Social and Behavioral Sciences Commons^™

Securing Attachment In The Nicu Through Polyvagal-Informed Dance/Movement Therapy: A Literature Review, Sophia Schneider

Expressive Therapies Capstone Theses

The integration of polyvagal theory (PVT) and dance/movement therapy (DMT) may offer a nuanced approach to healing attachment between the parent-infant dyad in the neonatal intensive care unit (NICU). This embedded modality offers insight into the manner in which attachment is influenced by a neurobiological basis, as well as how various somatic elements may assist in restructuring the autonomic nervous system to promote social engagement, self-regulation, and co-regulation. Therefore, this literature review explores the core elements of PVT and DMT, including the core rhythms of respiration, heart rate variability (HRV), heart rate, and vascular feedback/rhythmicity, and their influence on improving …

Facilitating Attachment Through Therapeutic Rapport And Expressive Arts Therapy With Children Experiencing Complex Trauma: A Literature Review, Johanna Voeller

Expressive Therapies Capstone Theses

The aim of this capstone is to review the connection between therapeutic alliance and attachment with traumatized children supported by expressive arts in therapy and to the impact on therapeutic outcome. Within the therapeutic encounter is a potent opportunity to develop healthy attachment patterns that bridge into the client’s other relationships in their life. Complex trauma affects children physically and psychologically leaving lifelong consequences of interpersonal challenges. The impetus for study of this topic was curiosity centered on the impact of the therapeutic alliance as it relates to attachment, and therapeutic outcomes. Throughout the course of this literature review, the …

Sand Tray And Play Therapy With Homeless Families: Strengthening Caretaker Bonds, Development Of A Method, Regina Sayers

Expressive Therapies Capstone Theses

This paper looks at a new way of using sand tray and play therapy, in family therapy to support a secure bond between parents and their children. The literature on adverse childhood experiences, benevolent childhood experiences, and the extensive body of literature on sand tray and play therapy suggest that this method could help the families at the shelter the author interned in this past year. Supported by Jungian and Adlerian therapists, sand tray and play therapy are safe, the sand and figurines and toys are easy to manipulate and accessible for those who are less verbal to play and …

Exploring Attachment In The Nicu: A Music Therapy Model, Shelby Huskey Jordan-Lake

Expressive Therapies Capstone Theses

This music therapy method intends to explore the implication of music within the Neonatal Intensive Care Unit (NICU) to foster attachment and provide bonding experiences between infants and their caregivers. Using a flexible multistep model, the music therapist will consider established family dynamics, cultural background, and medical diagnosis of infants to determine the necessary music therapy approach to support the infant and caregiver throughout hospitalization. This method involves the integration of live-music intervention and hospitalization through procedural support and infant-contingent singing as co-regulation. Music therapy is an evidence-based practice used across the lifespan. The practice of music therapy with neonates …

Expressive Arts Therapy With Pregnant Adolescents In South Africa: Observations And Reflections On Intimate Partner Violence And Intergenerational Transmission Of Violence, Alexandra Zimeray

Expressive Therapies Capstone Theses

This paper is based on a qualitative arts-based pilot research aiming at understanding pregnant adolescents, victims of intimate partner violence (IPV) in South Africa (SA) with the long-term goal to design a mental health service to support the adolescents and positively influence intergenerational transmission of violence. Through a literature review and the author’s observations and reflections, the relation between adolescent pregnancy, trauma, intimate partner violence and intergenerational transmission of violence is discussed and explored. This paper details the expressive arts interventions, the relevance of those interventions in relation to the prevention of intergenerational transmission of violence, and the experience of …

The Neurobiology Of The Healing Arts: Expressive Arts Therapy As An Effective Treatment For Adults Diagnosed With Complex Ptsd Due To Complex Trauma In Childhood: A Literature Review, Cheryl Ratliff

Expressive Therapies Capstone Theses

Empirically based therapies for posttraumatic stress disorder (PTSD) have been found to be less effective in treating more severe trauma presentations such as complex PTSD (CPTSD). Neurobiological investigation provides a framework for examining the physical and psychological effects of trauma on brain and nerve structures and provides insight into how to effectively treat CPTSD. This literature review examined symptomology of CPTSD resulting from complex trauma in childhood, neurobiological effects of trauma and their implications for treatment, and the efficacy of the current treatment models, primarily those of eye movement desensitization and reprocessing (EMDR), narrative exposure therapy (NET), and somatic psychotherapies. …

Using Narrative Theory As A Process-Oriented Exploration Of Attachment: The Development Of A Method In Art Therapy, Taylor Saunders

Expressive Therapies Capstone Theses

Establishing a sense of psychological and emotional safety and security is essential within the therapeutic workspace for individuals to begin growth toward identified goals. Beginning in early childhood and developing throughout their lifespan, people build expectations of safety and security from their experiences of nurture or lack thereof. These early experiences form internal working models (IWM), which influence how individuals expect interpersonal relationships to develop; these patterns form attachment styles. Understanding someone’s attachment style is a way mental health professionals may better understand a client from a more holistic perspective. While there is much research in identifying and assessing a …

The Value Of Parental Involvement In Play Therapy With Children Exposed To Trauma: A Literature Review, Kellie Difederico

Expressive Therapies Capstone Theses

This literature review explores current research focusing on parent, caregiver or guardian involvement in therapy for children exposed to trauma. This research differentiates parent as a safe space, or systemic work with family dynamics, from parent as an important role within the healing process. Current methods inspired from the attachment approach to therapy including trauma focused-cognitive behavioral therapy (TF-CBT), filial therapy, child parent psychotherapy (CPP), parent child dyadic art therapy, child parent relationship therapy (CPRT), and child centered play therapy (CCPT) are explored, helping to gain a better understand of both clinical and parental perspectives of parental involvement in therapy. …

Art Therapy With Children And Adolescents Experiencing Obesity: Embracing An Object Relations Approach, Rohan Roberts Goldman

Expressive Therapies Capstone Theses

This thesis looked at how art therapy can help identify problems in attachment between children and adolescents living with obese bodies and their parents. In this literature review, I examined the dynamics of child-parent/caretaker relationships and the way object relations and attachment play a significant role in the child’s mental health development. Incorporating art therapy into the treatment for this population has shown some signs of improving the dynamic between children and their caretaker. Through this research, I concluded that children need a consistent caregiver to be attuned to their needs. If they lack attuned and consistent care, the child …

Benefits Of Creative Therapies With Adoption And Complex Trauma: A Literature Review, Rosellen Boucher

Expressive Therapies Capstone Theses

This literature review explores the history of modern adoption and the effects on the adopted from a developmental, emotional, and behavioral standpoint. The review aims at addressing these specific needs through the use of art therapy. To become better acquainted with the concept, the history of modern adoption, as it pertains to the United States, is summarized with three subcategories as a focus points: domestic, international, and the foster care system. Building off of the history is a reflection on the past research surrounding adoption by considering adverse childhood experiences, complex trauma, attachment, and identity formation as it relates. Legislation …

Optimizing Treatment For Preterm Infants Through Music Therapy: A Critical Review Of Literature, Lauren Ciccarelli

Expressive Therapies Capstone Theses

This capstone thesis explores music therapy treatment for preterm infants in the neonatal intensive care unit. The first section outlines developmental considerations and interventions for preterm infants which include minimizing stress, prioritizing sleep, developing feeding behaviors, and promoting strategies for self-regulation of the infant. Both standard care and music therapy interventions are included in this discussion. The second section includes considerations and interventions for attachment and social development. These include skin- to-skin contact between infant and caregiver, the importance of emotional closeness in the infant-caregiver relationship, and supporting parents as they interact with their child in the hospital environment. The …

From Movement To Self: A Literature Review On The Potential Effect Of Dance Movement Therapy On The Understanding Of Self-Identity For People With Borderline Personality Disorder, Natalia Santiago

Expressive Therapies Capstone Theses

This literature review looks at whether Dance/Movement Therapy (DMT) might be useful when treating identity disturbances within Borderline Personality Disorder (BPD). It begins by analyzing the role of identity within one’s life. Identifying how self-concept strongly impacts how one perceives and behaves within their surroundings. Identity disturbance is a characteristic of BPD that has been found to be pervasive. The lack of self-concept is also tied to the other symptoms of BPD, such as impulsivity, dysregulation, and difficulties with interpersonal relationships. Genetics, brain function, and complex childhood trauma are thought to impact the development of BPD. Persistent adverse experiences can …

Lyric Analysis And Songwriting With Adolescent’S Processing Complex Trauma, Peyton Mayzel

Expressive Therapies Capstone Theses

This study examines how lyric analysis and songwriting can aid adolescents processing complex developmental traumas. The use of music, lyric analysis, and songwriting can provide a space for adolescents to express themselves and process their struggles they have encountered in their lives. Music, lyric analysis, and songwriting can also be used as a way for adolescents to build their self-identity and help them to make important life decisions. These concepts are all related to the attachment, self-regulation, and competency (ARC) model created by Blaustein & Kinniburgh in 2005. This model is used in treatment with children and adolescents who have …

Creating A Space To Externalize: Mindfulness Based Art Therapy For Childhood Trauma, A Literature Review, Emily Jaworski

Expressive Therapies Capstone Theses

Experiencing trauma in childhood can result in complex symptoms that impact the development as well as the mental, emotional, and physiological health of the child, resonating throughout their lifespan. Various forms of treatments are used to address the behavioral and emotional symptoms in children who experienced trauma such as Cognitive Behavioral Therapy, Exposure Therapy, and Pharmacotherapy, however the vast majority of them do not incorporate a holistic framework when supporting children to process their traumatic experiences, therefore they do not attend to trauma as a catalyst for changes in the mind and body. This literature review aims to examine the …

Rewiring The Nervous System With Art Therapy: Advocating For An Empirical, Interdisciplinary Neuroscience Approach To Art Therapy Treatment Of Traumatized Children, A Literature Review, Reid Dominie

Expressive Therapies Capstone Theses

Devastatingly, children’s exposure to trauma and stressful life events is pervasive and spans a range of human experiences. Advances in neuroscience demonstrate that such traumas experienced during childhood can deleteriously rewire a child’s nervous system, in-turn altering their brain’s organization, development, and function. Left unresolved, the impacts of trauma can compound across a child’s lifetime manifesting in a host of negative psychological and health outcomes. Timely and neurosequentially-based interventions are key to helping traumatized children heal and achieve their full potential. This review of art therapy literature identifies current neurobiological-informed art therapy models for children who have experienced trauma. A …

The Use Of Art Therapy To Address Attachment In Autism Spectrum Disorder, Hilary Holmes

Expressive Therapies Capstone Theses

The rate of diagnosis for Autism Spectrum Disorder has grown exponentially within the last few years. With that has come a need for more comprehensive understanding of the disorder and appropriate tools and methods for treatment. This paper aims to review critical research focused on the relationship between Autism Spectrum Disorder, the development of attachment styles in children and how Expressive Arts Therapy can be used in therapeutic treatment to support the development of secure attachment and healthy and appropriate social skills within the Autism population. The literature reviewed within this paper synthesizes a body of information including topics such …

Connecting Etc And Arc: The Beginnings Of An Integrative Framework For Working With Children With Relational Trauma, A Literature Review, Melissa Taylor

Expressive Therapies Capstone Theses

Relational trauma is an impactful experience, affecting a person’s physical, mental, and emotional well-being. Children with relational trauma experiences are particularly vulnerable due to being in a stage of active development. Relational trauma can have a lasting impact on a child’s psychosocial, cognitive, and neurological development. This literature review explores the current research concerning children who have experienced relational trauma, the developmental impact of relational trauma, the treatment needs of this population, and a current, evidence-based treatment option for this population—the Attachment, Self-Regulation, Competency (ARC) framework. On the basis of this research, this literature review will outline how expressive arts …

The Embodiment Of Attachment And Grief In Adolescents: A Literature Review, Kelsey Sawyer

Expressive Therapies Capstone Theses

Previous research has indicated that the experience of grief can be embodied or experienced on a bodily level, just like the process of attachment during the formation of an attachment relationship. Therefore, when working with adolescents who have experienced the death of a parent/attachment figure, the body should be included in the therapeutic process. This literature review addresses the importance of the body within the development of attachment relationships, an adolescent’s grief process, and the therapeutic relationship through themes of attunement, kinesthetic empathy and awareness, and witnessing, all of which are elements of dance movement therapy. Research was conducted using …

Visual Art Therapy, Attachment, And The Adoption Constellation: A Literature Review, Caitlin Woodstock

Expressive Therapies Capstone Theses

The following literary review is intended to synthesize existing data pertaining to art therapy and its application within adoption informed therapy. The adoption experience will be explored, and the basic tenants of trauma and attachment will be outlined. Current modes of trauma-informed therapy will be introduced and their compatibility with art therapy will be explored. The author will introduce a variety of art therapy interventions as presented through an assortment of theoretical lenses. These applications will be subdivided into their application with individual constellation members, families, groups, and will extend to immigrants and displaced individuals likely to enter into the …

Attachment, Shame, The Expressive Therapies And Substance Use Disorders, Steven Edelman

Expressive Therapies Capstone Theses

Substance use disorders (SUDs) currently affect a significant number of people, directly and indirectly, in the United States. Low rates of treatment and high rates of relapse point to the need for an increased and diversified engagement of SUDs theoretically and clinically. This literature review explores current research on SUDs and attachment, SUDs and shame, and SUDs and the Expressive Therapies. The literature review provides relevant theoretical frameworks and current clinical applications for treatment of SUDs considering attachment and shame’s role in substance use from an Expressive Therapies perspective. The role of relationships and imagination in both the maintenance and …

Sometimes A Crucible: Mindfulness Art Therapy Experientials In A Dbt-Oriented Residential Partial Hospitalization Program For Dually-Diagnosed Adults, Joan Mancuso

Expressive Therapies Capstone Theses

My thesis concerns observations made while incorporating mindfulness-oriented art therapy experientials into hour-long, didactic DBT skills-training groups at a residential partial program serving dually-diagnosed adults. For the thesis, I adapted two exercises from Clark’s DBT-Informed Art Therapy. My research method was arts-based grounded theory, referencing Corbin’s grounded theory and Wadeson and Allen’s thinking on the use of art for professional processing. My data took the form of a journal, word clouds, poems, and small artworks I iteratively created to deepen my learnings. My experientials highlighted areas of confusion regarding mindfulness that I attempted to address. Through the process, I …

How Can The Attunement Needs Of Children With Disorganized Attachment Styles Be Supported Through Expressive Arts Therapy?, Jayne Paley

Expressive Therapies Capstone Theses

Treatment strategies for school age children with disorganized attachment are not well established. This population exhibits a range of difficulties in social relationships and self-regulation. Additionally, children with disorganized attachment generally rely on defense mechanisms and present with other comorbid conditions, adding to the complexity of treatment. This paper explores current research and theories about disorganized attachment and then, on the basis of evidence provided throughout this paper, proposes the concept of attunement needs in relation to working with children with disorganized attachment. The attunement needs described in this paper, derived from the literature, include safety/security, control/power, consistency, affective release, …

Using Trauma And Attachment-Informed Art Therapy To Promote Healing In Children In The Welfare System: A Literature Review, Jessica Q. Mctavish

Expressive Therapies Capstone Theses

Children who have are placed in the child welfare system have often been exposed to a multitude of stressors and traumatic experiences, including: exposure to domestic abuse, sexual abuse, emotional abuse, physical abuse, neglect, in-utero substance abuse, and abandonment. In result, a child’s development and overall functioning may be severely impaired, to include an inability to regulate emotions and manage arousal, attentional difficulties, chronic elevation of cortisol levels, and low impulse control. Such children may also experience deficits in working memory, executive functioning, academic skills, and social-emotional functioning. Their ability to form healthy attachments may be impaired, and they are …

Understanding Identities Of Internationally Adopted Adolescents Through The Use Of Art Therapy: A Literature Review, Joselin Acosta Toledo

Expressive Therapies Capstone Theses

As international adoption becomes more popular and widely used in the United States, there is more evidence of the impact that adoption and the process of adaptation can have on an individual in both the long and short term, especially in the development of their identity. While adolescence tends to be a time when the individual is focused on creating and understanding their uniqueness, being an adoptee adds even more complexity to this task. Adopted children often struggle with issues of self- esteem, sense of belonging, identity formation, and safety (Harris, 2012). Art therapy has been successfully used with adolescents …

Adolescents, Empathy And Dance Movement Therapy, A Literature Review, Jessica Tokarchuk

Expressive Therapies Capstone Theses

Abstract

Aggression and violence among adolescents in the school setting has continued to increase in the past several years. Empathy is related to decreased aggression in adolescents. Teaching empathy and other prosocial skills in school has been shown to decrease aggression. Several researchers have presented curriculum and methods to teach these skills, however violence and aggression continue to occur at high rates in schools in America. Current methods used in schools in America need to be developed with different approaches. The development of a strong sense-of-self, self-esteem and emotion-regulation are needed to support the development of empathy. Secure attachments throughout …

Developing Social Skills Through An Open Studio Art Therapy Group With Older Children, Amanda Hoyle

Expressive Therapies Capstone Theses

This paper examines six sessions of an open studio art therapy group with three older children in a therapeutic day school, with a specific focus on social skills. The design of this study was based on the presenting needs of the students who were referred to the group which included improvement in social skills and self-expression, with the support of research in trauma, attachment, neurobiology, and art therapy. The participating students are all male, range in age from 11 to 14 years old, and each identify with different cultural backgrounds. The students were provided with a studio space and materials …

Exploring The Use Of Play In The Expressive Arts As Treatment For Traumatized Youth: A Literature Review, Julie Salvato

Expressive Therapies Capstone Theses

This review of the literature explored expressive therapies informed treatments for children who have experienced trauma in order to identify a healing mechanism within each treatment that was related to play. Patterns and commonalities in the research were documented in order to better understand the mechanism of play that appeared to be healing for the youth. The goal was to identify the elements within the mechanism as individual resources that could be applied in therapeutic interventions when treating traumatized youth in an effort to improve their lives and move them towards healing. This exploration also pointed to the importance of …