Towards an Enactive Drama Therapy: Implications in the Counselling of Disabled Clients
Rareş Mihnea Iosifescu
Romanian Journal of Analytic Philosophy, 2024, Vol XVIII, Issue 1, pp. 7-15, DOI: https://doi.org/10.62229/rrfaxviii-1/1
Published: 13 May, 2026 Download Pdf
Cite as: Iosifescu, Mihnea Rareş: Towards an Enactive Drama Therapy: Implications in the Counselling of Disabled Clients. In: Romanian Journal of Analytic Philosophy, vol. 18, iss. 1, pp. 7-15, 2024, ISSN: 1843-9969.
Abstract:Mechanisms of change in dramatherapy are poorly understood, compromising its bona fide therapy status. Given growing attention to how alternative frameworks of cognition might inform mental health practices, I aim to provide an enactivism-congruent and affordance-based account of dramatherapy. A secondary aim is to suggest why disabled or differently abled clients might benefit more from such psychotherapies that veer from a brain-centered approach to a holistic outlook that situates the mind within a dynamical system.
Keywords: dramatherapy, enactivism, affordance-based therapy, disability.
Bibliography
Beck, A. T., & Haigh, E. A. P. (2014). Advances in Cognitive Theory and Therapy: The Generic Cognitive Model*. Annual Review of Clinical Psychology, 10(Volume 10, 2014), 1–24. https://doi.org/10.1146/annurev-clinpsy-032813-153734
Chemero, A. (2003). An Outline of a Theory of Affordances. Ecological Psychology, 15(2), 181–195. https://doi.org/10.1207/S15326969ECO1502_5
Clark, A., & Toribio, J. (1994). Doing without representing? Synthese, 101(3), 401–431. https://doi.org/10.1007/BF01063896
Dalgleish, T., Black, M., Johnston, D., & Bevan, A. (2020). Transdiagnostic Approaches to Mental Health Problems: Current Status and Future Directions. Journal of Consulting and Clinical Psychology, 88(3), 179–195. https://doi.org/10.1037/ccp0000482
David, D., Cristea, I., & Hofmann, S. G. (2018). Why Cognitive Behavioral Therapy Is the Current Gold Standard of Psychotherapy. Frontiers in Psychiatry, 9, 4. https://doi.org/10.3389/fpsyt.2018.00004
de Gruijter, E., Wouters, H., & Haeyen, S. (2024). Perceived effects of drama therapy in people diagnosed with personality disorders: A qualitative study. The Arts in Psychotherapy, 87(2024), 102117. https://doi.org/10.1016/j.aip.2024.102117
de Haan, S. (2020). Enactive Psychiatry (1st ed.). Cambridge University Press. https://doi.org/10.1017/9781108685214
de Haan, S., Rietveld, E., Stokhof, M., & Denys, D. (2013). The phenomenology of deep brain stimulation-induced changes in OCD: An enactive affordance-based model. Frontiers in Human Neuroscience, 7. https://doi.org/10.3389/fnhum.2013.00653
De Jaegher, H., & Di Paolo, E. (2007). Participatory sense-making: An enactive approach to social cognition. Phenomenology and the Cognitive Sciences, 6(4), 485–507. https://doi.org/10.1007/s11097-007-9076-9
de Witte, M., Orkibi, H., Zarate, R., Karkou, V., Sajnani, N., Malhotra, B., Ho, R. T. H., Kaimal, G., Baker, F. A., & Koch, S. C. (2021). From Therapeutic Factors to Mechanisms of Change in the Creative Arts Therapies: A Scoping Review. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.678397
Dokumaci, A. (2023). Activist affordances: How disabled people improvise more habitable worlds. Duke University Press.
Gallagher, S. (2018). Decentering the Brain: Embodied Cognition and the Critique of Neurocentrism and Narrow-Minded Philosophy of Mind. Constructivist Foundations, 14(1), 8–21.
Gibson, J. J. (1979). The ecological approach to visual perception. Houghton, Mifflin and Company.
Jennings, S. (1992). Dramatherapy with families, groups and individuals: Waiting in the wings. Jessica Kingsley Publishers.
Landy, R. J. (1993). Persona and performance: The meaning of role in drama, therapy, and everyday life. Guilford Press.
Koenig, J., McLean, K. J., & Bishop, L. (2024). Psychological distress and mental health diagnoses in adults by disability and functional difficulty status: Findings from the 2021 national health interview survey. Disability and Health Journal, 17(4), 101641. https://doi.org/10.1016/j.dhjo.2024.101641
Krueger, J. (2024). Affordances and spatial agency in psychopathology. Philosophical Psychology, 37(7), 1828–1857. https://doi.org/10.1080/09515089.2023.2243975
Krueger, J., & Colombetti, G. (2018). Affective affordances and psychopathology.
Orkibi, H., Keisari, S., Sajnani, N. L., & de Witte, M. (2025). Effectiveness of drama-based therapies on mental health outcomes: A systematic review and meta-analysis of controlled studies. Psychology of Aesthetics, Creativity, and the Arts, 19(4), 878–895. https://doi.org/10.1037/aca0000582
Rietveld, E., De Haan, S., & Denys, D. (2013). Social affordances in context: What is it that we are bodily responsive to? Behavioral and Brain Sciences, 36(4), 436–436. https://doi.org/10.1017/S0140525X12002038
Rietveld, E., & Kiverstein, J. (2014). A rich landscape of affordances. Ecological Psychology, 26(4), 325–352. https://doi.org/10.1080/10407413.2014.958035
Rucinska, Z., & Reijmers, E. (2015). Enactive account of pretend play and its application to therapy. Frontiers in Psychology, 6. https://doi.org/10.3389/fpsyg.2015.00175
Toro, J., Rietveld, E., & Kiverstein, J. (2025). Disabling Scaffolds: The Lived Embodiment of Disability in an Oppressive Sociomaterial Environment. Topoi, 44(2), 529–543. https://doi.org/10.1007/s11245-024-10132-w
Vaz, D. V., Stilwell, P., Coninx, S., Low, M., & Liebenson, C. (2023). Affordance-based practice: An ecological-enactive approach to chronic musculoskeletal pain management. Brazilian Journal of Physical Therapy, 27(5), 100554. https://doi.org/10.1016/j.bjpt.2023.100554
Ward, D., Silverman, D., & Villalobos, M. (2017). Introduction: The Varieties of Enactivism. Topoi, 36(3), 365–375. https://doi.org/10.1007/s11245-017-9484-6
Watts, P., Pearson, J., & Smail, M. (2013). Dramatherapy with myth and fairytale: the golden stories of sesame. Jessica Kingsley Publishers.
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