Many people with severe dementia use art materials in an untraditional way, or they become involved in exploring, selecting and combining objects that are put in front of them. The author has often found the results to be aesthetically satisfying. In this paper theories of beauty and aesthetics are explored, starting with the concept of 'form' and its relation to the artist's unconscious, moving to the core of aesthetic experience in the articulation of unconscious material. Ehrenzweig's (1967) stages of creativity are described and how Schaverien (1992) situates aesthetic experience within the art therapy relationship. This material is linked to a brief description of the areas of the brain associated with seeing, where there may be damage in dementia. Some art therapy sessions with three older people with dementia are described, linking their activities to the concepts described. The author suggests that these clients are indeed searching for something aesthetically satisfying (when they are emotionally able to do so), even though they may be unable to re-integrate what they have achieved. The drive for aesthetic pleasure is seen as an opportunity for art therapists to engage with clients who are in the later stages of dementia.
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