{"title":"Healing through art: A systematic literature review on the effects of creative art therapies on body image disturbance","authors":"Elif Şule Şanlı, Melike Menşure Bulguroğlu, Burçin Akın-Sarı","doi":"10.1016/j.aip.2025.102370","DOIUrl":"10.1016/j.aip.2025.102370","url":null,"abstract":"<div><div>The aim of this systematic review study is to examine the effects of Creative Arts Therapies (CATs) on individuals with impaired body image. Studies focusing on individuals with impaired body image due to various reasons such as eating disorders, obesity, post-traumatic changes in body perception and chronic diseases were reviewed. A comprehensive search of seven different databases (PubMed, APA PsycNet, ScienceDirect, JSTOR, Taylor & Francis, Scopus, Web of Science) yielded 2058 records and after removing 13 duplicates, 2045 records were screened. Based on predefined exclusion and inclusion criteria, 10 experimental or quasi-experimental studies were included in the review.The methodological quality of the studies was analyzed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools and the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. Findings indicate that interventions based on dance/movement therapy and visual art in particular significantly improve body perception, body awareness and emotional expression. Studies with low risk of bias support CATs as an effective and reliable complementary intervention tool for the treatment of body perception disorders.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102370"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145333211","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-10-10DOI: 10.1016/j.aip.2025.102369
J. Williams, A.E. Sidis
{"title":"Music therapy for psychological trauma: A theoretical integrative review","authors":"J. Williams, A.E. Sidis","doi":"10.1016/j.aip.2025.102369","DOIUrl":"10.1016/j.aip.2025.102369","url":null,"abstract":"<div><div>Music therapy has been used for decades to enhance wellbeing and functioning across various mental health and behavioural contexts. Music therapy has been embraced by patients and has been reported to support emotion processing and affect regulation indicating its potential usefulness as a treatment for trauma related disorders. This paper provides a review of the literature for this approach in for treatment of psychological trauma as well as an integrative summary of theories that underpin this approach. Results indicated a growing body of literature examining effectiveness, and key advances such as use of physiological measures, more detailed intervention descriptions, the emergence of manualised treatments. While theories relating to change overlapped for some models, distinct perspectives are discussed. The results of this paper suggest possibilities for addressing the divide between the mainstream clinical psychology field and music therapy, and how to boost collaboration between experts in their respective fields and diversify treatment options for individuals experiencing trauma-related disorders.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102369"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145333210","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-10-28DOI: 10.1016/j.aip.2025.102373
Tamar Hadar
{"title":"Relational repair through recording: A music therapy case study with a child and parents following the october 7 attack","authors":"Tamar Hadar","doi":"10.1016/j.aip.2025.102373","DOIUrl":"10.1016/j.aip.2025.102373","url":null,"abstract":"<div><h3>Background</h3><div>The October 7, 2023, terror attack in Israel caused mass displacement, leaving children and families facing acute psychological distress, emotional dysregulation, and relational strain.</div></div><div><h3>Gap</h3><div>While music therapy is increasingly used in crisis and trauma contexts, little is known about how recording can function as a therapeutic tool for displaced children and their families.</div></div><div><h3>Aims</h3><div>This case study examines how recording in music therapy may support emotional regulation, narrative processing, and relational repair in a post-crisis setting.</div></div><div><h3>Method</h3><div>A single-case qualitative design was employed, drawing on trauma-informed, relational, and dyadic music therapy principles.</div></div><div><h3>Participants</h3><div>The case involved an 8-year-old Israeli child and his parents who received therapy in a temporary clinic established for displaced families.</div></div><div><h3>Data Collection and Analysis</h3><div>Clinical notes, session recordings, and therapist reflections were thematically analyzed to trace therapeutic processes across sessions.</div></div><div><h3>Findings</h3><div>The intervention centered on musical play, improvisation, and multi-layered recording, culminating in a collaborative project involving both parents. The recording process created a co-creative space for self-expression, relational repair, and symbolic meaning-making. The child’s progression from structured exploration to creative leadership reflected increased safety, self-efficacy, and emotional openness.</div></div><div><h3>Implications</h3><div>This case highlights the potential of recording to facilitate both individual recovery and dyadic healing, underscoring the importance of including caregivers in early trauma interventions. It demonstrates the value of flexible, culturally sensitive, and developmentally appropriate music therapy in addressing complex trauma among displaced children and families in times of collective crisis.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102373"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424760","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-09-30DOI: 10.1016/j.aip.2025.102367
Melania Dovizio , Claudia Rossi , Mirko Pesce , Giulia Candeloro , Valeria Pica , Annalisa Bruno , Vincenzo De Laurenzi , Patrizia Ballerini , Doris Sommer , Pier Luigi Sacco
{"title":"A single-arm pilot study to assess salivary metabolites in facilitators tested with Pre-Texts arts-literacy intervention","authors":"Melania Dovizio , Claudia Rossi , Mirko Pesce , Giulia Candeloro , Valeria Pica , Annalisa Bruno , Vincenzo De Laurenzi , Patrizia Ballerini , Doris Sommer , Pier Luigi Sacco","doi":"10.1016/j.aip.2025.102367","DOIUrl":"10.1016/j.aip.2025.102367","url":null,"abstract":"<div><div>The Pre-Texts arts-literacy intervention has demonstrated effectiveness for reducing depression and anxiety symptoms in adolescents. However, the biological mechanisms underlying these psychological changes remain largely unexplored. This single-arm pilot study investigated the impact of Pre-Texts training on salivary metabolite profiles in adults (N = 10) undergoing facilitator training. Participants completed a 20-hour Pre-Texts program over four days, with saliva samples collected at baseline, during training (day 3), immediately post-intervention (day 4), and at 8-week follow-up. Flow injection analysis-tandem mass spectrometry quantified seven key metabolites linked to glutamate signaling (glutamic acid, glycine, valine, proline) and cellular metabolism/energy production (alanine, citrulline, C3 propionylcarnitine). Results demonstrated significant and sustained increases in glutamic acid, glycine, valine, proline, alanine, and citrulline, with concurrent decreases in C3 propionylcarnitine, versus baseline. These neurobiochemical changes were still present at follow-up, indicating the possibility of sustained effects on neurotransmission and cellular energetics. The observed metabolic shifts may reflect mechanisms involving NMDA receptor activation, neuroplasticity, cognitive flexibility, and stress response regulation. This preliminary investigation establishes methodological foundations for an expanded research examining the biological mechanisms underlying arts-based interventions, suggesting that Pre-Texts may foster neurometabolic changes that may be supportive of cognitive and emotional wellbeing.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102367"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221441","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-09-29DOI: 10.1016/j.aip.2025.102363
Tami Gavron , Judith Harel
{"title":"Parent-child art therapy: Strengthening parents’ representations of the ‘good object’ through the ‘rose-colored glasses’ approach","authors":"Tami Gavron , Judith Harel","doi":"10.1016/j.aip.2025.102363","DOIUrl":"10.1016/j.aip.2025.102363","url":null,"abstract":"<div><div>Parent-Child Art Therapy (PCAT) integrates the principles of dyadic psychotherapy with creative processes to address relational difficulties between parents and children. This therapeutic approach fosters communication and transformation within the parent-child relationship through artmaking. The \"rose-colored glasses\" approach introduced by Harel (2022) underpins this work, where the therapist’s positive, integrative stance toward parents is aimed at strengthening their representation of themselves as a \"good object\" for their child. This paper explores the theoretical and clinical foundations of PCAT, and more specifically how therapists can cultivate epistemic trust, mentalization, and reflective functioning in parents, thus enabling them to better understand and support their children. A detailed vignette illustrates the use of PCAT in addressing the complex dynamics of an adoptive parent-child dyad. Artmaking facilitated relational repair and mutual growth, which enabled the parents to navigate feelings of guilt and frustration while augmenting their emotional connection with their child. Through shared creative processes, the parents transitioned from a critical self-perception to a good parental representation that contributed to bolstering the child’s emotional resilience and self-expression. The discussion centers on the issues therapists face in maintaining a positive view of parents amidst negative relational dynamics, and advocates for the use of art therapy to support multidimensional relational transformation. By adopting the \"rose-colored glasses\" approach, therapists can facilitate the restoration of positive internal representations that increase trust within the parent-child relationship and can lead to relational growth and repair.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102363"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221442","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-09-30DOI: 10.1016/j.aip.2025.102365
Smadar Korn
{"title":"Interpretation in action: The significance of non-verbal experiences in therapist-patient interactions as catalysts for change and breakthroughs in therapy","authors":"Smadar Korn","doi":"10.1016/j.aip.2025.102365","DOIUrl":"10.1016/j.aip.2025.102365","url":null,"abstract":"<div><div>This article discusses how psychodynamic principles can be combined with techniques in dance/movement psychotherapy (DMP) to deal with non-verbal traumatic memories. It revisits the conceptualization of using experiential processes as what I term “interpretation in action, “ i.e., incorporating bodily, movement-based, and non-verbal exploration and creation, either by the patient alone or in interactions with the therapist. The contribution of interpretive action is examined, especially in cases where very early memories, from the realm of the unthought encoded in the body-psyche are triggered. These memories often involve somatic imprints of early traumatic events. A clinical case study illustrates the application of interpretative action in a patient struggling with anxiety and fears related to pregnancy stemming from her own premature birth. At a pivotal point in therapy, the patient was physically held by the therapist for a few minutes, similar to a mother cradling her. Subsequently, the experience was processed through artistic creation, involving sensorimotor play. This leads to the presentation of a new conceptualization of DMP involving sensorimotor play as a resource when addressing early life trauma. This type of play emerges spontaneously during therapy through authentic movement, dance improvisation, and artistic creation and can reconnect with early traumatic experiences to enable the creation of new meaning and the healing of the impact of the early trauma.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102365"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145267379","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-09-15DOI: 10.1016/j.aip.2025.102361
Rui Luo , Rui Ding , Xiaohui Wang , Wangyu Zhou , Yaru Hou
{"title":"Enhancing emotion regulation through group: A pilot study of psychodrama intervention among college students in China","authors":"Rui Luo , Rui Ding , Xiaohui Wang , Wangyu Zhou , Yaru Hou","doi":"10.1016/j.aip.2025.102361","DOIUrl":"10.1016/j.aip.2025.102361","url":null,"abstract":"<div><div>Psychodrama is gaining traction in China as both a therapeutic modality and a developmental intervention. This pilot study evaluated the feasibility, preliminary efficacy, and procedural refinement of an eight-week psychodrama program designed to enhance emotion regulation among Chinese college students. Using a two-arm, non-randomized controlled design, 22 undergraduates attended weekly 150-minute sessions led by a trained social worker. A convergent mixed-methods approach combined quantitative self-reports with qualitative reflections. Compared with controls, participants in the psychodrama group showed significant post-intervention reductions in expressive suppression; qualitative data further revealed heightened emotional expression, broadened cognitive insight, and uniformly positive experiences. These findings suggest that psychodrama can effectively improve emotional well-being in China and merits wider application in social work practice.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102361"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118976","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-11-03DOI: 10.1016/j.aip.2025.102376
Marián López Fernández Cao , Ana Serrano Navarro
{"title":"Metaphor in art therapy: Its use with vulnerable children","authors":"Marián López Fernández Cao , Ana Serrano Navarro","doi":"10.1016/j.aip.2025.102376","DOIUrl":"10.1016/j.aip.2025.102376","url":null,"abstract":"<div><div>This article examines the role of metaphor in art therapy as both a tool for narrative comprehension and a means of transforming meaning, enabling new interpretations. The Brundibár Project, conducted over three years, implemented 25 workshops of 30 h each across eight centers, involving 217 children and adolescents at risk or affected by trauma. Within these sessions, metaphor was used as a vehicle for meaning-making and transformation. The workshops fostered the development of a rich metaphorical repertoire among participants, reflecting their capacity to symbolically reframe experiences. The findings highlight how the attentive support of trained art therapists is essential in collecting and nurturing these metaphors, thereby enhancing their transformative potential. Relating the outcomes to existing literature, the study demonstrates that metaphor operates as a central element in art therapy interventions. It supports processes of identification, conflict management, and resolution, which participants can integrate into their own narratives. The art therapist’s shared perspective further strengthens these strategies, contributing to the possibility of personal change. As a result, the Brundibár Project has established a new classification of metaphors, offering a framework that may inform future applications and research in art therapy.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102376"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145473958","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-11-11DOI: 10.1016/j.aip.2025.102381
Rami Yoon, Hye-Won Hong, Yun-Mi Park
{"title":"Phygital art therapy: A theoretical model integrating digital and physical media in psychotherapeutic practice","authors":"Rami Yoon, Hye-Won Hong, Yun-Mi Park","doi":"10.1016/j.aip.2025.102381","DOIUrl":"10.1016/j.aip.2025.102381","url":null,"abstract":"<div><div>This study introduces Phygital Art Therapy as a conceptual model that reimagines the therapeutic space through the convergence of physical materials and immersive digital technologies. While digital art therapy has expanded access and media diversity, it often falls short in supporting embodied emotional expression and dynamic client–therapist interaction. To address these limitations, this paper proposes the Phygital Therapeutic Field Model (PTFM), which highlights four interrelated components: sensory–media integration, reorganization of interaction structures, fluidity of psychological space and time, and the ethical implications of technologically mediated therapy. Drawing on recent developments in immersive media and AI, the model explores how clients engage in creative processes that unfold across physical and virtual environments simultaneously. These hybrid settings allow for deeper emotional articulation, symbolic reconstruction, and adaptive self-expression. Rather than viewing technology as a separate tool, the phygital approach frames it as a co-active element within the therapeutic relationship. The therapist’s role expands to include sensory attunement, media coordination, and ethical navigation across shifting experiential layers. Through this lens, art therapy becomes a responsive process in which sensation, memory, identity, and meaning are continually reconfigured. By offering an integrated perspective on digitally infused creative practices, this study contributes to ongoing dialogue about the evolving nature of therapeutic environments and the possibilities they hold for supporting emotional depth and personal transformation.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102381"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623028","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}
Arts in PsychotherapyPub Date : 2025-11-01Epub Date: 2025-11-04DOI: 10.1016/j.aip.2025.102378
Hao-Yue Yang , Yi-Yan Chen, Shi-Yu Gu, Xian-Hui Tang
{"title":"Effects of dance on quality of life among people with Parkinson's disease: Meta-analyses","authors":"Hao-Yue Yang , Yi-Yan Chen, Shi-Yu Gu, Xian-Hui Tang","doi":"10.1016/j.aip.2025.102378","DOIUrl":"10.1016/j.aip.2025.102378","url":null,"abstract":"<div><div>Parkinson’s disease (PD) is a common neurodegenerative disorder that causes major disability and poses an increasing global public health burden. Dance has rapidly gained popularity among patients with PD because it may enhance well-being in this population. The aim of this study was to conduct meta-analyses to assess the effect of dance on quality of life among adults with PD, reporting not only the mean effect size but also the variation in the effect size across studies. Therefore, the PubMed, Web of Science, PEDro, and Cochrane Library databases were searched in March 2025 for randomized controlled trials that compared dance interventions with typical interventions. Quality of life was assessed with the Parkinson’s Disease Questionnaire (PDQ-39). The literature search initially yielded 432 records; ultimately, 8 RCTs involving 211 patients with PD were included in the meta-analyses. The results indicated that dance could improve quality of life, as indicated by a reduction in the mean effect size on the PDQ-39 total score (WMD = − 2.840, 95 % CI: − 5.34 to − 0.35) compared with that in the control intervention; the 95 % prediction interval (PI) of the true effect size was (-11.92, 6.24), which indicated that dance might be helpful (decreasing the PDQ-39 total score) for approximately 79.20 % of the population and less effective (increasing the PDQ-39 total score) for approximately 20.80 % of the population. The tests for subgroup differences based on intervention duration, dance time, dance frequency and patient age showed no statistical significance, suggesting that these factors did not modify the effects of dance compared with the control intervention. The test for subgroup differences among the 8 sub-dimensions of the PDQ-39 revealed statistical significance (<em>P</em> = .01), indicating that the sub-dimensions of the PDQ-39 might significantly modify the effect of dance in comparison to the control intervention. Dance also significantly decreased scores on the motor dimension of the Unified Parkinson’s Disease Rating Scale (WMD = − 3.81, 95 % CI: − 4.70 to − 2.91) among individuals with PD, and the 95 % PI of the true effect size was (-12.89, 6.53), which indicated that the effect of dance could be helpful (decreasing scores on the motor-UPDRS) for most patients with PD. These results suggest that dance significantly improved the quality of life of patients with PD, although the relatively small number of included trials and the limited sample size constrain the generalizability of the findings. Further research should focus on identifying which aspects of dance are most beneficial for patients with PD.</div></div>","PeriodicalId":47590,"journal":{"name":"Arts in Psychotherapy","volume":"96 ","pages":"Article 102378"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145473981","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}