From Therapeutic Factors to Mechanisms of Change in the Creative Arts Therapies: A Scoping Review

Frontiers in Psychology

article

Martina de Witte¹  Sabine C. Koch⁵  Hod Orkibi⁷  Rebecca Zarate⁸  Vicky Karkou⁹  Nisha Sajnani^1,10  Bani Malhotra^1,11  Rainbow Tin Hung Ho^1,12  Girija Kaimal^1,11  Felicity A. Baker^1,13 

[1] Research Institute of Child Development and Education, University of Amsterdam;Kennisontwikkeling Vaktherapieën (KenVaK) Research Centre for the Arts Therapies;Hogeschool van Arnhem en Nijmegen University of Applied Sciences;Stevig Specialized and Forensic Care for Patients With Intellectual Disabilities;SRH University Heidelberg;Department for Creative Arts Therapies and Therapy Science, Alanus University of Arts and Social Sciences;Faculty of Social Welfare and Health Sciences, Emili Sagol Creative Arts Therapies Research Center, University of Haifa;Division of Expressive Therapies, Lesley University, United States;Research Centre for Arts and Wellbeing, Edge Hill University, United Kingdom;Educational Theatre & Rehabilitation Science Ph.D. Programs, New York University, United States;Department of Creative Arts Therapies, Drexel University, United States;Department of Social Work and Social Administration, Centre on Behavioral Health, The University of Hong Kong;Music Therapy Department;Faculty of Fine Arts and Music, The University of Melbourne

关键词: creative arts therapies;    mechanisms of change;    therapeutic factors;    drama therapy;    dance movement therapy;    psychodrama;    music therapy;    art therapy;   

DOI  :  10.3389/fpsyg.2021.678397

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Empirical studies in the creative arts therapies (CATs; i.e., art therapy, dance/movement therapy, drama therapy, music therapy, psychodrama, and poetry/bibliotherapy) have grown rapidly in the last 10 years, documenting their positive impact on a wide range of psychological and physiological outcomes (e.g., stress, trauma, depression, anxiety, and pain). However, it remains unclear how and why the CATs have positive effects, and which therapeutic factors account for these changes. Research that specifically focuses on the therapeutic factors and/or mechanisms of change in CATs is only beginning to emerge. To gain more insight into how and why the CATs influence outcomes, we conducted a scoping review ( N studies = 67) to pinpoint therapeutic factors specific to each CATs discipline, joint factors of CATs, and more generic common factors across all psychotherapy approaches. This review therefore provides an overview of empirical CATs studies dealing with therapeutic factors and/or mechanisms of change, and a detailed analysis of these therapeutic factors which are grouped into domains. A framework of 19 domains of CATs therapeutic factors is proposed, of which the three domains are composed solely of factors unique to the CATs: “embodiment,” “concretization,” and “symbolism and metaphors.” The terminology used in change process research is clarified, and the implications for future research, clinical practice, and CATs education are discussed.

【 授权许可】

CC BY