By Karen Carnabucci, LCSW, TEP
Traditional talk therapy helps the suffering person understand what contributes to his or her eating disorder or dissatisfaction with body image. However, conventional talk therapy usually leaves the person with the knowledge of “why” the eating disorder is present but without changing the behavior.
Psychodrama, the action method developed by Dr. J.L. Moreno and his wife Zerka T. Moreno, teaches the importance of human problems in the context of the roles that are played out in life. With the opportunity to change these roles to more healthy behaviors, we have found that tremendous healing is available with psychodrama.
With the perspective of roles, rather than pathological behaviors, we identify sufferers as the one who binges, the one who restricts food, the one who purges, the one who isolates, the one who is anxious, the one who diets, the one who fears being fat, and so on.
By Karen Carnabucci, LCSW, TEP
Years ago, a veteran told me, "I was never really prepared for the reality of war."
As a psychotherapist, I often think about his powerful observation when I work with people who have suffered various kinds of trauma. His comment continues to prove true as I hear stories from people who have been affected deeply by trauma, whether war, abuse, crime or a severe accident.
There are several realities to the experience of trauma, which we can describe generally as a situation that is a shock to the system of the human being. The experience calls upon all of our resources -- physical, mental, emotional and spiritual -- to survive.
After survival, however, the person continues to feel the reverberations of the event. These after-effects may show up in many ways.
Hypervigilance. Keeping highly watchful is an important survival skill in wartime. In ordinary life, however, this watchfulness creates huge problems; the veteran is unable to relax and perhaps may find himself or herself suspicious of others, having difficulty in crowds and certain situations, even close relationships.
Karen Carnabucci, LCSW, TEP, is an author, trainer and psychotherapist who promotes, practices and teaches experiential methods including psychodrama, Family and Systemic Constellations, mindfulness and Tarot imagery.
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