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Art therapy combines traditionalpsychotherapeutic theories and techniques with an understanding of the psychological aspects of the creative process, especially the affective properties of the different art materials. As a mental health profession, art therapy is employed in many clinical settings with diverse populations. Art therapy can be found in non-clinical settings as well as in art studios and in workshops that focus on creativity development. Closely related in practice to marriage and family therapists and mental health counseling, art therapists throughout the US are licensed as either MFTs, LPCs, or LPCCs and hold either registration or board certification as an art therapist (see section on Art Therapy Standards of Practice). Art therapists work with children, adolescents, and adults and provide services to individuals, couples, families, groups, and communities. Using their skills in evaluation and psychotherapy, art therapists choose materials and interventions appropriate to their clients’ needs and design sessions to achieve therapeutic goals and objectives. They use the creative process to help their clients increase insight and judgment, cope better with stress, work through traumatic experiences, increase cognitive abilities, have better relationships with family and friends, and to just be able to enjoy the life-affirming pleasures of the creative experience. Many art therapists draw on images from resources such as ARAS (Archive for Research in Archetypal Symbolism) to incorporate historical art and symbols into their work with patients. Depending on the state, province, or country, the term art therapist may be reserved for those that are professionals trained in both art and therapy and hold a master's degree in art therapy or a related field such as counseling or marriage and family therapy with an emphasis in art therapy. Other professionals, such as mental health counselors, social workers, psychologists, and play therapists apply art therapy methods to treatment. Many art therapists in the US are licensed in one of the following fields: creative arts therapy, art therapy, professional counseling, mental health counseling, or marriage and family therapy. Art therapists have generated many specific definitions of art therapy, but most of them fall into one of two general categories. The first involves a belief in the inherent healing power of the
2 General Ethical Principles 4. can lead to personal fulfillment. Art making is seen as an opportunity to express one's self imaginatively. In other words.1 The Diagnostic Drawing Series (DDS) 3. paintings. Contents [hide] • • • o o o o • o o o o o o • • 1 Purpose of Art Therapy 2 What Does a Typical Art Therapy Session Look Like? 3 Art-Based Assessments 3.1 Board Certification. this process is sometimes referred to as art as therapy.3 House–Tree–Person (HTP) 3. resolving conflicts. art therapists feel that both the idea that art making can be a healing process and that art products communicate information relevant to therapy are important (Malchiodi. and spontaneously. emphasizes the products —drawings. emotional reparation. and Licensure 4. and formulating new perceptions that in turn lead to positive changes. This approach. and recovery (Malchiodi. often referred to as art psychotherapy. and healing. The second definition of art therapy is based on the idea that art is a means of symbolic communication. and other art expressions—as helpful in communicating issues.2 The Mandala Assessment Research Instrument (MARI) 3.5 Standards of Conduct 4.4 Eligibility for Credentials 4.4 Road Drawing 4 Art Therapy Standards of Practice in the United States 4.creative process of art making. 2006). Registration. emotions. growth. solving problems. This view embraces the idea that the process of making art is therapeutic. over time. 2006). and conflicts.3 Independent Practitioner 4. art as therapy and art psychotherapy are used together in varying degrees. an experience that.6 Disciplinary Procedures 5 References 6 See also . authentically. The art image becomes significant in enhancing verbal exchange between the person and the therapist and in achieving insight. In reality.
the emphasis is generally first on developing and expressing images that come from inside the person. emotional reparation. or . can lead to personal fulfillment. photography. feelings. and spontaneously. can be a health-enhancing and growth-producing experience. it is hoped that clients will not only gain insight and judgment. And while some traditional art classes may ask you to paint or draw from your imagination. but perhaps develop a better understanding of themselves and the way they relate to the people around them. finding a story. symbols and metaphors which might be difficult to express in words or in other modalities. a skilled professional attends to the individual who is making the art.. "In most art therapy sessions. which means 'to be attentive to. This view also holds that the creative process. and ideas are always of primary importance to the experience.' This meaning underscores the art therapy process in two ways. art therapy generally utilizesdrawing. description. sculpture. This supportive relationship is necessary to guide the art-making experience and to help the individual find meaning through it along the way. painting. Therapy comes from the Greek word therapeia. In most cases. For that reason art therapists are trained to recognize the nonverbal symbols and metaphors that are communicated within the creative process. This person’s guidance is key to the therapeutic process. the focus is on your inner experience— your feelings. While art therapy may involve learning skills or art techniques. in and of itself. thoughts. rather than those he or she sees in the outside world. perceptions. and imagination. your inner world of images. authentically. over time." What Does a Typical Art Therapy Session Look Like? Malchiodi (2006) provides an example of what an art therapy session involves and how it is different from an art class.• 7 External links Purpose of Art Therapy The purpose of art therapy is much the same as in any other psychotherapeutic modality: to improve or maintain mental health and emotional well-being. According to Malchiodi (2006) "Art making is seen as an opportunity to express oneself imaginatively. and other forms of visual art expression. in art therapy. The other important aspect is the attendance of the individual to his or her own personal process of making art and to giving the art product personal meaning—i. and transformation. By helping their clients to discover what underlying thoughts and feelings are being communicated in the artwork and what it means to them.e. But whereas some of the other expressive therapies utilize the performing arts for expressive purposes. an experience that.
researcher Florence Goodenough created a drawing test to measure the intelligence in children called the Draw–A–Man Test (Malchiodi 1998). 2003)." In art therapy. & Singer. Goodenough and other researchers realized the test had just as much to do with personality as it did intelligence (Malchiodi. 24). and colors. There are also many psychological assessments that utilize artmaking to analyze various types of mental functioning (Betts. Very few therapies depend as much on the active participation of the individual (p. subjects are asked to show how they are feeling using lines. the MORE intelligent they were (Malchiodi. Several other psychiatric art assessments were created in the 1940s. most of which rely on simple directives and a standardized array of art materials (Malchiodi 1998. The first drawing assessment for psychological purposes was created in 1906 by German psychiatrist Fritz Mohr (Malchiodi 1998). Hammer. the art therapist facilitates the person's exploration of both materials and narratives about art products created during a session. subjects are asked to draw any picture using colored chalk pastels on an 18 x 24 inch piece of paper. designs enclosed in a geometric shape. many art therapists eschew diagnostic testing and indeed some writers (Hogan 1997) question the validity of therapists making interpretative assumptions. Below are some examples of art therapy assessments: The Diagnostic Drawing Series (DDS) The Diagnostic Drawing Series is an art therapy assessment that is correlated with the diagnosis of major psychiatric disorders (Mills. 2005). The DDS is a three drawing series that is used by mental health professionals around the world (Diagnostic Drawing Series website. and developmental conditions. 1988). The person is then asked to draw the mandala from the card they choose with . shapes. cognitive. and have been used ever since (Malchiodi 1998).meaning for the art. In the last part of the art interview. Art therapists and other professionals are educated to administer and interpret these assessments. 1998). The key to interpreting the Draw-A-Man Test was that the more details a child incorporated into the drawing. Notwithstanding. a person is asked to select a card from a deck with different mandalas. In the first part. 2003. 2005). The Mandala Assessment Research Instrument (MARI) In this assessment. blending. Art-Based Assessments Art therapists and other professionals use art-based assessments to evaluate emotional. such as use of color. Research regarding the pictures is generally based on the presence and absence of many elements. Betts. In 1926. and placement of the images on the paper (Cohen. 1998). 2009). and then must choose a color from a set of colored cards (Malchiodi 1998). Then they are asked to draw a tree in the second part.
The ATCB Code of Professional Practice is . The mandala originates in Buddhism. art therapists may become Registered (ATR). pattern and shapes in the mandalas that people draw and the personalities of the artists (Malchiodi 1998). or professional or mental health counselor (many states). Road Drawing In this drawing assessment and therapeutic intervention. 1997. The artist is then asked to explain if there were any meanings. experiences to date. 1995. who sees a recurring correlation between the images. Registration. 1995. art therapists in the US should contact the Art Therapy Credentials Board (ATCB) at www. the patient is asked to draw three separate images. This is a projective assessment and the house. This assessment can be done achromatically (one color. "How old is the person in your drawing? What is he or she doing? What is the house made of? What is the weather in this picture?" (Malchiodi 1998). 2008). the patient is asked to draw a road. Board Certified (ATR-BC).an oil pastel of the color of their choice (Malchiodi 1998). and person in the drawing represent different aspects of the artist and the way the artist feels about him or herself (Malchiodi 1998).org. This test assesses and gives clues to a person's psychological progressions and their current psychological condition (Malchiodi 1998). the tree. 2008). Art Therapy Standards of Practice in the United States Board Certification. 1997. experiences. This test is based on the beliefs of Joan Kellogg. creative arts therapist (LCAT. and Licensure In the United States. For more information on these credentials. its connections with spirituality help us to see links with transpersonal art. the history of his or her process. a tree. such as lead pencil) or chromatically (with various colored markers or pencils). NY State only).atcb. A Code of Professional Practice. the therapist asks questions like. or related information related to the mandala they drew (Malchiodi 1998). This is a projective assessment used to create a graphic representation of the person's "road of life. After the patient has finished the drawings. The road's reparative features or its need for "periodic upgrade" can serve as a metaphor for the client's capacity for change and restoration (Hanes. and. House–Tree–Person (HTP) In this assessment. a house. and a person (Malchiodi 1998).even from a single drawing (Hanes. licensed as an art therapist . a 17 page document summarizing the standards of practice for professional art therapists. in some states. and intent for the future ." The road drawing has the potential to elicit spontaneous imagery that represents the client's origins.
Art therapists should continue therapy with a patient only if the client is benefiting from the therapy (ATCB 2005). Because art therapy is still considered a developing field. This responsibilities include. responsibility to research participants. is required by law in order to practice independently. They are only supposed to treat cases in which they are qualified as established by their training. Another topic of this section discuses the competency and integrity art therapists must possess (ATCB 2005). Art therapist must fully explain to their patients what their expectations of the patients will be at the outset of the professional relationship between the two (ATCB 2005). Other topics covered in this section discuss other responsibilities of art therapists.divided into five main categories. and may never desert or neglect patients receiving therapy (2005). respect the rights of the client. and make sure they are providing a useful service (2005). responsibility to the profession” (ATCB 2005). Art therapy students who are preparing for practice in the field should consult with their academic advisers about what courses are necessary to meet board certification and/or licensure requirements. Independent Practitioner. This section also establishes the rules by which art therapists must follow when making financial arrangements and when they chose to advertise their service (ATCB 2005) . For more information on how to become licensed. They cannot discriminate against patient whatsoever. US art therapists should contact the state licensure board in the state in the US in which they wish to practice. Eligibility for Credentials. The ATCB states art therapist must be professionally proficient and must have integrity (2005). General Ethical Principles. General Ethical Principles One topic covered in this section describes the responsibility art therapist have to their patients (ATCB 2005). and experience (ATCB 2005). most countries do not regulate its practice and application. art therapists should contact governmental or regulatory boards that oversee the practice of mental health or health care professions to identify any specific coursework or education that is needed. Art therapist must keep up dated on new developments in art therapy. In countries other than the US. art therapists must strive to advance the wellness of their clients. and Disciplinary Procedures (ATCB 2005). Standards of Conduct. Licensure is generally needed to obtain reimbursement for services as an independent practitioner and in some states. Art therapists must also observe patient confidentiality (ATCB 2005). They are not allowed to treat patients currently seeing another therapist without the other therapist's permission (ATCB 2005). “responsibility to students and supervisees. It's against the principles established by the ATCB for art therapist to have patients only for financial reasons (ATCB 2005). education. According to the ATCB.
This section covers the credentials for independent practitioners. It discusses the standards for eligibility and describes the application process. "this includes but is not limited to: proper ventilation. Basically it states that the art therapist must provide a straight forward contract to the payer of the therapy sessions (ATCB 2005). access to water supply. the following is the minimum of which must be documented: “the current goals of any treatment plan. and compliance with any other health and safety requirements according to state and federal agencies which regulate comparable businesses" (2005). and behavior. It also states that the art therapist must not deceive the payers or exploit clients financially (ATCB 2005). Independent practitioners must provide a safe and functional environment to conduct art therapy sessions (ATCB 2005). knowledge of hazards or toxicity of art materials and the effort need to safeguard the health of clients. verbal content of art therapy sessions relevant to client behavior and goals. monitored use of sharp objects. This section also establishes the standards for independent practitioners to follow when dealing with financial arrangements (ATCB 2005). storage space for art projects and secured areas for any hazardous materials. It also discusses the procedure to follow when accused of wrong doing related to art therapy. It also states that the ATCB certificates are the property of the ATCB and that any art therapist who loses their certificate and still claim to have ATCB credentials can be punished legally. According to ATCB. artistic expression relevant to client behavior and goals. allowance for privacy and confidentiality. Lastly. This involves using the clients’ strengths to help them reach their goals and address their needs (ATCB 2005). thought process. it discusses the wrong doings related to art therapy that therapists can be . According to ATCB. Art therapists are also required to record and take notes that reflect the proceedings of the events of therapy sessions (ATCB 2005). changes (or lack of change) in affect. Eligibility for Credentials This section of the ATCB Code of Professional Practice outlines the process by which art therapy students receive their credentials. The last topics this section sets standards for address treatment planning and documentation (ATCB 2005). Art therapists must provide a treatment plan that assists the patients to reach or maintain the highest level of quality of life and functioning (ATCB 2005). adequate lighting. suicidal or homicidal intent or ideation” (2005) and a summary of the "clients response to treatment and future treatment recommendations" (2005).Independent Practitioner Independent practitioners are art therapists who are practicing independently or responsible for the service they are providing to paying clients.
reconsideration of eligibility and reinstatement of credentials. sanctions. Also. inters trainees. and grounds for discipline (ATCB 2005). therapists are not allowed to publish or display any of the patients work without the expressed written consent of the patient (ATCB 2005). Within a professional relationship. Within professional relationships. romance. battery. Main topics covered in this section cover: “submission of allegations. professional relationships. art therapists are banned from engaging in exploitative relationships with current and former patients. The standards of a professional relationship between art therapists and clients are covered in this section. . sexual abuse. [[Media: Art therapists are not permitted to disclose information about the clients’ therapy sessions. or coworkers (ATCB 2005). if an art therapist is licensed. While the ATCB oversees disciplinary procedures for art therapists. or borrowing or loaning money (ATCB 2005). Art therapist are only allowed to release]] confidential information if they have explicit written consent by the patient or if the therapist has reason to believe the patient needs immediate help to address a severe danger to the patients life (ATCB 2005). deadlines. the state board through which the art therapist is licensed carries out disciplinary action for violations or unethical practice. bias. The ATCB defines an exploitative relationship as anything involving sexual intimacy. Standards of Conduct This section of the ATCB Code of Professional Practice addresses in detail confidentiality.convicted for with a felony or another criminal conviction. supervisors. students. These wrong doings include rape. waivers. OK Disciplinary Procedures The content contained in this section of the ATCB Code of Professional Practice specifically discusses in legal and technical detail the entire disciplinary procedures for wrong doings in art therapy (2005). and impartiality” (ATCB 2005). use of clients’ artwork. procedures of the Disciplinary Hearing Committees. The breaking of any of the standards established in this section is grounds for discipline (ATCB 2005). prejudice. release of information. assault. therapists are to do what they feel is best in the clients interest. and shall not steer their patients in the wrong direction (ATCB 2005). or the sale of controlled substances to patients. shall not advance a professional relationship for their own benefit. prostitution. This includes “all verbal andItalic text/or artistic expression occurring within a client-therapist relationship” (ATCB 2005).
etcetera are replete with information that attests to the efficacy of Art Therapy as evidence-based. books. heuristic. etc. effective treatment. . NIH reports. qualitative.Effectiveness Art Therapy has bona fide research in various venues: phenomenological. Numerous articles. quantitative.
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