1994 - Role-playing games to treat suicidal schizoid
A process whereby fantasy is used to overcome the inability of obsessives, schizoids, borderlines, adolescents, and alexithymics to work toward emotional change may have considerable merit. The high degree of structure engendered by the rules of Dungeons and Dragons seems to bypass some of the risks of fantasy-based therapies such as Guided Affective Imagery while allowing emotions to emerge within the therapy in a nonthreatening manner. At the same time, the therapist’s interest and attention may serve a function of mirroring approval as patients become familiar with their own, but displaced, psychic structure. The use of this game as an adjunct to therapy can allow patients an opportunity to explore their mental dungeons and slay their psychic dragons."