title: Thinking, feeling and moving: drama and movement therapy as an adjunct to a multidisciplinary rehabilitation approach for chronic pain in two adolescent girls.
abstract: Chronic Pain without an identifiable organic basis represents a substantial element of referrals to both medical and mental health professionals. Chronic pain can compromise independence, school attendance, physical and social activities. The tendency to label 'nonorganic' pain as having a psychological origin is usually strongly resisted by parents and young people with treatment creating a significant challenge for health care professionals. Collaborative, multidisciplinary treatment programmes encourage families to find ways of getting on with their lives by taking a proactive approach to challenging pain. The family is invited to join with the team in the task of challenging the pain through the use of physiotherapy to increase strength, stamina and suppleness alongside a range of individual and group activities that can include relaxation training, hypnotherapy, systemic and cognitive-behavioural approaches. This article describes how drama and movement therapy was introduced as an additional component of the treatment programme of two adolescents who had been long-term inpatients on a medical adolescent ward. The experiences of adding a complementary therapy to the programme are described to illustrate a creative way of contributing to established treatment programmes through the use of sound, movement and gesture in order to provide a space to explore new ways of being and expanding abilities.
authors.affiliation: Department of Child and Adolescent Psychological Medicine, University College London Hospitals, London, UK. Deborah.Christie@uclh.nhs.uk
authors.forename: Deborah
authors.initials: D
authors.lastname: Christie
authors.forename: Deborah
authors.initials: D
authors.lastname: Hood
authors.forename: Angela
authors.initials: A
authors.lastname: Griffin
mesh_terms: D000293:Adolescent; D002908:Chronic Disease; D003131:Combined Modality Therapy; D004644:Emotions; D005246:Feedback; D005260:Female; D006801:Humans; D009068:Movement; D010146:Pain / Q000523:psychology* / Q000534:rehabilitation; D018710:Pain Clinics; D059408:Pain Management; D010348:Patient Care Team; D026741:Physical Therapy Modalities; D011613:Psychotherapy / Q000379:methods*; D013850:Thinking