Dance Movement Therapy for clients with a Personality Disorder. A systematic review and thematic synthesis

Αbstract

Background: People with a personality disorder (PD) suffer from enduring inflexible patterns in cognitions and emotions, leading to significant subjective distress, affecting both self and interpersonal functioning. In clinical practice, Dance Movement Therapy (DMT) is provided to clients with a PD, and although research continuously confirms the value of DMT for many populations, to date, there is very limited information available on DMT and PD. For this study, a systematic literature review on DMT and PD was conducted to identify the content of the described DMT interventions and the main treatment themes to focus upon in DMT for PD.

Methods: A systematic search was conducted across the following databases: EMBASE, MEDLINE, PubMed, WEB OF SCIENCE, PsycINFO/OVID, and SCOPUS following the PRISMA guidelines. The Critical Appraisal Skills Programme for qualitative studies was used to rank the quality of the articles. The Oxford Center for Evidence-based Medicine standards were applied to determine the hierarchical level of best evidence. Quantitative content analysis was used to identify the intervention components: intended therapeutic goals, therapeutic activities leading to these goals, and suggested therapeutic effects following from these activities. A thematic synthesis approach was applied to analyze and formulate overarching themes

Results: Among 421 extracted articles, four expert opinions met the inclusion criteria. Six overarching themes were found for DMT interventions for PD: self-regulation, interpersonal relationships, integration of self, processing experiences, cognition, and expression and symbolization in movement/dance. No systematic descriptions of DMT interventions for PD were identified. A full series of intervention components could be synthesized for the themes of self-regulation, interpersonal relationships, and cognition. The use of body-oriented approaches and cognitive strategies was in favor of dance-informed approaches.

Conclusions: Dance movement therapists working with PD clients focus in their interventions on body-related experiences, non-verbal interpersonal relationships, and to a lesser extent, cognitive functioning. A methodological line for all intervention components was synthesized for the themes of self-regulation, interpersonal relationships, and cognition, of importance for developing systematic intervention descriptions. Future research could focus on practitioners’ expertise in applying DMT interventions for PD to develop systematic intervention descriptions and explore the suitability of the identified themes for clinical application. Clients’ experiences could offer essential insights on how DMT interventions could address PD pathology and specific PD categories.

Aims of research

To conduct a systematic literature review on DMT and PD for identifying treatment themes in DMT for PD and the described DMT interventions and its components as (a) the intended therapeutic goals, (b) the therapeutic activities leading to these goals, and (c) the suggested therapeutic effects following from the activities.

Principal research question(s)

What literature is available on DMT and PD ?
What are main treatment themes in DMT for PD and the described DMT interventions and its components as (a) the intended therapeutic goals, (b) the therapeutic activities leading to these goals, and (c the suggested therapeutic effects following from the activities ?

Principal findings

Among 421 extracted articles, four expert opinions met the inclusion criteria. Six overarching themes were found for DMT interventions for PD: self-regulation, interpersonal relationships, integration of self, processing experiences, cognition, and expression and symbolization in movement/dance. No systematic descriptions of DMT interventions for PD were identified. A full series of intervention components could be synthesized for the themes of self-regulation, interpersonal relationships, and cognition. The use of body-oriented approaches and cognitive strategies was in favor of dance-informed approaches.

Research Collaborators​
R. A. Samaritter: Professorship Performing Arts Medicine, Codarts University of the Arts, Rotterdam, Netherlands, Department of Arts Therapies, Codarts University of the Arts, Rotterdam, Netherlands,KenVaK Research Centre for the Arts Therapies and Psychomotricity, Heerlen, Netherlands/ R. M. van Rijn: Professorship Performing Arts Medicine, Codarts University of the Arts, Rotterdam, Netherlands, PErforming artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands/ G. Kuipers: AntesPG, Parnassia Group, The Hague, Netherlands/ J. H Stubbe: Professorship Performing Arts Medicine, Codarts University of the Arts, Rotterdam, Netherlands, PErforming artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands, Department of General Practice, Erasmus MC University Medical Center, Rotterdam, Netherlands
Research Supervisors
Dr. R. A. Samaritter & Dr. J. H. Stubbe
Client group
Personality Disorder
Nature of data collection
Systematic literature search & thematic analysis - synthesis
Ethical board approving research
Codarts Ethical Board
Research design
Systematic Review & Thematic Synthesis
Registered Academic Institution
Codarts University of the Arts, Rotterdam, The Netherlands
Academic level of research
PhD