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Music therapy for psychological trauma: A theoretical integrative review 音乐治疗心理创伤:理论综述
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-10 DOI: 10.1016/j.aip.2025.102369
J. Williams, A.E. Sidis
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.
几十年来,音乐疗法一直被用于改善各种心理健康和行为环境下的健康和功能。音乐疗法已被患者所接受,据报道,它支持情绪处理和影响调节,表明它作为创伤相关疾病治疗的潜在用途。本文回顾了这种方法在心理创伤治疗中的文献,并对支持这种方法的理论进行了综合总结。结果表明,越来越多的文献研究了有效性,关键的进展,如使用生理测量,更详细的干预描述,手工治疗的出现。虽然与变化有关的理论在某些模型中重叠,但讨论了不同的观点。本文的结果为解决主流临床心理学领域和音乐治疗之间的鸿沟提供了可能性,以及如何促进各自领域专家之间的合作,并为经历创伤相关障碍的个体提供多样化的治疗选择。
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引用次数: 0
Private space: The setting for the work of artists and psychotherapists 私人空间:艺术家和心理治疗师工作的场所
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-08 DOI: 10.1016/j.aip.2025.102366
David Lester
This article compares the private space of artists with the clinical setting of therapists. The Jungian prism of visionary creativity is used to elucidate the kind of dream state that is enabled from within such a private space. Presenting a psychological perspective on the artist’s intuitive approach to the development and protection of the creative process, this discussion offers the therapist a glimpse into the artistic sensibility of many clinicians, such as Freud, Bion and Ogden, who are engaged in the cultivation of a quiet state of mind.
本文将艺术家的私人空间与治疗师的临床环境进行比较。荣格的幻想创造力的棱镜被用来阐明在这样一个私人空间内实现的那种梦想状态。从心理学的角度来看,艺术家对创作过程的发展和保护的直觉方法,这一讨论使治疗师得以一瞥许多临床医生的艺术敏感性,如弗洛伊德、比昂和奥格登,他们致力于培养一种安静的心态。
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引用次数: 0
A single-arm pilot study to assess salivary metabolites in facilitators tested with Pre-Texts arts-literacy intervention 一项单臂试点研究,评估在Pre-Texts艺术素养干预测试促进者的唾液代谢物
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-30 DOI: 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
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.
Pre-Texts arts-literacy干预已被证明对减少青少年抑郁和焦虑症状有效。然而,这些心理变化背后的生物学机制在很大程度上仍未被探索。这项单臂先导研究调查了Pre-Texts训练对接受辅助训练的成人(N = 10)唾液代谢物谱的影响。参与者在4天内完成了20小时的文本前课程,在基线、训练期间(第3天)、干预后立即(第4天)和8周的随访中收集唾液样本。流动注射分析-串联质谱法定量了与谷氨酸信号(谷氨酸、甘氨酸、缬氨酸、脯氨酸)和细胞代谢/能量产生(丙氨酸、瓜氨酸、C3丙酰肉碱)相关的7种关键代谢物。结果显示,与基线相比,谷氨酸、甘氨酸、缬氨酸、脯氨酸、丙氨酸和瓜氨酸显著且持续增加,同时C3丙酰肉碱降低。这些神经生化变化在随访时仍然存在,表明可能对神经传递和细胞能量学产生持续影响。观察到的代谢变化可能反映了NMDA受体激活、神经可塑性、认知灵活性和应激反应调节等机制。这项初步调查为进一步研究以艺术为基础的干预措施的生物学机制奠定了方法论基础,表明Pre-Texts可能促进神经代谢变化,从而支持认知和情感健康。
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引用次数: 0
Interpretation in action: The significance of non-verbal experiences in therapist-patient interactions as catalysts for change and breakthroughs in therapy 行动中的解释:非语言经验在治疗师-患者互动中作为治疗中改变和突破的催化剂的意义
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-30 DOI: 10.1016/j.aip.2025.102365
Smadar Korn
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.
本文讨论了如何将心理动力学原理与舞蹈/运动心理治疗(DMP)技术相结合来处理非言语创伤记忆。它重新审视了使用经验过程的概念,我称之为“行动中的解释”,即结合身体,基于动作的非语言探索和创造,无论是由患者单独还是与治疗师互动。解释行为的贡献被检查,特别是在非常早期的记忆,从未被思考的领域编码在身体-心理被触发的情况下。这些记忆通常涉及早期创伤事件的躯体印记。一个临床案例研究说明了解释行动的应用在一个病人与焦虑和恐惧有关的怀孕源于她自己的早产。在治疗的关键时刻,病人被治疗师抱了几分钟,就像母亲抱着她一样。随后,这种体验通过艺术创作进行加工,包括感觉运动游戏。这导致了一种新的DMP概念的提出,涉及感觉运动游戏作为解决早期生活创伤的资源。这种类型的游戏在治疗过程中自发出现,通过真实的运动,即兴舞蹈和艺术创作,可以重新连接早期创伤经历,从而创造新的意义,治愈早期创伤的影响。
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引用次数: 0
"Holding the Space": An art therapy open studio for preadolescent war evacuees as an analytic third “把握空间”:为青春期前战争撤离者提供的艺术治疗开放工作室,作为分析的第三
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-30 DOI: 10.1016/j.aip.2025.102364
Irit Birger Sagiv , Einat Metzl , Tova Goren , Keren Sahar , Rachel Sussman , Shosh Indyk
In this paper, six art therapists utilize an art-based focus group to explore their experience of facilitating an Open Studio in the context of mass trauma. The Open Studio, in this case, was formed to serve as a non-directive art-making healing space for preadolescent war evacuees. First, the literature review focuses on the conceptualizations of mutual recognition and the analytic third and their relevance to the Open Studio model for shared trauma processing. Second, using interpretative phenomenological analysis and visual analysis as the multimodal approach (Boden et al., 2019), the therapists' art responses and verbal reflections that were thematically analyzed are presented. The finding highlighted the shared group experiences for both the participants and therapists. Challenges and advantages arose from working within an ongoing and shared traumatic reality of war, as did the art therapists’ role when operating as members of a team. Art making and witnessing art made within a communal space appeared to support the emergence of the analytic third, in which multiple opportunities for profound mutual recognition, self-exploration, and connections played out despite and because of the context and setting.
在本文中,六位艺术治疗师利用以艺术为基础的焦点小组来探讨他们在大规模创伤背景下促进开放工作室的经验。在这种情况下,开放工作室的成立是为了为青春期前的战争撤离者提供一个非指导性的艺术创作治疗空间。首先,文献综述的重点是相互认知的概念和分析的第三,以及它们与共享创伤处理的开放工作室模型的相关性。其次,使用解释性现象学分析和视觉分析作为多模态方法(Boden et al., 2019),呈现了主题分析的治疗师的艺术反应和口头反思。这一发现突出了参与者和治疗师共同的群体经历。挑战和优势来自于在持续和共同的战争创伤现实中工作,正如艺术治疗师作为团队成员所扮演的角色一样。在公共空间中进行艺术创作和目睹艺术创作似乎支持了分析性第三的出现,在这种空间中,尽管有背景和环境,但仍有多种机会进行深刻的相互认可、自我探索和联系。
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引用次数: 0
Parent-child art therapy: Strengthening parents’ representations of the ‘good object’ through the ‘rose-colored glasses’ approach 亲子艺术疗法:通过“玫瑰色眼镜”方法加强父母对“好物体”的表征
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-29 DOI: 10.1016/j.aip.2025.102363
Tami Gavron , Judith Harel
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.
亲子艺术疗法(PCAT)将二元心理治疗的原则与创造性的过程结合起来,以解决父母和孩子之间的关系困难。这种治疗方法通过艺术创作促进亲子关系的沟通和转变。哈雷尔(2022)提出的“玫瑰色眼镜”方法支持了这项工作,治疗师对父母的积极、综合立场旨在加强他们将自己视为孩子的“好对象”的表现。本文探讨了PCAT的理论和临床基础,更具体地说,治疗师如何培养父母的认知信任、心智化和反思功能,从而使他们更好地理解和支持孩子。一个详细的小插图说明了在解决一个收养的父母-孩子的复杂动态使用PCAT。艺术创作促进了关系修复和共同成长,这使父母能够在增加与孩子的情感联系的同时,克服内疚和沮丧的感觉。通过共同的创造过程,父母从批判性的自我感知转变为良好的父母表现,这有助于增强孩子的情绪弹性和自我表达。讨论的中心是治疗师在消极的关系动态中保持对父母的积极看法所面临的问题,并倡导使用艺术疗法来支持多维关系转变。通过采用“玫瑰色眼镜”的方法,治疗师可以促进积极的内在表征的恢复,从而增加亲子关系中的信任,并导致关系的成长和修复。
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引用次数: 0
Exploring the feasibility of multidisciplinary collaboration in Israeli school inclusion teams: Structures, barriers, and the role of arts therapists 探索以色列学校包容性团队中多学科合作的可行性:结构、障碍和艺术治疗师的角色
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-16 DOI: 10.1016/j.aip.2025.102362
Liat Cohen-Yatziv , Dafna Regev , Sharon Snir
As schools increasingly adopt holistic approaches to education, multidisciplinary teams have become key to supporting students with disabilities in general education settings. In Israel, the Special Education Law (SEL) enables students with disabilities to receive tailored services and be integrated into the regular education system. These services are provided by multidisciplinary teams (MDTs), composed of professionals from various disciplines who work together to develop and implement individualized education programs (IEPs) that outline the support and interventions for eligible students. Multidisciplinary collaboration involves coordinated teamwork among professionals from diverse fields, requiring clear communication, shared goals and mutual respect. Grounded theory research, based on semi-structured in-depth interviews, was used to examine the perceptions and attitudes of 36 members of multidisciplinary school teams, including arts therapists, working in general education schools in Israel. Five themes emerged from the data: team interaction as the core of collaborative work, implications for multidisciplinary collaboration, features that sustain and strengthen team collaboration, barriers and complexities to promoting and sustaining team collaboration, and the role of arts therapists in multidisciplinary teams. The findings shed new light on the feasibility of multidisciplinary collaboration in Israeli special education school teams that include arts therapists. They confirm previous studies and contribute to the growing literature on interdisciplinary practice in inclusive education.
随着学校越来越多地采用整体教育方法,多学科团队已成为在普通教育环境中支持残疾学生的关键。在以色列,《特殊教育法》(SEL)使残疾学生能够获得量身定制的服务,并融入正规教育体系。这些服务由多学科团队(MDTs)提供,由来自不同学科的专业人员组成,他们共同制定和实施个性化教育计划(IEPs),概述对符合条件的学生的支持和干预措施。多学科协作涉及来自不同领域的专业人员之间的协调合作,需要明确的沟通,共同的目标和相互尊重。基于半结构化深度访谈的扎根理论研究,用于检查在以色列普通教育学校工作的36名多学科学校团队成员(包括艺术治疗师)的看法和态度。从数据中出现了五个主题:团队互动作为协作工作的核心,多学科协作的含义,维持和加强团队协作的特征,促进和维持团队协作的障碍和复杂性,以及艺术治疗师在多学科团队中的作用。研究结果揭示了以色列特殊教育学校团队多学科合作的可行性,其中包括艺术治疗师。他们证实了以前的研究,并为全纳教育跨学科实践的文献增长做出了贡献。
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引用次数: 0
Enhancing emotion regulation through group: A pilot study of psychodrama intervention among college students in China 通过小组方式加强情绪调节:中国大学生心理剧干预的试点研究
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-15 DOI: 10.1016/j.aip.2025.102361
Rui Luo , Rui Ding , Xiaohui Wang , Wangyu Zhou , Yaru Hou
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.
心理剧作为一种治疗方式和发展干预手段在中国越来越受欢迎。本初步研究评估了一个为期八周的心理剧项目的可行性、初步效果和程序改进,该项目旨在提高中国大学生的情绪调节能力。采用双臂非随机对照设计,22名大学生参加了由训练有素的社会工作者领导的每周150分钟的课程。一种融合的混合方法将定量自我报告与定性反思相结合。与对照组相比,心理剧组的参与者在干预后表现出明显的表达抑制减少;定性数据进一步揭示了情绪表达的增强,认知洞察力的拓宽,以及一致的积极体验。这些研究结果表明,心理剧可以有效地改善中国人的情绪幸福感,值得在社会工作实践中广泛应用。
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引用次数: 0
Professional development of creative arts therapists: Foundations, experiences and paths 创意艺术治疗师的专业发展:基础、经验与路径
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-05 DOI: 10.1016/j.aip.2025.102358
Joana Machorrinho , Luana Prado , Graça Duarte Santos
Creative arts therapists are interdisciplinary professionals with diverse backgrounds and fields of intervention, required to be experts at integrating expressive-creative processes with the therapeutic process. Due to the complexity and duality of this work, and the multiple influences they experience, the professional identity of creative arts therapists has been under discussion, mainly in countries where the profession is recognized and professional institutions established. The objective of this study was to explore the foundations, characteristics and paths of the professional identity of creative arts therapists in a country where the profession is not yet recognized.

Method

Content analysis of semi-structured interviews with beginners and senior arts therapists working in Portugal.

Results

Six themes emerged: Training conditioning, Practice conditioning, Creative and Expressive path, Therapeutic path, Intervention, and Self-Reflection. Participants mentioned social and personal influences on their path, including family, creative-expressive aspects and personal therapy. Arts were the main theoretical foundations referenced by the participants, with emphasis on drama and movement, and within psychology, mainly dynamic and group approaches. The main guides of professional practice are the patients they work with, highlighting the therapeutic relationship. Other relationships are also highly relevant as motivators for self-reflection, especially those with colleagues. The main conflicts regarding professional identity occur in the art and therapy axis, while the main point of cohesion is between personal and professional life.

Conclusion

These results are crucial for shaping both academic training and professional practice, ensuring the continued growth and recognition of arts therapy as a vital profession in Portugal.
创造性艺术治疗师是具有不同背景和干预领域的跨学科专业人员,需要成为将表达-创造性过程与治疗过程相结合的专家。由于这项工作的复杂性和双重性,以及他们所经历的多重影响,创造性艺术治疗师的职业身份一直在讨论中,主要是在职业被认可和专业机构建立的国家。本研究旨在探讨创意艺术治疗师职业认同的基础、特征和路径,在这个职业尚未被认可的国家。方法对在葡萄牙工作的初级和高级艺术治疗师的半结构化访谈进行内容分析。结果出现了六个主题:训练条件反射、实践条件反射、创造性和表达路径、治疗路径、干预和自我反思。参与者提到了影响他们人生道路的社会和个人因素,包括家庭、创造性表达方面和个人治疗。艺术是参与者参考的主要理论基础,强调戏剧和运动,而在心理学中,主要是动态和群体方法。专业实践的主要指导是他们所处理的病人,强调治疗关系。其他关系也与自我反省密切相关,尤其是与同事的关系。职业认同的主要冲突发生在艺术与治疗轴心,而衔接的主要点在个人生活与职业生活之间。这些结果对于塑造学术培训和专业实践至关重要,确保艺术治疗作为葡萄牙重要职业的持续发展和认可。
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引用次数: 0
An integration of physical and psychological health through the Hero’s Journey in Guided Imagery & Music: A cross-case analysis 通过引导意象与音乐中的英雄之旅,实现身心健康的整合:跨案例分析
IF 1.5 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-02 DOI: 10.1016/j.aip.2025.102348
Annie Heiderscheit , Alison Short , Gro Trondalen , Laurel Young
The Hero’s Journey narrative is prevalent in literature and the cinema and is also often utilized as a framework within which to explore and understand the circuitous nature of a client’s therapeutic process. The Hero’s Journey is conceptualized and discussed predominantly as a psychological process occurring within the mythological and imagery world of the client in psychotherapy, which is also applied to music psychotherapy approaches such as Guided Imagery and Music (Bonny Method). A cross case analysis of case studies conducted by researcher-clinicians from four different countries have revealed unexpected affordances of the Hero’s Journey for both physical and psychological domains via narrative and thematic analyses of clients’ GIM experiences. This cross-case analysis compares four GIM clients’ narratives from four different countries of origin within four applied clinical contexts: substance use disorder, a single musician, cancer care, and cardiac rehabilitation. A brief client history and summarized therapeutic case material from each case study (research or clinical) is presented in terms of methodology, emergence, and significance of the Hero’s Journey. The cross-case analysis explores and reviews these GIM case studies, where clients have undergone literal physical and psychological transformation and/or engaged with both physical and psychological aspects of their health conditions as integral components of their therapeutic and recovery processes. Further, links are made to manifestations of mental and physical health with the Hero’s Journey in the GIM process.
英雄之旅叙事在文学和电影中很流行,也经常被用作探索和理解客户治疗过程迂回本质的框架。英雄的旅程被概念化并主要作为心理治疗中客户的神话和意象世界中发生的心理过程进行讨论,这也适用于音乐心理治疗方法,如引导意象和音乐(邦尼方法)。来自四个不同国家的研究人员和临床医生对案例研究进行了交叉案例分析,通过对客户GIM体验的叙述和专题分析,揭示了英雄之旅在生理和心理领域的意想不到的启示。本交叉案例分析比较了四名GIM客户在四种应用临床背景下来自四个不同原籍国的叙述:物质使用障碍,单一音乐家,癌症护理和心脏康复。从方法论、出现和英雄之旅的意义方面介绍了一个简短的客户历史和每个案例研究(研究或临床)的总结治疗病例材料。交叉案例分析探讨和回顾了这些GIM案例研究,其中客户经历了字面上的身体和心理转变,并且/或者将其健康状况的身体和心理方面作为其治疗和恢复过程的组成部分。此外,还将精神和身体健康的表现与全球综合管理进程中的英雄之旅联系起来。
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Arts in Psychotherapy
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