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Group art therapy involves art-making, which has been used throughout human history to symbolise struggle and transformation with group support. The purpose of this paper is to discuss two recent papers on how and why group art therapy may be helpful.

A search was carried out to find recent papers on group art therapy, with a focus on how and why it may be helpful.

One paper reported on 119 accounts of why group art therapy may be helpful. Five things seemed specific to group art therapy: using artworks to express experiences symbolically, connect with others, place confusing feelings outside oneself, and be playful, and following a set routine with others. The other paper reported in detail on group art therapy sessions with people who had a diagnosis of borderline personality disorder. Group interaction became most supportive when the art therapist clearly focused on people’s thoughts and feelings about artworks made by group members.

It has been unclear how group art therapy may help people. Understanding this means researchers can do more rigorous research on it. The two papers discussed represent probably the largest synthesis of different sources on how group art therapy might work, and the most detailed observation of what happens in practice. Both papers suggest group art therapy uses art to symbolise struggle and transformation with support from others, thus normalising this process and including those going through it rather than marginalising them. Parallels can be drawn with older healing rituals, in which crisis and struggle were viewed as normal.

This Research Watch aims to summarise two recent and very different research publications on art therapy and comments on their ability to shed light on the usefulness of art therapy to address mental distress and enhance social inclusion.

The author discusses a recent edition of a UK art therapy journal in which research papers focus on art therapy with people who have been given a diagnosis of personality disorder. The main methodologies are qualitative describing participants’ and/or therapists’ experiences and the role of art therapy in addressing serious mental distress. The second publication is a recent report of a large randomised controlled trial of art therapy for people given a diagnosis of schizophrenia. The author assesses the value of both publications in informing us about the usefulness of art therapy in addressing mental distress and enhancing social inclusion.

In the author's view, neither publication establishes definitively how or whether art therapy might address serious mental distress, whether labelled personality disorder or schizophrenia. However, the qualitative articles provide insight into possible helpful (and less helpful) aspects of therapy. The randomised trial should have been able to establish general principles about the effectiveness of art therapy for a specific group of people in specified contexts, but instead exemplifies many problems inherent in the pervasive research culture of putting numbers onto complex human interactions and calculating their value for money, sometimes at the expense of really understanding what is going on.

The author draws upon these two very different examples of research to reflect a current dilemma in UK art therapy research, and tentatively looks at possible ways forward.

This paper aims to describe service user experiences of an art psychotherapy group which drew on occupational therapy perspectives to help adults with severe and enduring mental health difficulties move forward in their recovery.

A case study approach incorporating outcome data was used. The data gathered comprised attendance, facilitators’ clinical notes, photographs of participant artworks, the Psychological Outcome Profiles questionnaire (PSYCHLOPS: www.psychlops.org), a post-therapy feedback form, discussion at post-therapy individual review sessions and participants’ achievements post-group.

All but one participant scored the group as “very helpful” or “helpful” and all felt that the group had helped them with the personal aims they had identified. The PSYCHLOPS questionnaire yielded a large average effect size, indicating positive change in terms of problems, functioning and well-being. Participants identified several ways in which the group was helpful, and their artwork and reflections indicate how they used the art making in the group to pursue their recovery goals. The service user experiences and outcomes suggest that this group was effective in facilitating recovery for these adults with severe and enduring mental health difficulties.

This group was innovative in integrating approaches from the different professional specialisms and the findings encourage further investigation into this way of working.

Art therapy has been recognized as beneficial and effective since first described by Adrian Hill in 1942. Even before this time, art therapy was utilized for moral reinforcement and psychoanalysis. Art therapy aids patients with, but not limited to, chronic illness, physical challenges, and cancer in both pediatric and adult scenarios. Although effective in patient care, the practice of art therapy is extremely underutilized, especially in suburban areas. While conducting our own study in northeastern Ohio, USA, we found that only one out of the five inpatient institutions in the suburban area of Mahoning County, Ohio, that we contacted provided continuous art therapy to it's patients. In the metropolitan area of Cuyahoga County, Ohio, only eight of the twenty-two inpatient institutions in the area provided art therapy. There could be many reasons as to why art therapy is not frequently used in these areas, and medical institutions in general. The cause of this could be the amount of research done on the practice. Although difficult to conduct formal research on such a broad field, the American Art Therapy Association has succeeded in doing such, with studies showing improvement of the patient groups emotionally and mentally in many case types.

The relationship between learning and mental health, as well as a growing body of literature, underscores the need for art therapy in educational settings. This is particularly true for learners with special needs. Shostak et al. (1985) affirmed that “for children with special needs, art therapy in a school setting can offer opportunities to work through obstacles that impede educational success” (p. 19). School art therapy facilitates improved social interaction, increased learning behaviors, appropriate affective development, and increased empathy and personal well-being. It can be adapted to meet the specific developmental needs of individual students and to parallel students’ developmental, learning, and behavioral objectives. This chapter introduces the reader to the history and basic constructs of art therapy as a psychoeducational therapeutic intervention in schools. Model programs are identified, as well as the role of the art therapist within the context of K-12 education settings. Additionally, examples of special populations who benefit from art therapy intervention within school systems are provided, along with considerations for school-wide art therapy.

The purpose of this paper is to explore the role of a social art practice and group attachment in the life of a mental health service user with a diagnosis of borderline personality disorder.

Interpretative phenomenological analysis was used as a means by which to explore interview data and bring to bear theories of attachment and psychosocial theories of the creative process.

The study found that the process of coming to be seen and showing, relating and narrating, was part of a process enabled by experiences of group attachment within specific groups. These groups appeared to share the core principles of a TC. The artist’s improving reflective capacity and art practice informed and strengthened each other within a context of attachment, containment, communication, inclusion and agency (Haigh, 2013).

Whilst phenomenological work of this kind is small scale, the nature of the involvement with the participant facilitates a first person narrative which allows unique insight into human meaning making.

The study offers pointers regarding the role of social art practice and emphasises the importance of developing attachments as part of mental well-being, as well as the potential role and challenge of this for individuals with severe relational problems. The study stresses the importance of groups that nurture particular experiences such as belongingness and sense of agency, and suggests why these experiences may be more effective for some individuals than one-to-one therapy.

The research adds to the debate regarding the benefits of engaging with the arts and the means by which the value of publicly funded community arts projects can be assessed. It also puts forward the case for TCs as potentially offering a substantial springboard not only to recovery but to higher creative functioning.

The paper attempts to offer a deeper understanding of the combined and interlaced therapeutic power of creative endeavour; narrative identity; group attachment and the role of the fundamental principles of TCs.

Drawing on literature and the evaluation of a UK community Arts in Health project, this article aims first to demonstrate that, in spite of the common association in mental health practice between art and the use of psychotherapeutic techniques, involvement in art creation can, in itself, have a sustained and positive impact on the mental and social wellbeing of participants and, second, to give an analysis of the different forms of arts involvement in health.

A qualitative evaluation of a successful process‐based arts in health‐care provision to existing vulnerable mental health community groups is discussed.

While the implementation of traditional forms of art therapy tends to be the preserve of those with specialist training, process‐orientated art for health projects have been found to be more versatile and are developments in which many practitioners potentially play an important part. Arts in Health provision in a community setting can offer positive health benefits, and aid health promotion.

More widespread, sustained funding and further evaluation and research for this accessible, cost‐effective means of health promotion in a community setting are needed.

Arts in Health, in institutions (such as prison and hospital) as well as community, is a rapidly expanding, successful and attractive, yet severely under‐funded provision. Descriptive in‐depth evaluations and critical analyses of the field, such as that presented here, need to be made available in order to develop the field practically and theoretically.

The occurrences of natural hazards in Southeast Asia have become not only more frequent but their severity has also intensified. More than 200,000 persons perished from the 2004 tsunami resulting from the 9.1 magnitude earthquake in coastal Sumatra, Indonesia, which was the third strongest since 1900. A record-breaking typhoon internationally named Haiyan (locally known as Yolanda) ravaged Central Philippines in 2013. Failure of the communities, as well as the countries, to cope with the hazards has led to disasters that have compelled them to seek external assistance, especially internationally. In the 2004 and 2013 disasters referred to, one specific form of assistance was the conduct of art therapy especially for children. This chapter surveys the literature and examines why and how art therapy has been used in disasters in the region, and which areas either need further exploration or research.

The purpose of this paper is to summarise two 2014 research papers that highlight the role of social interactions and the social world in recovery in the context of mental distress.

The author summarise two papers: one is about two theories from social psychology that help us understand social identity – our sense of who we are. The other brings together and looks at the similarities and differences between ten different therapies that can be called resource-oriented – that is, they focus on people's strengths and resources rather than what is wrong with them.

The paper on social identity gives a convincing case for incorporating teaching about social identity – and the social groups to which people belong – into the training of mental health professionals. The paper on resource-oriented therapies suggests that social relationships are a main component of all ten therapies examined. This second paper suggested a need for more research and theory relating to resource-oriented therapies. Social identity theory could help address this issue. Mental health services may be able to help people more by focusing on their established and desired social identities and group-belonging, and their strengths, than is usual.

These two papers seem timely given the growing recognition of the role of social factors in the development and maintenance of mental distress. More attention to social factors in recovery could help make it more self-sustaining.