Perceived effects of art therapy in the treatment of personality disorders, cluster B/C: A qualitative study

Haeyen, Suzanne; Hooren, Susan van; Hutschemaekers, G.J.M.

doi:10.1016/j.aip.2015.04.005

Cited by 56 publications

(106 citation statements)

References 30 publications

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“…The SERATS does not measure exactly the same as general mental health functioning nor ‘acceptance and experiential avoidance’. A possible explanation for this is that the OQ45 items focus on general mental distress that the AAQ‐II items focus mainly on cognitive processes (negative thoughts, worries, remembrances, felt control in life and reactions to feelings), whereas experiential activity in art therapy is much less cognitive; it is often less conscious and focused on acceptance of feelings as well as here‐and‐now awareness . The comparison between a specific measure (linked to the intervention of art therapy) and a more general measure can be complicated.…”

Section: Discussionmentioning

confidence: 99%

“…Material interactions can bring up emotional responses on often less‐conscious levels. Contradictive feelings and ineffective modes can become visible in the artwork, after which the artwork is replaced or edited according to preferred feelings and effective modes, giving meaning through objects in the form of pieces of artwork and explicitly reflecting on it . These strategies stimulate reappraisal, acceptance and integration of these feelings, corrective experiences, increased insight and decision‐making .…”

Section: Discussionmentioning

confidence: 99%

“…In a previous study, the authors explored the perceived effects of art therapy in the treatment of PDs, cluster B/C . In this qualitative study, we applied the method of grounded theory, e.g.…”

Section: Methodsmentioning

confidence: 99%

“…A large part of the art therapists work with this target group, and despite the consensus on this, there is little evidence about the added value. On the basis of the result of a previous study on the perceived effects of art therapy, we constructed an item pool, with as goal to develop an instrument with an adequate internal structure and a small number of items. Internal structural validity was analysed by exploring the factor structure as described in the consensus‐based standards for the selection of health‐measurement instruments .…”

Section: Study 1: Scale Development and Confirmationmentioning

confidence: 99%

“…clay, drawing and painting material and wood), techniques and forms of work (individual and in collaboration) in which material‐interaction and personal expression are central . Patients appreciate art therapy and experience beneficial results . Group (art) therapy may address important avoidant interpersonal strategies of PD or that the ability to tolerate, mentalize and manage social interactions can be improved by dealing with interpersonal challenges and encounters within the group in the long run …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Measuring the contribution of art therapy in multidisciplinary treatment of personality disorders: The construction of the Self‐expression and Emotion Regulation in Art Therapy Scale (SERATS)

Haeyen

Hooren

Veld

et al. 2017

Personality & Mental Health

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Despite the use of art therapy in clinical practice, its appreciation and reported beneficial results, no instruments are available to measure specific effects of art therapy among patients with personality disorders cluster B/C in multidisciplinary treatment. In the present study, we described the development and psychometric evaluation of the Self‐expression and Emotion Regulation in Art Therapy Scale (SERATS). Structural validity (exploratory and confirmatory factor analysis), reliability, construct validity and sensitivity to change were examined using two independent databases (n = 335; n = 34) of patients diagnosed with personality disorders cluster B/C. This resulted in a nine‐item effect scale with a single factor with a high internal reliability and high test–retest reliability; it demonstrated discriminant validity and sensitivity to change. In conclusion, the SERATS is brief and content‐valid and offers objective and reliable information on self‐expression and emotion regulation in art therapy among patients with personality disorders cluster B/C. Although more research on construct validity is needed, the SERATS is a promising tool to be applied as an effect scale and as a monitoring tool during art therapy treatment. © 2017 The Authors Personality and Mental Health Published by John Wiley & Sons Ltd

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Study 1: Scale Development and Confirmationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Measuring the contribution of art therapy in multidisciplinary treatment of personality disorders: The construction of the Self‐expression and Emotion Regulation in Art Therapy Scale (SERATS)

Haeyen

Hooren

Veld

et al. 2017

Personality & Mental Health

Self Cite

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I'm Great! I'm no good….: A case illustration of drama therapeutic work with a male offender of domestic violence in a forensic outpatient setting

van den Broek

2024

J Clin Psychol

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Treating perpetrators of aggressive behavior, like verbal aggression, intimidation, and bullying behavior resulting in aggressive incidents with others, is difficult. This group is often diagnosed with personality disorders and when legal measures applied, they are more often treated in a forensic setting for their problems. This article presents the case of a 54‐year‐old man, diagnosed with Borderline personality disorder, narcissistic and antisocial traits, mild depressive symptoms, and loss and grief, who has voluntarily had treatment in a forensic outpatient center to reduce aggression and change destructive patterns in relationships. Hating, judging, and self‐defeating were the main reasons why the patient found himself ending up in the same situation repeatedly. The client received individual drama therapy sessions. The drama therapeutic approach included schema therapeutic elements, such as schema mode work with cards, as well as roleplay, imagery (with rescripting), improvisation, and psycho drama elements. As a result of drama therapy, the client reported less (active) aggression, less aggression in his relationships (partners/children/friends), but also an increased level of loneliness, and mild depressive symptoms. The client was more in touch with his vulnerability and was able to behave in a more adequate healthy way in relationships. Although self‐esteem was still building up, there was a decrease of aggression and less conflict‐seeking behavior as a result. Risk assessment tools (FARE‐2 & HONOS) and Schema therapy scales (YSQ and SMI) were used pre‐ and posttreatment confirming the improvements. This case promotes the use of dramatherapy in forensic outpatient care to be valuable in lowering risk recidivism and changing deeply rooted behavioral patterns.

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Making meaning of one's own life story in words and images: A narrative case report of personal recovery from personality disorder through the interventions “An Empowering Story” and art therapy

Haeyen,

Heres,

Pol

2024

J Clin Psychol

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Understanding and processing life experiences are essential in the treatment of personality disorders to promote personal recovery and psychological wellbeing. In this qualitative case report, drafted in co‐creation between the client, clinical psychologist, and art therapist, individual treatment consisted of two psychotherapeutic interventions, “An Empowering Story” and life‐story‐focused art therapy, in 12 parallel sessions for 24 weeks. Hilda, 68 years of age, had been diagnosed with an unspecified personality disorder and various traits of borderline personality disorder. She experienced emotional exhaustion following long‐term mental health problems rooted in a traumatic early childhood. This affected her ability to manage her emotions and social relations, resulting in the sense that her life had no meaning. Hilda was invited to reconstruct her life experiences, divided into the past, turning point, and present/future, in a written and a painted life story. This allowed for the integration of traumatic as well as positive memories, enhanced self‐compassion, and meaning making. She developed self‐reflection and integration of internal conflicts leading to a better emotional balance and self‐understanding. Art therapy emphasizes bottom‐up regulatory processes, while narrative psychology supports top‐down regulatory processes. The combined approach effectively integrated bottom‐up, experiential, sensory experiences with top‐down, cognitive emotion‐regulation processes. The results suggest that psychotherapeutic interventions involving a multi‐pronged, complementary, and thus more holistic approach can support personal recovery in personality disorders.

show abstract

Perceived effects of art therapy in the treatment of personality disorders, cluster B/C: A qualitative study

Cited by 56 publications

References 30 publications

Measuring the contribution of art therapy in multidisciplinary treatment of personality disorders: The construction of the Self‐expression and Emotion Regulation in Art Therapy Scale (SERATS)

Measuring the contribution of art therapy in multidisciplinary treatment of personality disorders: The construction of the Self‐expression and Emotion Regulation in Art Therapy Scale (SERATS)

I'm Great! I'm no good….: A case illustration of drama therapeutic work with a male offender of domestic violence in a forensic outpatient setting

Making meaning of one's own life story in words and images: A narrative case report of personal recovery from personality disorder through the interventions “An Empowering Story” and art therapy

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