Table 3.
Intervention characteristics.
| Author and year | Why | What | How | Who | How much, when, and where | Tailoring and modifications | How well | ||
|---|---|---|---|---|---|---|---|---|---|
| Therapeutic frameworks | Techniques | Overall process | Therapist qualification | No. of participants in the group & therapist to client ratio | Dosage | Settings | Fidelity assessment | ||
| Aithal (2020) | Integrative therapeutic framework consisting of 8 principles informed by humanistic, psychodynamic and developmental theories | • Mirroring • Sensorimotor-based activities (Scharoun et al., 2014) • Sherborne developmental movement (Weston, 2012) • Imaginative role play (Westby, 2013) |
4 modules, 10 semi structured sessions starting with a ritual followed by warm up, theme exploration and closing ritual | A licenced DMP practitioner | 3 to 6 children, one therapist and one co-facilitator | DMP, 10 group sessions, 40 min twice a week | Two special educational needs setting | Yes. Depending on the needs of the group | Three evaluators rated video recordings of sessions (3, 6, and 9). Results indicated 75% and above adherence to the protocol |
| Sengupta and Banerjee (2020) | Not reported | • Mirroring • Bartenieff fundamentals • Comfort touch • Improvisation |
24 sessions (45 min/per session) over a 3-month period | Researcher trained in DMP | One to one | DMP, 24 sessions (45 min/per session) over a 3-month period | Special School | Not reported | NA |
| Athanasiadou and Karkou (2017) | • Persons centred (Rogers, 1967) • Chace interactive model of DMP (Chaiklin and Schmais, 1986) • Intersubjectivity theory (Stern, 2005; Trevarthen, 2005; Meltzoff and Brooks, 2007) • Kinaesthetic empathy (Berger, 1972) • Sherborne Developmental Movement (Sherborne, 2001) • Embodiment-Projection-Role model (Jennings, 1999) |
• Sensorimotor-based activities (Scharoun et al., 2014). • Mirroring (Wengrower, 2010) • Moving in Synchrony • Purposeful Misattunement (Stern, 1985) • Use of props • Use of metaphors • Rhythmic movement explorations • Embodied play, symbolic play activities • Shaping circle and moving in or away • Relaxation play • Goodbye movements |
Intervention programme structure: Four modules- with eight sessions divided unevenly (module 1- one session, module 2- three sessions, module 3 and 4- two each) Session structure: Loosely structured around warm up mid-face and closure. |
A licenced DMP practitioner | 3 children and 1 adult | DMP, 8 group sessions, 50 min once a week | Special School | • Case 1:
• Therapeutic Holding Environment (Winnicott and Rodnam, 2005) • Sensorimotor-based activities (Scharoun et al., 2014). • Case 2: • Mirroring (Wengrower, 2010) • Case 3: • Purposeful Misattunement (Stern, 1985) |
NA |
| Devereaux (2017) | • Child-centred approach (Rogers, 1967) • Social engagement theories (Greenspan and Wieder, 1999) • Relational interaction (Ogden et al., 2006) |
• Synchronistic rhythmic action • Self-expression movements • Building connexion on movement level • by moving closer, reaching • Circle formation • Tapping, stretching movements • Expansive movements • Understanding, reflecting, expanding non-verbal expressions • Attuned improvisation • Use of music • Use of props • Relaxation techniques |
Session structure: Warm-up • Theme development • Closure portion |
Registered or Board certified DMP | 5–7 children and 1 or 2 adults | DMP, 30 Min, Once a Week | Special Education | 1 child with Down's syndrome, 1 child with Cerebral palsy | NA |
| Houghton and Beebe (2016) | Literature review refers to • Disruption and repair (Beebe and Lachmann, 1994) • Dyadic systems view (Beebe and Stern, 1977) • Laban Movement Analysis (Laban, 1956; Bartenieff and Lewis, 1980) |
• Interpersonal coordination • Imitation • Mirroring or Attunement • Synchrony • Use of kinesphere, different planes • Following the child's lead in the movement patterns, energy level, |
Session structure: Unstructured movement exploration |
Final year master's DMP training at a program approved by ADTA | One child and one adult | DMP, 30 Min, one session | Multipurpose special school | Beginning- Movements directed as he was not able to follow and imitate later turned into mirroring | |
| • Kestenberg Movement Profile (Amighi et al., 2018) | • amount of connexion, direction • Intuitive and improvisational exploration |
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| Chiang et al. (2016) | Creative movement play approach was developed using: • Joint Engagement (Kasari et al., 2010) • Body informed intersubjectivity (Samaritter and Payne, 2013; Lee, 2014) • Child-centred approach (Rogers, 1967) |
• Imitation • Mirroring • Toy play • Movement play • Meaningful play routine • Facilitating sharing communication • Encouraging child's initiating communication • Managing child's emotional regulation |
Intervention programmes structure:
10 modules with different objectives and overall process Session structure: • Reviewing the dyad homework • coaching effective caregiver-child interaction • Discussing handout on objectives, goals of the homework |
Two licenced clinical psychologists and one licenced dance/movement intervention | Parent child dyad and each interventionist worked with 4 to 7 dyads separately | DMP, 20 sessions, 60 min, Twice a Week across 2 months | Clinical & research setting | Movement play routineAffective attunementFacilitate Joint Engagement State | 2 independent evaluators for videotapes of pre, post 3 months follow up- Therapists- high internal reliability Cronbach's α=0.96 Parents- moderate internal reliability |
| Samaritter (2015) | Literature review referred to-Interpersonal engagement theories from social cognition, social neuroscience, developmental perspectives • Theory of Mind (Baron-Cohen et al., 1985) • The weak central coherence theory (Frith, 1989) • Executive functioning theory (Ozonoff et al., 1991) |
• Open-ended movement explorations • Use of props and variation of movement actions as starting point of improvisation • Structured games for example martial arts forms, baseball, dodge ball actions of synchronisation, attunement and dyadic engagement • Witnessing Mode- Space for individual movement experience • Joint movement- creating sameness • Movement Dialogue—Sharing sameness and otherness • Other relational modes- stillness, short oral evaluations |
Session structure:
Opening • Warming up • Structured games and dance/movement activities • Open movement activities • Closure |
Researcher as Therapist (Qualified DMP Therapist) | One child and one adult | Shared Movement Approach (SMA) Intervention; 12 sessions, | Dutch Mental Health Care Centre (Clinical Outpatient Therapy) | NA | NA |
| Wengrower (2010) | Literature review referred to • Psychodynamic-Developmental (Alvarez, 1996) • Developmental individual difference relationship-based model (DIR) (Greenspan and Wieder, 2006) • Laban Movement Analysis (Laban, 1956; Bartenieff and Lewis, 1980) • Kestenberg Movement Profile (Amighi et al., 2018) |
• Imitation (Stern, 1985) • Mirroring (Loman, 1998) • Attunement (Loman, 1998) • Empathic reflection (Sandel, 1993) • Use of transitional objects (Winnicott, 1971) • Exploratory movements and play • Sharing rhythm • Ritualistic actions |
Session structure:
Details not described explicitly • Warm up and movement dialogue are mentioned in fifth session |
Qualified DMP Practioner | One child one adult | NA | Special education settings | NA | NA |
| Hartshorn et al. (2001) | Literature review referred to • Physiology of stress reduction and enhancing attentiveness (Field, 1998) |
• Hello song • Clapping the syllables • Use of props- hoops, gym mats, tambourine, stickers • Jumping in and out of hoops, obstacle course, making different shapes, start and stop games • Behavioural class management techniques |
Session structure: Warm up activity • Intermediary activities structured with task, role and space • Cool down |
Trained movement Therapists. | 3 to 8 children and 2 adults | DMP, 16 sessions, 30 min, Twice a Week | School for children with Autism | NA | NA |
| Summary | • Not all studies have mentioned the intervention approach explicitly • Person-centred approach, • Social engagement and intersubjectivity related theories are most common |
• Mirroring-most common • Sensorimotor explorations creatively merged alongside the use of play techniques, rhythm and props |
• Overall structure described by only two studies • Session structure: • Semi-structured most common |
• Qualified DMP • Experience of the therapist mentioned in only one study • Three studies with researcher as therapist |
• Four studies with one to one DMP • Three studies group sessions DMP • One study with caregiver-mediation |
• Frequency: Once or twice a week • Total: 8 to 20 sessions across-One and a half to 2 months • Duration-30 to 60 min |
7 studies in special educational needs settings | No clear pattern- driven by the needs of each child | Mentioned by two studies |