Between worlds: The myth of Tiresias in the psychodramatic exploration of gender fluidity
DOI:
https://doi.org/10.1590/psicodrama.v34.810Keywords:
Psychodrama, Therapeutic alliance, Gender identity, Symbolic processesAbstract
This qualitative single-case study examined how the myth of Tiresias functioned as a symbolic mediator within an individual psychodrama psychotherapy process involving a gender-fluid client. Rather than serving as a model of gender identity, Tiresias gradually emerged as a transitional symbolic space through which conflicting self-experiences could be expressed, explored, and psychologically integrated within the therapeutic relationship. Through symbolic role-taking, dramatic enactment, and collaborative meaning-making, the client developed an increased capacity to engage with ambiguity, sustain dialogue between different self-states, and relate more flexibly to psychological complexity. The findings suggested that the therapeutic value of myth lies not in defining identity but in creating a symbolic and relational space through which identity can be explored and negotiated. The findings highlight the contribution of psychodrama to contemporary gender-affirming psychotherapy and its broader relational and socionomic implications.
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References
6. References
Adler, J. M. (2012). Living into the story: Agency and coherence in a longitudinal study of narrative identity development and mental health over the course of psychotherapy. Journal of Personality and Social Psychology, 102(2), 367–389. https://doi.org/10.1037/a0025289
Angus, L. E., & McLeod, J. (Eds.). (2004). The handbook of narrative and psychotherapy: Practice, theory, and research. Sage Publications.
Ashley, F. (2019). The ethics of gender-affirming care for transgender and gender diverse people: A narrative review. Journal of Medical Ethics, 45(6), 395–401. https://doi.org/10.1136/medethics-2018-105293
Blatner, A. (2000). Foundations of psychodrama: History, theory, and practice (4th ed.). Springer Publishing Company.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328–352. https://doi.org/10.1080/14780887.2020.1769238
Bromberg, P. M. (1998). Standing in the spaces: Essays on clinical process, trauma, and dissociation. Analytic Press.
Butler, J. (1990). Gender trouble: Feminism and the subversion of identity. Routledge.
Campbell, J. (1949). The hero with a thousand faces. Princeton University Press.
Fernandez, E., Salem, D., Swift, J. K., & Ramtahal, N. (2015). Meta-analysis of dropout from cognitive behavioral therapy: Magnitude, timing, and moderators. Journal of Consulting and Clinical Psychology, 83(6), 1108–1122. https://doi.org/10.1037/ccp0000044
Flückiger, C., Del Re, A. C., Wampold, B. E., Horvath, A. O., & Symonds, D. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4), 316–340. https://doi.org/10.1037/pst0000172
Halberstam, J. (2005). In a queer time and place: Transgender bodies, subcultural lives. New York University Press.
Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48(1), 9–16. https://doi.org/10.1037/a0022186
Jung, C. G. (1968). The archetypes and the collective unconscious (2nd ed., R. F. C. Hull, Trans.). Princeton University Press. (Collected Works of C. G. Jung, Vol. 9, Part 1; Original work published 1959)
Knox, J. (2003). Archetype, attachment, analysis: Jungian psychology and the emergent mind. Brunner-Routledge.
Levitt, H. M., Bamberg, M., Creswell, J. W., Frost, D. M., Josselson, R., & Suárez-Orozco, C. (2018). Journal article reporting standards for qualitative primary, qualitative meta-analytic, and mixed methods research in psychology: The APA Publications and Communications Board task force report. American Psychologist, 73(1), 26–46. https://doi.org/10.1037/amp0000151
McLean, K. C., Pasupathi, M., & Pals, J. L. (2007). Selves creating stories creating selves: A process model of self-development. Personality and Social Psychology Review, 11(3), 262–278. https://doi.org/10.1177/1088868307301034
Moreno, J. L. (1946). Psychodrama (Vol. 1). Beacon House.
Norcross, J. C., & Lambert, M. J. (2019). Psychotherapy relationships that work III. Psychotherapy, 56(4), 423–425. https://doi.org/10.1037/pst0000242
Orkibi, H., & Feniger-Schaal, R. (2019). Integrative systematic review of psychodrama psychotherapy research: Trends and methodological implications. PLoS ONE, 14(2), e0212575. https://doi.org/10.1371/journal.pone.0212575
Orkibi, H. (2021). Psychodrama: Advances in theory and practice. The Arts in Psychotherapy, 73, 101763. https://doi.org/10.1016/j.aip.2020.101763
Ovid. (2004). Metamorphoses (C. Martin, Trans.). W. W. Norton. (Original work published ca. 8 CE)
Richards, C., Bouman, W. P., Seal, L., Barker, M.-J., Nieder, T. O., & T'Sjoen, G. (2016). Non-binary or genderqueer genders. International Review of Psychiatry, 28(1), 95–102. https://doi.org/10.3109/09540261.2015.1106446
Safran, J. D., Muran, J. C., & Eubanks-Carter, C. (2011). Repairing alliance ruptures. Psychotherapy, 48(1), 80–87. https://doi.org/10.1037/a0022140
Swift, J. K., & Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 80(4), 547–559. https://doi.org/10.1037/a0028226
Testa, R. J., Habarth, J., Peta, J., Balsam, K. F., & Bockting, W. O. (2015). Development of the Gender Minority Stress and Resilience Measure. Psychology of Sexual Orientation and Gender Diversity, 2(1), 65–77. https://doi.org/10.1037/sgd0000081
Winnicott, D. W. (1971). Playing and reality. Tavistock Publications.
Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). Sage Publications
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