Presented for corporate in-service training with mental health professionals on creative arts therapies (CATs) and dance/movement therapy (DMT). Discussing the ethical implementation of the arts in psychotherapy. Includes research and theoretical foundations of CATs and DMT in the United States.
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Introduction to Creative Arts Therapies and Dance/Movement Therapy, May2019
1. Creative Arts Therapies in
Mental Health Services
Ethical Implementation of Dance/Movement Therapy and
Other Expressive Modalities with Our Clients
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
2. Learning Objectives
By engaging in this workshop, participants will:
๏ โฆgain an understanding of the history and purpose of
various creative arts therapites (CATs), including
dance/movement therapy.
๏ ...develop foundational knowledge and skills in the
mind-body connection, from a dance/movement
therapy perspective.
๏ ...learn basic interventions and techniques for using
dance/movement therapy in skill building and the
therapeutic process with clients.
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
4. What are CATs?
๏ National Coalition of Creative Arts Therapies Associations
(NCCATA)
๏ Art
๏ Dance
๏ Drama
๏ Music
๏ Poetry
๏ Psychodrama
๏ Other Creative/Expressive Arts Therapies
๏ Bibliotherapy
๏ Play
๏ Sandplay
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
5. Introduction
๏ Who has:
๏ โฆtaken a course in a CAT?
๏ โฆtaken a training in a CAT?
๏ ...interest in becoming certified/licensed in a CAT?
๏ ...desire to use more CATs in their work?
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
6. What are CATs?
๏ Art
๏ 1969: American Art Therapy Association
๏ Art therapy is an integrative mental health and human services
profession that enriches the lives of individuals, families, and
communities through active art-making., creative process,
applied psychological theory, and human experience within
psychotherapeutic relationship.
๏ Masterโs degree or higher in AT
๏ currently transitioning from educational program approval to
educational program accreditation
๏ Credentials: ATR- Provisional; ATR; ATR-BC; ATCS
๏ States with licensing: New Jersey, New Mexico, Kentucky,
Mississippi, Maryland, Oregon
๏ States with regulations under professional licensing: Texas,
New York, Wisconsin, Utah
๏ www.arttherapy.org
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
7. What are CATs?
๏ Drama
๏ 1979: North American Drama Therapy Association
๏ Drama Therapy is active and experiential. This approach can
provide the context for participants to tell their stories, set goals
and solve problems, express feelings, or achieve catharsis.
Through drama, the depth and breadth of inner experience can
be actively explored and interpersonal relationship skills can be
enhanced. Participants can expand their repertoire of dramatic
roles to find that their own life roles have been strengthened.
๏ Masters degree or higher; alternative training
๏ RDT; BCT
๏ States with licensing : New York (LCAT)
๏ www.nadta.org
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
8. What are CATs?
๏ Music
๏ 1998: American Music Therapy Association
๏ 1950-1997: National Association for Music Therapy
๏ 1971-1997: American Association for Music Therapy
๏ Music Therapy is the clinical and evidence-based use of music
interventions to accomplish individualized goalsโฆMusic therapy
is an established health profession in which music is used
within a theratpeutic relationship to address physical,
emotional, cognitive, and social needs of individuals.
๏ Bachelors degree or higher; alternative training
๏ MT-BC
๏ States with licensing : New York (LCAT)
๏ www.musictherapy.org
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
9. What are CATs?
๏ Poetry
๏ 1980: National Association of Poetry Therapy
๏ 1969: Association of Poetry Therapy
๏ Poetry therapy is a specific and powerful form of
bibliotherapy, unique it its use of metaphor, imagery,
rhythm, and other poetic devices.
๏ Bachelors degree or higher; alternative training
๏ CPT; RPT
๏ States with licensing : New York (LCAT)
๏ www.poetrytherapy.org
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
10. What are CATs?
๏ Psychodrama
๏ 1942: American Society of Group Psychotherapy and
Psychodrama (ASGPP)
๏ ASGPP [Psychodrama] promotes the development of creativity,
spontaneity and encounter to enhance the relationship between
individuals, families and communities, and works actively to
heal and transform society through the knowledge and practice
of psychodrama, group psychotherapy, and socimetry in all its
diverse applications.
๏ Masters degree or higher; alternative training
๏ Certification
๏ www.asgpp.org
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
11. What are CATs?
๏ Dance/movement therapy (DMT)
๏ 1966: American Dance Therapy Association
๏ DMT is the psychotherapeutic use of movement [and
expressive use of the body] to further the emotional,
cognitive, physical, and social integration of the individual.
๏ Masters degree or higher; alternative training
๏ R-DMT; BC-DMT
๏ www.adta.org
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
12. Dance/Movement Therapy
๏ Movement is the primary medium used for observation, assessment,
research, therapeutic interaction and intervention.
๏ Focus on helping clients: increase self-awareness and self-control, improve
self-esteem and body image, develop effective communication skills and
improve relationships, expand their movement vocabulary, gain insight into
patterns of behavior, as well as create new options for coping with problems.
๏ Philosophy:
๏ Movement integrates and anchors new information and experiences into our neural
networks. And movement is vital to all the actions by which we embody and express
our learning, our understanding, and ourselves.
๏ Every movement is a sensory-motor event, linked to the intimate understanding of
our physical world.
๏ Through movement we can put thoughts and emotions into words and actions and
enrich the world with our creative ideas.
๏ If we consider that consciousness is actually experience in the present moment, then
movement and being conscious to learning are synonymous.
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
13. Dance/Movement Therapy
๏ Roots in early 1900s, with modern dance, creative/interpretive self-
expression, and improvisation
๏ 1940s and 1950s merger of modern dance movement and existing
theories of group and individual psychology and psychotherapy
๏ Primarily in mental health wards
๏ Psychology theorists and DMT
๏ Freud: Body and emotions
๏ Reich: Psychosomatic expression
๏ Jung: Unconscious mind, imagination
๏ Rogers and Maslow: Personality, motivation, creative and
expressive potential
๏ 2000: National Board of Certified Counselors recognition as a form
of counseling.
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
14. Dance/Movement Therapy
๏ Children
๏ 0-5: Attunement and mirroring
๏ Latency: Social skills and play
๏ Adolescents
๏ Identity and self-expression
๏ Adults
๏ Integration, change, and healing
๏ Groups
๏ Boundaries, safety, and containment
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
15. Dance/Movement Therapy
๏ Developing therapeutic relationships:
๏ Mirroring/echoing
๏ Verbal attunement
๏ Eye contact
๏ Boundaries:
๏ Establishing
๏ Reinforcing
๏ Verbal processing/reflection
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
17. The Body-Mind Connection
๏ Body is the physical substance.
๏ Mind is โthe patterns in the flow of energy and
informationโ due to neural activity of the brain
(Siegel, 1999, p. 3).
๏ Shared experiences โ shared mind.
๏ Personal and professional relationships
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
18. Body Awareness
๏ Kinesthetic Sense/ Kinesthetic Awareness:
felt/sensory experience allows the mind to assess
and interpret a situation, take action, and respond
accordingly (movement which is interpreted by
others).
๏ Humane Effortโฆenables us to learn, grow, and
change in movement, building awareness of the
relationship between mind and body (Laban, 1988).
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
19. Movement Observation and Analysis
๏ Laban Movement Analysis
๏ Categories
1. Body: What
2. Effort: Why
3. Shape: How
4. Space: Where
๏ Labanotation
๏ Body Knowledge / Body Prejudice
๏ Moore and Yamamoto (1988): โknowledge we have regarding
movement meaningโ โฆ โbased upon generalizations drawn
from our own embodied experiencesโ (p. 88).
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
20. Movement Observation and Analysis
๏ Bartenieff Fundamentals
1. Total Body Connectivity
2. Breath Support
3. Grounding
4. Developmental Progression**
5. Intent
6. Complexity
7. Inner-Outer
8. Function-Expression
9. Stability-Mobility
10. Exertion-Recuperation
11. Phrasing
12. Personal Uniqueness
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
21. Developmental Progression
๏ Breath
๏ Core-Distal Connectivity
๏ Head-Tail Connectivity
๏ Upper-Lower Connectivity
๏ Body-Half Connectivity
๏ Cross-Lateral Connectivity
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
23. What is ethical?
Arts In Healthcare
โข Dance Artist
โข Dance is the Goal and
Enhanced Health is the Result
โข Dance is the container of content
โข Dance services, relationship
though social support and well-
being in healthcare settings
โข NO psychotherapy
โข NO assessment of movement
โข NO reciprocal movement
relationship through dynamic
assessment and intervention
โข Creative opportunities,
expressive outlet, and distraction
as a tool for stress management
Creative Arts Therapies
โข Dance/Movement Therapist
โข Health is the Goal through
Psycho-therapeutic and
Movement Relationship
โข Integrated blend of arts and
counseling
โข Dance and therapeutic
relationship contains the content
โข Bio-psycho-social and
movement assessment for
intentional verbal/non-verbal
intervention and evaluation
โข Reciprocal movement
relationship through dynamic
assessment & intervention key
โข Mutual and Bi-Directional
Body-Mind Relationship
โข Meaning making
Creative Arts In Counseling
โข Counselor using Dance
โข Health is the Goal through
Psycho-therapeutic relationship
โข structured use of dance for
enhancing counseling
โข Therapeutic relationship is the
container of content
โข bio-psycho social assessment for
intentional verbal intervention and
evaluation
โข patient-centered care
โข NO reciprocal movement
relationship through dynamic
assessment and intervention
(Imus, 2012)
24. What is ethical?
How do I differentiate therapeutic from therapy?
(Imus, 2012)
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
29. Discussion
๏ Are their movement-based interventions you currently
use/have used?
๏ What intervention that we explored today could you see
yourself using in your practice?
๏ How can you integrate CATs into your work?
๏ What are barriers to using DMT/CATs in your work?
๏ Are there topics/themes you want to know more about
from todayโs workshop?
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
30. Learning Objectives
By engaging in this workshop, participants will:
๏ โฆgain an understanding of the history and purpose of
various creative arts therapites (CATs), including
dance/movement therapy.
๏ ...develop foundational knowledge and skills in the
mind-body connection, from a dance/movement
therapy perspective.
๏ ...learn basic interventions and techniques for using
dance/movement therapy in skill building and the
therapeutic process with clients.
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
31. Resources
Boritzer, E. (2014). What is a feeling? Los Angeles, California:
Veronica Lane Books.
Hackney, P. (1998). Making connections: Total body integration
through Bartenieff Fundamentals. New York, New York:
Routledge.
Imus, S. (2012). Presentation on the ethical use of dance and
movement in health and healing professions. Chicago, Illinois.
Kornblum, R. (2003). Disarming the playground: Violence prevention
through movement & pro-social skills. Bethany, Oklahoma: Wood
N Barnes
Laban, R. (1988). The mastery of movement (4th ed., rev.). Plymouth,
England: Northcote House Publishers Ltd.
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
32. Resources
Moore, C.-L. (2009). The harmonic structure of movement, music, and
dance according to Rudolf Laban: An examination of his unpublished
writings and drawings. Lewiston, NY: The Edwin Mellen Press.
Moore, C.-L. & Yamamoto, K. (1988). Beyond words: Movement
observation and analysis. New York, NY: Routledge.
Newlove, J. (1993). Laban for actors and dancers. New York, NY:
Routledge.
North, M. (1975). Personality assessment through movement. London,
England: Plays, Inc.
Siegel, D. J. (1999). The developing mind: Toward a neurobiology of
interpersonal experience. New York: Guilford Press.
Sara R. van Koningsveld, MA, APCC, BC-DMT, GL-CMA, RYT 200
CATs Training; May 2019
Editor's Notes
1979: To further the creative arts therapies through facilitation of collaborative advocacy, research and education.
Creative interventions have been formalized through the disciplines ofย art therapy, music therapy, dance/movement therapy, drama therapy or psychodrama, poetry therapy, and play therapy, including sandtray therapy. Each discipline has been applied inย psychotherapyย andย counselingย with individuals of all ages, particularly children, for more than 70 years. Art, music, dance, drama, and poetry therapies are referred to as โcreative arts therapiesโ because of their roots in the arts and theories ofย creativity. These therapies and others that utilize self-expression in treatment are also called โexpressive therapiesโ (Malchiodi, 2005; 2013; 2014). Expressive arts therapies are defined as the use of art, music, drama, dance/movement, poetry/creative writing, bibliotherapy, play, and sandplay within the context of psychotherapy, counseling, rehabilitation, or medicine. Additionally, expressive therapies are sometimes referred to as โintegrativeโ when various arts are purposively used in combination in treatment.
ATR- Provisional; completed degree, engaged in supervision
ATR; completion of graduate education, supervised post-degree AT experience
ATR-BC; highest credential, passed national exam, knowledge of theories and clinical skills in practice
ATCS; experienced professionals, additional training/education/skills in supervision
1970s Masters programs
2000 National Board of Certified Counselors recognized DMT as a form of tx
2009 recognition/standards for Board Certification
General intervention themes based on development
Foundations of DMT in psychotherapy
Every experience, including our thoughts, are connected to physical sensations and structurally rooted in our brain (Fiscalini & Rytz, 2010).
The energy and information flows within the individual and between brains (Siegel, 2006).
Includes: Self-awareness and body knowledge
Kinesthetic Sense/ Awareness: โinformation is relayed to the brain about the state of the body and its ongoing relationship with the outside worldโ (Newlove, 1993, p. 63)
Body awareness (Rothschild, 2000): the precise, subjective consciousness of body sensations arising from stimuli that originate both outside of and inside the body.
A skilled observer will have knowledge of their own movement patterns (body knowledge) and awareness of kinesthetic response (body prejudice) while observing others (North, 1975).
Body knowledge relates to insight, awareness, and consciousness of movement and patterns in the self.
provide the opportunity for more diverse internal and external awareness and experiences
helps us make sense of the present moment/experiences
BP: Positive/negative interpretation of movement, drawn from generalizations of our movement experienceโฆprojects meanings โonto all other similar movements regardless of contextโ and โan inappropriate and prejudicial reaction may resultโ (Moore & Yamamoto, 1988, p. 89). Movement events observed and experienced similarly will be labeled with the same meaning and illicit the same automatic response.
TBC: The whole body is connected, all parts are in relationship. Change in one part changes the whole. Acknowledging relationship between parts of the body brings the possibility for both differentiation of the parts and integration of the whole.
Breath: Breath brings life and movement. It is a physiological support for all life processes and, hence, all movement. Breath enlivens.
Grounding: The earth provides support, a ground for being and moving. Human beings move in relationship to the earth and gravity.
Devel.Prog.: Basic body connections are established through a stage-specific developmental progression early in life. These basic connective patterns become integrated in the adult and function as Patterns of Total Body Connectivity which are then available for timely use and phrasing according to context.
Intent: Organic connections are influenced by intent. Intent organizes the neuromuscular system. Clarity of intent enables the body to find the motor pattern to fulfill that intent.
Complexity: Movement is multifaceted. There is always more than one thing going on in any movement event. Every movement event is a whole system, highly orchestrated with interactive elements of Body, Effort, Shape, and Space.
Inner-Outer: Inner impulses are expressed in outer form. Involvement in the outer world in turn influences our inner experiences
For this case study, weโre going to focus on the first two blocks. Notice the goals โ Arts in healthcare is dance while DMT is health. Dance/movement therapists engage in both bio-psycho-social and movement assessment for the purposes of intentional verbal or nonverbal intervention and assessment. Artists/dance educators do not do this. Reciprocal movement relationship is not utilized with artists though it is the key for dance/movement therapists. . Finally, the artistโs primary focus us on the body while the dance/movement therapistsโ is on the mutual and bi-directional body-mind relationship.
1970s Masters programs
2000 National Board of Certified Counselors recognized DMT as a form of tx
2009 recognition/standards for Board Certification