“…This paper describes the work of an NHS based clinician researcher group (CRG) working with community out-patients with a diagnosis of complex depression where there was currently a gap in evidence-based approaches and where art psychotherapy was perceived to offer accessible and effective treatment. The predominant model of art psychotherapy for CD identified in the overview of the literature, has been driven by an understanding of relational dynamics, such as processing transference and countertransference phenomena and how these dynamics are intrinsic to dynamic representations produced in the artworks in art psychotherapy (Barbee, 1996 ; Zubala et al, 2014 ; Blomdahl, 2017 ; Zubala and Karkou, 2018 ). The secondary aim was to investigate where shared practice based principles were salient to a dynamic change process, including and in particular automatic and improvised expression (Keeney, 1991 ; Lobb, 2003 ; Blomdahl et al, 2013 ; Haslam et al, 2019 ), interpersonal articulation that allows naming and reflecting on complex emotional experiences (Gruber and Oepen, 2018 ; Zubala and Karkou, 2018 ) and developing narratives within a safe therapeutic relationship (Carlson, 1997 ; Bochner and Ellis, 2003 ; Gruber and Oepen, 2018 ).…”