Promoting mental health versus reducing mental illness in art therapy with patients with personality disorders: A quantitative study

Haeyen, Suzanne; Hooren, Susan van; Veld, William M. van der; Hutschemaekers, G.J.M.

doi:10.1016/j.aip.2017.12.009

Cited by 34 publications

(27 citation statements)

References 40 publications

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“…() found. This finding corresponds with the outcomes of other studies that consistently show high negative correlations between positive health concepts and psychopathology in patient populations, for example, positive mental health (Haeyen, van Hooren, van der Veld, & Hutschemaekers, ; Lukat, Margraf, Lutz, van der Veld, & Becker, ), well‐being (Bartels, Cacioppo, van Beijsterveldt, & Boomsma, ), quality of life (Rogers, Hengartner, Angst, Ajdacic‐Gross, & Rössler, ), empowerment (Ahmed, Birgenheir, Buckley, & Mabe, ), and remoralization (Vissers, Hutschemaekers, Keijsers, Van der Veld, & Hendriks, ).…”

Section: Discussionsupporting

confidence: 90%

“…More importantly, patients also seem to have difficulty in differentiating well-being from psychopathology, in contrast to what Lamers et al (2011) found. This finding corresponds with the outcomes of other studies that consistently show high negative correlations between positive health concepts and psychopathology in patient populations, for example, positive mental health (Haeyen, van Hooren, van der Veld, & Hutschemaekers, 2017;Lukat, Margraf, Lutz, van der Veld, & Becker, 2016), well-being (Bartels, Cacioppo, van Beijsterveldt, & Boomsma, 2013), quality of life (Rogers, Hengartner, Angst, Ajdacic-Gross, & Rössler, 2014), empowerment (Ahmed, Birgenheir, Buckley, & Mabe, 2013), and remoralization ( To further substantiate this argument, we would like to point out that many mental health problems are defined by lack of well-being (i.e., discomfort and distress). Lacking objective biomarkers of psychiatric diseases (Insel, 2014), mental problems are often labeled as a "disorder" based on an implicit appraisal of the subjective distress a person reports (Horwitz, 2007;Wheaton, 2007 The distinction between positive mental states and pathology is certainly meaningful in the context of physical health in which physical symptoms are dominant.…”

Section: Discussionsupporting

confidence: 88%

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Health, well‐being, and psychopathology in a clinical population: Structure and discriminant validity of Mental Health Continuum Short Form (MHC‐SF)

Kip

Hutschemaekers²

2018

J Clin Psychol

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 88%

Health, well‐being, and psychopathology in a clinical population: Structure and discriminant validity of Mental Health Continuum Short Form (MHC‐SF)

Kip

Hutschemaekers²

2018

J Clin Psychol

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“…Rather than focusing on DSM diagnoses or symptoms, art therapists often emphasize clients' strengths and resources, embracing a perspective of mental health that is in line with the idea of positive health (Huber et al, 2016) and the recovery approach (Anthony, 1993;Jacob et al, 2017). These results are somewhat unexpected as Haeyen et al (2017) found the same effect sizes for flexibility and mental illness (OQ-45 and SMI maladaptive scales) in their study on effects of art therapy for patients with a personality disorder.…”

Section: Discussionmentioning

confidence: 99%

Formal Elements of Art Products Indicate Aspects of Mental Health

et al. 2020

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Formal elements are often used in art therapy assessment. The assumption is that formal elements are observable aspects of the art product that allow reliable and valid assessment of clients' mental health. Most of the existing art therapy assessment instruments are based on clinical expertise. Therefore, it is not clear to what degree these instruments are restricted to formal elements. Other aspects might also be included, such as clinical expertise of the therapist. This raises the question of whether and how formal elements as observable aspects of the art product are related to clients' mental health. To answer this question, four studies are presented that look at: (1) a meta-theoretical description of formal elements; (2) operationalization of these formal elements so they can be analyzed reliably in clients' art products; (3) establishment of reliable and clinically relevant formal elements; (4) the relationship between formal elements and adult clients' mental health. Results show that the combination of the formal elements "movement," "dynamic," and "contour" are significantly interrelated and related to clients' mental health, i.e., psychopathology, psychological flexibility, experiential avoidance, and adaptability. These findings give insight in the diagnostic value of art products and how they may add to clients' verbal expression and indicate their potential to benefit from therapy.

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“…Art therapy for patients with PDs has shown to be effective in a randomized controlled trial, in which art therapy was compared to wait list control showing large effects on PD pathology (N = 74) (Haeyen et al, 2018). Additional analyses showed that art therapy contributed equally to decreasing symptoms and improving well-being (Haeyen et al, 2017b). Also, in two pilot studies, art therapy among patients with primarily antisocial PDs was effective in provoking experiences and feelings (mental states) and promoting a healthy adult attitude to these feelings and experiences.…”

Section: Introductionmentioning

confidence: 99%

Benefits of Art Therapy in People Diagnosed With Personality Disorders: A Quantitative Survey

2020

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Art therapy is widely used and effective in the treatment of patients diagnosed with Personality Disorders (PDs). Current psychotherapeutic approaches may benefit from this additional therapy to improve their efficacy. But what is the patient perspective upon this therapy? This study explored perceived benefits of art therapy for patients with PDs to let the valuable perspective of patients be taken into account. Using a quantitative survey study over 3 months (N = 528), GLM repeated measures and overall hierarchical regression analyses showed that the majority of the patients reported quite a lot of benefit from art therapy (mean 3.70 on a 5-point Likert scale), primarily in emotional and social functioning. The improvements are concentrated in specific target goals of which the five highest scoring goals affected were: expression of emotions, improved (more stable/positive) self-image, making own choices/autonomy, recognition of, insight in, and changing of personal patterns of feelings, behaviors and thoughts and dealing with own limitations and/or vulnerability. Patients made it clear that they perceived these target areas as having been affected by art therapy and said so at both moments in time, with a higher score after 3 months. The extent of the perceived benefits is highly dependent for patients on factors such as a non-judgmental attitude on the part of the therapist, feeling that they are taken seriously, being given sufficient freedom of expression but at the same time being offered sufficient structure and an adequate basis. Age, gender, and diagnosis cluster did not predict the magnitude of perceived benefits. Art therapy provides equal advantages to a broad target group, and so this form of therapy can be broadly indicated. The experienced benefits and the increase over time was primarily associated with the degree to which patients perceive that they can give meaningful expression to feelings in their artwork. This provides an indication for the extent of the benefits a person can experience and can also serve as a clear guiding principle for interventions by the art therapist.

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Promoting mental health versus reducing mental illness in art therapy with patients with personality disorders: A quantitative study

Cited by 34 publications

References 40 publications

Health, well‐being, and psychopathology in a clinical population: Structure and discriminant validity of Mental Health Continuum Short Form (MHC‐SF)

Health, well‐being, and psychopathology in a clinical population: Structure and discriminant validity of Mental Health Continuum Short Form (MHC‐SF)

Formal Elements of Art Products Indicate Aspects of Mental Health

Benefits of Art Therapy in People Diagnosed With Personality Disorders: A Quantitative Survey

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