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depicting mental disorders as houses. This 1:39-minute film, with music by Elisabet Raspall, powerfully and insightfully portrays such disorders as dementia, autism, depression, insomnia, phobias, and anxiety as if they were buildings (http://federicobabina.com/ARCHIATRIC). Such depictions make these maladies more understandable and less frightening.

      A second benefit of using the arts in counseling is that the connection often promotes collegial relationships (Arnheim, 1990). Many counseling theorists, including existentialist, person-centered, Adlerian, or gestalt theorists, advocate this type of partnership. In healthy art and counseling encounters, professional barriers are broken down. In the latter, the ability of clients and counselors to more clearly understand and address present difficulties is enhanced.

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      Figure 2 Worry

      A third advantage of including the arts in counseling is that it usually promotes communication. Artists from Pablo Picasso to Stevie Wonder have talked about the universal language of artistic expression and the ability of the arts to convey information in a simple but direct way. Sometimes a picture or a movement is worth a thousand words. By sounding off musically, visually, or dramatically, clients are often able to help their counselors better understand their predicaments. Art can help outsiders, such as counselors, look on something that they have never been a part of and make them feel as if they have always been a part of it (Christenberry, 1991). As a result, these counselors become more sensitive and effective helpers as well as better communicators.

      A fifth advantage of using the arts in counseling has to do with their perceived objectivity. The arts are seen as neutral or even fun and therefore are not resisted.

      The use of the arts is a natural spin-off from the use of displacement material in other areas. Therapists, educators, theologians, and parents have used displacement materials for generations to help people focus on problems that they are too involved in emotionally to see clearly. (Guerin, 1976, p. 480)

      A sixth benefit of using the arts in counseling is that these forms of expression allow, and even encourage, nonverbal clients to participate meaningfully in counseling relationships. “They are particularly well-suited for use in working with children and adolescents as they allow creative forms of self-expression for this developmental age-group that often struggles to put words to complex internal processes” (K. M. Davis, 2008, p. 230). People who have been victimized or traumatized may be unable to verbally convey the events they have experienced because trauma is based on the visual and sensational nature of traumatic memories stored in the brain, without translation into narrative (Westhenen & Fritz, 2014). By using the arts, however, people may convey creatively and profoundly what is uppermost in their minds. The arts also encourage concrete thinkers and those of limited mental ability to expand their horizons.

      A seventh advantage of using the creative arts in counseling is that they help counselors and clients become more empathic as they experience the world through mediums others have used. This process is one of becoming increasingly aware of human internal experiences and expressions that are universal and unique. Artistic expression opens up a world where sensitivity lives. It is in delving deep into that understanding that counselors and clients become more conscious of their own lives and those of others in the deepest sense (J. A. Warren & Nash, 2019).

       Limitations

      The disadvantages of using arts in counseling must also be recognized, for they can cause complications if they are not acknowledged and dealt with properly. First, not every counselor or client is a suitable candidate for such procedures. For instance, counselors who do not have high artistic and social-vocational-type personalities may tend to lack commitment or may burn out on using the creative arts (Orkibi, 2016). Among clients, a chief limitation of using the arts in counseling is that artists themselves may not benefit from such an approach. In fact, according to Fleshman and Fryear (1981), “for artists, the use of the arts in therapy may be counterproductive” (p. 6). The reason for this phenomenon is that artists support themselves through creative expression, and to be asked to perform in a therapeutic setting may seem too much like work. In such situations, the use of arts in counseling becomes an obstacle to therapeutic progress unless clients are asked to engage in an art or artistic activity, such as equine therapy, with which they are unfamiliar.

      A second limitation of using the arts in counseling is that many artists (and some clients) may view counseling and activities associated with it as being unartistic. They may be less inclined to work on problems if the format is not highly structured and primarily cognitive in nature. For these individuals, using the arts in counseling may be distracting and frustrating.

      A third reason why the arts are not always welcome in counseling relates to popular misperceptions of the arts, especially links between creative arts and mental health. In the 17th century, Italian physician Cesare Lombroso linked creativity with mental illness. Even though such a connection is totally unfounded, the perception still remains and encourages reluctance on the part of many to participate in activities that are of an artistic or creative nature.

      Creative Reflection

      When have you seen the arts misused therapeutically? How can you prevent abuse of the creative arts in your work with clients?

      The opposite side of this coin, but with the same result, is the tendency of clients to avoid artistic enterprises because of an irrational fear that they will become too involved. Such a response is typical of someone with loose ego boundaries and obsessive-compulsive behavior, but it is also found in many other people. Some artists, such as Mozart, are reported to have worked at the expense of their health and that of their families. People who avoid the arts in counseling fear being placed in a situation with potential liabilities as well as possibilities.

Arts and Crafts

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