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Effectiveness of Trauma-Focused Art Therapy (TFAT) for psychological trauma: A mixed method single case study 以创伤为中心的艺术疗法(TFAT)对心理创伤的疗效:混合方法单一案例研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-19 DOI: 10.1016/j.aip.2024.102218

Art therapy (AT) shows promise in treating clients with posttraumatic stress disorder (PTSD), especially those who don't respond well to traditional treatments (more than 30 %). This case study aimed to explore the effects of Trauma-Focused Art Therapy (TFAT) on PTSD symptoms and establish its viability as a non-verbal therapy for trauma-related issues. A 10-week intervention and a 3-week follow-up phase were explored using a mixed method single case experimental design (SCED) aimed at integrated results. Bringing the two types of data together adds value and enables to understand the findings better. Quantitative data was collected with weekly questionnaires focused on severity of depression, resilience, self-esteem, mental health and self-expression and emotion regulation in art therapy. The PTSD Checklist for DSM-5 (PCL-5) was completed in week 1 and 10. Qualitative data was collected through interviews, the patient dossier, and artwork. The combined findings indicate a decrease in PTSD symptoms, reduced depression symptoms, enhanced emotional articulation, increased mental resilience, self-esteem, and positive mental health. The qualitative data support these results, and also add improved emotional connection, increased emotional acknowledgment, and enhanced self-compassion. Based on the combined results of this mixed method design we understand that the TFAT protocol led to a clinically significant reduction in PTSD symptoms and improved mental health, demonstrating effectiveness of AT for trauma in this case. This is the first study that tested the TFAT protocol in posttraumatic distress.

艺术疗法(AT)有望治疗创伤后应激障碍(PTSD)患者,尤其是那些对传统疗法反应不佳的患者(超过 30%)。本案例研究旨在探讨创伤焦点艺术疗法(TFAT)对创伤后应激障碍症状的影响,并确定其作为治疗创伤相关问题的非语言疗法的可行性。研究采用混合方法的单一案例实验设计(SCED),对为期 10 周的干预和为期 3 周的后续阶段进行了探讨,旨在得出综合结果。将两种类型的数据结合在一起可以增加价值,更好地理解研究结果。通过每周调查问卷收集定量数据,重点关注抑郁症的严重程度、复原力、自尊、心理健康以及艺术疗法中的自我表达和情绪调节。第 1 周和第 10 周完成了创伤后应激障碍核对表 DSM-5(PCL-5)。通过访谈、患者档案和艺术作品收集定性数据。综合研究结果表明,创伤后应激障碍症状减轻,抑郁症状减少,情绪表达能力增强,心理复原力、自尊心和积极的心理健康水平提高。定性数据支持这些结果,还增加了情感联系的改善、情感认可的增加和自我同情的增强。根据这一混合方法设计的综合结果,我们了解到创伤后应激障碍治疗方案在临床上显著减轻了创伤后应激障碍症状,改善了心理健康,证明了创伤后应激障碍治疗在本案例中的有效性。这是第一项测试创伤后痛苦的 TFAT 方案的研究。
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引用次数: 0
“Attentive to their drawing”: A pilot study of the implications of a single session mindfulness-based art therapy intervention on early childhood assistants "专注于绘画":单次正念艺术治疗干预对幼儿助理影响的试点研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-31 DOI: 10.1016/j.aip.2024.102203

Early childhood assistants (ECA) often cope with job-related stressors and experience burnout. This study examined the implications for ECAs of a single session mindfulness-based art therapy (SSMBAT) intervention that combined mindfulness with drawing and photography in a group setting. In this qualitative study, a convenience sample of 16 ECA volunteers were recruited after they had taken part in the SSMBAT as part of an ECA training program. Semi-structured interviews were conducted to explore their experiences during the SSMBAT. The questions focused on mindfulness, understanding and practice, and its possible contribution to personal or professional life. The thematic analysis revealed that mindfulness practices in the workshop elicited an impact in the sensory, emotional, cognitive and metacognitive, and behavioral domains. Components of the workshop, such as mindfulness sitting and walking meditations, artmaking and group sharing were seen as contributing to professional and self-development, working with children, teamwork with peers, and communication with the children’s parents. The results underscore the theoretical as well as the practical value of SSMBAT. They contribute to the scant literature on the wellbeing of ECA and efforts to support them.

幼儿助理(ECA)经常要应对与工作相关的压力,并体验到职业倦怠。本研究探讨了基于正念的艺术疗法(SSMBAT)干预措施对幼儿助理的影响,该干预措施在小组环境中将正念与绘画和摄影相结合。在这项定性研究中,作为 ECA 培训项目的一部分,在 16 名 ECA 志愿者参加了 SSMBAT 后,对他们进行了抽样调查。研究人员对他们进行了半结构化访谈,以探讨他们在 SSMBAT 期间的经历。问题主要集中在正念、对正念的理解和实践,以及正念对个人或职业生活可能做出的贡献。主题分析表明,工作坊中的正念练习对感官、情绪、认知和元认知以及行为领域都产生了影响。工作坊的组成部分,如正念坐姿和步行冥想、艺术创作和小组分享,被视为有助于专业和自我发展、与儿童一起工作、与同伴团队合作以及与儿童家长沟通。研究结果凸显了 SSMBAT 的理论和实践价值。这些结果为有关幼儿保育和教育的福祉以及支持幼儿保育和教育的努力的稀缺文献做出了贡献。
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引用次数: 0
Art therapy in mitigating pervasive loss and grief within correctional settings 艺术疗法在教养机构中减轻普遍的损失和悲伤
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-30 DOI: 10.1016/j.aip.2024.102204

Those incarcerated often experience different types of loss. Because of where they are, such experiences often result in unresolved, unacknowledged, disenfranchised grief. Recognizing such vulnerability by those who are incarcerated is often difficult and, in some ways, dangerous. Not addressing such losses further exacerbates their chances of completing any respective programs established for success. Art therapy has been effective in alleviating such complications, including for those incarcerated inside correctional institutions. This article draws from the authors’ experiences of providing art therapy services in a statewide program for youthful offenders–those who are 14–22 years old but in the adult institutions–to mitigate obstacles for completing their General Education Degree—and will provide an overview of the various losses that incarcerated individuals experience, their potential grief responses, and the value of art therapy in addressing such grief. The case vignettes provided underscore how, as their expressions were made visible and subsequently seen, validated and acknowledged through art therapy, the incarcerated youth were able to begin the process of moving beyond their grief and attend to their goals, allowing them to succeed in their respective programs, which may include but are not limited to; re-entry focused, substance abuse, GED prep classes, college courses and technical trade programs.

被监禁者通常会经历不同类型的损失。由于他们所处的位置,这种经历往往会导致无法解决、无法承认、无法行使权力的悲伤。被监禁者认识到这种脆弱性往往是困难的,在某些方面甚至是危险的。如果不解决这些损失,就会进一步增加他们完成为成功而制定的各项计划的机会。艺术疗法可以有效缓解这些问题,包括那些被关押在教养机构中的人。这篇文章借鉴了作者在全州范围内为青少年罪犯(14-22 岁,但被关押在成人教养院中)提供艺术治疗服务的经验,以减轻他们完成普通教育学位的障碍,并将概述被监禁者所经历的各种损失、他们潜在的悲伤反应以及艺术治疗在解决这种悲伤方面的价值。所提供的案例小故事强调了在通过艺术疗法使他们的表达被人看到,并随后被人看到、验证和认可的过程中,被监禁的青少年如何能够开始走出悲伤,并关注他们的目标,使他们能够在各自的项目中取得成功,这些项目可能包括但不限于:以重返社会为重点的项目、药物滥用项目、普通教育证书预科班、大学课程和技术贸易项目。
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引用次数: 0
Cooking therapy in the creative arts therapy theoretical context: Conceptual validation and practical guidelines 创意艺术疗法理论背景下的烹饪疗法:概念验证和实践指南
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-14 DOI: 10.1016/j.aip.2024.102202

Therapists across disciplines incorporate cooking as a central tool within their clinical practice. However, the concept of “cooking therapy” lacks a standardized operational definition, hindering the advancement of this field within psychotherapy. The main objective of this article is to examine cooking within the context of psychotherapy from the perspective of creative arts therapy (CAT). Through this lens, the authors aim to delineate the therapeutic factors inherent in the CATs and illustrate how these factors manifest in cooking activities within therapeutic settings. Therapists can use the proposed framework to establish consistency in cooking therapy protocols. This standardization will facilitate the development of comparable research exploring the effects and effectiveness of cooking therapy across populations. Moreover, therapists can gain insight into the therapeutic mechanisms, deepening their understanding of cooking’s potential contributions to the therapeutic process and its applications, analogous to various artistic modalities used in CATs.

各学科的治疗师都将烹饪作为其临床实践的核心工具。然而,"烹饪疗法 "这一概念缺乏标准化的操作定义,阻碍了这一领域在心理疗法中的发展。本文的主要目的是从创意艺术疗法(CAT)的角度来研究心理疗法中的烹饪。通过这一视角,作者旨在界定 CAT 中固有的治疗因素,并说明这些因素如何在治疗环境中的烹饪活动中体现出来。治疗师可以使用建议的框架来建立烹饪治疗方案的一致性。这种标准化将有助于开展可比研究,探索烹饪疗法在不同人群中的效果和有效性。此外,治疗师还可以深入了解治疗机制,加深对烹饪在治疗过程中的潜在贡献及其应用的理解,类似于 CAT 中使用的各种艺术模式。
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引用次数: 0
Standing tall: A continuing education program and participatory study offered to arts therapists working in the israeli education system 站在高处:为在以色列教育系统工作的艺术治疗师提供的继续教育计划和参与式研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-13 DOI: 10.1016/j.aip.2024.102201

This article is based on an arts-based participatory action research study conducted as an integral part of the Standing Tall continuing education program. Focusing on arts therapists within the Israeli education system, the research investigated their perceptions of the state of creative arts therapies in the system, their experiences, and their suggestions for enhancing their work environment. Finally, it explored co-researchers’ perceptions of the meaningfulness of their involvement in the program and participatory research initiative. The 20 arts therapists-co-researchers who participated in this program conducted interviews with 142 colleagues to learn about their job experiences and then analyzed these interviews. The lead researchers thematically analyzed the written and artistic materials collected during the program. The research findings showed the participants, both co-researchers, and interviewees, perceived the integration of arts therapy into the educational system as significant and potentially beneficial. The co-researchers aspired to play an active role in enhancing this integration while acknowledging the challenges involved. They saw the program as a meaningful opportunity for arts-based self-exploration. The findings suggest that while decision-makers play a crucial role in shaping the working conditions of arts therapists, the therapists themselves can catalyze change in the educational system and perhaps in other public systems as well.

本文基于一项以艺术为基础的参与式行动研究,该研究是 Standing Tall 继续教育计划的组成部分。研究以以色列教育系统中的艺术治疗师为重点,调查了他们对教育系统中创意艺术治疗现状的看法、他们的经验以及他们对改善工作环境的建议。最后,研究还探讨了共同研究者对参与该计划和参与式研究活动的意义的看法。参与该计划的 20 位艺术治疗师-共同研究者与 142 位同事进行了访谈,了解了他们的工作经历,然后对这些访谈进行了分析。主要研究人员对计划期间收集的书面和艺术材料进行了专题分析。研究结果表明,无论是共同研究者还是受访者,都认为将艺术疗法融入教育系统意义重大,并可能带来益处。共同研究者渴望在加强这种融合方面发挥积极作用,同时也承认其中的挑战。他们认为该计划是一个以艺术为基础进行自我探索的有意义的机会。研究结果表明,虽然决策者在塑造艺术治疗师的工作条件方面发挥着至关重要的作用,但艺术治疗师本身也能促进教育系统的变革,或许还能促进其他公共系统的变革。
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引用次数: 0
Exploring play experience with Japanese science, technology, engineering, and mathematics undergraduates in interactive art making: A qualitative study 探索日本科学、技术、工程和数学专业大学生在互动艺术创作中的游戏体验:定性研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-10 DOI: 10.1016/j.aip.2024.102199

Higher education students in the science, technology, engineering, and mathematics (STEM) fields are actively engaged with coursework, and their emotional maturity may be underdeveloped. The aim of this qualitative study was to investigate whether interactive art-making can provide a potential space for STEM undergraduates to experience play and freely explore themselves. We introduced the mutual squiggle and story-making method (MSSM), an art-based method wherein a practitioner collaborates with a participant to create art, followed by semi-structured interviews. Thematic analysis of the interview transcripts from seven STEM undergraduates revealed four themes: personal joy and fulfillment, interaction as a pivotal aspect of play, acknowledging appropriate compromises, and a non-play experience. Our findings suggest that the potential space created by MSSM can help STEM students navigate play through picture-making and storytelling experiences. Practitioners who conduct art-making with clients should be aware that they are being observed by participants and exhibit playful attitudes. This study sheds light on lowering the barrier to seeking help among STEM students. Further studies involving different academic disciplines as target groups are required. Policymakers should be aware of the importance of positive emotions aroused in play for STEM undergraduates to seek psychological support.

科学、技术、工程和数学(STEM)领域的高校学生正积极地投入到课程学习中,他们的情感成熟度可能还不够。本定性研究旨在探讨互动艺术创作能否为 STEM 本科生提供一个体验游戏和自由探索自我的潜在空间。我们在半结构化访谈之后介绍了 "相互涂鸦和故事创作法"(MSSM),这是一种基于艺术的方法,由实践者与参与者合作进行艺术创作。对七名 STEM 本科生的访谈记录进行的主题分析揭示了四个主题:个人快乐和成就感、互动是游戏的关键方面、承认适当的妥协以及非游戏体验。我们的研究结果表明,MSSM 创造的潜在空间可以帮助 STEM 学生通过图片制作和讲故事体验来引导游戏。与客户一起进行艺术创作的实践者应该意识到他们正在被参与者观察,并表现出游戏的态度。本研究揭示了如何降低 STEM 学生寻求帮助的障碍。还需要进一步开展涉及不同学科目标群体的研究。政策制定者应该意识到在游戏中激发积极情绪对于 STEM 本科生寻求心理支持的重要性。
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引用次数: 0
Implementing expressive writing therapy in a virtual setting: A feasibility trial for survivors of intimate partner violence 在虚拟环境中实施表达性写作疗法:针对亲密伴侣暴力幸存者的可行性试验
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-09 DOI: 10.1016/j.aip.2024.102197

Survivors of intimate partner violence commonly experience posttraumatic stress disorder (PTSD) and associated negative emotions. Pennebaker’s Expressive Writing Therapy (EWT) was applied in an online virtual setting to survivors of intimate partner violence. The study aimed to assess the program’s feasibility and acceptability, and to examine its effects on participants’ traumatic affects, self-esteem, and cognitive emotion regulation (CER). We employed a one-group pre- and post-test design, measuring outcomes at baseline, immediately after the intervention, and at a four-week follow-up. The implementation of EWT proved feasible; however, we encountered some cultural challenges, possibly influenced by the current sociocultural environment in South Korea. Notably, there was a significant reduction in negative CER, especially in self-blame and catastrophizing.

亲密伴侣暴力幸存者通常会经历创伤后应激障碍(PTSD)和相关的负面情绪。彭内贝克的表达性写作疗法(EWT)被应用于亲密伴侣暴力幸存者的在线虚拟环境中。该研究旨在评估该计划的可行性和可接受性,并考察其对参与者创伤情绪、自尊和认知情绪调节(CER)的影响。我们采用了一组前测和一组后测的设计,分别测量基线、干预后和四周随访的结果。事实证明,实施 EWT 是可行的;但是,我们遇到了一些文化挑战,这可能是受韩国当前社会文化环境的影响。值得注意的是,负面 CER 显著减少,尤其是在自责和灾难化方面。
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引用次数: 0
A theoretical model of emotional processing in visual artmaking and art therapy 视觉艺术创作和艺术治疗中的情感处理理论模型
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-09 DOI: 10.1016/j.aip.2024.102196

Current theoretical models of emotional processing rely mainly on detecting emotional processing through verbal, conscious, and cognitive processes. However, artmaking can potentially reveal embodied and implicit processes that may otherwise remain hidden in verbal expression. This paper attempts to close the scholarly gap by introducing a novel art-based emotional processing model that integrates emotional processing and art therapy literature, incorporating emotional meaning-making, awareness, acceptance, and memory consolidation. The art-based EP model explains the processes through which art creation may benefit emotional processing. It also elucidates the ways in which art therapy can be used to enhance therapeutic outcomes.

当前的情绪处理理论模型主要依赖于通过语言、意识和认知过程来检测情绪处理。然而,艺术创作有可能揭示出那些隐藏在语言表达中的体现性和内隐过程。本文试图通过介绍一种新颖的基于艺术的情绪处理模型来弥补这一学术空白,该模型整合了情绪处理和艺术治疗文献,包含了情绪意义生成、意识、接受和记忆巩固。基于艺术的情绪处理模型解释了艺术创作可能有益于情绪处理的过程。它还阐明了艺术疗法可用于提高治疗效果的方法。
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引用次数: 0
Music therapy and anhedonia: A case study 音乐疗法与失乐症:案例研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-08 DOI: 10.1016/j.aip.2024.102198

Anhedonia is a reduced ability to experience pleasure or enjoy everyday activities. It is a common symptom of many chronic and mental illnesses. This case study outlines a four-month music therapy program with one individual experiencing anhedonia. In this study, the authors investigated whether brief, daily, guided musicking activity would lead to increased anticipatory and consummatory pleasure for the case study participant. Analysis of numerical data supported this hypothesis. Subsequent analysis of descriptive data articulated key features of the action and experience of the guided musicking process for both the music therapy participant and guide. Findings from this study indicated that music within a therapeutic relationship supported positive outcomes in this case. Further research is needed to understand the potential impact of guided musicking activity for other people with anhedonia.

失乐症是指体验快乐或享受日常活动的能力下降。它是许多慢性病和精神疾病的常见症状。本案例研究概述了一项为期四个月的音乐治疗计划,该计划针对的是一名失乐症患者。在这项研究中,作者调查了简短的、每日的、有指导的音乐活动是否会增加案例研究参与者的预期愉悦感和消费愉悦感。对数字数据的分析支持了这一假设。随后对描述性数据的分析阐明了音乐治疗参与者和指导者在指导音乐活动过程中的行动和体验的关键特征。本研究的结果表明,在本案例中,治疗关系中的音乐有助于取得积极成果。要了解引导式音乐活动对其他失乐症患者的潜在影响,还需要进一步的研究。
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引用次数: 0
Supporting families to engage in music making with preschool children with profound intellectual and multiple disabilities at home: An interpretivist multi-case study 支持家庭在家中与有深度智力和多重残疾的学龄前儿童一起进行音乐创作:诠释主义多案例研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-05 DOI: 10.1016/j.aip.2024.102200

Music therapists acknowledge the need to support families of children with profound intellectual and multiple disabilities (PIMD) to use music therapy strategies in home settings. Four families were supported by a music therapist to independently engage in therapeutic music-making at home with their child with PIMD over eight months. This multi-interpretivist case study analysed caregiver diaries, caregiver interviews, music therapist clinical notes and a reflexive journal to uncover the processes that supported the families. A thematic data analysis revealed a five-step process for supporting these families. This five-step process included the family observing and reflecting on music therapy practice, working as partners with the music therapist, engaging in joint-music making with the music therapist and their child, consciously observing subtle engagement cues from their child and then independently engaging in music-making with their child. This study provides a framework for music therapists to support families of children with PIMD in home settings.

音乐治疗师认识到,有必要支持深度智力和多重残疾(PIMD)儿童的家庭在家庭环境中使用音乐治疗策略。在音乐治疗师的支持下,四个家庭在八个月的时间里与他们的重度智障和多重残疾儿童一起在家中独立进行音乐创作治疗。这项多元诠释主义案例研究分析了照顾者日记、照顾者访谈、音乐治疗师临床笔记和反思日记,以揭示支持这些家庭的过程。专题数据分析揭示了支持这些家庭的五步流程。这五步过程包括:家庭观察和反思音乐治疗实践、与音乐治疗师合作、与音乐治疗师和孩子共同参与音乐创作、有意识地观察孩子微妙的参与暗示,然后与孩子一起独立参与音乐创作。本研究为音乐治疗师在家庭环境中为患有多发性情感障碍的儿童家庭提供支持提供了一个框架。
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引用次数: 0
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Arts in Psychotherapy
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