Overview
One of the creative arts therapies, dance movement therapy is defined by the American Dance Therapy Association (ADTA) as “the psychotherapeutic use of movement as a process that furthers the emotional, cognitive, social and physical integration of the individual.” Many practitioners consider the dancer and dance instructor Marian Chace to be the pioneer of dance movement therapy.
Chace began teaching dance in Washington, D.C., after retiring from the
Denishawn Dance Company in 1930. She had noticed that some of her students were
more interested in the emotions that they felt while dancing than in learning the
techniques of modern dance. Intrigued, Chace learned that they valued the
catharsis of feelings they experienced while dancing. Some of these students were
concurrently undergoing traditional psychotherapy with psychiatrists, who
noticed that their patients felt more refreshed and unburdened after their lessons
with Chace. The psychiatrists began to send other patients to Chase’s classes, and
they noted the positive change that dance appeared to inspire.
Chace was then invited to volunteer with those considered too disturbed to participate in therapy. The nonverbal approach of dance elicited improvement, and by the 1950s, Chace’s methods were subjected to serious study.
Mechanism of Action
The principle behind dance movement therapy is that dance is the most fundamental of all the arts, requiring no external materials. It is a communication of the psyche, expressed through self-directed movement. Dance movement therapists assume that the body, mind, and spirit are interconnected, allowing for direct access to feelings, cognition, and behavior. Bodily movement simultaneously provides the means of both intervention and assessment in this mode of therapy. Participants are encouraged to choose their own music and to begin moving to it in their own ways.
The dance movement therapist generally begins by empathically mirroring the participant’s actions, and then extends and expands them into a nonverbal statement of emotion that can release the participant from any fixed muscular patterns. Next, participants are gently coaxed into a circle and led into movement extensions with verbal narration. Once the group is a more cohesive unit, the therapist notes the styles of the participants and leads into the development of a global psychological theme for the session, with questions to shed light on individual conflicts. The session ends with communal movement from all participants to provide closure.
Uses and Applications
Chace believed that dance served as a medium for communication for the most
disturbed psychiatric patients, such as schizophrenics. However, today dance
movement therapists work with groups and individuals of all ages who have widely
differing problems. They may work in private practice, wellness clinics,
rehabilitation centers, nursing homes, and schools. The focus on positive body
movement may help clients with eating disorders and body issues. The
nonverbal conflict revelations and resolutions may help dysfunctional families
develop communication skills, and those who have been through trauma such as abuse
or violence may find a new mode of constructive coping. The physical therapy uses
of dance movement therapy are self-evident, and it is often used with the frail
and elderly.
Disease prevention and health promotion, a new area of specialization in dance
movement therapy, is beginning to be used in programs for people with chronic
medical conditions such as cardiovascular disease, chronic pain, and
hypertension. Research on the effectiveness of dance
movement therapy has investigated certain settings, such as prisons and homeless
shelters, and specific populations, such as the mentally disabled, suicidal
persons, the visually and hearing impaired, and autistic persons.
Scientific Evidence
A 1993 study suggested that dance movement therapy improved balance, rhythmic
discrimination, mood, social interaction, and energy level in older persons with
neurological damage. A 2010 study evaluated the influence of dance movement
therapy on the perception of well-being in women with chronic fatigue
syndrome. Seven persons attended a four-month program and
were tested both before and after the program. Their perceptions of physical
well-being improved by an average of 25.8 percent, and their perceptions of
psychological well-being improved by 22.7 percent.
A 2008 dance movement therapy intervention group of persons with
dementia improved in a task of visual-spatial ability and
planning, whereas the control group either remained unchanged or deteriorated
slightly. Dance movement therapy appears to be effective in treating cognition and
self-care abilities in dementia.
A 2006 study assessed mildly depressed adolescents after twelve weeks of dance
movement therapy. All self-report measurements of distress decreased significantly
after the twelve weeks. In addition, both serotonin and dopamine levels increased
in that group. Thus, dance movement therapy may help to decrease depression
both by relieving perceptions of distress and by lowering neurotransmitter levels.
Choosing a Practitioner
Chace helped to organize the ADTA in 1966 and served as its first president. The ADTA has a code of ethics and standards for professional clinical practice, education, and training. Course work for dance movement therapy includes classes on theory and practice, observation and analysis, human development, psychopathology, cultural diversity, research, and group therapy. The ADTA maintains a registry of dance movement therapists who meet these stringent standards.
Persons certified (as Dance Therapist Registered, or DTR) have master’s degrees and seven hundred hours of supervised clinical internship. The certification Academy of Dance Therapists Registered (ADTR) is then awarded with the completion of 3,640 hours of supervised clinical internship. Persons interested in dance movement therapy can find qualified practitioners through the ADTA Web site (http://www.adta.org).
Safety Issues
There are no known safety issues with dance movement therapy.
Bibliography
American Dance Therapy Association. http://www.adta.org.
Devereaux, Christina. "Dance/Movement Therapy and Autism." Psychology Today. Sussex, 2 Apr. 2014. Web. 28 Jan. 2016.
Fraleigh, Sondra Horton. Moving Consciously: Somatic Transformations through Dance, Yoga, and Touch. Urbana: U of Illinois P, 2015. Print.
Levy, Fran J., ed. Dance Movement Therapy: A Healing Art. 2d rev. ed. Reston, Va.: National Dance Association, 2005. The definitive book on the history and development of dance therapy, from its beginnings with Marian Chace to its expansion.
Molzahn, Laura. "Dance Heals: Newly Popular Therapy Makes Big Strides with Movement." Chicago Tribune. Tribune, 6 June 2015. Web. 28 Jan. 2016.
Sadler, Blair L., Annette Ridenour, and Donald M. Berwick. Transforming the Healthcare Experience Through the Arts. San Diego, Calif.: Aesthetics, 2009.
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