User:Panevivo/Dance therapy group project

History
. (Group IV - orange)

First Wave

Marian Chace spearheaded the movement of dance in the medical community as a form of therapy. She is considered the principal founder of what is now dance therapy in the United States. 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. The reported feelings of wellbeing from her students began to attract the attention of the medical community, and some local doctors began sending patients to her classes. 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. 'She introduced a new and effective therapy when hospitals were crowded due to casualties of World War II and just before the introduction of psychotropic drugs. Chace arrived at a time when the medical profession was open to new methods to help treat large groups of patients.'

In 1966 Chace became the first president of the American Dance Therapy Association, an organization which she and several other DMT pioneers founded. ''Trudi Schoop, dance movement therapy pioneer also treated patients who had mental illnesses such as schizophrenia. “Schoop believed that who we are is reflected and manifested in our bodies.” In addition, what we think of ourselves as an individual in the inside will always show on the outside. Schoop saw that when a patient loses harmony in their movement their postures begins to create stress and tensions that makes them pull away. For this reason, her goals were to get her patients to move comfortably and naturally so their minds would be in a state of relaxation.'' According to the ADTA, dance is "the psychotherapeutic use of movement as a process which furthers the emotional, social, cognitive, and physical integration of the individual."

(Live Page)

Second Wave

The second wave of Dance Movement Therapy 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 Dance Movement Therapy evolved.

Principles
One Dance Movement Therapy principle is that the dance movement interaction that occurs between a therapist and patient promotes change in behavior. Elaine Siegel describes her patient behavioral changes as they uncover their repressed feelings. For example, "Once the conflict is brought out of its repressed state into consciousness, the patient can make a conscious choice as to life style and interpersonal relationships without the previous drain on his energy and without misinterpreting present situations." When a client in dance movement therapy transforms body movement attitudes in the therapy with the therapist, the results have positive impacts on the client's lifestyle and relationships with family and friends. Siegel also mentions, " the dance movement therapist of necessity must direct i.e, "interpret" physically in order to effect a physical change in her client...Quite simply, if in dance therapy we lead the client into tensing his muscles and making fists, he will associate to prior bodily felt experiences such as “this reminds me of an angry person,” and if he receives an interpretation that deals with his specific way of doing things, he will go on to recapture particularly angry situations in his life." Siegel explains the ways in which a dance therapist helps patients in mind and body can prompt recall and re enactment of past experiences and this can affect current experience and future behaviors.

Dance is a language that utilizes the expressive form of the body in unity with mind, emotion, soul and spirit. It doesn't matter if it's a painful or joyous experience. Either way, becoming self aware in dance therapy can increase self understanding, personal growth and development. Gaining comfort in movement and self expression through dance facilitates relationship building as dance therapy fosters socialization and community. While clients focus on themselves in dance therapy, they are encouraged to experience others who may be going through similar challenges in their own life journey. Dance movement therapy provides clients a newfound comfort and confidence. Clients participate in a safe and welcoming dance therapy environment that fosters trust, personal growth and maximizing one's potential. Regardless of any type of dance therapy approach utilized, clients are provided a safe space to move and dance in a therapeutic relationship free of judgement. Clients develop a freedom and a sense of control in expressing a range of emotions and this is very beneficial for self regulation and overall mental health. Clients become comfortable and self confident as they move and engage spontaneously and freely in the dance, sometimes to music. They are encouraged to embody inner thoughts and impulses and give form to feeling states that may have once been prohibited, discouraged, disregarded, neglected and even abused. Clients are given unique opportunities to fully express their personality and idiosyncratic manner of relating to others non judgmentally. This exemplifies one of the main principles of dance therapy, which is that movement reflects our personality (“Dance/Movement Therapy.” Sheppard Pratt, www.sheppardpratt.org/knowledge-center/treatment/dance-movement-therapy/.)''' The quality of your movements help you become more aware of your space which can give you the opportunity to expand preconceived boundaries. '''In this form of therapy, the medium is dance and the therapists help patients accomplish therapeutic goals. When people are struggling with emotional distress, such as abuse, neglect, or violence of any kind, dance movement therapy allows for genuine change in behavior through practice. Those who have physical disabilities can use their abilities to move and dance and expand their coping strengths to heal trauma. The body itself reacts in a freeing way to open up the opportunity for physical confidence and comfortability. This demonstrates the principle that movement can be not only functional but expressive as well. It can allow people to use movement as a form of recovery both physically and emotionally. '''

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

Dance therapy is an effective treatment for people who have psychiatric disorder, eating disorders, emotional disorders, even autism spectrum disorder and dementia. The purpose of DMT is to help individuals cope with their mental issues and things they are struggling with everyday. It makes living with these disorders a lot easier. It helps people come together as a group and get more comfortable existing and living to their full potential.

= Methodology ==(Group III - Kaliel De Silva)

The Kestenberg Movement Profile is a system of movement assessment used in dance movement therapy. It provides dance movement therapists and allied professionals opportunities to systematically observe and track changes in movement behavior as well as analyze and interpret meaning in individuals' movement behavioral tendencies.

For example, the concept of tension flow attribute reflects one's mood and the way in which a person reacts to safety or danger. Using the Kestenberg Movement Profile to assess movement, a dance movement therapist may discover that a client may have been abused or neglected.

Bipolar and Unipolar Shape Flow are movement terms in the Kestenberg Movement Profile system that illustrate the different ways the body creates shapes as an expression of body or self image or as a reaction to one's environment. Shape Flow refers to the way in which one expresses their self-representation and object relations. The Kestenberg Movement Profile, a movement analysis tool, is often used by dance movement therapists, to get a visual graph on where the person stands in terms of self awareness, and compares it to where they should be. Bipolar shape flow refers to symmetrical expansions and contractions and has to do with one's own body image, while unipolar shape flow refers to specific body parts expanding and contracting as a reaction to their environment. (Breana Kennedy)

Research
entry goes in place of second paragraph of the Research section on live page

Various movement assessment tools are utilized in both research and in the practice of dance movement therapy. For example, the Kestenberg Movement Profile (KMP), an assessment tool allows dance movement therapists to observe, notate and assess developmental qualities. KMP is used to assess the movement of all age ranges including, infants, kids, and adults. There are two systems within the KMP, System I and System II. System I is referred to as the Tension-flow-Effort system, which assesses the feeling and quality of patterns of movement. System II, referred to as the Shape-flow-Shaping system, assess the structure and overall shape of movement and its relation with development. Both of these systems are based on the progress of development, starting with the movement and development to be found in a fetus/newborn and finishing with what is found for adults. The patterns that are assessed in this profile, from fetus to adulthood, build one after the other and leave the individual with all movement patterns established from birth. Research regarding the KMP has mainly looked into categories such as personality, infant mental health, and autism spectrum disorders. The KMP has been a reliable tool when it comes to describing non-verbal behavior within the above mentioned categories. The KMP can assess and determine different parts of one's personality and can assist in the early diagnosis for autism. Overall, this method of research demonstrates important results in the development of people throughout their stages of life and goes beyond that in order to analyze and interpret aspects of one's behavior.

=== Proposed mechanisms '''Various hypothesis have been proposed for mechanisms by which dance therapy may benefit participants in various aspects, including physically and mentally. Physically, dance movement therapy can offer benefits for disease prevention, to aid muscular tension and muscular strengthening. Playing music during the dance movement therapy session, also helps reduce the pain, decrease anxiety, boosts self- esteem, and improve body image. Unlike a regular music session where you find yourself moving, during a dance movement therapy session, clients are given opportunity to feel particularly safe and confidential with their therapist, where their body movement becomes a sense of language.Dance therapy involves nonverbal communication, "which enables participants to express their feelings without words. This is especially helpful when normal communication is absent or has broken down (eg, for patients with dementia, severe rheumatoid arthritis)."

Studies[edit]
A Cochrane review entitled Dance therapy for schizophrenia in 2013 concluded:"'Overall, because of the small number of participants, the findings are limited. There is little evidence to support or refute the use of dance therapy. Larger studies and trials are needed that focus on important outcomes (such as rates of relapse, quality of life, admission to hospital, leaving the study early, cost of care and satisfaction with treatment). Further research would help clarify whether dance therapy is an effective and holistic treatment for people with schizophrenia, especially in terms of helping people cope with negative symptoms that do not respond so well to antipsychotic drugs.'"A review by the Cochrane Collaboration entitled Dance/movement therapy for cancer patients was updated in January 2015 to say:"'The three studies included a total of 207 participants, which were women with breast cancer. The studies were small in size. We found no evidence of an effect for depression, stress, anxiety, fatigue, and body image. The findings of individual studies suggest that dance/movement therapy may have a beneficial effect on the quality of life, somatization (i.e. distress arising from perceptions of bodily dysfunction) and vigor of women with breast cancer. No adverse effects of dance/movement therapy interventions were reported.'"The most recent Cochrane review for DMT was in February 2015 entitled Is dance movement therapy an effective treatment for depression? A review of the evidence. The findings stated: "Due to the low number of studies and low quality of evidence, it was not possible to draw firm conclusions about the effectiveness of DMT for depression. It was not possible to compare DMT with medication, talking therapies, physical treatments or to compare types of DMT due to lack of available evidence. Key findings were:

Overall, there is no evidence for or against DMT as a treatment for depression. There is some evidence to suggest DMT is more effective than standard care for adults, but this was not clinically significant. DMT is no more effective than standard care for young people.

Evidence from just one study of low methodological quality suggested that drop-out rates from the DMT group were not significant, and there is no reliable effect in either direction for quality of life or self esteem. A large positive effect was observed for social functioning, but since this was from one study of low methodological quality the result is imprecise." However, according to a more recent published case report in 2018 by Romina & Maurillo Giuseppe Maria Tavormina, majority of the patients in the case study with depression who participated in dance movement therapy responded positively, as about 80-90 percent of people with depression had gained some relief from their depressive symptoms. (melissa)

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.

The latest Cochrane review entitled Dance Movement Therapy for Dementia published in 2017 concluded that there we no high quality trials to assess the effect of DMT on behavioral, social, cognitive and emotional symptoms in people with dementia.

Research on Health Benefits[edit]
As demonstrated by the previous section, the research being done on Dance Movement Therapy proves many health benefits associated with the treatment. To elaborate further on those benefits, a study conducted by the Physical Medicine and rehabilitation clinics of North America cites many of the observed healing properties of DMT. While there are countless benefits noted regarding all aspects of health (mental, physical and psychological), here I will highlight some of the lesser known benefits, that of which include musculoskeletal, pediatric, and general pain management.

Benefits
Other benefits of dance movement therapy are it releases degrees of tension within the body, uncovers and modifies any fixed movement behavioral patterns. Bodily sensations and feelings are conjured and are then acknowledged. All of these benefits lead to one's own self-discovery as we become more in tune with the way our bodies react, move, process, and release everything that may be stuck within.

=Organizations=

American Dance Therapy Association Assoc for DMPsychotherapy UK European Association of DMT

Dance Movement Therapy Association In Canada (DMTAC).

The Dance Movement Therapy Association in Canada (DMTAC) is an independent non-profit organization mandated to promote dance movement therapy (DMT) across Canada. The Dance Movement Therapy Association of Canada (DMTAC) was founded as a federal agency with the English name Dance Movement Therapy Association in Canada (DMTAC). 2011 was a landmark moment for DMTAC, with the implementation of the first bylaws, the launch of a website linking all provinces and territories, the creation of a database of DMTs throughout the world, and the official adoption of DMTAC. The first board of directors is announced, with a global outlook and diverse backgrounds, and unites around DMTAC, ensuring that it has been rooted in multiculturalism since its inception. This professional association may organize events and provide directories, job postings, career and labour market information. Student membership opportunities may also be available.

The Dance Movement Therapy Association of Australasia

The Dance Movement Therapy Association of Australasia (DTAA) is an important dance movement therapy organization in Australasia. This association puts in place the standards for different levels of membership, training, and supervision. A central value for the DTAA is encouraging the growth, recognition, and development of dance movement therapy as a profession in Australasia.

The New York State Chapter of The American Dance Therapy Association

The New York State Dance Chapter of The American Dance Therapy Association (NYSADTA) is located within the state of New York and follows the ethical standards introduced by the ADTA. NYSADTA provides newsletters on the emotional, social, cognitive, and physical benefits of DMT and even offers workshops throughout the state.

The Association for Dance Movement Psychotherapy, United Kingdom (ADMP UK) originally known as the ADMT, was founded in 1982, and later became known as the ADMP UK in 2008. Known for its visionary organization, this association was created to support the development of dance movement psychotherapy in the UK and internationally. The organization organizes "regular conferences to provide a forum of discussion, and exchange of skills and ideas, and continuing professional development,".

Indian Association of Dance Movement Therapy "'The Indian Association of Dance Movement Therapy (IADMT) is a professional body for Dance Movement Psychotherapists (DMP), Dance/Movement Therapists (DMT), Dance Movement Therapy Practitioners (DMTP), and Dance Movement Therapy Facilitators (DMTF) in India. It is a National Association registered under the Tamil Nadu Societies Registration Act, 1975 (Tamil Nadu Act 27 of 1975). It has been formed to set ethical standards for professional practice, training, and supervision in the field of Dance Movement Therapy in India. The Indian Association of Dance Movement Therapy (IADMT) defines DMT as a psychotherapeutic method that uses movement and creative expression to further socio-emotional, cognitive and somatic integration.'" cited from the (IADMT) official website.