Healing Arts and Expressive Therapies in an Interdisciplinary Team
Top Contributors - Jess Bell, Wanda van Niekerk and Kim Jackson
Introduction[edit | edit source]
“The aim of art is not to represent the outward appearance of things, but their inward significance” - Aristotle.
The creative arts and expressive therapies may use drama therapy, play therapy, expressive writing, poetry therapy, dance therapy, art therapy, and music therapy to help individuals improve their physical, emotional, cognitive and/or social functioning. Physiotherapists and healthcare providers may find that collaborating with therapists from other disciplines can improve interprofessional collaborations and potentially enhance therapeutic alliances with patients and clients.
Art-Based Therapies[edit | edit source]
The National Coalition of Creative Arts Therapies Associations states: “Creative Arts Therapists are human service professionals who use distinct arts-based methods and creative processes for the purpose of ameliorating disability and illness and optimizing health and wellness. Treatment outcomes include, for example, improving communication and expression, and increasing physical, emotional, cognitive and/or social functioning.”
The following are some areas that art-based therapies and expressive therapies may be used in rehabilitation and healthcare:
Creative therapies can be considered alongside lifestyle medicine. Lifestyle medicine is an evidence-based approach that aims to improve the health and wellbeing of individuals and societies, and it considers how lifestyle factors can influence health and wellbeing. Please have a look at the following pages to find out more about lifestyle medicine:
- Integrative Medicine for Health and Disease Management
- Lifestyle Medicine for Health and Disease Management
Drama Therapy[edit | edit source]
Drama therapy is: “an active, experiential approach to facilitating change. Through storytelling, projective play, purposeful improvisation, and performance, participants are invited to rehearse desired behaviors, practice being in relationship, expand and find flexibility between life roles, and perform the change they wish to be and see in the world.”
Drama therapy may include storytelling, role playing, improvisational techniques, group games, and/or puppetry. The following are some areas that drama therapy may be used in rehabilitation and healthcare:
- Childhood obesity
- Social cognition
- Tang et al. found that theatre improvisation training to promote social cognition may help to improve function and symptoms in individuals who have risk factors for psychosis
The following videos provide some insight into the practice of drama therapy in mental health.
Play Therapy[edit | edit source]
Play therapy is: “the systematic use of a theoretical model to establish an interpersonal process wherein trained play therapists use the therapeutic powers of play to help clients prevent or resolve psychosocial difficulties and achieve optimal growth and development."
It may include storytelling, puppets, music, dance, drama, painting, and / or games. The following are some areas that play therapy may be used in rehabilitation and healthcare:
- Psychological well-being
- Fear and anxiety associated with medical procedures
- Zengin et al. found that play therapy helped to decrease anxiety and fear of medical procedures in children following liver transplantation
- To reduce weight
- Sánchez-López et al. conducted an randomised controlled trial and concluded that play therapy combined with nutritional advice can lead to a decrease in body fat in overweight / obese children aged between 8 and 12 years
The following videos show how play therapists use play to help children in different healthcare settings.
Expressive Writing[edit | edit source]
"Writing about traumatic, stressful or emotional events--often leads to improvements in physical and psychological health in non-clinical and clinical populations.”
Expressive writing may include diaries, journals, memoirs, opinion pieces, songs, and / or poetry. The following are some areas that expressive writing may be used in rehabilitation and healthcare:
- Wound healing
- Post traumatic stress disorder (PTSD)
- A systematic review by Gerger et al. found that writing treatments may be beneficial for individuals with PTSD in the medium- to long-term
- To improve resilience
Please have a look at the following videos to learn more about the use of expressive writing in oncology settings.
Poetry Therapy[edit | edit source]
Poetry therapy is the “use of language, symbol, and story in therapeutic, education, growth, and community-building capacities. It relies upon the use of poems, stories, song lyrics, imagery, and metaphor to facilitate personal growth, healing, and greater self-awareness.”
Poetry therapy may include bibliotherapy, narrative, journal writing, metaphor, song lyrics, storytelling, and / or rituals. The following are some areas that poetry therapy may be used in rehabilitation and healthcare:
- Multiple sclerosis (MS)
- Linguistic abilities in older adults
- Zimmermann et al. concluded that poetry therapy can improve complex linguistic abilities in older adults
- Oncologic pain relief
In the following video, Harvard Medical School professor and poet, Rafael Campo, explains the healing effects of poetry.
Dance Therapy[edit | edit source]
Dance and movement therapy are defined as the: “psychotherapeutic use of movement to promote emotional, social, cognitive and physical integration of the individual.”
Dance therapy may use different dance styles, therapeutic movements, mirroring techniques, jumping rhythms, and / or movement metaphors. The following are some areas that dance therapy may be used in rehabilitation and healthcare:
- A systematic review by Dos Santos Delabary et al. found that dance had a positive impact on motor parameters and functional mobility in persons with Parkinson's
- Stress management in cancer treatment
- Falls prevention
Please have a look at the following videos if you want to find out more about dance therapy. The first is published by the American Dance Therapy Association and it introduces dance and movement therapy. The second shows dance therapy being used in a paediatric setting.
Art Therapy[edit | edit source]
Art therapy is: “an integrative mental health and human services profession that enriches the lives of individuals, families, and communities through active art-making, creative process, applied psychological theory, and human experience within a psychotherapeutic relationship.”
Art therapy may include painting, drawing, illustrating, sculpting, and / or photography. The following are some areas that art therapy may be used in rehabilitation and healthcare:
- Dementia care
- Mild cognitive disorders
- A randomised controlled trial by Mahendran et al. found that art therapy may contribute significantly to cognitive improvements in community-dwelling older adults with mild cognitive impairment
- Mild Alzheimer’s disease
The following video introduces art therapy.
Music Therapy[edit | edit source]
Music therapy is: “the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program.”
Music therapy may include listening to music, creating music, singing and vocal activities, and / or playing a musical instrument. The following are some areas that music therapy may be used in rehabilitation and healthcare:
- A review by Pereira et al. concluded that music therapy is a non-invasive, simple treatment option that can be used to improve gait and cognition in persons with Parkinson's
- Reduce stress and anxiety in critical care settings
- Umbrello et al.'s systematic review found that music therapy is consistently associated with reduced anxiety and stress in patients who are critically ill
- Reduce pain and anxiety in individuals undergoing a colonoscopy
- Çelebi et al. conducted a randomised controlled intervention study of patients undergoing colonoscopy and found that music therapy had a positive impact on pain levels, anxiety and comfort
The following videos introduce music therapy in more detail. The first features a music therapy programme for Parkinson's patients. In the second, music therapist, Erin Seibert, explains the many positive outcomes that can be achieved through music therapy.
Summary[edit | edit source]
- Creative therapies can have a positive impact on a range of conditions and many patient groups
- Collaborating with therapists from other disciplines can improve interprofessional collaborations and potentially enhance our therapeutic alliances with our patients
Resources[edit | edit source]
- Arts-Based Interventions for Professionals in Caring Roles During and After Crisis: A Systematic Review of the Literature
- Therapeutic use of music, dance, and rhythmic auditory cueing for patients with Huntington's disease: a systematic review
- Academy of Orthopaedic Physical Therapy (APTA), Performing Arts
- American Occupational Therapy Association American Speech Language Hearing Association
- American Psychological Association
- Arts and Healing Network
- Expressive Therapies Summit
- International Expressive Arts Therapy Association
- International Association for Dance Medicine and Science
- International Association for Music and Medicine
- Performing Arts Medicine Association
- UCLA Arts and Healing
- National Coalition of Creative Arts Therapies Associations, Inc
- National Organization for Arts in Health
- Integrative systematic review of psychodrama psychotherapy research: Trends and methodological implications
- Association for Theatre in Higher Education
- North American Drama Therapy Association
- Theater Veder
- Play therapy as an intervention in hospitalized children: A systematic review
- Association for Play Therapy
- National Association for Poetry Therapy
- International Federation for Biblio/Poetry Therapy
- A systematic review of active group-based dance, singing, music therapy and theatrical interventions for quality of life, functional communication, speech, motor function and cognitive status in people with Parkinson's disease
- Dance and rehabilitation in cerebral palsy: a systematic search and review
- American Dance Therapy Association
- Music therapy in pain and anxiety management during labor: A systematic review and meta-analysis
- Music therapy in the treatment of dementia: A systematic review and meta-analysis
- American Music Therapy Association
- Music Mends Minds
- Labyrinth Journey App
- Effects of reflective labyrinth walking assessed using a questionnaire
References[edit | edit source]
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