قدرت یکپارچه از رقص/حرکت درمانی: پیامدها برای درمان تفکیک و ترومای توسعه ای

Chronic and compounding exposure to traumatic events, especially within the context of early attachment relationships, can result in symptoms of dissociation commonly seen in dissociative disorders, personality disorders, and post-traumatic stress disorders. This theoretical article proposes an application of dance/movement therapy as facilitative of right brain integration in adult clients who present with trauma-related dissociative symptoms. Findings from trauma psychology, neuroscience, and dance/movement therapy literature are used to create an attachment-oriented theoretical foundation for how dance/movement therapy might support the integration of dissociated somatic, emotional, and psychological experiences. A model for case-conceptualization and treatment planning is proposed according to a trauma treatment framework consisting of three phases: safety and stabilization, integration of traumatic memory, and development of the relational self. Within this phase-oriented theoretical framework, dance/movement therapy interventions such as body-to-body attunement, kinesthetic mirroring, interactive regulation, self-awareness, symbolism and expression, and interactional movement are examined as applications that may support bottom-up integration and resolution of psychological trauma. Limitations and suggestions for future research are also discussed.

It is becoming widely accepted in the field of trauma psychology that trauma is a phenomenon that affects the physiological, neurological, and psychological organization of the human organism (Rothschild, 2000, Scaer, 2007, Schore, 2009, Schore, 2012 and Van der Kolk, 2006a). In particular, the long-term experience of trauma within an attachment relationship primarily affects the regulatory functions of the right brain (Schore, 2012). Many survivors of developmental or attachment trauma present with symptoms of dissociation that significantly impair their capacity for present-oriented and adaptive functioning (Allen and Coyne, 1995 and Cloitre et al., 2009). Because dissociation is, by definition, the dis-association of components of bodily and psychic experience, comprehensive treatment approaches will aim to support physiological and psychological integration and cohesion (International Society for the Study of Dissociation (ISSD), 2005). The science and practice of dance/movement therapy (DMT) is uniquely situated to contribute to the field in this way by offering a framework for providing direct access to and vertical integration of the right brain. Although dance/movement therapy (DMT) champions the integrative function of creative movement and dance, the field lacks a comprehensive and systematized approach to treating the sequelae of developmental trauma. This theoretical paper aims to expand the field's repertoire by offering a discourse that surveys the respective contributions of trauma psychology and dance/movement therapy on dissociation. The author also offers a framework for developing interventions that may be applied to support dance/movement therapists in harnessing the integrative power of DMT to potentially re-wire dysregulated neural networks related to dissociation.