Mental and Social Health Commons^™

Case Studies In Working With Loving-Kindness Meditation And Art Therapy For Those Suffering From Chronic Pain, Jessica N. Ropars

EVMS School of Health Professions Theses & Dissertations

This study combined the use of Loving-Kindness meditation with art therapy for three women suffering from different types of chronic pain. These women ranged in age from 26 to 62 years and were from a variety of backgrounds; two of the women were Caucasian and one woman was originally from Barbados. The participants were recruited from the Department of Physical Medicine and Rehabilitation at Eastern Virginia Medical School. Four sessions were scheduled. During each session there was time for Loving-Kindness meditation followed by an art therapy intervention. The West Haven-Yale Multidimensional Pain Inventory was used to measure pain. In order …

A Mixed Methods Study Examining The Efficacy Of Art Media On Stress Reduction, Lilani Pecht

EVMS School of Health Professions Theses & Dissertations

When considering today’s academic standards, most know that medical students and residents stand in a distinguished class of disciplines undertaking one of the most stressful scholastic paths. Because this notion is becoming more recognizable with the help of research and published studies, some universities have begun implementing electives focused on the health and well being of their students. Such electives have included a variety of stress relieving activities and interventions, including the use of art therapy. While the literature does indicate an effective use of art therapy and art media to alleviate stress, it does not include a study that …

Exploring The Use Of Visual Journaling During Art Therapy Internships: A Self Study, Mary Madison Lovett

EVMS School of Health Professions Theses & Dissertations

Reflective processes and journaling have been given great attention in the literature as effective tools for the enrichment of learning and professional growth (Boud, 2001). Self reflection in response to clinical experiences can help students can gain a deep level of meaning and insight. Visual journaling is one method of self reflection about which there is little scholarly literature. The process of visual journaling integrates self reflection and exploration through creative imagery and written reflection.

I conducted a qualitative self study which was an exploration of visual journaling as I experienced two semesters of clinical internships. During the study I …

A Cross-Cultural Study Of Korean And American Children’S Human Figure Drawings, Suhyun Tess Lee

EVMS School of Health Professions Theses & Dissertations

Children’s human figure drawings (HFDs), known as one of the most widely used drawing assessment techniques, reflect various aspects of understanding children and some studies indicate that children’s HFDs are affected by cultural and environmental factors. Yet, the data collected are out of date or the studies predominantly included children from Western cultures. The purpose of this study was to explore the cultural impact on children’s HFDs from a non-western culture to promote a cross-cultural perspective in the field of art therapy.

In this quantitative study, 23 HFDs were collected in an elementary school setting in South Korea. Drawings were …

A Study Of Life Experiences Influencing Art Therapy As A Career Choice, Raleigh Ann Spires King

EVMS School of Health Professions Theses & Dissertations

Many factors contribute to one’s decision when choosing a career. Literature has stated that personal traits and demographics, chance encounters with influential people, and significant life events play important roles in the choice to enter a career in the helping professions. This study creates a descriptive summary of the life experiences that motivate an individual to choose art therapy as a career.

Using face-to-face interviews, the researcher gathered information regarding career choice from six art therapists each of whom had five or more years of experience. Although the art therapists disclosed personal experiences, unique to their lives, similar topics emerged …

Domestic Violence As A Contributing Factor To Juvenile Substance Use, Victoria Felicitas Sophie Danz

Sociology & Criminal Justice Theses & Dissertations

This study examines the relationship between witnessing violence in the home and juvenile substance use. Data was used from an existing study and variables were recoded to be of best use for this particular work. This study found that witnessing acts of violence can lead a juvenile into drug use, but other factors are more likely to have influenced this behavior. The study shows that family and peer use of drugs is a major predictor for juvenile substance use and has a bigger influence on the juvenile's life than witnessing violence. No significant impact on drug use was found between …

An Art-Based Psychoeducational Group For Pregnant Teenagers, Lauren Burinsky

EVMS School of Health Professions Theses & Dissertations

This thesis began as an art-based psychoeducational group for pregnant teenagers, and two out of ten sessions were completed. However, due to several limitations, the study had to be turned into a proposal for the group. The goal of the proposed group is to increase pregnant teenagers’ preparedness (as measured by both knowledge base and competence) for the rest of their pregnancy and for motherhood. Over the course of five weeks, six girls would participate in ten sessions. This group will be hosted at Healthy Families in Hampton, Virginia, and the participants will be members there. The first part of …

Clergy Burnout, Compassion Fatigue, And Art Therapy, Joanna Harris Tarr

EVMS School of Health Professions Theses & Dissertations

The purpose of this study was to explore how art therapy can benefit clergy who are at a greater risk for experiencing burnout and compassion fatigue due to the unique personal stressors of their profession. As members of the helping professions who support people in the community through the local church during times of stress, death, birth, marriage and other important life junctures, they are often overworked (Strumpfer & Bands, 1996). Studies have determined that many clergy experience burnout and some may decide to leave the ministry, adding to the already declining numbers of those who decide to enter the …

Family Art Therapy: A Case Report Of A Family With A Child With Autism, E. Lange Eve

EVMS School of Health Professions Theses & Dissertations

Children diagnosed with an Autism Spectrum Disorder can experience a wide range of difficulties due to social and communication impairments. These challenges also affect the child’s family and can cause stress and disturbances within the family system. This case report describes an eight-week art therapy experience with a family who has a child with autism. A Projective Imagery Family Evaluation (PIFE) was conducted, followed by a discussion session with the family and then six one-hour art therapy sessions. The sessions occurred once a week and were implemented to address the specific concerns demonstrated by the family. Participants included a mother, …

Acceptability Of Behavioral Treatments For Insomnia, Daniel Bluestein, Amanda C. Healey, Carolyn M. Rutledge

Ellmer School of Nursing Faculty Publications

Background: Behavioral treatments for insomnia are safe and efficacious but may not be embraced by patients in primary care. Understanding factors associated with acceptability can enhance successful use of these modalities. The objective of this study was to identify demographic and clinical/psychosocial correlates of behavioral insomnia treatment acceptability.

Methods: This nonexperimental, inventory-based, cross-sectional study enrolled patients from a hospital-sponsored primary care clinic and 2 urban academic family practices. Participants (n = 236) were 18 years of age or older who had clinically significant insomnia (Insomnia Severity Index score >= 8) and were recruited consecutively at these sites. A study coordinator …

Exploring The Effects Of An Art Based Trauma Protocol With An Active Duty Police Officer Experiencing Symptoms Of Posttraumatic Stress Disorder, Khaki Wieters

EVMS School of Health Professions Theses & Dissertations

Because of repeated exposure to traumatic events as part of their job requirements, Posttraumatic Stress Disorder is a common problem found among police officers. Although treatments in some agencies are limited, they can include, Critical Incident Stress Management, mandatory referrals to mental health professionals, and trained peer support. Art therapy is an efficient treatment for trauma because it bypasses defenses and aids in processing and integrating traumatic imagery by naturally connecting the brain’s right and left hemispheres. Police diagnosed with PTSD may benefit from art therapy since it can penetrate resistance and has proven effective for processing traumatic imagery.

This …

Women's Compliance In Outpatient Substance Abuse Treatment: The Role Of Children And Mental Health, Cathy Gertrude Cooke

Psychology Theses & Dissertations

The purpose of this study was to examine the role of children and mental illness in women's compliance in a treatment program for substance abuse. Information was retrieved from medical records of female clients ( N=221) who took part in a community-based day treatment program for substance abuse in a large city in southeastern Virginia during a 32-month period. It was anticipated that, as compared to women who resided with minor children, women who did not reside with minor children would have greater treatment success defined as: (1) more days in the treatment program; (2) higher percentage of negative …

Art Therapists’ Strategies For Improving Adolescent Self-Esteem: A Qualitative Study, Jennifer Lauren Barnette

EVMS School of Health Professions Theses & Dissertations

The purpose of this study was to interview art therapists who work with an adolescent population in a variety of settings, to acquire an in depth understanding of what various therapeutic approaches and art-making strategies they utilized to improve adolescents’ self-esteem. Six art therapists were interviewed. The interviews, which were transcribed, generated information about the art therapists’ theoretical orientation, how they addressed self-esteem with their clients, and what processes and materials they find to be most effective for improving such a goal. Themes were extracted from the interviews in order to acquire a further understanding of work with adolescents as …

A Proposal For An Art Therapy Intervention For The Reduction Of Dementia Caregiver Stress, Eileen Douglas

EVMS School of Health Professions Theses & Dissertations

The purpose of this thesis was to develop an art therapy intervention program to test the efficacy of art therapy in the mitigation of stress among informal caregivers who are caring for individuals suffering from dementia. The design of this program is a prospective, randomized, controlled study of informal caregivers. This program will run for a period of 2 months, with a 30 day follow-up session. The study is designed to recruit at least 20 participants. Participants will be randomized into two separate groups, an art therapy intervention group and a controlled art making group. The Zarit Burden Interview, Cohen …

A Proposed Bereavement Art Therapy Group For Children Who Experienced A Loss, Laurie Mcarthur

EVMS School of Health Professions Theses & Dissertations

Bereavement, grief, and loss have been topics of interest to many individuals (Bowlby, 1969; Freud, 1917; Kubler-Ross, 1969) over the years, whereas child bereavement has become a more recent topic of interest. Recently, however, researchers (Lowenstein, 2006; Rogers, 2007; Trozzi, 1999) have gained an awareness of the importance of child bereavement as it pertains to developmental level, support systems, and circumstances surrounding the loss. Typically, both non-clinical and clinical interventions are used as forms of treatment for children who are experiencing grief and loss. Art therapy provides individuals with the opportunity to express themselves through their artwork. Individuals suffering from …

The Effect Of Art Therapy On The Working Memory Of Children With Attention Deficit Hyperactivity Disorder, Kelly N. Lee

EVMS School of Health Professions Theses & Dissertations

This study explored the effect of a short-term art therapy intervention on the working memory and behavior of male children with Attention-Deficit/Hyperactivity Disorder (ADHD). The methodology was quasi-experimental, involving a two-group controlled design with three objective pretest and posttest measures and one observer behavior report. Four subjects ages 7 to 9 were recruited for this study, and they were randomly divided between the experimental (i.e. art making) and control (i.e. board game play) conditions. Each subject participated in four individual sessions with the investigator, and completed two working memory measures at pretest and posttest administration. One parent for each child …

A Study Of Artwork By Individuals With Eating Disorders, Michelle L. Mong

EVMS School of Health Professions Theses & Dissertations

This study explored formal elements and content of 200 images created by eating disordered individuals to identify common themes or content. Images were found on 24 websites containing eating disordered artwork. Gathered artwork was viewed on a laptop and analyzed using methods of content analysis. After categories of formal elements and content were entered into a spreadsheet, percentages of categories and subcategories were calculated. The majority of images, 96.5%, were created with representational, rather than abstract, content. Other high percentages were in the subcategories of drawings (67.5%), vertical orientation (63%), color (61%), and partial figures (53%). Common themes noted in …

Philosophical Concerns: Implications For Art Therapy, Anzhela Akbarova

EVMS School of Health Professions Theses & Dissertations

Throughout centuries, philosophers have asked and attempted to answer questions that address human concerns: identity establishment, search for purpose in life, fear of nonexistence, spirituality, and relationships with other people in the world. Some psychologists and arts therapists have also acknowledged the existence of these concerns. This thesis is a comparative analysis of philosophical literature and concludes that art therapists should acknowledge human concerns in their theory and practice.

An Art-Based Self-Study Of Immersion In Amish Culture: Implications For Art Therapists, Alison R. Hunt

EVMS School of Health Professions Theses & Dissertations

Literature reveals that cross cultural experiences can be beneficial to therapists in terms of personal growth and cultural competency (Finlay, 2005). This heuristic study employed Moustakas’ (1990) six stages of initial engagement, immersion, incubation, illumination, explication, and creative synthesis to examine the impact of immersion in Amish culture on my sense of myself as an art therapist. Data collection included keeping a visual journal and making art during the immersion stage. The data was evaluated using qualitative techniques of categorizing, interpreting, and integrating (Ansdell & Pavlicevic, 2001). Themes which emerged from the artwork were reported in a narrative format and …

A Grant Proposal For An Art Therapy Open Studio For The Homeless Population Of Hampton Roads, Virginia, Jessica Renée Chevalier

EVMS School of Health Professions Theses & Dissertations

It has been shown that community arts programs for the homeless can aid in the development of problem-solving skills, raise self-esteem, facilitate the development of valuable workplace skills, and help the individual feel more connected to his or her community. Though homelessness is a tremendous problem in Hampton Roads, Virginia, there are currently no community art programs devoted to assisting this population. In addition to summarizing other successful community art programs, this paper explains just how valuable and necessary an art therapy based community art program, such as the one being proposed here, would be to the communities of Hampton …

Proposal For An Art-Based Program Promoting Positive Identity Formation In Sexual Minority Youth, Anthony Philip Stroud

EVMS School of Health Professions Theses & Dissertations

According to current scholarly research, there is a paucity of literature aimed at preventing negative identity formation for sexual minority adolescents. Unfortunately, most literature aims at the treatment of the consequences of negative minority identity formation. More important, strengthening positive minority identity formation, particularly in reference to sexual minority adolescents, needs to be a primary goal of current research. This paper provides an arts-based program plan for sexual minority adolescents grappling with identity formation. Moreover, this proposed program plan aims at utilizing art therapy and museum education to prevent negative identity formation amongst the participants.

An African-American Breast Cancer Survivor’S Journey With The Use Of Visual Journaling, Kristen Spellman

EVMS School of Health Professions Theses & Dissertations

This qualitative case study guided one female breast cancer survivor through a 6-week art therapy visual journaling experience. The art therapist taught the participant about the purpose of visual journaling and the potential benefits, as well as the basic methods used to journal. Qualitative data consisted of the visual journal entry (containing both images and writing) that she made in each session and entries made between sessions. Through content analysis, the following themes emerged from the data: breast cancer treatment, anger, family, body image, and depression. The sessions appeared to be beneficial to the participant, and she was enthusiastic and …

Art Therapy And Anorexia: A Heuristic Self-Study From Treatment To Career, Katie Kiskinis

EVMS School of Health Professions Theses & Dissertations

The purpose of this self-study was to explore the personal experience had during treatment for anorexia nervosa that included an art therapy component and what impact this has had on subsequent recovery, current healthy functioning, and the career decision to become an art therapist.

The total duration of the study was 13 weeks. Thirty-minute reflection sessions supplemented with writing were scheduled for the first four days of the study, during which there was a submersion in artwork made during treatment (Treatment Artwork) for anorexia nervosa and any related memories. On the fourth day, eight themes were identified to be the …

The Effectiveness Of Counselors As Care Managers In Improving Self-Management And Medical Outcomes In Persons With Poorly Controlled Diabetes, Ularisi Rebecca Green

Counseling & Human Services Theses & Dissertations

This study investigated whether providing counselors as care managers to individuals who were having difficulty managing their Type II diabetes improved their self-management, health, and functioning. Counselors used the Motivational Interviewing Model and met weekly over a six month period with patients who had Type II diabetes who had been identified as not functioning well in managing their disease. The success of the intervention was determined by a number of measures including physical symptoms of patients; patients' perceptions of the care they received; and patients' self-efficacy in managing their diabetes. The results of this study suggested that providing counselors as …

Art Therapy Support Group For Siblings Of Children With Autism, Christine Mccann Giardina

EVMS School of Health Professions Theses & Dissertations

Siblings of children with autism are at an increased risk for psychosocial and adjustment difficulties due to the extra stresses and frustrations they often experience. This qualitative, phenomenological multiple case study explored the unique experiences of siblings of children with autism in an art therapy support group. Seven 40 minute art therapy sessions, occurring approximately once per month, were implemented to address the specific concerns of siblings of children with autism. This study included three participants who agreed to share their experiences and their reactions to the sibling art therapy support group. Case reports were generated from session observations, semi-structured …

Prospective Associations Of Insomnia Markers And Symptoms With Depression, Mariana Szklo-Coxe, Terry Young, Paul E. Peppard, Laurel A. Finn, Ruth M. Benca

Community & Environmental Health Faculty Publications

Whether insomnia, a known correlate of depression, predicts depression longitudinally warrants elucidation. The authors examined 555 Wisconsin Sleep Cohort Study participants aged 33-71 years without baseline depression or antidepressant use who completed baseline and follow-up overnight polysomnography and had complete questionnaire-based data on insomnia and depression for 1998-2006. Using Poisson regression, they estimated relative risks for depression (Zung scale score >= 50) at 4-year (average) follow-up according to baseline insomnia symptoms and polysomnographic markers. Twenty-six participants (4.7%) developed depression by follow-up. Having 3-4 insomnia symptoms versus none predicted depression risk (age-, sex-, and comorbidity-adjusted relative risk (RR) = 3.2, 95% …

Psychosocial Correlates Of Insomnia Severity In Primary Care, Daniel Bluestein, Carolyn M. Rutledge, Amanda C. Healey

Ellmer School of Nursing Faculty Publications

Purpose: Insomnia is a substantive primary care issue that leads to adverse outcomes. These can be improved by addressing factors that accentuate insomnia severity. Accordingly, this study identifies correlates of insomnia severity and determines whether these relationships vary with sociodemographic attributes.

Methods: This correlational cross-sectional study was conducted in a hospital-sponsored primary care clinic and 2 urban, academic family practice centers. Participants consisted of 236 patients 18 years old or older with clinically significant insomnia (Insomnia Severity Index scores of 7 or more). Surveys instruments included the Insomnia Severity Index, SF-8 (Medical Outcomes Study SF-8 global health status measure), CES-D …

Inpatient Group Psychotherapy: Predicting Attendance And Participation, Sharon E. Silverberg

Counseling & Human Services Theses & Dissertations

Inpatient group psychotherapy is one of the primary talk therapy interventions offered to patients necessitating acute psychiatric treatment. Research indicates that patients who attend and participate in group psychotherapy sessions while admitted to psychiatric hospitals have a lower rate of recidivism and are more successful in the community utilizing lower levels of psychiatric care. Unfortunately, not all patients attend group psychotherapy while admitted to a psychiatric facility and therefore do not benefit, possibly contributing to non-compliance with community-based treatment and readmissions to inpatient psychiatric institutions for stabilization and safety. This lack of participation in group psychotherapy deprives the patient the …

Comparative Validity Of Mmpi-A Scales Scores In African American And Caucasian Male Juvenile Delinquents, Stacy Natasha Wilson

Psychology Theses & Dissertations

This study examined comparative validity of the MMPI-A scale scores of African American and Caucasian male juvenile delinquents utilizing a step down hierarchical regression procedure proposed by Laughtenschlager & Mendoza (1986). The MMPI-A (Butcher et al., 1992) was administered to 281 African American and Caucasian juvenile delinquents while their caretakers filled out the CBCL (Achenbach, 1991; Achenbach & Rescorla, 2001) and DBRS (Barkley & Murphy, 1998), which were used as extra-test measures. Significant overall prediction bias was detected in 15 out of 56 regressions. Statistically significant prediction bias was found for a subset of criterion variables for Clinical Scales 2, …

The Association Between Parental Perceptions Of Children's Residential Mental Health Treatment And The Parent-Child Relationship, Susanne Elizabeth Preston

Counseling & Human Services Theses & Dissertations

Residential mental health treatment for children as an intervention for children is increasing, potentially affecting the relationship within families. The purpose of this study was to examine the parental perspectives of the associations between the parent-child relationship and children's residential mental health treatment. This study explored parental perspectives of specific aspects of the parent-child relationship: parental support, satisfaction with parenting, parental involvement, communication, and limit setting-and the association between these aspects and the child's residential mental health treatment. Paired samples t-tests were conducted; resulting in statistically significant changes on all scales measured, with varying effect sizes. Results indicated parents …