Creative arts in psychotherapy treatment protocol for children after trauma

Westrhenen, N. Blignaut-van; Fritz, Elzette; Oosthuizen, Helen; Lemont, Suzan E; Vermeer, A.; Kleber, Rolf J.

doi:10.1016/j.aip.2017.04.013

Cited by 19 publications

(19 citation statements)

References 45 publications

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“…Similar to other studies, the current findings support the view that the applications and outcomes of using narrative and creative therapy techniques are promising (Denborough, 2014;Jacobs, 2017). The respectful approach created a safe space (van Westrhenen, Fritz, Oosthuizen, Lemont, Vermeer& Kleber, 2017) for the participants to open up and share their experiences. The combination of creating through artistic means and having a safe space to share their experience (Gantt & Tinnin, 2009) helped participants to self-soothe (Naff, 2014) and supported their post-traumatic growth, including through developing new meanings and hopes about their life (Kruger & Swanepoel, 2017).…”

Section: Narrative and Creative Approach In Group Settingsupporting

confidence: 87%

“…This group-based psychotherapy incorporates creativity with narrative therapy principles to help those affected by loss and trauma (Ncube, 2006). It uses storytelling and drawing to provides a safe place (Van Westrhenen, Fritz, Oosthuizen, Lemont, Vermeer& Kleber, 2017) in which traumatic events can be processed (Dieterich-Hartwell & Koch, 2017). The TOL draws upon narrative techniques and principles such as respect, externalisation, deconstruction and storytelling to support individuals to reframe their past traumatic stories by re-writing more empowering and positive self-narratives (Denborough, 2014).…”

Section: )mentioning

confidence: 99%

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Exploring the effectiveness of the Tree of Life in promoting the therapeutic growth or refugee women living with HIV

Vitale

Khawaja

Ryde³

2019

The Arts in Psychotherapy

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The current study aimed to understand the experiences of refugee women living with HIV as they participated in the Tree of Life (ToL), a group-based narrative intervention. A qualitative case study methodology was used. Five African refugee women took part in the study. The ToL consisted of seven two-hourly sessions conducted on weekly basis. Further, participants completed a feedback form after each session, and they were individually interviewed on completion of the ToL. The researchers kept detailed field notes. The data indicated that participants were motivated to attend the intervention in order to overcome their psychological distress, isolation and negative thoughts associated with their situation. Participants found the intervention beneficial. In a safe and supportive setting, and through the art making process, they were able to reflect on their painful past and current issues associated with their migratory stressors and with living with HIV. They identified personal strengths and qualities that enabled them to cope and build their resilience. The art making process and the discussion of the tree empowered them to re-author their life narratives. Finally, they related to each other and they developed a sense of connectedness. The findings indicate the Tree of Life as a promising intervention that can be used with refugees living with HIV. Implications and future directions are discussed.

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Section: Narrative and Creative Approach In Group Settingsupporting

confidence: 87%

Section: )mentioning

confidence: 99%

Exploring the effectiveness of the Tree of Life in promoting the therapeutic growth or refugee women living with HIV

Vitale

Khawaja

Ryde³

2019

The Arts in Psychotherapy

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“…While art therapy has been identified as an anti-oppressive practice, there is sparse research exploring the effectiveness of this approach for people from ethnic minority groups in the UK. This approach may be particularly useful for people who have experienced complex trauma and where nonverbal approaches may be more accessible and acceptable (in our study, this included young refugees and recent migrants) [ 121 ]. Nature was also identified as a nonstigmatising and healing space for mental ill health.…”

Section: Discussionmentioning

confidence: 99%

Understanding ethnic inequalities in mental healthcare in the UK: A meta-ethnography

et al. 2022

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Background Evidence regarding the presence and persistence of ethnic inequalities in mental healthcare is well established. The reasons for these inequalities and lack of progress in diminishing them are less understood. This meta-ethnography aims to provide a new conceptual understanding of how ethnic inequalities are created and sustained; this is essential to develop effective interventions. Specifically, we sought to understand why people from ethnic minority groups are underrepresented in primary care mental health service provision and overrepresented in crisis pathways and detention. Methods and findings Following eMERGe guidelines for meta-ethnographies, we searched OpenGrey, Kings Fund, CINAHL, Medline, PsycINFO, and Social Care Online databases for qualitative articles published from database inception until October 2, 2022, using broad categories of search terms relating to “ethnicity AND (mental illness/mental health/emotional distress) AND (help-seeking/service utilisation/experience/perception/view).” We included all conceptually rich articles that used qualitative methods of data collection and analysis and excluded non-UK studies and those that focused solely on causation of mental illness. Our patient, public, and practitioner lived experience advisory group provided feedback and input on key stages of the project including search terms, research questions, data analysis, and dissemination. A total of 14,142 articles were identified; 66 met the inclusion criteria. We used reciprocal, refutational, and line of argument analytical approaches to identify convergence and divergence between studies. The synthesis showed that current models of statutory mental healthcare are experienced as a major barrier to the delivery of person-centred care to those in ethnic minority groups due to the perceived dominance of monocultural and reductionist frameworks of assessment and treatment (described as “medical” and “Eurocentric”) and direct experiences of racist practice. The lack of socially oriented and holistic frameworks of knowledge and understanding in medical training and services is experienced as epistemic injustice, particularly among those who attribute their mental illness to experiences of migration, systemic racism, and complex trauma. Fear of harm, concerns about treatment suitability, and negative experiences with health providers such as racist care and medical neglect/injury contribute to avoidance of, and disengagement from, mainstream healthcare. The lack of progress in tackling ethnic inequalities is attributed to failures in coproduction and insufficient adoption of existing recommendations within services. Study limitations include insufficient recording of participant characteristics relating to generational status and social class in primary studies, which prevented exploration of these intersections. Conclusions In this study, we found that the delivery of safe and equitable person-centred care requires a model of mental health that is responsive to the lived experiences of people in ethnic minority groups. For the people considered in this review, this requires better alignment of mental health services with social and anti-racist models of care. Our findings suggest that intersections related to experiences of racism, migration, religion, and complex trauma might be more relevant than crude ethnic group classifications. Strategies to tackle ethnic inequalities in mental healthcare require an evaluation of individual, systemic, and structural obstacles to authentic and meaningful coproduction and implementation of existing community recommendations in services.

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“…Children in the treatment condition attended the Creative Arts in Psychotherapy (CAP) intervention [41]. CAP was a structured programme of ten 90-minute sessions, specifically developed for traumatized children in the age between 8 and 12 years.…”

Section: Methodsmentioning

confidence: 99%

Creative arts in psychotherapy for traumatized children in South Africa: An evaluation study

et al. 2019

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Aim To evaluate the feasibility and effect of a 10-session creative arts in psychotherapy group programme on posttraumatic stress symptoms, behavioural problems, and posttraumatic growth, in children who experienced a traumatic event. Design A multicentre non-randomized controlled trial with a treatment and a control condition conducted in South Africa (4 sites). Methods 125 children aged 7 to 13 years were assigned either to the treatment condition receiving creative arts in psychotherapy or a control condition with a low-level supportive programme without treatment. Attrition rates were 63.4% and in total 47 children completed the programme and questionnaires assessing posttraumatic stress, posttraumatic growth and behaviour problems both at baseline and follow-up; 23 in the treatment group and 24 in the control group. Adjusted mean differences were analysed using ANCOVA with bootstrapping. Results Results showed that both hyperarousal symptoms ( d = 0.61) and avoidance symptoms ( d = 0.41) decreased more in the treatment group compared to the control group. There was no significant effect of the intervention found for reported levels of behavioural problems and posttraumatic growth. Conclusion In spite of severe challenges implementing and executing this pioneering study in underprivileged areas of South Africa, support was found for creative arts in psychotherapy reducing hyperarousal and avoidance symptoms, but not for other symptoms. Valuable lessons were learned on feasibility of implementing this intervention in a developing context.

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Creative arts in psychotherapy treatment protocol for children after trauma

Cited by 19 publications

References 45 publications

Exploring the effectiveness of the Tree of Life in promoting the therapeutic growth or refugee women living with HIV

Exploring the effectiveness of the Tree of Life in promoting the therapeutic growth or refugee women living with HIV

Understanding ethnic inequalities in mental healthcare in the UK: A meta-ethnography

Creative arts in psychotherapy for traumatized children in South Africa: An evaluation study

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