A qualitative analysis of a clay art therapy project in enhancing emotion regulation among secondary school youth in the context of socio-political unrest

Joshua KM Nan, Wendy WT Wong

Abstract


Background: The drastic socio-political unrest in Hong Kong (HK) due to the different political issues in 2019 and the novel coronavirus epidemic has drawn rising negative emotions in the society, which the demand for psychological support is soaring. As the epidemic has greatly limited the flexibility of rendering conventional face-to-face counselling, alternative therapeutic approaches are vital to combat the accelerating demand of social and psychological support.
Methods: This study reports the qualitative research results of investigating the treatment efficacy and the mechanism of art therapy with clay (CAT), on the emotional problems of youth in the context of HK. The intervention composes of six 2-hour sessions led by an art therapist who is also an experienced school social worker.
Results: The phenomenographic approach of analysing the post-intervention focus groups triangulated by the in-sessions art-based inquiry worksheet responses have depicted the therapeutic effects of CAT in three different themes as(1) releasing physical tension, soothing and regulating emotion; (2) building persistence in face of adversities and failures, and; (3) art products as representations of new meanings of life and positive self-image.
Conclusions:The CAT process and the created ceramic artworks show powerful therapeutic effects in reorganizing and incorporating challenging experiences and failures, regulating feelings, and instilling new meanings to existential struggles and life issues. Traumatic experience and challenging situation have an existential implication that help one to recapture the core values of life and promote psychological positivity. The creation of animal symbols in the youngsters’ ceramic artworks embrace a sophisticated process of charging emotion, revitalize ideas, and connect personal experience to the collective experience.


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Barnard, A., McCosker, H., & Gerber, R. (1999). Phenomenography: a qualitative research approach for exploring understanding in health care. Qualitative Health Research, 9(2), 212-226. https://doi.org/10.1177/104973299129121794

Bastos, A. G., Guimaraes, L. S. P., & Trentini, C. M. (2013). Neurocognitive changes in depressed patients in psychodynamic psychotherapy, therapy with fluoxetine and combination therapy. Journal of Affective Disorders., 151, 1066-1075. https://doi.org/10.1016/j.jad.2013.08.036

Bell, C. E., & Robbins, S. J. (2007). Effect of art production on negative mood: A randomized, controlled trial. Art Therapy: Journal of the American Art Therapy Association, 24(2), 71-75. https://doi.org/10.1080/07421656.2007.10129589

Bhattacharya, J., & Petsche, H. (2002). Shadows of artistry: Cortical synchrony during perception and imagery of visual art. Cognitive Brain Research, 13(2), 179-186. https://doi.org/10.1016/S0926-6410(01)00110-0

Bhattacharya, J., & Petsche, H. (2005). Drawing on Mind's Canvas: Differences in Cortical Integration Patterns Between Artists and Non-Artists. Human Brain Mapping, 26(1), 1-14. https://doi.org/10.1002/hbm.20104

Bratton, S. C., & Ferebee, K. W. (1999). The use of structured expressive art activities in group activity therapy with preadolescents. In D. S. S. L. E. Homeyer (Ed.), The handbook of group play therapy: How to do it, how it works, whom it's best for (pp. 192-214). San Francisco: Jossey-Bass.

Brenner, M. J., Leung, P.P.Y., Sreevani, R. & Nan, J.K.M. (2018). Moving out of darkness: Application of the Integrative Body-Mind-Spirit approach in the treatment of depression. In: M.Y. Lee, C.H.Y. Chan, C.L.W. Chan, S.M. Ng, & P.P.Y. Leung. (Eds.) (2nd Edition). Integrative Body-Mind-Spirit Social Work: An Empirically Based Approach to Assessment and Treatment (Part III, 257-269). NY: The Oxford University Press.

Carr, R. (2008). Sensory processes and responses. In N. Hass-Cohen & R. Carr. (Eds), Art therapy and clinical neuroscience (pp. 43-61). UK: Jessica Kingsley Pub.

Carrette, J. (Ed.). (2004). William James and the varieties of religious experience: A centenary celebration. NY: Routledge.

Carroll, N. (2004). Art and human nature. The Journal of Aesthetics and Art Criticism, 62(2), 95-107.

Coholic, D., Lougheed, S., Lebreton, J. (2009). The helpfulness of holistic arts-based group work with children living in foster care. Social Work with Groups, 32(1-2), 29-46. https://doi.org/10.1080/01609510802290966

Corbett, L. & Milton, M. (2011). Existential therapy: A useful approach to trauma? Counselling Psychology Review, 26(1), 62-74.

Czamanski-Cohen, J. & Weihs, K.L. (2016). The bodymind model: A platform for studying the mechanisms of change induced by art therapy. The Arts in psychotherapy, 51, 63-71. https://doi.org/10.1016/j.aip.2016.08.006

Dahlgren, L.-O., & Fallsberg, M. (1991). Phenomenography as a qualitative approach in social pharmacy research. Journal of Social and Administrative Pharmacy: JSAP, 8(4), 150-156.

de Morais, A. H., Dalécio, M. A. N., Vizmann, S., de Carvalho Bueno, V. L. R., Roecker, S., Salvagioni, D. A. J., & Eler, G. J. (2014). Effect on scores of depression and anxiety in psychiatric patients after clay work in a day hospital. The Arts in Psychotherapy, 41(2), 205-210. https://doi.org/10.1016/j.aip.2014.02.002

Elbrecht, C., & Antcliff, L. R. (2014). Being touched through touch. Trauam treatment through haptic perception at the clay field: A sensorimotor art therapy. International Journal of Art Therapy, 19(1), 19-30. https://doi.org/10.1080/17454832.2014.880932

Gilbert, K., Mineka, S., Zinbarg, R. E., Craske, M. G., & Adam, E. K. (2017). Emotion regulation regulates more than emotion: Associations of momentary emotion regulation with diurnal cortisol in current and past depression and anxiety. Clinical Psychological Science, 5(1), 37-51. https://doi.org/10.1177/2167702616654437

Gladding, S. T. (1992). Counseling as an art: The creative arts in counseling: ERIC.

Greenberg, M. A., & Stone, A. A. (1992). Emotional disclosure about traumas and its relation to health: Effects of previous disclosure and trauma severity. Journal of Personality and Social Psychology, 63(1), 75. https://doi.org/10.1037/0022-3514.63.1.75

Haeyen, S., Kleijberg, M., & Hinz, L. (2018). Art therapy for patients diagnosed with personality disorders cluster B/C: A thematic analysis of emotion regulation from patient and art therapist perspectives. International Journal of Art Therapy, 23(4), 156-168. https://doi.org/10.1080/17454832.2017.1406966

Hannibal, K. E., & Bishop, M. D. (2014). Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Physical therapy, 94(12), 1816-1825. https://doi.org/10.2522/ptj.20130597

Hendrick, S. S. (2013). Counseling and self-disclosure. In V. J. Derlega & J. H. Berg (Eds.), Self-Disclosure: Theory, Research, and Therapy (pp. 303-324). NY: Plenum Press.

Hinz, L. D. (2019). Expressive therapies continuum: A framework for using art in therapy. (2nd ed). NY: Routledge.

HKUMed. (2019). HKUMed reports real-time population data on depression and suicidal ideation: a ten-year prospective cohort. Retrieved from https://www.hku.hk/press/press-releases/detail/19680.html

Irvin, P. J. (2014). A retrospective study of the effects of art-making on the well-being and levels of stress of pediatric patients suffering from chronic disease. (1585296 M.S.), University of Cincinnati, Ann Arbor. ProQuest Dissertations & Theses A&I database.

James, W. (1985). The varieties of religious experience (Vol. 15). USA: Harvard University Press.

Jang, H., & Choi, S. (2012). Increasing ego-resilience using clay with low SES (Social Economic Status) adolescents in group art therapy. The Arts in Psychotherapy, 39(4), 245-250. https://doi.org/10.1016/j.aip.2012.04.001

Jung. C. G. (1975). The structure and the dynamics of the psyche. (Collected Works of C. G. Jung. Vol. 8). 2nd ed. N.J.: Princeton University Press.

Jung, C. G. (1991). Psyche and symbol. (A selection from the writings of CG Jung. Vol. 119). Bollingen Foundation.

Kimport, R. E., & Robbins, J. S. (2012). Efficacy of creative clay work for reducing negative mood: A randomized controlled trial. Art Therapy: Journal of the American Art Therapy Association, 29(2), 74-79. https://doi.org/10.1080/07421656.2012.680048

Kronholm, E., Partonen, T., Salminen, J. K., Mattila, A. K., & Joukamaa, M. (2007). Alexithymia, depression and sleep disturbance symptoms. Psychotherapy and Psychosomatics, 77(1), 63-65. https://doi.org/10.1159/000110063

Larsson, J. & Holmström, I. (2007). Phenomenographic or phenomenological analysis: does it matter? Examples from a study on anaesthesiologists’work. International Journal of Qualitative Studies on Health and Well-being, 2(1), 55-64. https://doi.org/10.1080/17482620601068105

Lavender, J. M., Tull, M. T., DiLillo, D., Messman-Moore, T., & Gratz, K. L. (2017). Development and validation of a state-based measure of emotion dysregulation: The state difficulties in emotion regulation scale (S-DERS). Assessment, 24(2), 197-209. https://doi.org/10.1177/1073191115601218

Liu, A., & Miller, B. (2008). Visual art and brain. In Handbook of clinical neurology. SFO, USA: Memory and AgingCenter, University of California.

Lusebrink, V.B. (2004). Art therapy and the brain: An attempt to understand the underlying processes of art expression in therapy. Art Therapy: Journal of the American Art Therapy Association, 21(3), 125-135. https://doi.org/10.1080/07421656.2004.10129496

Lusebrink, V.B. (1990). Imagery and visual expression in therapy. New York: Plenum Press.

Marton, F. (1981) Phenomenography - describing conceptions of the world around us. Instructional science, 10(2), 177-200.

Mellor, D., Vinet, E. V., Xu, X., Mamat, N. H. B., Richardson, B., & Román, F. (2015). Factorial invariance of the DASS-21 among adolescents in four countries. European Journal of Psychological Assessment. https://doi.org/10.1027/1015-5759/a000218

Morgan, D. L. (1997). The focus group guidebook (Vol. 1). USA: Sage publications.

Nan, J. K. M. (2021). From clay to ceramic: An alchemical process of self-transformation. In L. Leone (Ed.), Craft in Art Therapy: Diverse approaches to the transformative power of craft materials and methods. (pp. 55-71). NY: Routledge.

Nan, J. K. M., Hinz, L. D., & Lusebrink, V. B. (in press). Clay art therapy on emotion regulation: Research, theoretical underpinnings, & treatment mechanisms. In C. Martin, L. Hunter, V. Patel, V. Preedy & R. Rajendram (Ed.), The Neuroscience of Depression: Features, Diagnosis and Treatment. Holland: Elsevier Publishing Co.

Nan, J. K. M., & Ho, R. T. H. (2014). Affect regulation and treatment for depression and anxiety through art: Theoretical ground and clinical issues. Annals of Depression and Anxiety, 1(2), 1-6.

Nan, J. K. M., & Ho, R. T. H. (2017). Effects of clay art therpay on adults outpatients with major depressive disorder: A randomized controlled trial. Journal of Affective Disorders, 217(1), 237-245. https://doi.org/10.1016/j.jad.2017.04.013

Nan, J. K. M., & Man, J. C. N. (2017). It is a taboo to talk about it: Promoting expressive arts intervention for life—death education in Hong Kong. Social Dialogue, 16(5), 46-49.

Proudfoot, W. (Ed.). (2004). William James and a science of religions: Reexperiencing The varieties of religious experience. NY: Columbia University Press.

Sandmire, D. A., Gorham, S. R., Rankin, N. E., & Grimm, D. R. (2012). The influence of art making on anxiety: A pilot study. Art Therapy, 29(2), 68-73. https://doi.org/10.1080/07421656.2012.683748

Siegel. (2009). Emotion as integration: A possible answer to the question, what is emotion? In D. Fosha, D. J. Siegal, & M. Solomon (Eds.), The healing power of emotion: Affective neuroscience, development, and clinical practice. NY& London: W. W. Norton & Company.

Slayton, S. C. (2012). Building community as social action: An art therapy group with adolescent males. The Arts in Psychotherapy, 29(2), 68-73. https://doi.org/10.1016/j.aip.2011.12.010

The International Association of Schools of Social Work. (2018). Arts & social work. Social Dialogue, 19.

Thompson, N., & Walsh, M. (2010). The existential basis of trauma. Journal of Social Work Practice, 24(4), 377-389. https://doi.org/10.1080/02650531003638163

Vessel, E. A., Starr, G. G., & Rubin, N. (2012). The brain on art: intense aesthetic experience activates the default mode network. Frontiers in Human Neuroscience, 6, 66. https://doi.org/10.3389/fnhum.2012.00066

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DOI: https://doi.org/10.6092/2612-4033/0110-2590

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