Getting out of the box: image work with a client.
Working with creative arts in counselling is an incredibly effective therapeutic method. Art making in itself can be beneficial and can have measurable and wide ranging benefits on mental health, it can reduce stress and anxiety and improve clinical outcomes in therapy (1).
This reason for this may be partly because it allows us to tap into our right brained creativity. Creative arts also provides a safe outlet for the expression of emotional issues that are confusing or distressing without the needs for words, and this can help promote emotional processing and the emergence of new perspectives.
Working with art using person centred art therapy skills can add an additional element of therapeutic-ness. It can allow more of the client’s material to be present which offers greater opportunity to empathise, and greater opportunity for the client to feel understood at a deep level.
Working with the visual symbolism in images, using person-centred art therapy skills can allow new perspectives and insights to emerge. In other words, expressing things in a visual way can help clients see things differently, and discover new solutions or directions.
In sessions clients may draw spontaneously, or may have a specific idea of what they would like to express. At times a guided visualisation or a suggested theme can be helpful and feel less daunting for clients.
A visualisation or suggested theme can be a useful ‘hook’ for the for subconscious to project material onto. Client’s can feel self-conscious, or self-critical when creating an image, or they may censor their images, ‘I wont use black because she might think I’m depressed’ . Using a theme can help to allow the creative, right side of the brain to come to the fore and create an image which is a metaphor without any censoring from the right side of the brain.
I’d like to share with you this image titled ‘getting out of a box’ which was created by a client in response to a guided visualisation.
This image was a powerful image for the client, and a representation of her situation and dilemma.
Working with PCAT skills enabled the meaning to emerge from subconscious knowing to conscious awareness, in the client’s words;
“The box is a small, self built, cosy and practical retreat. But the doors (and even the roof) are open and the sea, and the rich vibrant nature of the outside is calling.
There are dangers but this is outweighed by the richness of what is out there to be experienced.
The lighthouse in the distance symbolises guidance and hope”.
This image arrived at a time of change and of choices for the client. It symbolises the clients choice between the safety of the cosy and practical box – her existing life, and the call of the vibrant outside – the life she wants for herself. There is some fear at the risk and she hasn’t yet stepped outside the box. But there is also guidance from the lighthouse which highlights the dangers and helps her feel safer in taking some risk.
The visual representation of the richness of the ‘outside’ and the guidance she felt was available to help her on her journey allowed her to develop a new perspective, helping her feel in touch with her courage and make the decision to move forward in a new direction in her life.
Working with image can be incredibly powerful and empowering. It is a rich and rewarding resource to offer clients, that can enable deep growth and healing.
I have worked with art in therapy for around fifteen years, and am still as moved by the power and potential of art as when I started. As a therapist it is a fascinating and rewarding way of working .
Ani de la Prida
1. Arts Health and Wellbeing. The Welsh NHS Confederation. May 2018 https://www.nhsconfed.org/-/media/Confederation/Files/Wales-Confed/Literature-review-of-arts-and–health-and-wellbeing.pdf