Externalizing Problems Using Art in a Group Setting for Substance Use Treatment

ABSTRACT In addiction recovery, the person in treatment is traditionally identified by their problem and labeled an addict or alcoholic. The addiction is perceived to be ingrained as a life-long disease, but unlike cancer, the blame is often put on the person for having it. By externalizing a problem we create space for the person to freely address their problems without using up emotional resources to carry the weight of being the problem. This article provides a description of how externalizing problems using art along with the narrative practice of mapping the influence can be beneficial for building one’s personal resources and confidence in navigating the problem of substance dependence. Detail is given to the set-up of the intervention, process of externalizing problems, facilitating a conversation to map the influence of the problem, and addressing client responses. This intervention is applied to a group therapy setting and considerations are given to scenarios of resistance or hesitancy from clients.