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THE PLAY PARADIGM PRESENTS:


An Encounter Between Mental Health
and Drama Therapy
PRESENTER
Dov Blum
Drama therapist and clinical criminologist
Doctoral student in psychoanalysis & hermeneutics
Israel
Email: dovblum@place-to-be.co.il
052-5277726
SUBJECT
Introducing  a platform for the
 practice of drama therapy
 using a group therapy model.
PLACE & SETTING
 Sha’arMenashe Mental Health Center
 (psychiatric hospital), forensic ward,
 maximum security.

 Duration   of group: One year.

 Group leaders: Co-led by a clinical
 criminologist - drama therapist and a clinical
 psychologist.
GROUP PARTICIPANTS
   Patients hospitalized in a locked ward under a court
    order for committing crimes while in a psychotic
    state.

   Patients with mental illnesses in remission and able
    to differentiate between self and the character they
    role played.

   Offenses ranged from drug trafficking, to domestic
    violence, to manslaughter.
DIAGNOSES
Dual diagnosis patients suffering from
substance abuse and chronic
schizophrenia, schizoaffective
disorder, or personality disorder.
GROUP OBJECTIVE
To learn to cope constructively with anxiety
and personal issues when interviewed by the
multidisciplinary committee for potential
changes in status.
WHAT IS THE COMMITTEE?
•Amultidisciplinary group of medical and legal
professionals and patient’s family.

•It
  assemble at least once each six months to interview
patients and decide issues of patient leave, release,
placement, and degree of independence and freedom.

o The committee’s impression of the patient’s interview,
along with the ward report, determines the patient’s
future.
THE PLAY PARADIGM
       A THERAPEUTIC PLATFORM FOR DRAMA THERAPY
   This drama therapy group             Patients also experience
    used a role play technique in         roles that do not include
    which patients assumed the            violence or aggression.
    roles of the committee
    members which allowed them
    to connect with their
    authentic selves, their crimes,
    and their relationships with
    the role models via seeing
    themselves through the eyes
    of others.
THE THERAPEUTIC PROCESS
   Each group therapy session              The role play allows
    was a scenario of a committee            patients a deeper
    meeting in which one patient             understanding of
    acted as himself going before            themselves as viewed
    the committee and the other              through the various
    patients role played the various         committee roles and a
    committee members, such as               deeper understanding of
    psychiatrist, physician, attorney,       others’ intent toward them.
    and representatives from
    hospital and family.
THERAPEUTIC ACHIEVEMENTS
   The group was a realistic scenario of      Patients assumed
    the committee process. The different        different roles to enable
    committee roles represented various         them to see
    dimensions of the patient’s life from       themselves through the
    internal thoughts and feelings to           perspectives of others
    relationships with others and his           and to reach diverse
    community. He had to face personal          insights.
    issues in relation to roles in the
    committee as they raised issues and
    asked questions he had to answer
    and discuss.
THE PLAY PARADIGM
A Therapeutic Platform
A THERAPEUTIC PLATFORM
                                                                          THE PLAY PARADIGM
The Beginning
   The Play Paradigm was born out of my
    personal therapy, my clinical work in the
    field and in private, clinical supervision
    given and received, being a student and a
    lecturer, reading case studies, being a
    human being, etc., where I noticed there
    was a big gap between theory and
    practice.

   In light of the power discrepancy between
    therapist and patient; this gap concerned
    me.

   The Play Paradigm emerged to address
    this gap.
A THERAPEUTIC PLATFORM
                                                                                    THE PLAY PARADIGM
The Problem
   Although this is the era of post-modern
    psychology and humanism, the use of play
    therapy still involves the use of force via the
    manipulation of patients to accept a specific
    idea or viewpoint.

   The practice of classical psychology is
    essentially unchanged despite the new clothes.

   This problem is difficult to change mainly for
    two reasons. The first difficulty is that there is a
    perception in the Western world that there are
    many truths or that truth is multi-faceted. The
    second difficulty is the Western concept of
    duality or the either/or schema.
A THERAPEUTIC PLATFORM
                                                                              THE PLAY PARADIGM
The proposed solution
   The purpose of the Play Paradigm framework
    is to provide a solution for the difficulty in
    implementing force-free treatment in this
    post-modern and humanistic era.

   The Play Paradigm is not a technique but a
    platform for implementing force-free such as
    play therapy.

   This framework views the concept of truth as
    a dynamic variable and the theoretical model
    as non-dual.
THE PLAY PARADIGM IN ACTION
A THERAPEUTIC PLATFORM
                                                    THE PLAY PARADIGM –
The Objective

   Connecting the individual to his unique self
    via a humanistic and phenomenological
    approach in which the therapist does not
    intervene but, rather, is vividly present,
    experiencing, allowing, breathing, mirroring,
    and undergoing parallel processes to the
    patient.

   This is done under the premises that
    connecting with the patient’s pre-verbal
    stage is essential to group dynamics and
    that the activity of play is an existential
    component of our lives both in infancy and
    adulthood.
A THERAPEUTIC PLATFORM
                                              THE PLAY PARADIGM
          Work platform
   The Western world’s practice of this
    paradigm operates in accordance with a
    binary model, taking into consideration
    Western ways of thinking and the
    dynamics between play, language, and
    cognition.

                 Dialogue
   This platform invites mental health
    professionals to become aware of the
    Eastern world’s philosophy based ways
    of thinking and encourages a dialogue.
A THERAPEUTIC PLATFORM
                                                THE PLAY PARADIGM –
     Rational
   Truth is not static.

   This paradigm is responsive to patient’s
    changing dynamic truth. It reviews and
    questions again and again our
    perceptions of mental health and the
    basic premises by which we provide
    mental health treatment. It invites a new
    and refreshing outlook.

   This paradigm is not static, but rather
    regenerating, though its core elements
    remain the same.
FOR MORE INFORMATION
CONTACT:




  Dov Blum
  Israel
  Email: dovblum@place-to-be.co.il
  052-5277726

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Play Paradigm

  • 1. THE PLAY PARADIGM PRESENTS: An Encounter Between Mental Health and Drama Therapy
  • 2. PRESENTER Dov Blum Drama therapist and clinical criminologist Doctoral student in psychoanalysis & hermeneutics Israel Email: dovblum@place-to-be.co.il 052-5277726
  • 3. SUBJECT Introducing a platform for the practice of drama therapy using a group therapy model.
  • 4. PLACE & SETTING  Sha’arMenashe Mental Health Center (psychiatric hospital), forensic ward, maximum security.  Duration of group: One year.  Group leaders: Co-led by a clinical criminologist - drama therapist and a clinical psychologist.
  • 5. GROUP PARTICIPANTS  Patients hospitalized in a locked ward under a court order for committing crimes while in a psychotic state.  Patients with mental illnesses in remission and able to differentiate between self and the character they role played.  Offenses ranged from drug trafficking, to domestic violence, to manslaughter.
  • 6. DIAGNOSES Dual diagnosis patients suffering from substance abuse and chronic schizophrenia, schizoaffective disorder, or personality disorder.
  • 7. GROUP OBJECTIVE To learn to cope constructively with anxiety and personal issues when interviewed by the multidisciplinary committee for potential changes in status.
  • 8. WHAT IS THE COMMITTEE? •Amultidisciplinary group of medical and legal professionals and patient’s family. •It assemble at least once each six months to interview patients and decide issues of patient leave, release, placement, and degree of independence and freedom. o The committee’s impression of the patient’s interview, along with the ward report, determines the patient’s future.
  • 9. THE PLAY PARADIGM A THERAPEUTIC PLATFORM FOR DRAMA THERAPY  This drama therapy group  Patients also experience used a role play technique in roles that do not include which patients assumed the violence or aggression. roles of the committee members which allowed them to connect with their authentic selves, their crimes, and their relationships with the role models via seeing themselves through the eyes of others.
  • 10. THE THERAPEUTIC PROCESS  Each group therapy session  The role play allows was a scenario of a committee patients a deeper meeting in which one patient understanding of acted as himself going before themselves as viewed the committee and the other through the various patients role played the various committee roles and a committee members, such as deeper understanding of psychiatrist, physician, attorney, others’ intent toward them. and representatives from hospital and family.
  • 11. THERAPEUTIC ACHIEVEMENTS  The group was a realistic scenario of  Patients assumed the committee process. The different different roles to enable committee roles represented various them to see dimensions of the patient’s life from themselves through the internal thoughts and feelings to perspectives of others relationships with others and his and to reach diverse community. He had to face personal insights. issues in relation to roles in the committee as they raised issues and asked questions he had to answer and discuss.
  • 12. THE PLAY PARADIGM A Therapeutic Platform
  • 13. A THERAPEUTIC PLATFORM THE PLAY PARADIGM The Beginning  The Play Paradigm was born out of my personal therapy, my clinical work in the field and in private, clinical supervision given and received, being a student and a lecturer, reading case studies, being a human being, etc., where I noticed there was a big gap between theory and practice.  In light of the power discrepancy between therapist and patient; this gap concerned me.  The Play Paradigm emerged to address this gap.
  • 14. A THERAPEUTIC PLATFORM THE PLAY PARADIGM The Problem  Although this is the era of post-modern psychology and humanism, the use of play therapy still involves the use of force via the manipulation of patients to accept a specific idea or viewpoint.  The practice of classical psychology is essentially unchanged despite the new clothes.  This problem is difficult to change mainly for two reasons. The first difficulty is that there is a perception in the Western world that there are many truths or that truth is multi-faceted. The second difficulty is the Western concept of duality or the either/or schema.
  • 15. A THERAPEUTIC PLATFORM THE PLAY PARADIGM The proposed solution  The purpose of the Play Paradigm framework is to provide a solution for the difficulty in implementing force-free treatment in this post-modern and humanistic era.  The Play Paradigm is not a technique but a platform for implementing force-free such as play therapy.  This framework views the concept of truth as a dynamic variable and the theoretical model as non-dual.
  • 16. THE PLAY PARADIGM IN ACTION
  • 17. A THERAPEUTIC PLATFORM THE PLAY PARADIGM – The Objective  Connecting the individual to his unique self via a humanistic and phenomenological approach in which the therapist does not intervene but, rather, is vividly present, experiencing, allowing, breathing, mirroring, and undergoing parallel processes to the patient.  This is done under the premises that connecting with the patient’s pre-verbal stage is essential to group dynamics and that the activity of play is an existential component of our lives both in infancy and adulthood.
  • 18. A THERAPEUTIC PLATFORM THE PLAY PARADIGM Work platform  The Western world’s practice of this paradigm operates in accordance with a binary model, taking into consideration Western ways of thinking and the dynamics between play, language, and cognition. Dialogue  This platform invites mental health professionals to become aware of the Eastern world’s philosophy based ways of thinking and encourages a dialogue.
  • 19. A THERAPEUTIC PLATFORM THE PLAY PARADIGM – Rational  Truth is not static.  This paradigm is responsive to patient’s changing dynamic truth. It reviews and questions again and again our perceptions of mental health and the basic premises by which we provide mental health treatment. It invites a new and refreshing outlook.  This paradigm is not static, but rather regenerating, though its core elements remain the same.
  • 20. FOR MORE INFORMATION CONTACT: Dov Blum Israel Email: dovblum@place-to-be.co.il 052-5277726