Social and Behavioral Sciences Commons^™

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 …

Growing In Grief: A Meaning-Making Expressive Arts Therapy Method Developed For Bereaved Youth, Jessica Wilson

Expressive Therapies Capstone Theses

Approximately 5.3 million youth in the United States have experienced the death of a sibling or parent. They face challenges such as an increased risk of depression, anxiety, substance use, and other detrimental effects on adjustment. A small subset of this population experiences significant emotional and behavioral difficulties, characterized by an inability to function in major life roles, a preoccupation with the loss, and separation distress. Modern grief literature describes meaning-making as an adaptive coping process contributing to a sense of renewed hope and self-efficacy and a reduction in distressing grief symptomology. Expressive arts therapy is an effective way to …

How Art Therapy Can Be Used To Teach Queer Inclusive Sex Education To Queer Youth: A Literature Review, Olivia Souza

Expressive Therapies Capstone Theses

This literature review examines the potential of art-making as a tool to educate and inform queer youth about queer sexual experiences. Many queer individuals lack information about safe and healthy sex due to the exclusion of queer experiences in sex education programs. Current sex programs solely focus on abstinence and heterosexual experiences, leaving queer youth in the dark about what to expect from future sexual experiences they may have and how to practice safe queer sex. Through a search of the literature, it was discovered that there is a gap in research using art therapy in this specific context. Through …

Enacting Stories: Discovering Parallels Of Narrative And Expressive Therapies, A Literature Review, Zoe Reddig

Expressive Therapies Capstone Theses

This literature review will analyze the use of narrative therapy (NT) techniques, dance/movement therapy (DMT) techniques, and expressive therapy (ET) techniques in an effort to distinguish where theoretical parallels exist between these methods of counsel. Narrative therapy is a postmodern framework of counseling that assists clients in resisting damaging stories that have been embedded through bioecological systems of exposure throughout development. Narrative therapy structures its philosophy through processes of externalization and deconstruction, and encourages the process of reframing or re-authoring one’s personal self-narrative. At their core, DMT and ET already utilize components of foundational NT practices, through processes of enactment, …

Redefining Anger For Sexual And Gender Minorities Using Art As A Visual Voice, Kirsten Ranheim

Expressive Therapies Capstone Theses

Art therapy is an increasingly popular approach for addressing trauma and anger in clinical settings. This literature review explores the connections between art therapy, trauma, gender, and anger, drawing on a range of studies and theoretical perspectives. Background is provided on the history of anger within the context of societal institutions, interpersonal power dynamics, psychiatric nosology, and social justice movements. The review concludes that art therapy is ideally suited as a trauma-informed approach to addressing anger in the therapeutic setting. This is due to the unique opportunities that art making provides for helping individuals express and process their emotions nonverbally, …

Whatever It Takes: A Literature Review Exploring The Psychological Cost Of Actor Training And How Drama Therapy Can Help, Kelsey Burke

Expressive Therapies Capstone Theses

This review examines the literature as it relates to the psychological and emotional impact of professional training programs for student-actors. Special attention is paid to student-actors’ developmental stage, mental health and trauma history, possible exposure to sexual harassment in rehearsal or classroom settings, specific acting techniques taught, and power dynamics between student-actors and acting teachers. Also examined is data on the potential effects that the application of trauma-informed drama therapy approaches could have on this population. This is followed by a proposed outline for a supervision-style class for student-actors led by a drama therapist intended to introduce drama therapeutic principles …

Art Therapy And Internal Family Systems For Adolescents At A Therapeutic School: A Qualitative, Arts-Based Study, Emma Pici-D'Ottavio

Expressive Therapies Capstone Theses

Adolescence is an important developmental period marked by a search for identity and an increase in impulsive behaviors and intense emotions. The current study explored how a combined art therapy and Internal Family Systems (IFS) model is beneficial and appropriate for adolescents in a school setting. A brief art therapy group was facilitated with students at a therapeutic high school. The intervention integrated IFS approaches, including externalization and guided visualizations, with the goal of understanding parts and increasing self-compassion. Three main themes emerged based on observations of the sessions: 1) the concept of parts encouraged self-understanding and reduced shame; 2) …

Putting The Pieces Together: Inside/Outside Box Collage As A Group Art Therapy Directive For Supporting Emotional Containment In An Inpatient Psychiatric Hospital, Rachel Rogalski

Expressive Therapies Capstone Theses

Finding an art therapy directive that can be effective in engaging patients with a wide range of mental health diagnoses can be challenging. Even more so is a clinician’s ability to foster a sense of safety within the therapeutic group space of a psychiatric hospital. Many patients feel vulnerable in these settings given the history of institutionalism, as well as their experience of being uprooted from their typical environments and routines. As an art therapist in this setting, understanding which materials can best suit this population may be challenging, often achieved through a process of trail-and-error. The implementation of art …

The Effectiveness Of Music Therapy With Children Who Have Experienced Trauma Using The Neurosequential Model Of Therapeutics (Nmt): A Literature Review, Brianna Lambert-Jenkins

Expressive Therapies Capstone Theses

This paper initiates filling the gap in the literature by utilizing NMT, which addresses trauma through understanding and assessing how it has impacted a child neurodevelopmentally with music therapy. Children in intensive residential care are referred to treatment with a unique range of challenges resulting from their traumatic experiences. Of these challenges, included are a wide range of traumatic experiences such as physical/emotional abuse, neglect, sexual abuse, homelessness, witnessing violence or domestic abuse, adjustment issues, attachment issues, or trauma while in utero. The Neurosequential Model of Therapeutics (NMT) is a newer framework for working with developmental trauma. Current research around …

Moving With The Lgbtq+ Community In Grief And Elderhood: A Literature Review, Marea Newell

Expressive Therapies Capstone Theses

Dance/movement therapy (DMT) is a therapeutic approach that incorporates the physical, emotional, and cognitive processes as a method for healing. Within the field of DMT, there has been limited research working with the elderly LGBTQ+ bereaved community. This research inquiry aims to expose this gap in the literature and offer approaches for future research based on the current literature in DMT and psychology. Through a review of literature conducted on google scholar and Lesley University’s library, relevant articles examining the experience of grief among elderly LGBTQ+ individuals, DMT among elderly and bereaved populations, and working with individuals who have experienced …

Toward Holistic Mental Wellness: A Literature Review Of Mindfulness-Based And Focusing-Oriented Art Therapies, Lesley Vernon

Expressive Therapies Capstone Theses

Modern day living, for all its benefits, is synonymous with record levels of stress. The mental health clinician’s role is to assist clients in accessing the skills and tools necessary to reduce and alleviate the symptoms of stress-induced anxiety. Mindfulness is emerging as a potent and effective tool to restore one’s state of well-being. Likewise, engaging in art therapy has been shown to reduce stress and foster resilience. Grounded in humanistic and existential theories, this literature review aimed to assess the impact and effectiveness of two intermodal holistic therapies, specifically mindfulness-based art therapy (MBAT) and focusing-oriented art therapy (FOAT). A …

Finding A Middle Path: Using Expressive Arts Therapy To Engage Adolescents In Dialectical Behavior Therapy: A Literature Review, Rebecca Miller

Expressive Therapies Capstone Theses

This critical literature review explores the limited research on integrating expressive arts therapy (ExTH) with dialectical behavior therapy (DBT). DBT, an evidence-based, third-wave cognitive-behavioral intervention, has been adapted for use with adolescents struggling with emotional and behavioral dysregulation. Yet, the didactic and almost rigid nature of DBT can feel more like a school lesson and less like therapy, making it difficult for adolescents to engage with the treatment. This is problematic as DBT's effectiveness requires the client to be fully committed and willing to engage in the therapy. This paper explores the literature on combining ExTH with DBT and conceptual …

Defining Best Practices For The Development And Implementation Of Music Therapist Verbal Processing Skills In Clinical Spaces, Rachel Quirbach

Expressive Therapies Capstone Theses

Though verbal processing is a key component within many music therapy sessions, the current body of music therapy literature does not provide substantial guidelines outlining how music therapists are to cultivate verbal counseling skills and integrate verbal processing with their practices. This thesis critically reviews existing music therapy literature to uncover and integrate ideas from the field regarding the positioning, clinical relevance, and training of music therapist verbal processing skills in clinical practice. Information concerning the uses of verbal processing in music therapy practice, the relationship between the modalities of music therapy and verbal counseling, and the interplay of theoretical …

A Group Music Therapy Method To Promote Mentalization Skills In Clients With Narcissistic Personality Disorder, Lisa Riggs Hobbs

Expressive Therapies Capstone Theses

Abstract

This paper investigates the development of a group music therapy method by adapting elements of mentalization-based treatment (MBT) to help clients with narcissistic personality disorder (NPD). A prominent characteristic of NPD is a deficiency in empathy. The fostering of empathy and emotional awareness forms the basis of MBT. Music therapy offers a means to explore these skills on a nonverbal level. This work is even more impactful in a group setting. Unfortunately, there is a dearth of literature specific to music therapy and NPD. Furthermore, despite the availability of writings separately concerning NPD, MBT, group therapy, and music therapy, …

Adolescents And Art Therapy: Exploring Safe Spaces Through Telehealth, Sarah Murphy

Expressive Therapies Capstone Theses

This thesis discusses an art therapy intervention in a virtual partial hospitalization program (PHP) with an adolescent population. Research involving the use of safe spaces in therapy, telehealth, adolescent group development, group dynamics, and digital technology in art therapy was explored. The intervention involved adolescent clients depicting a visual safe space using digital tools and exploring the concept of safety through telehealth. After the intervention, clients reported an increase in self-reported mood on average. Common themes found in the artwork include physical safety by holding boundaries and being around items or people they felt comfortable around. Personal artistic responses were …

Preparing For An Unpredictable Future: A Community Engagement Project, Rebecca Coates-Finke

Expressive Therapies Capstone Theses

The COVID-19 Pandemic has upended lives across the world for the past two years, and it is hard for anyone to say if or when life will return to what we may have called “normal.” Communities must learn how to support and protect one another in rapidly changing circumstances, while holding space for the collective trauma and grief of this pandemic. In this thesis, there is a review of literature regarding trauma, collective healing within communities and families, and COVID’s impact on Jewish communities, with a particular focus on drama therapy. This is followed by a description of a workshop …

Building Character By Building Characters: A Literature Review Examining The Efficacy Of Tabletop Roleplay As A Creative Intervention For Developing Social Skills In Adolescents, Kathleen Angela L. Bautista

Expressive Therapies Capstone Theses

In the realm of tabletop roleplay games, Dungeons & Dragons (D&D) earned a reputation as the most prolific franchise within the genre and has since prevailed as a popular bonding activity for peer groups of all ages and backgrounds. Among the player base in the D&D community are those that gleaned its potential to offer a conducive space for personal growth, particularly in the realm of psychosocial development, given that D&D sessions facilitated dynamic social interactions among the members. The emphasis on imagination in D&D nurtures the tenets of intermodal expression, as players are encouraged to explore their creativity through …

Touch In Drama Therapy: A Literature Review, Sara Hood

Expressive Therapies Capstone Theses

This article is a cursory look at how touch is perceived in the field of drama therapy. Touch is integral to our experience as humans and can be present in drama therapy sessions. Ethical guidelines for touch in the literature are identified and relevant drama therapy texts and articles describing touch are discussed. While drama therapy has a clear voice when it comes to ethically engaging in touch with a client, very little research was found exploring the intention and outcome of touch in a drama therapy session. Other therapeutic modalities, specifically Developmental Transformations and dance/movement therapy, are identified as …

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 …

Moving Through Loss: The Experience Of Ambiguous Loss With Hospitalized Children, The Development Of A Method, Peyton Edington

Expressive Therapies Capstone Theses

The current method examined the effects of ambiguous loss with medical transplant patients in a pediatric hospital by utilizing a dance/movement therapy intervention. The development of this method was based on ambiguous loss theory with a dance/movement therapy approach. The explored literature identified central themes of ambiguous loss, such as resilience. These themes were connected to the practice of dance/movement therapy, such as embodiment. With this connection, the intervention was developed and implemented with participants. The central themes that emerged from the intervention were change, loss, meaning-making, and hope. One child and two adolescents were participants in this intervention, and …

Exploring The Benefits Of Expressive Arts Therapy With Survivors Of Sexual Violence, A Literature Review, Allison Dooley

Expressive Therapies Capstone Theses

Sexual violence is a common experience throughout the United States. The aftermath of this traumatic experience impacts the entire body, including the emotional, physical, and mental states of an individual. The distressing symptoms of sexual violence can last from weeks to years. The aftermath of sexual violence can make it difficult for victims to complete daily tasks and can lead to disorders such as Depression or Post Traumatic Stress Disorder. This literature review explores the current treatments used with survivors of sexual violence, which include trauma-focused cognitive behavioral therapy, Eye Movement Desensitization and Reprocessing, and other effective treatments. Due to …

A Systemic Approach To Understanding Burnout Through The Lens Of The United States’ Professional Art Therapy (And Mental Health) Community: A Literature Review, Mary Welch

Expressive Therapies Capstone Theses

Burnout among mental health counseling and art therapy professionals has long been an issue (Meyerson 1998; Prins et al., 2015; Yang & Hayes, 2020; Zeira 2021). While previous research into the causes and reduction of burnout have focused primarily on individual burnout, both in terms of psychology and workplace habits (Rollins et al. 2021), very few studies have been done examining the systemic, institutional, and cultural contributions to burnout in these professions. This paper aims to explore the connection between community standards and the current systems that intersect professional art therapy practice in the United States and the areas in …

Healing Our Connection With Nature: An Expressive Arts Community Engagement Project, Meghan Mccrillis

Expressive Therapies Capstone Theses

A community engagement project was created and implemented, comprised of two events for which the author facilitated nature-based expressive arts experiences to explore the integration of nature and expressive arts therapy. The events were offered to two different groups of community members, one for nature-curious adults held outdoors on the trails of a local conservation trust, and another for young children at a local library. The healing impact of nature connection and nature connection experiences are explored through a literature review, event methods, and the author’s personal experiences of the project via artmaking. The results include an emphasis on nature …

Epistemic Injustice, Endometriosis And Dance/ Movement Therapy: An Autoethnographic Investigation, Kevana West

Expressive Therapies Capstone Theses

As the field of dance/ movement therapy evolves to meet the demands of a rapidly changing social landscape, it is imperative that clinicians think critically about the degree to which our work is steeped in oppressive frameworks and ideologies. This investigation uses testimony to explore epistemic injustice as it relates to the author’s experience of living with endometriosis and the pursuit of professional licensure. Considering the limited amount of research on the condition, along with the perceived absence of literature within the field of dance/ movement therapy, further study is warranted. The experimentation phase of this research incorporated the use …

Dance/Movement Therapy As A Transdisciplinary Approach To Treating Trauma, Destany Schadder

Expressive Therapies Capstone Theses

This thesis considers dance/movement therapy as a transdisciplinary approach to treating trauma in the body. It explains what the functions of the brain are, how trauma negatively affects it, and how posttraumatic stress disorder is expressed in both the body and the brain. It discusses multidisplinary approaches, it shows how these approaches leverage the body in treating trauma. Moreover, it demonstrates the benefits and advantages of a dance/movement therapist in supporting individuals who have experienced traumatic events. To achieve these goals, this thesis discusses research by neuroscientists, such as Damassio (1999), who maintain that the body and mind directly affect …

Toward A Co-Working Posture In Global Mental Health: A Literature Review On The Use Of Photovoice In Partnership With Forcibly Displaced Populations, Bethany Randolph

Expressive Therapies Capstone Theses

Abstract

As of 2020, the number of forcibly displaced people in the world numbered 82.4 million. This radically diverse population, approximately one in every 95 people, only continues to burgeon as wars and conflicts send millions fleeing for their lives. Sadly, on top of the massive allostatic load endured by the forcibly displaced, many are then doubly harmed by global mental health professionals who lack insight into the culture and worldview of the fellow humans they serve. In an effort to support meaningful therapeutic work in the cross-cultural milieu, this paper presents a literature review inquiry into the purpose and …

The Opioid Epidemic And The Need For Arts In Community Based Treatment Options: A Literature Review, Abageal Stasny

Expressive Therapies Capstone Theses

Over the past three decades, the opioid epidemic has devastated communities and the lives of many around the US. The prevalence and complexities of substance use disorder continue to challenge clinicians to find effective treatment options for clients. The focus of this literature review is to develop support for using art therapy as a form of treatment for those with substance use disorder, to distinguish the benefits that community-based art therapy as a form of ongoing treatment could provide, and propose the need for further research that explores the use of community-based art therapy with those with substance use disorder. …

The Use Of Digital Mediums In Expressive Arts Therapy, Katherine Mcadams

Expressive Therapies Capstone Theses

In recent years, there have been considerable advances in technology, which have made digital devices such as computers and cellphones cheaper and more accessible for most Americans. The Pew Research Center (2019) reports that 96% of adult American’s own a cellphone, with 81% owning a smartphone. Usage rates for cellphones and other digital devices amongst children and adolescents are also high with 95% of teens, aged 13-17, report owning a smartphone (Jiang, 2018). Despite these staggering statistics the field of psychology and creative therapies have been slower to adopt and incorporate the use of digital media and technology into the …

Dance Movement Therapy For Clients With Attention Deficit Hyperactivity Disorder: A Literature Review, Holly Inman

Expressive Therapies Capstone Theses

The overall focus of this thesis study is to take a closer look at how dance movement therapy could beneficially impact people diagnosed with attention deficit hyperactivity disorder. The literature reviewed focuses on the history of dance movement therapy along with several methods of the therapeutic practice, the beginning stages of attention deficit hyperactivity disorder re- search as well as the current treatment methods, and the current work being done with dance movement therapy and clients with this diagnosis. Many of the symptoms considered within this diagnosis are supported by the structure of dance movement therapy, serving as a beneficial …

The Ripple Effect: ‘Training The Trainer’ On The Impact Of Body Image Through A Dance/Movement Therapy Technique, Marina Gearhart

Expressive Therapies Capstone Theses

This thesis describes the capstone project which was a psychoeducation and experiential workshop for fitness trainers. The workshop investigated the impact trainers’ work may have on the body image of their clients through a dance/movement therapy (DMT) technique. The aim was to enhance the trainers’ sensitivity around body image issues of their clients and to create a space for vulnerable movement conversation that may in turn lead to better mental health advocacy for their clients within the scope of ethical practice. The participants of the workshop were six white female identifying trainers ranging from 24 to 35 years of age. …