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Volunteer Mari Brites (left) spends time with a patient as patients, staff members and volunteers taking part in a Hotel da Loucura theatre group arrive on a new floor of their building as the Hotel da Loucura expands for more resident space, at Instituto Municipal Nise da Silveira, a psychiatric center in Rio de Janeiro, Brazil, Thursday, July 24, 2014. At the Instituto Municipal Nise da Silveira in Rio de Janeiro, Brazil, patients take part in programs of theatre, music and artwork, to name just a few, as a method of therapy and rehabilitation. These programs of creativity, compassion and culture were created in the 1940’s by the late Dr. Nise da Silveira who chose to use creativity to treat psychiatric patients as opposed to more traditional ways such as electroshock treatment and lobotomies. As an example of her more organic method, Dr. Silveira wanted to get in touch with a Schizophrenic patient’s inner world, connecting with them, understanding their pain and trying to improve their living conditions. In 1952 Dr. Silveira founded the Museum of Images of the Unconscious, in Rio de Janeiro, Brazil, a study and research center that collected the works produced in painting, drawing and modeling studios. One of the programs at the psychiatric center is the Hotel da Loucura, or Madness Hotel, where some of the patients live in dorm style rooms with tourists who come to volunteer as creative tutors and participate in the theatre, music and art programs for short periods of time. The center also has a program of music and dance called Loucura Suburbana or Suburban Madness which participates as a bloc in the annual Carnaval parade in Rio de Janeiro.