Sponsored by the HealthcareTrainingInstitute.org providing Quality Education since 1979
Add to Shopping Cart

Enhancing Your Therapy with Gestalt Approaches
Gestalt Therapy continuing education social worker CEUs

Section 22
Interpreting Clients' Choice of Materials in Gestalt Art Therapy

CEU Question 22 | CEU Answer Booklet | Table of Contents | Gestalt
Social Worker CEUs, Psychologist CEs, Counselor CEUs, MFT CEUs

Betensky (1987), a phenomenological art therapist, regarded art materials as active partners that challenge the patients' senses, and stimulate both their emotional arousal and their awareness. She saw the art material painting Therapy with Gestalt Approaches social work continuing educationas becoming a part of the patients' phenomenological field. Materials can enable the patient to maintain, through them, a dynamic, interactive relationship with processes that are otherwise mostly elusive.

Rhyne (1984), a Gestalt art therapist, advocated a permissive approach in the prescription of materials in art therapy. She believed that if provided a wide enough choice of materials and ample time for experimentation, patients would spontaneously choose those materials that suited them best. She believed that art materials should be viewed as sensory stimulants that are most efficient in uncovering non-verbal sensory memories.

The developmental approach to art therapy regarded materials primarily as assessment tools. Kagin (1969) suggested that the sensory properties of the material can evoke age-specific reactions, and, therefore, could aid in evaluating the patient's developmental level.

Psychoanalytic schools of art therapy emphasized that the different media activate different levels of psychological functioning. Some support the ego-organizing capacities of the mind, some tap libidinal levels, and still others have an exploratory quality. Some media challenge a sense of mastery, whereas others provide an opportunity for fun and play. Robbins (1994) pointed out that art media could be used to explore and work through psychological polarities. For example, patients who are naturally attracted to working with hard and resistant materials that require aggressive movements could benefit from a gradual exposure to softer, more pliable media requiring milder manipulations. Robbins (1994) provided another example involving armature wire. This material can be used both to create soft-looking rounded shapes, or spiky, aggressive projections.

Therapists are encouraged to give careful consideration to the specific materials they offer their patients for art therapy. Clinicians should familiarize themselves with the various working techniques and possibilities relevant to the suggested art material so as to minimize unnecessary frustrations and enhance the therapeutic use of the material. Rubin (1978) suggested that materials should be synchronized, in terms of their properties, with the patients' needs and skills. She likened the process of familiarization with the material to being introduced to a new acquaintance. This can be done cautiously or impulsively, by applying familiar exploratory styles or by venturing with daring innovation. The material is regarded as a partner in a dialogue, a partner possessing clear traits and characteristics that require negotiation. It is incorporated into the artist's phenomenological field of the self, and becomes a link between the artist's mind and his or her sensorium.

There are several dimensions on which art material can be classified. Kagin (1969) saw materials as possessing varying degrees of pliability, ranging from fluidity (e.g., liquids) to resistance (e.g., stone). The harder it is to process and manipulate the art material, the more energy is required to produce the desired expressive end. Working with resistant materials can promote awareness concerning the limits of the material, as well as the limits of one's own capacities.

Rubin (1984) differentiated between structured and unstructured materials. She suggested that the less structured the art material is in terms of the expected outcome, the greater the likelihood for projection of intrapsychic processes. Conversely, the clearer the qualities and boundaries of the art material, the greater the likelihood of accomplishing the intended result. Materials that possess clear boundaries can, with proper structured guidance, lead to ego strengthening accomplishments. More fluid materials, such as chalk, clay, or watercolors, can facilitate work that is not dictated by physical boundaries, or confined by them. This category of materials promotes an experientially expanding experience, and can trigger a sense of loss of control. This is a potentially regressive experience that can be enhanced if the material is wet, and if it is manipulated manually, without intermediary tools (Kagin and Lusebrink, 1978).

Lusebrink (1990) classified creative art materials along the fluidity-hardness continuum. When considering two-dimensional work materials, she anchored finger paints at one end of the spectrum, followed by water colors, pastel colors, chalks, markers, and felt pen colors. She placed pencils at the opposite end. When three-dimensional artwork was considered, she classified the materials in ascending order of resistance: water-based clay; oil-based clay; wood; and stone.

Robbins (1994) classified art media as soft, brittle, breakable, hard, or sticky. He also tried to understand the rhythm and movement that the material dictates to the working artist. Not only was he interested in the degree of control that had to be exercised to effectively work with the material, but he also saw importance in synchronizing what he termed "the patient's inner and outer flow." Investment of forceful energies in the art process, such as in stonecutting and chiseling (outer flow), may trigger powerful pre-existing emotions, such as anger or crying (inner flow), that could, in turn, impede the patient's capacity to work with the material and it's structural dictates. If a resistant material, such as stone, triggered rage, it would more likely be attacked than artistically sculpted. Although engraving and carving in wood may require similar rhythm and movement as working with stone, wood's characteristics can better "guide" the patient to the correct method of working with it.

To facilitate the encounter between the patient and the material he or she is working with, the art therapist should be conscious of predictable changes in the state of the material's matter, and of the patient's possible reactions to such changes. Robbins (1994) drew attention to plaster, which emits heat as it hardens. This is a surprising physical change to many novice artists, and can even be startling to some. Plaster hardens quickly, often in the patient's presence. This can be a disheartening experience to unprepared patients, as they discover that the material does not respond any longer to shaping attempts. The consistency of clay can also change over time, and may not be as plastic and malleable as it was during previous sessions.

The patient's ability to take risks and tolerate mistakes related to mishandling of the material's properties is also worth considering in the selection of materials for art therapy. Patients who face the stubbornness and unforgiving nature of their art material may benefit from processing flexibility in decision making and attribution of responsibility in less controllable situations.
- Somer, Liora; Somer, Eli; Perspectives on the Use of Glass in Therapy; American Journal of Art Therapy, Feb2000, Vol. 38 Issue 3
The article above contains foundational information. Articles below contain optional updates.

=================================
Personal Reflection Exercise #8
The preceding section contained information about interpreting clients' choice of materials in Gestalt art therapy.  Write three case study examples regarding how you might use the content of this section in your practice.

Online Continuing Education QUESTION 22
Why does Rhyne advocate a permissive approach in the prescription of materials in Gestalt art therapy? Record the letter of the correct answer the CEU Answer Booklet.

 
Others who bought this Gestalt Course
also bought…

Scroll DownScroll UpCourse Listing Bottom Cap

CEU Answer Booklet for this course | Gestalt
Forward to Section 23
Back to Section 21
Table of Contents
Top

Critical consciousness moderates the relationship between transphobia and “bathroom bill” voting. - July 12, 2018
In recent years, antitransgender legislation that focuses on gender and the use of public restrooms—so-called bathroom bills—has been considered in many states in the United States. The present study was designed to extend research on transphobic attitudes and elucidate links between religious fundamentalism, social dominance orientation, transphobia, and voting for bathroom bills. Further, we examined the moderating influence of critical consciousness on the relationship between transphobic attitudes and voting on a hypothetical bathroom bill. Results of a moderated mediation multinomial logistic regression path analysis using data from a sample of 282 college students (154 women and 128 men) indicated that religious fundamentalism and social dominance orientation were associated with transphobic attitudes. Transphobia was associated with lower likelihood to vote against or abstain from voting on the bill, compared to voting for it. Critical consciousness was also associated with greater likelihood of voting against the bill rather than for it. The interaction between transphobia and critical consciousness was associated with voting against rather than for the bill, such that at higher levels of transphobia, those higher in critical consciousness were more likely to vote against the bill rather than for it. Implications for incorporating critical consciousness into advocacy efforts to promote transgender rights are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Socialization and well-being in multiracial individuals: A moderated mediation model of racial ambiguity and identity. - July 12, 2018
Scholarly interest in racial socialization is growing, but researchers’ understanding of how and when racial socialization relates to well-being is underdeveloped, particularly for multiracial populations. The present study investigated moderated mediation models to understand whether the indirect relations of egalitarian socialization to subjective well-being and self-esteem through integrated multiracial identification were conditional on phenotypic racial ambiguity among 383 multiracial adults. Tests of moderated mediation in primary analyses were significant for subjective well-being and self-esteem. Consistent with the hypotheses, egalitarian socialization was linked to a stronger multiracial integrated identity, which was positively associated with subjective well-being and self-esteem for those with moderate and high phenotypic racial ambiguity. This indirect effect was not significant for those reporting low phenotypic racial ambiguity. Results suggested a positive role of egalitarian socialization in relation to integrated identity and well-being for multiracial adults. This study highlights a culturally relevant pathway through which egalitarian socialization impacts well-being through racial identification for multiracial adults and the conditions of phenotypic racial ambiguity that contextualize this indirect effect. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Work as a calling: A theoretical model. - July 12, 2018
Perceiving work as a calling has been positioned as a key pathway to enhancing work-related well-being. However, no formal theory exists attempting to explain predictors and outcomes of living a calling at work. To address this important gap, this article introduces a theoretical, empirically testable model of work as a calling - the Work as Calling Theory (WCT) - that is suitable for the contemporary world of work. Drawing from research and theory in counseling, vocational, multicultural, and industrial-organizational psychology, as well as dozens of quantitative and qualitative studies on calling, the WCT is presented in three parts: (a) predictors of living a calling, (b) variables that moderate and mediate the relation of perceiving a calling to living a calling, and (c) positive (job satisfaction, job performance) and potentially negative (burnout, workaholism, exploitation) outcomes that result from living a calling. Finally, practical implications are suggested for counselors and managers, who respectively may seek to help clients and employees live a calling. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
When in doubt, sit quietly: A qualitative investigation of experienced therapists’ perceptions of self-disclosure. - July 12, 2018
Using consensual qualitative research (CQR), we analyzed 13 interviews of experienced psychotherapists about general intentions for therapist self-disclosure (TSD), experiences with successful TSDs, experiences with unsuccessful TSDs, and instances of unmanifested urges to disclose. For TSD generally (i.e., not about a specific instance), typical intentions were to facilitate exploration and build and maintain the therapeutic relationship. Therapists typically reported becoming more comfortable using TSD over time. In successful TSDs, the typical content was accurate, relevant similarities between therapist and client; typical consequences were positive. In unsuccessful TSDs, the typical antecedent was countertransference reactions; the typical intention was to provide support; typical content involved therapists mistakenly perceiving similarities with clients; and the general consequences were negative. In instances when therapists repressed the urge to disclose, the typical antecedent was countertransference and the content typically seemed relevant to the client’s issues. We conclude that effective use of TSD requires general attunement to the client’s dynamics, attunement to the client’s readiness in the moment, ability to manage countertransference, and ability to use a specific TSD appropriately. Implications for practice, training, and research are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Self-compassion buffers the link between self-criticism and depression in trauma-exposed firefighters. - June 21, 2018
Firefighters are frequently exposed to highly stressful, potentially traumatic events (PTEs). More than 50%, however, show no significant elevation in trauma-related symptomatology (e.g., depression). In the past, self-compassion has been discussed to promote psychological and behavioral flexibility that is vital to a successful adaptation to PTEs. The goal of this study was to understand whether and how self-compassion may alleviate personal suffering in the face of PTEs. We hypothesized that individuals who encounter their profession-related affective experiences with greater self-compassion, show lower levels of depressive symptoms because self-compassion buffers processes that perpetuate negative affectivity in response to PTEs (i.e., self-critical tendencies). Male firefighters (N = 123) completed self-report questionnaires about the severity of current depressive symptoms; prior traumatic, duty-related events; and the self-compassion scale that assesses two distinct factors: self-criticism and self-compassion. A stepwise regression model was employed to examine differential and interactive contributions of self-criticism and self-compassion to symptoms of depression across the cumulative range of exposure to PTEs. Our results indicate that the positive association between self-criticism and depression is buffered by enhanced levels of self-compassion. This moderation, however, only emerged for firefighters with substantial amounts of PTEs experience in the past. The present work provides insight into protective effects of self-compassion in the face of cumulative PTEs. It suggests that, particularly for severely trauma-exposed firefighters, self-compassion may confer resilience, that is, act as a protective factor from the development of depressive symptoms. Findings are discussed in light of counseling implications. (PsycINFO Database Record (c) 2018 APA, all rights reserved)

CEU Continuing Education for
Social Work CEUs, Psychology CEUs, Counselor CEUs, MFT CEUs


OnlineCEUcredit.com Login


Forget your Password Reset it!