This narrative review examines the effectiveness of Art Therapy (AT) for people with psychosis and explores whether art therapy is a meaningful and acceptable intervention. Seven electronic databases were searched for empirical papers that concerned the use of art therapy with adults with psychosis that were published from 2007 onwards. The search identified eighteen papers. The highest quality quantitative articles provided inconclusive evidence for the effectiveness of art therapy. The highest quality qualitative articles indicated that therapists and clients considered art therapy to be a beneficial, meaningful, and acceptable intervention, although this was based on limited studies. There is a discrepancy between the quantitative evidence regarding art therapy effectiveness and the qualitative evidence highlighting the value given to it by clients and therapists. Theoretical, clinical, and methodological issues are discussed in light of the development of more robust research, which is needed to corroborate individuals' experiences and guide evidence-based practice.
AbstractThis narrative review examines the effectiveness of Art Therapy (AT) for people with psychosis and explores whether art therapy is a meaningful and acceptable intervention.Seven electronic databases were searched for empirical papers that concerned the use of art therapy with adults with psychosis that were published from 2007 onwards. The search identified eighteen papers. The highest quality quantitative articles provided inconclusive evidence for the effectiveness of art therapy. The highest quality qualitative articles indicated that therapists and clients considered art therapy to be a beneficial, meaningful, and acceptable intervention, although this was based on limited studies. There is a discrepancy between the quantitative evidence regarding art therapy effectiveness and the qualitative evidence highlighting the value given to it by clients and therapists. Theoretical, clinical, and methodological issues are discussed in light of the development of more robust research, which is needed to corroborate individuals' experiences and guide evidence-based practice. This support for the helpfulness of art therapy is rooted in theory and clinical experience and is weakly substantiated by rigorous, controlled research. National guidelines on the treatment of specific conditions, are based on the highest quality scientific evidence, which includes Randomised Control Trials (RCTs) and systematic reviews which have at least one RCT.
13By comparison, studies which use cohort, case-control, cross-sectional, or single case designs are considered to provide weaker evidence.
14The effectiveness of art therapy is primarily established through RCTs. In an early Cochrane review, the lack of RCTs prevented conclusions from being drawn about the effectiveness of art therapy for people with schizophrenia. 15 Nevertheless, the two reviewed studies 16,17 contributed The growing interest in art therapy is also evident through recent systema...