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Art Therapy Health Article

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Author Info: Paula Ford-Martin, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Nursing and Allied Health, 2002
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Definition

Art therapy, sometimes called creative arts therapy or expressive arts therapy, encourages people to express and understand emotions through artistic expression and through the creative process.

Origins

Humans have expressed themselves with symbols throughout history. Masks, ritual pottery, costumes, other objects used in rituals, cave drawings, Egyptian hieroglyphics, and Celtic art and symbols are all visual records of self-expression and communication through art. Art has also been associated spiritual power, and artistic forms such as the Hindu and Buddhist mandala and Native American sand painting are considered powerful healing tools.

In the late nineteenth century, French psychiatrists Ambrose Tardieu and Paul-Max Simon both published studies on the similar characteristics of and symbolism in the artwork of the mentally ill. Tardieu and Simon viewed art therapy as an effective diagnostic tool to identify specific types of mental illness or traumatic events. Later, psychologists would use this diagnostic aspect to develop psychological drawing tests (the Draw-A-Man test, the Draw-A-Person Questionnaire [DAP.Q]) and projective personality tests involving visual symbol recognition (e.g., the Rorschach Inkblot Test, the Thematic Apperception Test [TAT], and the Holtzman Inkblot Test [HIT]).

The growing popularity of milieu therapies at psychiatric institutions in the twentieth century was an important factor in the development of art therapy in the United States. Milieu therapies (or environmental therapy) focus on putting the patient in a controlled therapeutic social setting that provides the patient with opportunities

to gain self-confidence and interact with peers in a positive way. Activities that encourage self-discovery and empowerment such as art, music, dance, and writing are important components of this approach.

Educator and therapist Margaret Naumburg was a follower of both Freud and Jung and incorporated art into psychotherapy as a means for her patients to visualize and recognize the unconscious. She founded the Walden School in 1915, where she used students' artworks in psychological counseling. She published extensively on the subject and taught seminars on the technique at New York University in the 1950s. Today, she is considered the founder of art therapy in the United States.

In the 1930s, Karl, William, and Charles Menninger introduced an art therapy program at their Kansas-based psychiatric hospital, the Menninger Clinic. The Menninger Clinic employed a number of artists in residence in the following years, and the facility was also considered a leader in the art therapy movement through the 1950s and 60s. Other noted art therapy pioneers who emerged in the 50s and 60s include Edith Kramer, Hanna Yaxa Kwiatkowska (National Institute of Mental Health), and Janie Rhyne.

Benefits

Art therapy provides the client-artist with critical insight into emotions, thoughts, and feelings. Key benefits of the art therapy process include:

  • Self-discovery. At its most successful, art therapy triggers an emotional catharsis.
  • Personal fulfillment. The creation of a tangible reward can build confidence and nurture feelings of self-worth. Personal fulfillment comes from both the creative and the analytical components of the artistic process.
  • Empowerment. Art therapy can help people visually express emotions and fears that they cannot express through conventional means, and can give them some sense of control over these feelings.
  • Relaxation and stress relief. Chronic stress can be harmful to both mind and body. Stress can weaken and damage the immune system, can cause insomnia and depression, and can trigger circulatory problems (like high blood pressure and irregular heartbeats). When used alone or in combination with other relaxation techniques such as guided imagery, art therapy can effectively relieve stress.
  • Symptom relief and physical rehabilitation. Art therapy can also help patients cope with pain. This therapy can promote physiological healing when patients identify and work through anger, resentment, and other emotional stressors. It is often prescribed to accompany pain control therapy for chronically and terminally ill patients.
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