Material interaction and art product in art therapy assessment in adult mental health

Pénzes, Ingrid; Hooren, S.A.H. van; Dokter, Ditty; Smeijsters, Henk; Hutschemaekers, G.J.M.

doi:10.1080/17533015.2015.1088557

Cited by 9 publications

(12 citation statements)

References 18 publications

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“…Variation is associated with making choices, play, experimentation and exploration of the art materials. This relates to what in the literature is referred to as ‘material interaction’ (Pénzes et al, 2014, 2015). Material interaction refers to the clients’ dialog with art materials’ properties.…”

Section: Discussionmentioning

confidence: 90%

“…It is this relation between formal elements and the making process that could explain why they provide information about clinically significant emotional and behavioral concerns of clients (Hinz, 2009; Conrad et al, 2011). In previous studies this was specified by the concept of material interaction (Pénzes et al, 2014, 2015). …”

Section: Discussionmentioning

confidence: 99%

“…Additionally, diversity can be recognized in the methods used to observe and assess the formal elements. In some studies, open observation of formal elements is used to inquire into an in-depth understanding of the individual client (Stuhler-Bauer and Elbing, 2003; Thyme et al, 2013; Pénzes et al, 2015, McNiff in Gilroy et al, 2012). In other studies, specific assessment methods are used such as the DDS, in which an art therapist assesses three drawings that are made with colored pastels according to three different tasks, or the FEATS, in which a drawing made with markers is assessed.…”

Section: Introductionmentioning

confidence: 99%

“…In most studies, formal elements are related to disorders of the Diagnostic and Statistic Manual of Mental Disorders (DSM) or the International statistical classification of diseases and related health problems (ICD) (Cohen et al, 1986; Gantt and Tabone, 1998; Hacking, 1999; Kim et al, 2014). Whereas in more recent studies formal elements are related to clients’ strengths (Hinz, 2009, 2015; Pénzes et al, 2014, 2015) in line with perspectives on positive mental health (Huber et al, 2016) and recovery (Anthony, 1993). These perspectives have found their way into art therapy observation and assessment (Betts in Gilroy et al, 2012; Wilkinson and Chilton, 2013).…”

Section: Introductionmentioning

confidence: 99%

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How Art Therapists Observe Mental Health Using Formal Elements in Art Products: Structure and Variation as Indicators for Balance and Adaptability

et al. 2018

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In clinical practice, formal elements of art products are regularly used in art therapy observation to obtain insight into clients’ mental health and provide directions for further treatment. Due to the diversity of formal elements used in existing studies and the inconsistency in the interpretation, it is unclear which formal elements contribute to insight into clients’ mental health. In this qualitative study using Constructivist Grounded Theory, eight art therapists were interviewed in-depth to identify which formal elements they observe, how they describe mental health and how they associate formal elements with mental health. Findings of this study show that art therapists in this study observe the combination of movement, dynamic, contour and repetition (i.e., primary formal elements) with mixture of color, figuration and color saturation (i.e., secondary formal elements). Primary and secondary elements interacting together construct the structure and variation of the art product. Art therapists rarely interpret these formal elements in terms of symptoms or diagnosis. Instead, they use concepts such as balance and adaptability (i.e., self-management, openness, flexibility, and creativity). They associate balance, specifically being out of balance, with the severity of the clients’ problem and adaptability with clients’ strengths and resources. In the conclusion of the article we discuss the findings’ implications for practice and further research.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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How Art Therapists Observe Mental Health Using Formal Elements in Art Products: Structure and Variation as Indicators for Balance and Adaptability

et al. 2018

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“…Observing patients' material interactionthe way they interact with art materialsmay enable art therapists to gain insight into their amount of rationalisation, flexibility and motivation. Furthermore, based on an analysis of the formal elements of patients' art products, Pénzes, van Hooren, Dokter, Smeijsters, and Hutschemaekers (2016) concluded that impartial art therapist judges were able to accurately describe patients' material interaction and related psychological characteristics. The accuracy of their descriptions was determined by comparing judges' and treating art therapists' case descriptions.…”

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confidence: 99%

Art therapy for patients diagnosed with personality disorders cluster B/C: A thematic analysis of emotion regulation from patient and art therapist perspectives

Haeyen¹,

Kleijberg²,

Hinz³

2017

International Journal of Art Therapy

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Filling the form: Expressive Therapies Continuum‐guided treatment of narcissistic personality disorder

Hinz

2024

J Clin Psychol

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Sara was a 65‐year‐old Caucasian woman who requested art therapy after the death of her partner. She had experienced incest by her father and verbal abuse by her mother until she left home at 21. Her life was characterized by broken relationships due to alienating anger outbursts and an interrupted work history; she met three criteria for narcissistic personality disorder. Sara initially was socially isolated and intellectualizing. She desired recognition but was fearful of exposure. The Expressive Therapies Continuum (ETC) theoretical framework, which consisted of a gradual progression from cognitively‐dominated sessions to more emotionally focused processing, guided the therapeutic work. The ETC theory encourages transparency and collaboration between therapist and client regarding therapeutic tasks and goals, and provides a framework for addressing and repairing ruptures in the therapeutic alliance. Art therapy began with the cognitive tasks which Sara completed relatively comfortably, then encouraged integration of emotion via expressive writing, diagrams, and body mapping. Through careful attention to repair of ruptures by directly discussing and adapting the direction and tasks of therapy, Sara slowly was able to experience emotions other than anger. She integrated cognitive and emotional insights about her life and developed empathy for her childhood self. At termination Sara had cultivated two friendships and met only one criterion of NPD. Limitations of this case study include a lack of research evidence for ETC‐guided art therapy with NPD clients and by the retrospective approach. Future research efforts could provide this support by encouraging clinicians to conduct prospective case study research.

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Material interaction and art product in art therapy assessment in adult mental health

Cited by 9 publications

References 18 publications

How Art Therapists Observe Mental Health Using Formal Elements in Art Products: Structure and Variation as Indicators for Balance and Adaptability

How Art Therapists Observe Mental Health Using Formal Elements in Art Products: Structure and Variation as Indicators for Balance and Adaptability

Art therapy for patients diagnosed with personality disorders cluster B/C: A thematic analysis of emotion regulation from patient and art therapist perspectives

Filling the form: Expressive Therapies Continuum‐guided treatment of narcissistic personality disorder

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