{"title":"The torso’s secrets: Using the torso in art therapy for people with eating disorders","authors":"Keren Blumenthal Yanir","doi":"10.1016/j.aip.2023.102095","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102095","url":null,"abstract":"<div><p>Body-image disturbance, a dominant eating disorder (ED) symptom, causes people to experience their body as a battlefield. The <em>torso</em>—the human trunk from the neck to the groin but excluding the limbs—represents the absence of fundamental human qualities and capabilities. Thus, it can evoke contradictory emotions strongly related to the core psychodynamic contents of EDs. Due to their body-related disturbances and significant difficulty identifying and verbalizing emotions, people with EDs can benefit from working creatively with torsi in art therapy. This article presents the author’s observations of commonalities in the art torsi of people with ED and their potential clinical implications. Specifically, the author observed striking similarities in how people with EDs create art using Styrofoam torsi: (1) common working patterns, (2) marking the neck and belt areas, (3) representing sensitive body parts, and (4) neglecting the back of the torso. These shared characteristics can be traced to the ED’s emotional impact on the person and the underlying factors contributing to its development. Working creatively with torsi in art therapy as a stage to explore and process inner experiences, emotional vulnerabilities, defense mechanisms, body- and self-image-related issues, and other psychological themes embedded in EDs are discussed.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102095"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92074082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dadaism in poetry therapy: The heart of words and the freedom of nonsense","authors":"Shqiponjë Ahmedi","doi":"10.1016/j.aip.2023.102091","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102091","url":null,"abstract":"<div><p><span>The effectiveness of poetry in promoting emotional healing and self-discovery has become exemplified by the burgeoning field of poetry therapy. This article seeks to synthesize existing research in poetry therapy with effective therapeutic techniques by delving into the potential of Dadaism as a framework for poetry therapy. Because Dadaism emerged as a literary and artistic movement that arose from the state of mental tension, chaos and trauma, I argue that through a comprehensive examination of the historical and artistic contexts of the movement, as well as its key themes and techniques, therapists can facilitate exploration of sensitive and taboo subjects in a non-threatening and safe manner. By employing the techniques present in Dadaist poetry, this article illustrates how the movement can aid in the expression and processing of intense emotions, challenge the validity of prevailing </span>narratives, and engender novel perspectives. Ultimately, this article asserts that Dadaism offers a valuable lens for more exploration of its use in poetry therapy to further advance this nascent field.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102091"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92074081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A systematic review of dramatherapy interventions which are used to support adult participants’ mental health in forensic settings","authors":"Eleanor Keiller , Eleanor Melvin , Meabh Ivers , Rachel Lambie , Jane Bourne","doi":"10.1016/j.aip.2023.102096","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102096","url":null,"abstract":"<div><p>A growing number of people in the criminal justice system require mental health care. At the same time, in the UK at least, gaining access to forensic mental health services is becoming increasingly difficult. Dramatherapy, which may be a useful treatment in forensic settings, such as prisons and secure hospitals, has not before been systematically reviewed in this context. Seven databases and 10 journals were searched for all available literature. From 6724 sources, 12 papers were suitable for inclusion. Data relating to participant and intervention characteristics, methods used to measure effect, and qualitative and quantitative effects were extracted. Quantitative data were used to calculate effect sizes (Cohen’s <em>d</em>) and qualitative data were subjected to content analysis. Varied participant and intervention characteristics suggest flexibility in provision, however, forensic dramatherapy was most often delivered in the UK (33%) to groups (66%) of male (75%) adults with personality disorder (42%). Effects were measured both qualitatively and quantitatively; the use of quantitative outcome measures (42%) and the collection of participant feedback (42%) were most popular. Effect sizes ranged from <em>d</em> = 0.01 to <em>d</em> = 1.25. Large effects were seen with regards to reduced anger and increased emotional activation, however, studies were often uncontrolled. Qualitative results suggest that participants experienced new ways of being, were able to express themselves and felt supported by the group or therapist. The quantitative and qualitative results of forensic dramatherapy suggest promise, however, the evidence base is currently small. Further, methodologically strong research is encouraged.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102096"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S019745562300103X/pdfft?md5=d496ddec851374d5bc767cee0da670a4&pid=1-s2.0-S019745562300103X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92046393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine S. Biddle , Laura E. Welfare , Nicole Abaid , Tanner Upthegrove , Robin M. Queen
{"title":"Exploring attunement among clinicians-in-training via group drumming","authors":"Katherine S. Biddle , Laura E. Welfare , Nicole Abaid , Tanner Upthegrove , Robin M. Queen","doi":"10.1016/j.aip.2023.102094","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102094","url":null,"abstract":"<div><p>Referring to profound, deeply felt and embodied states of oneness, experiences of attunement are foundational to healthy human development. In clinical practice, these experiences promote therapeutic alliance and support healing, particularly in the context of relational wounding. Occurring through a process of ‘tuning in,’ attuned states contribute to the development of relationally based and embodied knowledge and may be facilitated through group arts-based experiences. Within this exploration of attunement, master’s level clinicians-in-training engaged in an improvisational group drumming intervention. Drawing on a synthesis of knowledge from diverse fields, multimodal forms of measurement, including perceptual, behavioral, and physiological, were utilized to elucidate and contextualize an occurrence of attunement. Findings shed light on the phenomenon of attunement, its relevance to the education of mental health practitioners and arts-based therapies, and how it may be facilitated to promote effective clinical practice. Use of advanced motion capture and physiological monitoring technologies opens doors for future research focused on the interpersonal nature and benefits of arts-based interventions.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102094"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92014443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison study between 3D virtual reality art-making and 2D art-making with traditional art materials among adolescents","authors":"Lidice Cohen","doi":"10.1016/j.aip.2023.102089","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102089","url":null,"abstract":"<div><p>This qualitative pilot study investigated the drawing experiences of five adolescent participants to examine virtual reality (VR) as an expressive tool for art therapy for trauma-exposed youth. The participants drew their safe space with traditional art materials (TAM) and then replicated it three-dimensionally utilizing the Oculus Quest for VR artmaking. A phenomenological comparison approach allowed the researcher to explore the data collected through thematic analysis. The investigator presents five themes as the result of five transcribed and coded semi-structured interviews: lack of knowledge/confidence, novelty, empowerment, multisensory, and an unexpected finding of gender-switching to avoid cyberbullying. The results of this pilot study suggest that VR fostered the adolescents’ participation while empowering them to express thoughts, actions, and emotions in nontraditional forms.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102089"},"PeriodicalIF":1.8,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicki Power , Toni Leigh Harrison , Simon Hackett , Catherine Carr
{"title":"Art therapy as a treatment for adults with learning disabilities who are experiencing mental distress: A configurative systematic review with narrative synthesis","authors":"Nicki Power , Toni Leigh Harrison , Simon Hackett , Catherine Carr","doi":"10.1016/j.aip.2023.102088","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102088","url":null,"abstract":"<div><p>This systematic review with narrative synthesis aimed to identify the forms of art therapy practice, types of studies conducted, outcomes reported, and experiences described in the literature for people with learning disabilities who also experienced mental distress.</p><p>Papers in English, describing art therapy practice or therapeutic art interventions which addressed mental distress with adults with learning disabilities were included. Database searches were conducted using Healthcare Databases Advanced Search (HDAS), PubMed and American Psychological Association PsycInfo. Hand searches of grey literature were also conducted. Relevance and quality assessment ratings were carried out on each included paper. Results were discussed in terms of the four main questions of this review.</p><p>Sixty-eight papers were included: 41 clinical practice and 27 research studies. Art therapy was most frequently provided on an individual basis, by qualified art therapists in community settings. Papers highlighted a broad range of adaptive practices, techniques and theoretical models used by practitioners when working with this population. Study outcomes varied, were predominantly behavioural and deficit focused. Data on the direct experiences of this population were limited but show promising areas for future research.</p><p>This review identified that art therapy practice has evolved in response to diverse client needs and specific socio-cultural contexts across 40 years. Although there are no clearly defined models of individual or group art therapy for this population, practitioners employ their creative and therapeutic skills flexibly to meet this population’s complex health and social needs. We recommend that future studies: employ robust and inclusive methodologies, measure resource-oriented outcomes and use established standards of reporting, to expand the evidence-base and to more accurately reflect the experiences of this population.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102088"},"PeriodicalIF":1.8,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship between the therapeutic alliance, clients' reactions to artistic work and outcomes of arts therapies with ultra-orthodox 4–15 year olds","authors":"Lali Keidar , Dafna Regev , Eliav Keidar , Sharon Snir","doi":"10.1016/j.aip.2023.102087","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102087","url":null,"abstract":"<div><p>The therapeutic relationship formed during arts therapies with ultra-orthodox children and teens, when it is provided by therapists who are not ultra-orthodox themselves, may suffer from an intercultural gap. This quantitative longitudinal study examined the therapeutic alliance (TA) and clients' reactions to the artistic work (ABI) in arts therapies with young ultra-orthodox clients, and the relationship of these process variables to changes in self-concept, behavior and functioning in a dedicated educational setting. Forty-one ultra-orthodox clients aged 4–15 (<em>M</em>=6.54, <em>SD</em>=2.33) and 17 arts therapists from diverse religious/cultural backgrounds filled out process questionnaires three times during therapy. The clients, their mothers, and the educational staff provided information on the outcome variables at the beginning and end of therapy. The findings partially confirmed the hypotheses of a positive relationship between TA and ABI, between the two and changes in the outcome variables. The clients’ and therapists’ perspectives on the TA were only positively correlated towards the end of therapy. Positive correlations were found between ABI and TA, but a negative correlation emerged between TA at the beginning of therapy and ABI towards the end of therapy. Positive correlations were found between the process variables and the gain scores; namely, between ABI and improvement in functioning in kindergarten, TA and improvement in cognitive competence of clients treated by secular therapists, and between TA and a decline in hyperactivity/distractibility of clients treated by ultra-orthodox or religious therapists. A negative correlation emerged between TA and increased aggression in clients treated by secular therapists. These findings are discussed in the context of the specificity of this population and intercultural therapy.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102087"},"PeriodicalIF":1.8,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating the embodiment-projection-role paradigm to develop and implement a two-hour-workshop for stress management among nurses","authors":"Maria Velana , Hara Xenakis , Gerhard Rinkenauer","doi":"10.1016/j.aip.2023.102090","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102090","url":null,"abstract":"<div><p>Numerous studies have associated high stress with the nursing profession, especially during the COVID-19 pandemic. Although cognitive-behavioral or creative approaches have been employed by experts to teach self-care, these interventions rarely utilized a solid therapeutic framework, involving a clear experimental design. This study, therefore, attempted to develop a therapy-based workshop for stress management among nurses at a German health care site by employing the Embodiment-Projection-Role (EPR) paradigm and techniques derived from traditionally different approaches. Physical mobilization, art, storytelling and role play were chosen as expressive media for self-exploration of inner resources in a supportive peer milieu. Breathwork and guided imagery were also employed to inspire nurses to develop their coping repertoire. Data were collected from nine participants in a quasi-experimental pre-post study design. The study findings indicated a statistically significant decrease of current stress level and also, a significant improvement in negative emotions, immediately after the intervention. This study suggests that a therapeutic framework with a holistic approach of mental health might serve as an effective coping process to deal with job stress. This study, moreover, encourages researchers to shed light on the EPR processes and explore the long-term effects of the therapeutic paradigm on mental health.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102090"},"PeriodicalIF":1.8,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Feasibility of the Bonny Method of Guided Imagery and Music in eating disorder treatment: Clients' perceived benefits and challenges","authors":"Annie Heiderscheit","doi":"10.1016/j.aip.2023.102086","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102086","url":null,"abstract":"<div><p>Individuals diagnosed with eating disorders (ED) experience persistent symptoms related to eating and food intake. These symptoms significantly impact an individual’s overall physical health and psychosocial functioning. They often have psychiatric comorbidities that contribute to the complexity of the disorder and necessitate a psychotherapeutic approach to uncover and work through unresolved emotions and experiences. GIM is an in-depth music psychotherapy method utilizing therapist-programmed music to support uncovering and examining underlying and unresolved issues. The literature surrounding GIM with clients with EDs is limited to clinical case studies. This feasibility study integrated GIM sessions into clients' usual ED treatment. Eight adult females engaged in ED treatment received a total of 116 GIM sessions over a 12-month period. Participants rated the feasibility of GIM in ED treatment as 6 (very easy) and rated the helpfulness of GIM as 6.5 (very helpful). Analysis of the questionnaires identified nine subthemes and three themes that emerged related to perceived benefits. The three themes include insight (feeling stuck, fear factor, and need for change), emotional processes (identifying emotions, experiencing emotions, and processing emotions), and growth (discovering inner strengths, developing self-belief, and letting go). Challenges identified included: fear of the unfamiliar and learning to trust self.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102086"},"PeriodicalIF":1.8,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Child-focused outcome and process evaluation of a school-based art therapy intervention: A pilot randomised controlled study","authors":"Zoe Moula , Joanne Powell , Tania Nicole Konstant , Vicky Karkou","doi":"10.1016/j.aip.2023.102085","DOIUrl":"https://doi.org/10.1016/j.aip.2023.102085","url":null,"abstract":"<div><p>This pilot cross-over randomised controlled study aimed to investigate the implementation of a school-based art therapy intervention, and to test whether all elements of the study design (e.g., recruitment, randomisation, follow-up) can work together in a larger study. The process and outcomes were evaluated by children through interviews, standardised questionnaires of quality of life, wellbeing and life functioning, emotional and behavioural difficulties, and biomarkers assessing children’s sleep. Adherence to the therapeutic protocol was rated by the researcher and the art therapist. The greatest impact of art therapy was observed in children’s exploration of safe space, stress relief, emotional expression, and empowerment. The improvements reported through the standardised questionnaires did not reach statistical significance but were maintained one year later. All sessions were given an average rating of 9/10, indicating that children’s session quality ratings were high and consistent across sessions. Sample size calculations for future large-scales studies were performed and recommendations were provided regarding how to improve the impact of art therapy from children’s perspectives.</p></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"86 ","pages":"Article 102085"},"PeriodicalIF":1.8,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}