A creative pathway to a meaningful life: An existential expressive arts group therapy for people living with HIV in Hong Kong

Kwong, Man-Kit; Ho, Rainbow T. H.; Huang, Yu‐Te

doi:10.1016/j.aip.2019.05.004

Cited by 8 publications

(6 citation statements)

References 35 publications

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“…The effectiveness of biomedical management allows clinical research and practice to broaden its scope and explore issues pertaining to psychosocial factors, such as quality of life (QoL). Research suggests that despite the success of HIV treatments, several psychosocial challenges remain and generally diminish QoL [ 3 , 4 ]. In particular, HIV-related stigma/discrimination, social disconnection, and mental health difficulties remain prevalent among this population and have harmful effects on QoL [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is widely recognized that HIV-related stigma remains prevalent, negatively impacting QoL amongst PLHIV [ 4 , 23 , 24 , 27 , 28 ]. HIV-related stigma reflects the devalued status that society attributes to PLHIV, encompassing negative beliefs, feelings and attitudes [ 29 , 30 ], and often manifests as discrimination and unjust treatment.…”

Section: Introductionmentioning

confidence: 99%

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Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health

et al. 2022

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HIV is a manageable chronic illness, due to advances in biomedical management. However, many people living with HIV (PLHIV) continue to experience psychosocial challenges, which have been associated with poorer quality of life (QoL). This study aimed to explore how psychosocial factors contributed to the QoL of PLHIV in Australia; specifically, the relationship between HIV-related stigma, social connectedness, mental health, and QoL. Participants were 122 PLHIV attending The Albion Centre (a tertiary HIV clinic in Sydney, Australia), who completed questionnaires which measured HIV-related stigma, social support, mental health symptomology and QoL. Results indicated that HIV-related stigma predicted poorer QoL, as did mental health symptomology. Conversely, social connectedness improved QoL. Additionally, social connectedness was found to mediate the relationship between HIV-related stigma and QoL, whereas the hypothesized moderating role of mental health symptomology on this model was not significant. These findings provide insight into the impact of psychosocial factors on QoL, offering practitioners various points of clinical intervention.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health

et al. 2022

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“…It can be the interaction between a minority identity with another identity that should be taken into consideration. PLHIV is an identity that is closely related to the homosexual identity and both identities are heavily stigmatized in Chinese culture (Huang & Fang, 2019;Kwong, Ho, & Huang 2019). In a Chinese cultural context, issues arising from the homosexual identity can become complicated with the family and societal expectation of continuing the blood line (Huang & Fang, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Each session is concluded by "harvesting" (p. 156), which refers to the clients' reflection upon the issues they face in their lives, proactively seeking insights and solutions (Knill, 2005). By giving existential suffering a meaning, it can then be acknowledged (Levine, 2005;Kwong, Ho, & Huang, 2019).…”

Section: Introductionmentioning

confidence: 99%

Making Meaning Out of Intersectionality Through Expressive Arts Therapy: A Case Study

Kwong¹

2021

Creative Arts Educ Ther

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This paper illustrates how Expressive Arts therapy within a depth psychotherapy perspective helps one to face a heightened awareness of the four existential givens of life: death, isolation, freedom, and meaninglessness. The case of a mainland Chinese gay man, recently diagnosed with HIV, demonstrates how his intersectional identities come into play throughout the therapeutic process of meaning-making. Guided meditation and relaxation through listening to music, drawing, improvisation using the voice and the body, psychodrama techniques, story writing and Chinese calligraphy, which combines writing and drawing, all highlight the role of intermodal arts in igniting and deepening the process.

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“…In addition to the clinician–client relationship, relational psychotherapy constructs and processes are salient among clients (e.g., couples therapy, group therapy) and among health care providers (e.g., interpersonal dynamics in the workplace). For example, studies have documented that group therapy is an effective approach among medical populations such as those with diabetes (Pouraboli et al, 2018), fibromyalgia (Castro-Sánchez et al, 2014), irritable bowel syndrome (Blanchard et al, 2007), HIV (Kwong et al, 2019), and multiple sclerosis (Pakenham et al, 2018) and those employed in health care settings (Marx et al, 2014), including nurses (O’Brien et al, 2019), which represent the largest number of health care workers. However, our understanding of the processes and mechanisms associated with these changes warrants further delineation as we aim to tailor groups for specific medical populations (Leszcz, 2020).…”

Section: Relationalmentioning

confidence: 99%

Addressing health in psychotherapy: Future directions from a community wellness lens.

Mitchell¹,

Raque²

2022

Psychotherapy

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Building off insight provided by authors in this special section and in the broader literature, this closing article describes future directions in health in psychotherapy. We use the community wellness model (CWM; Prilleltensky, 2005) sites of personal, relational, and collective to highlight psychotherapy constructs that offer future directions for more fully embracing a community and social justice perspective in health in psychotherapy. Within each level, we describe implications for researchers and clinicians: the personal level focuses on individual psychotherapy, including theoretical orientation, interventions, and feedback-informed treatment; the relational level covers clinician-client dynamics and group psychotherapy; the collective level addresses the scope and innovation of our interventions as well as advocacy efforts. Our hope is that these psychotherapy constructs and processes offer researchers and clinicians future directions for more fully integrating health into psychotherapy in a way that embeds a social justice perspective. Clinical Impact StatementQuestions: What are relevant psychotherapy constructs and processes for addressing health in psychotherapy? How is health in psychotherapy relevant at the personal, relational, and collective levels of the community wellness model (CWM; Prilleltensky, 2005)? Findings: Psychotherapy constructs and processes relevant to the future of health in psychotherapy include, but are not limited to, theoretical orientation, individual psychotherapy processes and interventions, group psychotherapy processes and interventions, clinician-client dynamics, the scope and innovation of our interventions, and advocacy efforts. Meaning: Using the CWM (Prilleltensky, 2005), we describe psychotherapy constructs and processes relevant to the future of health in psychotherapy at the personal, relational, and collective levels. Next Steps: Psychotherapy researchers and clinicians must consider the ways in which a holistic conceptualization of health more fully embraces community and social justice perspectives in their work.

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A creative pathway to a meaningful life: An existential expressive arts group therapy for people living with HIV in Hong Kong

Cited by 8 publications

References 35 publications

Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health

Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health

Making Meaning Out of Intersectionality Through Expressive Arts Therapy: A Case Study

Addressing health in psychotherapy: Future directions from a community wellness lens.

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