Disorder-Specific Psychodrama Therapy in Theory and Practice (Psychodrama in Counselling, Coaching and Education, 4)

Series Preface
Foreword
Foreword of the Second Edition German Language
Preface
	Reference
Contents
1 What is Psychodrama?
	References
2 Mentalization-Oriented Metacognitive Theory of Psychodrama
	2.1 The Creative Process as the Basis of Life
		2.1.1 The Structural Aspect of the Process of Self-organization
		2.1.2 The Process of Energetic Exchange
		2.1.3 The Aspect of Action in Creative Processes
		2.1.4 The Functional Aspect
	2.2 The Creative Process of Mentalizing and Its Management via Intuition
	2.3 The Interrelationship Circuit Between the Tools of Mentalizing and the Eight Core Psychodrama Techniques
	2.4 Defenses, Spontaneity, and the Resolution of Different Types of Defenses Using Psychodrama Techniques
		2.4.1 Disturbances in Internally Representing the Conflict System
		2.4.2 Disturbances in Inner Interacting
		2.4.3 Disturbances in Internal Rehearsing
		2.4.4 Disturbances in Internal Integrating
	2.5 The Attunement and Agreement Process Between the Patient and the Therapist During Psychodramatic Play
	2.6 Developing the Modes of Mentalization
	2.7 The Neurophysiological Foundations of Psychodramatic Play
	2.8 The Diagnostic Psychodramatic Conversation
	2.9 Psychodramatic Self-Supervision and Supervision
	2.10 Disturbances in the Therapeutic Relationship, Transference, Countertransference, and Resistance
	2.11 Group Dynamics, Transference, Countertransference, and Resistance in Group Psychotherapy
	2.12 The Implications of Mentalization-Oriented Theory for Psychodramatic Work
		2.12.1 Psychodrama is More Than a Method of Group Therapy; It is a Form of Psychotherapy
		2.12.2 The Interrelationship Circuit Between the Patients’ Mentalizing and Their Psychodramatic Play Must not Be Interrupted
		2.12.3 The Use of Psychodrama Techniques Becomes Easier
		2.12.4 The Therapist Thinks in a Systemic and Process-Oriented Manner
		2.12.5 The Group is to Be Understood as a Self-organizing System
		2.12.6 The Mentalization-Oriented Theory Strengthens the Effects of Psychodrama Therapy and Counseling
	2.13 Comparison Between the Self-Image-Focused and System-Focused Style of Directing Groups
	2.14 Similarities and Differences Between Mentalization-Orientated Theory and Other Theories of Psychodrama Therapy
	References
3 The Pathogenesis of Mental Illnesses, Diagnostics, and Therapy Planning
	3.1 Symptom-Based Diagnosis and Process-Based Diagnosis
	3.2 The Disturbances in Mentalization and the Resulting Conflicts
	3.3 Diagnosis and Planning in Counseling
	References
4 Personality Disorders, Narcissism and Borderline-Organization
	4.1 What Are Personality Disorders?
	4.2 Particularities in the Treatment of People with Personality Disorders
	4.3 Particularities in the Treatment of People with Borderline Personality Disorder
	4.4 Structural Disorder as a Fundamental Problem and Additional Diagnosis for People with Personality Disorders
	4.5 An Overview of the Different Steps of Treatment
	4.6 Doppelganger Technique in a ‘Normal’ Psychodramatic Play
	4.7 Representing the Working of the Ego-States Using Chairs
	4.8 Psychodramatic Approach to the Dominant Defense Pattern
	4.9 Resolution of Defenses Through Splitting in People with Borderline Personality Disorder
	4.10 Resolving the Fixation in a Whole Defense System
	4.11 What Can Psychodrama Offer to Schema Therapy?
	4.12 Integrating Inner Change into Inner Relationships’ Images
	4.13 Self-Development of Therapist and Psychodramatic Responding
	4.14 Disturbances in the Therapeutic Relationship and Negative Therapeutic Reaction
	References
5 Trauma-Related Disorders
	5.1 What is Special About Trauma Therapy?
	5.2 Definitions of a Trauma-Related Disorder and a Traumatizing Situation
	5.3 Symptoms of Trauma-Related Disorders
	5.4 Dissociation as a Central Characteristic of Trauma-Related Disorders
	5.5 The Therapist Witnesses the Traumatization and the Dissociating
	5.6 The Seven Phases of Psychodramatic Trauma Therapy
	5.7 Trauma-Specific Diagnosis
	5.8 The Initiation of Trauma Therapy
	5.9 Self-Stabilization and Associated Techniques
	5.10 Trauma Processing
		5.10.1 Processing Trauma Experience Through Acting into a Coherent Story
		5.10.2 The Four Functional Workspaces for Trauma Processing
		5.10.3 Trauma Processing with the Help of Auxiliary Therapists
		5.10.4 The Information and Control Space
		5.10.5 The Safe Place
		5.10.6 The Observation and Narration Room
		5.10.7 The Interaction Room Between the Victim and the Perpetrator
		5.10.8 Processing the Reaction to the Trauma Processing Session
		5.10.9 The Contraindication of Reversing Roles with the Perpetrator
		5.10.10 Trauma Processing Using the Table Stage in Individual Therapy
		5.10.11 Trauma Processing in Group Therapy
	5.11 Integrating Inner Change into Everyday Relationships
	5.12 Secondary Traumatization
	5.13 The Natural Self-Healing System in Humans
	5.14 Coping Fairy Tales as a Technique for Trauma Processing
	5.15 The Shaping of the Therapeutic Relationship
	5.16 Secondary Trauma and Burnout in Therapists
	5.17 Concepts of Psychodramatic Trauma Therapy by Other Psychodramatists
		5.17.1 Peter Felix Kellermann (2000, pp. 23–40):  The Therapeutic Aspects of Psychodrama with Traumatized People
		5.17.2 Marcia Karp (2000, pp. 63–82): Psychodrama of Rape and Torture: A Sixteen-Year Follow-Up Case Study
		5.17.3 Eva Roine (2000, pp. 83–96): The Use of Psychodrama with Trauma Victims
		5.17.4 Anne Bannister (2000, pp. 97–113): Prisoners of the Family: Psychodrama with Abused Children
		5.17.5 Clark Baim (2000, pp. 155–175): Time’s Distorted Mirror: Trauma Work with Adult Male Sex Offenders
		5.17.6 Jörg Burmeister (2000, pp. 198–225): Psychodrama with Survivors of Traffic Accidents
	References
6 Anxiety Disorders
	6.1 The Social Conditions of Fear
	6.2 What Are Anxiety Disorders?
	6.3 The Self-Protective Behavior in Patients with Panic Attacks as an Obstacle in Therapy
	6.4 Initiation of Treatment in Patients with Panic Attacks
	6.5 The Different Steps in Metacognitive Therapy for People with Panic Attacks
	6.6 The Disorder-Specific Therapy of a Patient with Social Phobia
	6.7 Crisis Intervention for Performance Anxiety
	6.8 Other Psychodramatic Approaches in the Therapy of Anxiety Disorders
		6.8.1 The Therapy of a Patient with Social Phobia by Moreno
		6.8.2 The Treatment of Specific (Isolated) Phobias
		6.8.3 Other Psychodrama Therapists’ Approaches to Panic Attacks
	References
7 Obsessive–Compulsive Disorders
	7.1 Obsessive Thoughts, Compulsive Acts, and their Psychodynamic Function
	7.2 The Disorder-Specific Treatment of Compulsive Behaviors
	7.3 The Treatment of Obsessive Thoughts Without Compulsive Actions
	7.4 Self-stabilization and Ego-Strengthening Through Role-Playing
	References
8 Depressive Disorders, Masochism and Suicidale Crises
	8.1 What is Depression?
	8.2 The Different Forms of Depression
	8.3 Therapy for Depression in Current Conflicts
	8.4 Therapy for Depression Caused by Neurotic Conflict Processing
		8.4.1 The Basic Principle of Psychodramatic Therapy for Depressed People with Neurotic Conflict Processing
		8.4.2 The Seven Steps of Psychodramatic Dialogue in Neurotic Depression
		8.4.3 The Integration of Improved Self-actualization in Relationship Images from Childhood
		8.4.4 The Therapist’s Participation as a Doppelganger and an Auxiliary Ego in the Psychodramatic Dialogue
		8.4.5 Psychodramatic Group Therapy for Patients with Depression
		8.4.6 Therapy for Depression in Separation Conflicts
		8.4.7 Therapy for Prolonged Grief Reactions
	8.5 Therapy for Masochism and a Pathological Superego
	8.6 Therapy for Severe Depression Bordering on Psychosis
		8.6.1 Vicarious Mentalization in the Therapeutic Relationship
		8.6.2 The Activation of a Sense of Self-regulation in the Symptom of Suicidal Fantasies
		8.6.3 Rebuilding the Inner Fantasy Space in Everyday Life
		8.6.4 Symbolizing in Nocturnal Dreams as an Amplification for Understanding the Patient’s Self-regulation in Everyday Life
		8.6.5 The Doppelganger Technique in Self-injurious Thinking
		8.6.6 The Integration of Improved Self-actualization into the Inner Relationship Images
		8.6.7 Limitations in the Therapy of People with Depression
	8.7 Treatment with Psychopharmacology
	8.8 Suicidal Crises
		8.8.1 Fundamentals of Suicidal Crises
		8.8.2 Constricted Thinking in the Pre-suicidal Syndrome
		8.8.3 Criteria for Assessing the Risk of Suicide and the Need for Therapy
		8.8.4 The Encounter with Death as a Wake-Up Call and an Impetus for a New Beginning
		8.8.5 Therapeutic Interventions in the Event of Risk of Suicide
	References
9 Psychotic Disorders
	9.1 The Historical Development of the Treatment of People with Psychosis
	9.2 Blockages in the Therapeutic Relationship in Psychiatric Treatment of Psychosis
	9.3 Mentalization Disorders as the Cause of Delusional Production
	9.4 The Psychodynamics of Psychotic Decompensation
	9.5 Moreno’s Secret in the Psychotherapy of Psychoses
	9.6 Moreno’s Metacognitive Approach in the Psychotherapy of Psychoses
	9.7 The Transmodal Relationship with Patients Experiencing Psychosis
	9.8 Why Metacognitive Psychodrama Therapy Can Causally Stop the Delusional Production
		9.8.1 The Separation of the ‘Dream Ego’ from the ‘Everyday Ego’ Using the Two-Chair Technique
		9.8.2 The Doppelganger Dialogue in the Initial Psychotherapeutic Consultation
		9.8.3 The Doppelganger Dialogue for Crisis Intervention in Patients with Acute Psychosis
		9.8.4 Practical Implementation of the Doppelganger Dialogue
		9.8.5 The Theory of the Therapeutic Effect of Doppelganger Dialogue
		9.8.6 Psychopharmacological Treatment and Personal Emergency Plan
		9.8.7 Collaborative Therapy Planning
		9.8.8 Moreno’s Auxiliary World Method in Contemporary Form
		9.8.9 Application of the Auxiliary World Method to Delusions of Grandeur
	9.9 Transforming a Depersonalization Process into a Creative Process of Self-direction
	9.10 Healing Psychotic Disintegration of Self Through Psychodramatic Play with Hand Puppets
	9.11 Moreno and Casson’s Theoretical and Practical Insights
	9.12 Group Psychotherapy for People with Psychosis
	References
10 Addiction Disorders
	10.1 Psychotherapy for Addiction Disorders
	10.2 The Definition of Addiction and Dependence
	10.3 Epidemiological Data and Treatment Statistics
	10.4 Diagnosis and Addiction-Specific Symptoms
	10.5 Psychodynamics of Addiction Development
	10.6 The Nine Phases of Addiction Therapy
		10.6.1 Awareness of Addiction, Level of Suffering, and Motivation
		10.6.2 The Decision to Abstain
		10.6.3 Participation in a Self-help Group
		10.6.4 Working Out the Personal Rock Bottom and the Surrender
		10.6.5 Relapse Prevention and the Therapeutic Approach to Relapses
		10.6.6 The First Two Years of Disorder-Specific Psychotherapy
		10.6.7 The Co-treatment of a Comorbid Psychological Illness
	10.7 The Therapeutic Relationship and the Psychodramatic Responding
	10.8 Group Therapy
	10.9 Pill Addiction and Drug Addiction
	10.10 Non-substance-Related Addictions
		10.10.1 Psychodynamic and Therapy
		10.10.2 The Ideal Addiction Scene and the Positive Function of Addictive Behavior in Self-regulation
		10.10.3 Gambling Addiction and Eating Disorders
		10.10.4 Sex and Porn Addiction
		10.10.5 Internet Gaming Disorder
	10.11 Co-dependency and Secondary Traumatization of Caregivers
	References
11 Pathological Deviant Behavior
	11.1 Peculiarities in the Treatment of Persons with Pathological Deviant Behavior
	11.2 Case Example of a Patient with Fetishistic Disorder
	11.3 The Psychodynamics of Patients with Pathologically Deviant Behavior
	11.4 The Disorder-Specific Therapy of Pathological Deviant Behavior
	11.5 Developing Deviant Behavior into a Holistic Story
	11.6 Fetishistic Acts as Masochistic Behavior
	11.7 Importance of Abstinence from Deviant Behavior for Inner Mental Transformation
	References
Bibliography
Author Index
Subject Index