1. copyright- Erica Curtis MFT, ATR-BC September 2010 Behavioral Health Issues and Therapies: Stayin’ Alive with Art Therapy Kaiser Permanente Symposium September 22, 2010

2. copyright- Erica Curtis MFT, ATR-BC September 2010 Outline History of art therapy History of art therapy Beginnings Beginnings Development of a profession Development of a profession Art Therapy Theory Art Therapy Theory Art as therapy vs. art in therapy Art as therapy vs. art in therapy Media & directives Media & directives Impact and benefits Impact and benefits Art Therapy Practice Art Therapy Practice Addressing specific populations Addressing specific populations Goal and interventions Goal and interventions Conclusion Conclusion Resources Resources

3. copyright- Erica Curtis MFT, ATR-BC September 2010 What is art therapy & what is it not What is art therapy & what is it not Who is an art therapist? Who is an art therapist? ATR / ATR-BC / licensed MFTs / LCSWs ATR / ATR-BC / licensed MFTs / LCSWs Where it all started & where we are now Where it all started & where we are now A profession is born – 1940s A profession is born – 1940s Development of art based assessment Development of art based assessment A brief history of Art Therapy

4. copyright- Erica Curtis MFT, ATR-BC September 2010 Artistic Development: Lowenfeld’s Stages Scribble (14m-2y)Preschematic (3/4-6) Schematic (7-9) Dawning Realism (aka gang stage) (9-11) Psuedorealism (11-13) Period of Decision (14-16)

5. copyright- Erica Curtis MFT, ATR-BC September 2010 Media LooseStructured

6. copyright- Erica Curtis MFT, ATR-BC September 2010 Listening with your Eyes Look at process & product Look at process & product Look for metaphor Look for metaphor Look for self symbols Look for self symbols Look for the unexpected Look for the unexpected Look for the “subtext” Look for the “subtext” Look for a narrative Look for a narrative Look at art elements Look at art elements Look for your gut reaction Look for your gut reaction Look at use & type of media Look at use & type of media Look for personal & cultural associations Look for personal & cultural associations Look for changes over time Look for changes over time Look for developmental level Look for developmental level Look for warning signs Look for warning signs

7. copyright- Erica Curtis MFT, ATR-BC September 2010 Art as therapy / Art in therapy... Impact and benefits master manipulators of language master manipulators of language different learning styles different learning styles left vs. right brain focus left vs. right brain focus indirect vs. direct experience indirect vs. direct experience intensity of relationship intensity of relationship just not having the words just not having the words cognitive level cognitive level capacity for insight capacity for insight talk “resistant” talk “resistant” language delays language delays window in unconscious / preverbal /emotional brain window in unconscious / preverbal /emotional brain window in neurological functioning window in neurological functioning

8. copyright- Erica Curtis MFT, ATR-BC September 2010 “Clients perceived that they had experienced a significant decrease in denial of their addiction during treatment and rated collage making... as important to their First Step work” Julliard, K. (1995). Increasing chemically dependent patients’ belief in Step One through expressive therapy. American Journal of Art Therapy, 33(4), 110-119. “Art therapy appeared to promote more cooperative behavior [in children with leukemia during painful interventions]” Favara-Scacco, D., Smirne, G., Schiliro, G., & Di Cataldo, A. (2001). Art therapy as support for children with leukemia during painful procedures. Medical Pediatric Oncology, 36 (4), 478-480. “The non-verbal metaphorical modality of art therapy may be especially beneficial for patients who need to deal with emotional conflicts, and with feelings about life and death, in a safe setting” “The non-verbal metaphorical modality of art therapy may be especially beneficial for patients who need to deal with emotional conflicts, and with feelings about life and death, in a safe setting” Gabriel, B., Bromberg, E., Vandenbovenkamp, J., Walka, P., Kornblith, A., & Luzzatto, P. (2001). Art therapy with adult bone marrow transplant patients in isolation: A pilot study. Journal of Psycho-Oncology, 10(2), 114-123. Gabriel, B., Bromberg, E., Vandenbovenkamp, J., Walka, P., Kornblith, A., & Luzzatto, P. (2001). Art therapy with adult bone marrow transplant patients in isolation: A pilot study. Journal of Psycho-Oncology, 10(2), 114-123. “The Formal Elements Art Therapy Scale task showed significant effects in patients with epileptic seizures... and provides a basis for the future development of diagnostic tests to be used within this patient group” “The Formal Elements Art Therapy Scale task showed significant effects in patients with epileptic seizures... and provides a basis for the future development of diagnostic tests to be used within this patient group” Anschel, D.J., Dolce, S., Schwartzman, A.,& Fisher, R.S. (2005). A blinded pilot study of artwork in a comprehensive epilepsy center population. Epilepsy &Behavior Journal, 6(2), 196-202. Anschel, D.J., Dolce, S., Schwartzman, A.,& Fisher, R.S. (2005). A blinded pilot study of artwork in a comprehensive epilepsy center population. Epilepsy &Behavior Journal, 6(2), 196-202. “The Grief Scale showed improvement in areas of sadness, guilt, humor, and hopefulness” “The Grief Scale showed improvement in areas of sadness, guilt, humor, and hopefulness” Orton, M. (1994). A case study of an adolescent mother grieving the death of her child due to Sudden Infant Death Syndrome. American Journal of Art Therapy, 33(2), 37-44). Orton, M. (1994). A case study of an adolescent mother grieving the death of her child due to Sudden Infant Death Syndrome. American Journal of Art Therapy, 33(2), 37-44). “Following the intervention, the participating group showed significantly improved measures of self-esteem, and reduced depression and anxiety at posttest” “Following the intervention, the participating group showed significantly improved measures of self-esteem, and reduced depression and anxiety at posttest” Doric-Henry, L. (1997). Pottery as art therapy with elderly nursing home residents. Art Therapy: Journal of the American Art Therapy Association, 14(3), 163-171. Doric-Henry, L. (1997). Pottery as art therapy with elderly nursing home residents. Art Therapy: Journal of the American Art Therapy Association, 14(3), 163-171. “Mothers reported higher levels of self-esteem and a more positive self-image following treatment” “Mothers reported higher levels of self-esteem and a more positive self-image following treatment” Ponteri, A., K. (2001). The effect of group art therapy on depressed mothers and their children. Art Therapy: Journal of the American Art Therapy Association, 18(3), 148-157. Ponteri, A., K. (2001). The effect of group art therapy on depressed mothers and their children. Art Therapy: Journal of the American Art Therapy Association, 18(3), 148-157.

9. copyright- Erica Curtis MFT, ATR-BC September 2010 Populations Abuse ADHD Asperger’s / Autism Aging, Elderly, Geriatric Caretakers Chemical Dependency / Substance Abuse Grief / Bereavement Learning disabilities Medical Mentally Retarded / Developmentally Delayed Normal & Outpatient Phase of life / transitions Pre and Postnatal Post Traumatic Stress Disorder & Trauma Prison / Incarceration Psychiatric Relationship Issues School / Academic Traumatic Brain Injury You, me, them, and us...

10. copyright- Erica Curtis MFT, ATR-BC September 2010 What is your goal? “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.” Assessing developmental level, progress, insight, etc. Assessing developmental level, progress, insight, etc. Attunement with self / others Attunement with self / others Building Mastery Building Mastery Catharsis Catharsis Clarifying/teaching feelings Clarifying/teaching feelings Commemorating / Remembering Commemorating / Remembering Creating new narratives Creating new narratives Describing experience Describing experience Distraction Distraction Experimenting with new behaviors Experimenting with new behaviors Expressing impulses safely Expressing impulses safely Facilitating identity development Generating alternatives Gratification delay Improving self-observation Increasing attention & frustration tolerance Pain assessment / Pain relief Supporting creative strengths / characteristics Taking risks Teaching stress relieving tools

11. copyright- Erica Curtis MFT, ATR-BC September 2010 Online Art Therapy Resources www.arttherapy.org www.arttherapy.org www.atcb.org www.atcb.org www.SoCalArtTherapy.org www.SoCalArtTherapy.org