BEYOND
                PSYCHOTHERAPY:
                  THE GLOBAL REACH OF MORENO'S IDEAS
                    AND HOW THEY MERGE WITH OTHER TRENDS
            Adam Blatner, M.D.
    
    (April, 7, 2013)   (This is the plenary talk
      to the ASGPP annual conference in Arlington, Virginia, April 12,
      2013)
      
The
        theme for this conference is the Global presence of psychodrama,
        and I want to add to the very real fact that psychodrama in the
        last twenty years has indeed expanded in South America, Mexico,
        Taiwan, Turkey, and many other countries---and especially in
        Europe with the Federation of
          European and Mediterranean Psychodrama Training Organizations
        (FEPTO). (It's worth looking around on
          their website!) So, though we'll note this again
        tomorrow night, the USA, though it may have been the cradle of
        psychodrama (if not its precursors in Vienna), has been
        superseded in the sheer numbers of psychodramatists by other
        countries. My theme this morning, though, will focus not on the
        global reach of psychodrama as psychotherapy, but rather the
        global nature of all of Moreno's methods being used beyond the
        clinical context, beyond the medical model. These theories and
        methods are applicable in business and education and social
        action and so forth, and folks both here and overseas are using
        these approaches also in non treatment contexts. For example, a
        sociodrama conference will be held this fall in Italy. And my
        talk---which will only take about 15 minutes---then we'll do
        some experiential activities that extend these concepts---my
        talk will speak to applications beyond therapy. It will note the
        existence of related fields who carry forth the essential ideas
        of improvisation, enactment, and collaborative creativity. I'll
        also note that Moreno's approaches should be re-framed not just
        as a method of therapy, but as a technology, a complex of tools,
        which again have great applications in many fields beyond
        therapy.
        
        Not that this is all so new. Moreno wrote a foreword for my
        Acting-In in 1972, and there he said that psychodrama's
        associated forms of sociometry, sociodrama, spontaneity
        training, and other variations have value also for fields of
        community development, education, business, professional
        training, and many other areas.
          (The actual quote: “I have always
          tried to show that my approach was meant as much more than a
          psychotherapeutic method—my ideas have emphasized that
          creativity and spontaneity affect the very roots of vitality
          and spiritual development, and thus affect our involvements in
          every sphere of our lives. Furthermore, I have always wanted
          to have people attend to the processes of health as well as to
          the problems of illness. Thus, I am glad Dr. Blatner has noted
          the applications of psychodrama in the home, school, and world
          of business.”)
        
        The International Association for
          Group Psychotherapy (IAGP) has added three words to its
        title: “... and Group Processes.” I don’t know if they mean it
        this way, but as businesses are emphasizing teamwork more, as
        community organizations are recognizing the power of feedback
        and grass-roots initiative, the whole theme of group process has
        taken on a life largely apart from analytic theories about this
        dynamic. It’s much more task-oriented and role-diversified.
        Well, I won’t go into that. 
        
        Over the last decade and more I’ve been attending not only our
        own conferences but also conferences put on by related fields—
        drama in education, theatre of the oppressed, therapeutic
        recreation, the arts therapies, spirituality, and so forth. You
        might want to know there’s a busy international field that’s
        opened up in the last decade called “Applied Improvisation.”
        These are mainly theatre artists who’ve gotten into improv and
        from thence into consulting to organizations regarding ways to
        increase morale and efficiency. Very few of them know of Moreno.
        Most start with Viola Spolin and her theatre games and Keith
        Johnstone and his book Improv in the 1970s. But they’re sort of
        applying role playing—or at least some components—in business.
        Again, few of them know of Ray Corsini’s book on this in 1951.
        Similarly, few in the field of drama in education have any idea
        that Moreno’s colleagues wrote about this arena of application
        around 1950. 
      
          Other related fields include therapeutic recreation, where I
          presented on my application of Morenian approaches in the
          service of recreation and perhaps elder care. Another
          presentation was to the art therapists, and the point is that
          expressive methods are good not just for patients but for
          healthy people, for consciousness expansion. A presentation at
          a spirituality conference carries forth this idea. Positive
          psychology has opened up our thinking about health and helping
          healthy people to be healthier. A number of you have already
          explored the possibilities of coaching. Professionals are
          using simulations to get continuing education in law and
          medicine. So what I’m proposing is that we do what the
        actors did—branch laterally. Therapy is fine, but in my
        understanding of what Moreno was getting at in the word
        “sociatry,” his vision aimed at a far wider application of these
        methods.
        
        I’m proposing that we re-formulate what we’re doing not just as
        therapy but as a method for consciousness-raising, for groups as
        well as individuals. Indeed, let me acknowledge that many of you
        already have branched out and now apply our field’s methods
        beyond the clinical context. I’ll be calling on you to help me a
        little later. 
      
      A Complex of Tools
      One way to re-think this
        challenge is to re-imagine what we do not as offering a school
        of thought or a method of psychotherapy, but a workshop full of
        tools. What if we could bring to chemists in the early 19th
        century the lab tools in the mid-20th century? What if we could
        bring to carpenters in the early 20th century the richness and
        variety of electric power tools developed in the last sixty
        years? I see Moreno's concepts and methods as tools that have
        many areas of applications. Remember that  concepts and
        words, theoretical constructs and metaphors are also tools! That
        they came to be applied mainly within the clinical context is a
        fluke of history, economics, culture, and it might merit a
        discussion in another context but not here. Moreno's methods do
        indeed have many applications in group psychotherapy,
        psychiatric treatment of those in the sick role, also known as
        the clinical context. And I honor those applications. They are
        what I came from as a psychiatrist. But I’ve come to realize
        that the methods we know about transcend treatment—which is how
        psychodrama is defined by the vast majority of dictionaries—or
        is one of the definitions. Rarely is it hinted that these
        methods have rich applications in education business, and other
        fields.
        
        But lest we be too provincial, good ideas come forth from many
        sources. Some of the the tools Moreno invented have also been
        discovered by others—what I call our relatives—and we need to
        recognize this global trend, and be available to learn from them
        and in turn share what we know. That’s the thrust of what I’ll
        be saying and then later in the hour what we’ll be doing all
        together. So I'll say it again: We need to learn
          from our related fields and in turn share what we know.
        
        As for us: Even now many people use psychodrama beyond the
        clinical context, in education, business, social action,
        spiritual development, etc. I’ll be asking y’all to help us. Now
        I want to say a little about how what we are about is more than
        therapy, it is about a technology that has applications in many
        fields including and beyond therapy. They are tools because they
        involve ways to amplify the creative process. I’ll hint at why
        and explain at great length in the revised editions of my books
        that I hope to be ready next year. To explain this, here’s
        another bit of history: In the 1950s as computers were on the
        front edge of research and development at IBM. According to a
        story I heard, someone said that it would help progress to shift
        from thinking that business machines were still in the business
        of complex calculations. A better term, considering the speed of
        the operations, would be “information processing.” That
        re-framing the challenge makes a big difference, allowing for,
        say, pictures and not only numbers.
      
      Cybernetics
      Computers work in thousands,
        millions of operations per second, which allows them to do stuff
        that ordinary minds can't begin to do. They can grope, explore.
        they don't have to be precise because in-course correction
        sub-routines are built in. This is crucial. Cybernetics is a
        fancy word for groping. If you grope fast enough and use the
        feedback to make corrections, you grope ever more accurately.
        When you double for a client, knowing you’re wrong, and the
        client corrects you, and you allow yourself to be corrected—it’s
        not resistance to an interpretation, it’s a correction—and you
        modify your next sentence accordingly, you’re using cybernetics.
        Again the client corrects you a little. Again you allow yourself
        to be corrected.  You may even set the technique up by
        saying, “I’m trying to get on your wavelength so you need to
        correct me even if I miss a little.” And gradually you reflect
        back and the client or protagonist feels you really understand.
        
        
        So what computers did—and this is true of very highly complex
        systems—is that they cannot be absolutely precisely right, but
        they continue to make little in-course corrections, and they end
        up right enough. That is how the space ship to the moon was able
        to do it. It was off course most of the time, but less and less
        so, because it kept making in-course corrections. Cybernetics.
        My point is that the context of drama and re-play, not really
        performance so much as extended rehearsal, allows for people to
        become more effectively empathic and expressive! This is big!
        
        Psychodrama applies the principles of cybernetics in
        interpersonal communications, and it changes the nature of
        so-called expertise, the nature of helping from the authority as
        one who knows the answer to one who knows how to find out what
        is needed. This is a huge shift! Also, it makes helping far more
        flexible, able to be changed according to individual needs of
        the person and occasion. Thus, Morenian methods, artfully
        applied, are more personalized and humane.
      
      A Few Other Elements
      Other things Moreno introduced
        include
          - collaborative creativity   from his work with
        the prostitutes in Vienna around 1912, mixing in emotional
        support as well as information pooling, heart and head
        
           - sociometry, the precursors of which were the
        radical idea of letting people choose those with whom they’d be
        housed. Letting people choose? Respecting people’s feelings,
        preferences? Now we vaguely even know the concept: That’s what
        has really made the difference in feminism, that people have
        preferences that many not always be grounded in reasons. But
        still we don’t respect preferences half enough. Sociometry—its
        basic idea—eliciting preferences—has a big future way beyond
        psychotherapy.
        
           - drama—Moreno knew there was something great here,
        but not the way it was done. Something about improvising,
        playing your own truth. He began with improvising other stories
        in his Theatre of Spontaneity. There’s s a little role distance
        here—it’s closer to drama therapy. Only in the 1930s did he move
        to people playing their own stories. But bringing drama into
        life as a modality was big. We’ll come back to that.
        
          - Meanwhile, concepts were whirling in Moreno’s mind:
        Spontaneity, creativity as a cosmic force, a theological
        imperative. Some folks thought he was crazy for daring to
        realize that the sources of vitality itself was divine—but since
        the 1960s lots of folks have gotten on board, and centuries
        prior to this mystics in other countries sort of knew
        this.  In the materialistic world of the mid-20th century,
        though, this stuff was unacceptable. But Moreno was like Jung in
        this noting that how one perceives and interprets spirit and how
        one relates to the deep unconscious does make a difference. It’s
        a form of humanism, if you think about it.
        
        Well, I could go on and on—the point is that there are many
        tools we have now, role, the distribution of responsibility for
        the action—using auxiliaries and a director—and so forth that
        all are equivalent to the thousands of refinements to computer
        technology in the last fifty years.
        
        So my point is that we re-think our identity as far more than
        just therapists. I honor those who apply this rich methodology
        in healing, but I want to speak up for the idea that it can be
        used in prevention, in fostering psychological literacy, in
        raising consciousness, in peace-making and social action. I
        think sociodrama and role playing in business may have a far
        greater impact on the future—on what Moreno meant by
        sociatry—than all the psychotherapy within the medical model put
        together.
        
        [Psychotherapy emerged at a time when it was by default less
        inhumane than the physical treatments for mental illness, a time
        when neurosis was not differentiated from psychosis. There was a
        socio-cultural blanket here as it was supported by the general
        thrust of advances in medicine in general and psychiatry
        secondarily.]
        
        So in summary, my key point is that what we’re about is that
        original vision of Moreno that this applies to therapy, but it
        was and is far greater in lots of ways. The whole theme of
        valuing creativity is still a bit new, though people give it lip
        service. In fact, there are innumerable institutions and norms
        that stifle creativity, so there’s still a great deal of work to
        do, just to get everything lined up.
        
        Surgery was no great technology—in fact it was rather untrained
        barbers who did it—until a number of side-technologies emerged,
        from anatomy and the invention of the microscope to anesthsia,
        the recognition of germs, aseptic surgery, the manufacture of
        tools that could be effectively sterilized, and many other
        components Until these were in place, surgery was all-too-often
        horribly painful and furthermore often  followed by
        infection and death.
        
        People working together has been similarly contaminated by
        misunderstanding and pride and psychodramatic methods offer good
        tools for countering some of these effects. As I segue into a
        group process of inviting you all to contemplate and explore
        non-clinical types of applications, sociatric applications,
        think about how you might branch out.
      
       Exploring Your
          Extra-Therapeutic Interests
       Okay, that’s the didactic. Now
        the experiential, the sociometric, the fact that more than
        talking at you—which you can read on my website—is getting you
        doing, empowering yourselves, making connections. Because we
        respect that you may have several areas of interest or potential
        interest, we’re going to ring this bell and have three occasions
        when you can change sub-groups and connect with yet another area
        of interest. For starters we have these banners and we will post
        eight places around the room:
           1. Applications in life coaching, or for personal
        people-skills, for general having more vitality and mental
        flexibility.
           2. Business and organization, to promote greater
        effectiveness in managers, supervisors, teams, etc.
           3. In Education: There are applications of modified
        forms such as sociodrama in schools and with appropriate
        modifications, at all levels.
                  See my
        paper on sociodrama. Take note of activities that teach social
        and emotional learning, anti-bullying, etc.
               -  Teaching classes in
        psychology in college, or literature, or other topics, or other
        college applications—including colleges that have many
        undergraduates over 30.
               -  Applications in
        professional and contuing education, post college law ,
        medicine, others.
            4.   Programs for conflict resolution,
        peacemaking, learning or applying tools for these activities.
            5.  Programs for social action, empowering
        the oppressed—not an easy task—
            6.  for Spiritual
        Development—bibliodrama , whatever the religion, telling the
        stories, getting at their hidden wisdom or maybe foolishness,
        making it your own
                   
        (Bibliodrama is also useful for teaching literature and even
        social science.)
            7. For Play, the Art of Play, classes in
        re-claiming vitality, using the arts, etc.
                      
        Open to further comments. 
        
        Addendum: 
            Marcia Karp in England writes that FEPTO was
        founded in Stockholm more than 20 years ago. It was called
        ESCOPE at first, and there were about ten or so of us. Although
        we thought we were part of the IAGP, the actual psychodrama
        section of the IAGP came later. Our purpose was for trainers to
        come together and share their thoughts, difficulties and,
        through enactment, the futures of their training organization.
        We were able to establish a training standard for this part of
        the world. Then we re-named our organization FEPTO and signed a
        charter in Belgium By that time there were 40 of us. Now we have
        more than 100 trainers as members who come to our meetings every
        year---this next being 14-18 April, 2013 in Santander, Spain.
        (The chairman of the organizing committee is IAGP President
        Roberto de Inocencio.  (The conference is before the actual
        business meeting. The conference is for everyone and has more
        people coming from the local country. The meeting is just for
        members or prospective members representing organizations---or
        founding members.).
        
        
        
       For responses, email
        me at  adam@blatner.com
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