuse: The role of victims as protagonists in the change process] . Psicologia, 27(1), 157–180. https://doi.org/10.17575/rpsicol.v27i1.2402003). The human being: J. L. Moreno’s vision in psychodrama. International Journal of Psychotherapy, 8(1), 31–36. https://doi.org/10.1080/1356908031000124340
(1996). The effectiveness of psychodrama and role play for treatment of inpatients with heroin addiction. Current Psychiatry, 3(1), 75–88.
(2007). Group treatment of sexually abused adolescent girls: A review of outcome studies. The American Journal of Family Therapy, 35, 315–326. https://doi.org/10.1080/01926180600969702
(2003). Cognitive-behavioral approach in psychodrama: Discussion and example from addiction treatment. The Arts in Psychotherapy, 30, 209–216. https://doi.org/10.1016/S0197-4556(03)00059-5
(1996). Therapy for adults molested as children: Beyond survival. Springer Publishing Company.
(2013). Healing eating disorders with psychodrama and other action methods: Beyond the silence and the fury. Jessica Kingsley.
(2011). Corrective interpersonal experience in psychodrama group therapy: A comprehensive process analysis of significant therapeutic events. Psychotherapy Research, 21(4), 416–429. https://doi.org/10.1080/10503307.2011.577823
(2013). Using theater of the oppressed to prevent sexual violence on college campuses. Trauma, Violence, & Abuse, 14(4), 282–294. https://doi.org/10.1177/1524838013495983
(2021). Effects of a group experiential therapy program on the psychological health of military veterans: A preliminary investigation. Person-Centered & Experiential Psychotherapies, 20(2), 119–138. https://doi.org/10.1080/14779757.2020.1846599
(1995). Actualizado até à Lei no 59/2007, de 04 de Setembro
. ([Updated until Law No. 59/2007, of September 4th] . http://www.portolegal.com/CPENAL.htm2013). Interventions and research concerning child sexual abuse: Evaluation of an innovative tool for child sexual abuse education. Journal of Child Sexual Abuse, 22, 379–397. https://doi.org/10.1080/10538712.2013.781092
(2020). Effectiveness of programs for the prevention of child sexual abuse: A comprehensive review of evaluation studies. European Psychologist, 25(1), 1–15. https://doi.org/10.1027/1016-9040/a000379
(2010). The effects of psychodrama on young adults’ attachment styles. The Arts in Psychotherapy, 37, 112–119. https://doi.org/10.1016/j.aip.2010.02.001
(2002). Client satisfaction survey of inpatient trauma and dissociative disorders program. Journal of Trauma & Dissociation, 3(2), 97–105. https://doi.org/10.1300/J229v03n02_06
(2022). Psychological intervention with adult victims of sexual abuse: A comprehensive review. Clinical Psychology & Psychotherapy, 29(1), 62–80. https://doi.org/10.1002/cpp.2598
(2021). Intervenções em psicodrama: Uma revisão sistemática
([Psychodrama interventions: A systematic review] . Revista Brasileira Psicodrama, 29(1), 4–15. https://doi.org/10.15329/2318-0498.219922007). Psychodrama as a preventive measure: Teenage girls confronting violence. Journal of Group Psychotherapy Psychodrama and Sociometry, 59(3), 99–108. https://doi.org/10.3200/JGPP.59.3.99-108
(2010). Analytical psychodrama with adolescents suffering from psycho-behavioral disorder: Short-term effects on psychiatric symptoms. The Arts in Psychotherapy, 37, 240–247. https://doi.org/10.1016/j.aip.2010.04.010
(2023). Between pleasure, guilt, and dissociation: How trauma unfolds in the sexuality of childhood sexual abuse survivors. Child Abuse & Neglect, 141, Article
(106195 . https://doi.org/10.1016/j.chiabu.2023.1061952020). The effectiveness of trauma-focused psychodrama in the treatment of PTSD in inpatient substance abuse treatment. Frontiers in Psychology, 11, 1–12. https://doi.org/10.3389/fpsyg.2020.00896
(2022). Seeing you as me, seeing me as you, seeing us: The effect of role reversals in one-to-one clinical supervision. Zeitschrift für Psychodrama und Soziometrie, 21, 143–156. https://doi.org/10.1007/s11620-022-00658-9
(2020). Impact evaluation of the evidence-based trauma stabilisation programme for refugee, asylum seeking and immigrant families. Zeitschrift für Psychodrama und Soziometrie, 19(1), 147–160. https://doi.org/10.1007/s11620-020-00568-8
(2008). A técnica psicodramática da “concretização” e suas relações com o desenvolvimento humano
([The psychodramatic technique of “concretization” and its relations with human development] . Ciências & Cognição, 13(1), 114–130.2019). Group therapy for excoriation disorder: Psychodrama versus support therapy. Annals of Clinical Psychiatry, 31(2), 84–94.
(2021). Psychodrama as a therapy in trauma and posttraumatic stress. Revista Médica Risaralda, 27(1), 74–81. https://doi.org/10.22517/25395203.24656
(2006). Integrating psychodrama and cognitive behavioral therapy to treat moderate depression. The Arts in Psychotherapy, 33, 199–207. https://doi.org/10.1016/j.aip.2006.02.001
(2023). The connection between sex as self-injury and sexual violence. Archives of Sexual Behavior, 52(8), 3531–3540. https://doi.org/10.1007/s10508-023-02669-5
(2019). Psicodrama revisitado: Pelas lentes do mapa interno de papéis do modelo terapêutico em espiral para promover o crescimento pós-traumático
([Psychodrama revisited: Through the lens of the internal role map of the spiral therapeutic model to promote post-traumatic growth] . Zeitschrift für Psychodrama und Soziometrie, 18(1), 59–74. https://doi.org/10.1007/s11620-019-00483-72022). Transformación del triángulo del trauma – TSM
([Trauma Triangle Transformation – TSM] . La Hoja de Psicodrama, 74, 6–19.2008). Guideline implementation and patient-tailoring strategies to improve medication adherence for schizophrenia. The Journal of Clinical Psychiatry, 69(1), 74–80. https://doi.org/10.4088/JCP.v69n0110
(2020). Expectations and perception of the psychotherapy process and outcome. Psychotherapeutic factors and the psychodrama specificities in psychodrama group participants at a psychiatric hospital. Zeitschrift für Psychodrama und Soziometrie, 1(19), 101–115. https://doi.org/10.1007/s11620-020-00565-x
(2020). The effects of using psychodrama on the psychological wellbeing of university student. Perspectives in Psychiatric Care, 56, 905–912. https://doi.org/10.1111/ppc.12510
(1994).
(Role reversal in psychodrama . In P. HolmesM. KarpM. WatsonEds., Psychodrama since Moreno (pp. 263–279). Routledge.2000).
(The therapeutic aspects of psychodrama with traumatized people . In P. KellermannM. HudginsEds., Psychodrama with trauma survivors: Acting out your pain (pp. 5–18). Jessica Kingsley.2018). Psicodrama interno no tratamento de traumas: Direcionadores de manejo
([Internal psychodrama not treating trauma: Management guidelines] . Revista Brasileira de Psicodrama, 26(1), 51–65. https://doi.org/10.15329/2318-0498.201800122013). The effects of being the protagonist in psychodrama. Journal of Group Psychotherapy Psychodrama and Soiometry, 55(4), 115–128. https://doi.org/10.3200/JGPP.55.4.115-127
(2003). A survey of clinical reports on the application of psychodrama. Journal of Group Psychotherapy Psychodrama and Soiometry, 55(4), 141–157. https://doi.org/10.3200/JGPP.55.4.141-157
(2002). From classical to eclectic psychodrama: Conceptual similarities between psychodrama and psychodynamic and interpersonal group treatments. International Journal of Group Psychotherapy, 52(1), 111–120. https://doi.org/10.1521/ijgp.52.1.111.45464
(2003). The effectiveness of psychodramatic techniques: A meta-analysis. Group dynamics. Theory, Research, and Practice, 7(1), 13–25. https://doi.org/10.1037/1089-2699.7.1.13
(2013). Psychodrama as a social work modality. Social Work, 58(1), 9–20. https://doi.org/10.1093/sw/sws054
(1974). Psychodrama: Theorie und Praxis
([Psychodrama: Theory and practice] . Springer.2022). Pesquisas com escalas de crenças sobre abuso e violência sexual: Uma revisão integrativa
([Research with belief scales on sexual abuse and violence: An integrative review] . Revista Eletrônica Acervo Saúde, 15(3), 1–8. https://doi.org/10.25248/REAS.e9858.20222018). Jacob Levy Moreno’s psychodrama as a work technique for treating patients in group and individual psychotherapy. Current Problems of Psychiatry, 19(4), 248–259. https://doi.org/10.2478/cpp-2018-0019
(2012). Consecuencias psicologicas del abuso sexual infantil
([Psychological consequences of child sexual abuse] . Eureka, 9(1), 58–68.2019). A scoping review of adult survivors’ experiences of shame following sexual abuse in childhood. Health & Social Care in the Community, 27(5), 1135–1146. https://doi.org/10.1111/hsc.12771
(1987). A pilot study in drama therapy with adolescent girls who have been sexually abused. The Arts in Psychotherapy, 14, 77–84. https://doi.org/10.1016/0197-4556(87)90037-2
(2012).
(Teoria dos grupos e sociatria [Group theory and sociatry] . In M. NeryM. ConceiçãoEds., Intervenções Grupais: O Psicodrama e seus Métodos[Group interventions: Psychodrama and its methods] . (pp. 17–36). Ágora.2011). Corrective interpersonal experience in psychodrama group therapy: A comprehensive process analysis of significant therapeutic events. Psychotherapy Research, 21(4), 416–429. https://doi.org/10.1080/10503307.2011.577823
(2017, May 5). We are the stories we tell: A constructive narrative perspective of PTSD [Paper presentation]. Treatment of Victims of Interpersonal Violence: A life Span Approach, 1130 Miller Drive, Coral Gables, FL, USA
(2020). Relationship between adverse childhood experiences and psychopathy: A systematic review. Aggression and Violent Behavior, 53, 101452–101466. https://doi.org/10.1016/j.avb.2020.101452
(2021). Childhood traumatic experiences and psychopathy: A comprehensive review. Psychological Trauma: Theory, Research, Practice, and Policy, 14(8), 1281–1287. https://doi.org/10.1037/tra0001191
(2010). The effect of psychodrama sessions on psychotic symptoms, depression, quality of life, and sociometric measures in patients with chronic schizophrenia. The Arts in Psychotherapy, 71, 2–10. https://doi.org/10.1016/j.aip.2020.101719
(2021). The relationship between childhood trauma, early-life stress, and alcohol and drug use, abuse, and addiction: An integrative review. Current Psychology, 40, 579–584. https://doi.org/10.1007/s12144-018-9973-9
(2020). Del pensamiento tirano a vivir la emoción: Psicodrama en grupo con personas diagnosticadas de TOC
([From tyrannical thinking to living emotion: Group psychodrama with people diagnosed with OCD] . La Hoja de Psicodrama, 71, 20–27.2013).
(Um protocolo de tratamento do transtorno de estresse pós-traumático através da experiência somática . In C. RossiL. NettoEds., Práticas psicoterápicas e resiliência: Diálogos com a experiências somática [Psychotherapeutic practices and resilience: Dialogues with somatic experiences]. Scortecci.2018). A inversão de papéis como possibilidade de prevenção ao bullying no contexto escolar – Estudo introdutório
([Role reversal as a possibility to prevent bullying in the school context – Introductory study] . Revista Intellectus, 47(1), 60–79.2005). Yaşlılık, huzurevi ve yaşam yolculukları bir psikodrama grup çalışması
([Old age, nursing home and life journeys as a psychodrama group study] . Turk Psikiyatri Dergisi, 16, 124–132.2020). Functional humanity and the dialectics of change through dramatherapy: An engagement with PTSD patients. Gender & Behaviour, 18(2), 15318–15326. https://hdl.handle.net/10520/EJC-1b25e92438
(2019). Integrative systematic review of psychodrama psychotherapy research: Trends and methodological implications. PLoS One, 14(2), 1–26. https://doi.org/10.1371/journal.pone.0212575
(1994). Treatment techniques for adult female survivors of childhood sexual abuse. Journal of Counseling & Developmente, 73, 32–37. https://doi.org/10.1002/j.1556-6676.1994.tb01706.x
(2021). Therapeutic mask: An intervention tool for psychodrama with adolescents. Frontiers in Psychology, 11, Article
(588877 . https://doi.org/10.3389/fpsyg.2020.5888772019). A pilot study of emotion regulation strategies in a psychodrama group of psychiatric patients. Journal of Creativity in Mental Health, 14(1), 2–9. https://doi.org/10.1080/15401383.2018.1486260
(2011). Program about therapeutics education. Roll-playing exercise. Revista de Enfermeria, 34(5), 8–14.
(2022). Creative interventions for preparing and disclosing trauma narratives in group therapy for child sexual abuse. Journal of Child Sexual Abuse, 31(1), 127–146. https://doi.org/10.1080/10538712.2020.1801931
(2022). Psychological intervention and treatment programs for adult victims of child sexual abuse: A systematic review. Psychological Trauma: Theory, Research, Practice, and Policy. Advance online publication. https://doi.org/10.1037/tra0001389
(2021). The effects of psychodrama on emotion regulation skills in emerging adults. Current Psychology, 42(5), 4469–4482. https://doi.org/10.1007/s12144-021-01800-w
(2021). The effects of a psychodrama based risk management training program on the knowledge and practices of turkish nurses in psychiatric clinics. Issues in Mental Health Nursing, 43(1), 76–82. https://doi.org/10.1080/01612840.2021.1933279
(2020). Effect of psychodrama group therapy on remission and relapse in opioid dependence. Arch Neuropsychitry, 57, 197–203. https://doi.org/10.29399/npa.25001
(2018). Trauma, disociación y psicodrama [Trauma, dissociation and psychodrama]. La Hoja de Psicodrama, 26(66), 110–117.
(2020). O Psicodrama clínico on-line: Uma conexão possível
([Online clinical psychodrama: A possible connection] . Revista Brasileira de Psicodrama, 28(1), 54–64. https://doi.org/10.15329/2318-0498.201962014). Possibilidades de diálogos entre abordagens humanistas: Escutando vivências de psicodramatistas e Gestalt-terapeutas
([Possibilities of dialogue between humanistic approaches: Listening to the experiences of psychodramatists and Gestalt therapists] . Psicologia em Estudo, 19(1), 157–167. https://doi.org/10.1590/1413-73722232200152015). Entre o psicodrama e a Gestalt-terapia: Encontros, obstáculos e perspectivas
([Between psychodrama and Gestalt therapy: Encounters, obstacles and perspectives] . Estudos de Psicologia, 20(3), 151–160. https://doi.org/10.5935/1678-4669.201500172020). Intervention effect of psychodrama on depression and anxiety: A meta-analysis based on chinese sample. The Arts in Psychotherapy, 69, Article
(101661 . https://doi.org/10.1016/j.aip.20202001). Opening space for client reflection: A postmodem consideration. The Family Journal, 9(4), 431–437. https://doi.org/10.1177/1066480701094011
(2007). Psicoterapia de grupo: Teoria e Prática
([The theory and practice of group psychotherapy] . (7th ed.). Artmed.2011). Revisiting Morenian psychodramatic encounter in light of contemporary neuroscience: Relationship between empathy and creativity. The Arts in Psychotherapy, 38, 52–58. https://doi.org/10.1016/j.aip.2010.12.001
(