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The Handbook of Art Therapy
The Handbook of Art Therapy has become the standard introductory text into
the theory and practice of art therapy in a variety of settings. The comprehensive
book concentrates on the work of art therapists and the way that art and
therapy can combine in a treatment setting to promote insight and change.
In this fourth edition, readers will gain both a historical overview of art
therapy and insight into contemporary settings in which art therapists work,
with a new chapter on the use of new technology and working online.
The authors are highly experienced in the teaching, supervision and clinical
practice of art therapy. Using first-hand accounts from therapists and patients,
they look particularly at the role of the art work in the art process and setting in
which it takes place. Chapters explore the theoretical background from which
art therapy has developed and the implications for practice including the
influence of art and psychoanalysis, creativity, aesthetics and symbolism, and the
impact of different schools of psychoanalytic theory. Also featured is an
extensive bibliography, encompassing a comprehensive coverage of the current
literature on art therapy and related subjects.
Covering basic theory and practice for clinicians and students at all levels
of training, this book remains a key text for art therapists, counsellors,
psychotherapists, psychologists and students at all levels, as well as
professionals working in other arts therapies.
Caroline Case worked with children and families in the statutory services and in
private practice for 48 years. She has published widely on her therapeutic work as
an art therapist and child and adolescent psychotherapist.
Dean Reddick has over 20 years experience working with children and families in
the National Health Service, schools and in private practice. He has published
his work with children, especially his work with children in the early years.
The Handbook of Art Therapy
Fourth Edition
DOI: 10.4324/9781003197850
1 Introduction 1
Bibliography 275
Index 310
Figures
The Handbook of Art Therapy gives a clear account of the theory and
practice of art therapy. Hopefully this will be useful for people interested in
all aspects of art and therapy and perhaps encourage some people to embark
on training courses essential for becoming an art therapist. The purpose of
the book is to give a detailed understanding of how art therapy is practised
and the developments in theory on which this practice is based. The
Handbook is not designed to instruct a person how to be an art therapist,
or to be a ‘manual’ for practice. The breadth and depth of the material
covered makes the book valuable for practicing art therapists and other
colleagues and a useful resource for art therapy trainees.
Throughout the book, both client and therapist will be referred to
generally as ‘she’ except where a specific example is being described. This
is not necessarily to be gender specific but because the majority of art
therapists identify as female. Also, we have chosen to use the word ‘client’ to
describe the person in treatment with ‘the therapist’ but this can be
interchangeable with ‘patient’, ‘resident’, ‘member’ and does not imply
any difference in the approach, although it may reflect some difference in the
treatment setting. For readers outside the United Kingdom, reference to the
National Health Service will be through the abbreviation NHS.
We have used the term ’art work’ to refer, in general, to art made in art
therapy. This more open term is inclusive of the vast array of art works
made in sessions and goes beyond the idea of painting, sculpture and mark
making to include performance, installation, digital works and art works
made outside with natural materials and processes.
We would like to acknowledge our clients, who have so extensively
informed our practice and experience, and also the help of our colleagues
who have made contributions to the book. By working with us and giving
generously of their time in describing their particular experience, we feel that
this has enabled the text to become ‘alive’ and relate to real circumstances,
and has considerably enhanced the quality of the book. In particular, in this
new edition, we are grateful to Lydia Boon, Chris Brown, Nien-yi Chiang,
Preface ix
I sit in front of my computer; the Zoom screen is open. While I wait for Ada, I
find myself staring at the video image of myself, and the elements of my home-
office that are visible in the screen image. It isn’t long before she appears on my
screen, and, reminding me of her hesitant greetings at the door to my
consulting room, she shyly says ‘Hi’. We have discussed how strange this is
and how I’m not in my familiar consulting room and she is in her bedroom. She
has gathered together some of her own art materials and paper and they are
spread out on the table in front of her. We have agreed that it is not the same;
she doesn’t have the art materials that I have on offer, and I am not able to
care for her art works as I do in my consulting room. However, together we
came up for a plan to keep her art work safe at home, until such time as we can
meet again in my consulting room and she will be able bring her art work
to me for safe-keeping. Ada is 11 and as it turns out, much more adept at
the workings of Zoom than I am. She quickly found a way in which to use the
setting to make art and engage in conversation with me and she settles into the
session; our work resumes.
Ada, like so many of us, has had her already precarious world turned
upside down, forever altered by the ravages of climate change and by the
world-wide pandemic. No sooner had we stumbled from the choking
darkness of the bushfires that devastated the natural environment in our
part of the world, when people like Ada, who suffers asthma, were forced
indoors because of the density of the smoke in the air, then we were confined
to our homes, in a landlocked country, because of a dangerous, hardy and
determined novel virus.
How do children like Ada, whose challenging life circumstances and
troubled inner world has brought them to art therapy, experience the
insecurity of global uncertainty and environmental threats? How do we as
clinicians, carry out our profession in these troubled and troubling times,
when the only thing that is predictable is that things are unpredictable and
the unknow-ableness of the future has been amplified? When children and
adults, clinicians and their patients face the same uncertainties, the same
Foreword xi
The Fourth Edition of the Handbook of Art Therapy has broadened the
already substantial scope of earlier editions and describes innovations both in
terms of technique and of setting. Settings encompass traditional clinical
contexts and those outside of a clinical context, including across international
borders. Included are consulting rooms, hospitals, clinics, prisons, schools,
eating disorder units, museums and art galleries, refugee camps and, reflecting
the current concerns of climate change and interest in eco therapy and eco
psychology, nature-based work. The impact of digital technology and social
media, on art therapists, their clients and art therapy including both digital
and virtual art therapy and the many ways that art therapists have adapted
and evolved their practice, finding new ways of working with their clients is
addressed.
The scope of the Fourth Edition of the Handbook of Art Therapy reflects
the increasing tendency for art therapists to work with widely diverse ethnic,
religious and social communities. This is due to changes in demography,
migration and those displaced by social and political conflict. This rich
diversity of cultural difference requires sensitivity to problems, concerns and
difficulties specific to those individuals and communities that present in or
are living on the margins of society.
I am writing this in the Australian spring. As a nation we are emerging
from lockdown and our national and international borders are opening up –
to relatives, friends, tourists, business travelers, and of course, to COVID-
19. As I write, there is smoke in the air and I know that it is not a good day
to be outside. The smoke is the consequence of preventative back-burning in
the lead-up to the summer bush-fire season. After the devastating summer of
2019/2020 this back-burning, which is part of the ordinary maintenance of
the natural environment in Australia, has taken on a new significance. It
signals the tension between continuity of care, of what can be relied on and,
in contrast, how much is uncertain, locally and globally, that has to be
navigated.
The Fourth Edition of the Handbook of Art Therapy represents, in part,
the ongoing maintenance, necessary to support the profession of art therapy;
a reminder every time we welcome a patient into a Zoom room, or a physical
art therapy setting, that there is a solid, substantial history and framework
behind us that will support art therapy theory and practice into the future.
Julia Meyerowitz-Katz
Jungian Analyst and Art Psychotherapist
ANZSJA IAAP CCAFPAA ANZACATA
October 2021 Australia
Chapter 1
Introduction
The handbook
The handbook is designed to introduce the reader to theoretical and clinical
aspects of art therapy. This introductory chapter gives a broad outline of the
work of an art therapist and some definitions describing theoretical frame-
works which can inform the settings in which they may practise. The broad
spectrum of work undertaken by art therapists with different client groups
involves combining traditional theoretical approaches with evolving new
ideas and practice as we look to the future and adapt to ever changing social
and political situations and global events.
Definitions
DOI: 10.4324/9781003197850-1
2 Introduction
Earlier antecedents of art therapy in the 1940s, in the UK, placed emphasis on
art making itself as healing. The pioneer Adrian Hill thought that his own art
helped with his recovery from tuberculosis. Taking postcards of art work, and
also art materials, to other patients he noted the symbolic value of the subject of
their choice and their total physical engagement in art making, as well as in
thought (Hill 1948). Adamson worked in an open-studio setting which became a
sanctuary in large Victorian psychiatric institutions. Like Hill, Adamson saw art
as healing, the act of creation itself. He highly valued creativity, self-expression
and being non-judgemental and actively discouraged the therapist’s interpreta-
tions. By positioning himself as somewhere in between the patient and medical
staff, his patients took their completed images to a psychiatrist for discussion so
that the roles of making and understanding were split between two professions
(Adamson 1984). This is very different from a modern art therapist who is in-
tegrated into a multi-disciplinary team or professional network.
The emphasis on ‘free expression’ fits with other ideas regarding art
education of the time and two strands of art therapy developed in parallel.
Influenced by such innovators as Herbert Read (1943), the consideration of
expression, imagination and spontaneity in art greatly influenced the di-
rection of art teaching at that time. Such statements as ‘art should be the
basis of education’ (Read 1943: 1) had the effect of highlighting the central
nature of art in terms of its possibilities for emotional communication and
the inherent potential for therapeutic work (Waller 1984).
A pioneer from the USA, Margaret Naumberg (1953) also working in the
post-second world war era, had a different model of art therapy, favouring a
psychodynamic approach;
Unlike Adamson she put the central focus on the unconscious, spontaneous
expression and the understanding of the image within the relationship with
the therapist:
The first, art therapy, is centred on the art process but emerges from the
ground of the therapeutic relationship. The therapist in this definition
has been described as a witness to the process.
(Learmonth 1994)
In our work with autistic children where there are severe difficulties in
communication, the relationship between the medium, art therapist, and
client becomes more fluid and dynamic as the elements of the Art
Therapy Triangle constantly shift in their relationship to each other. In
working with children with communication disorders, the art therapist
will interact and respond as an artist involved with the art –making
process…..’ therefore in this situation they respond to and work on the
image and work to engage the child in communication through the
image.
(Evans and Rutten-Saris 1998: 57)
4 Introduction
In the previous edition of the Handbook of Art Therapy, Case and Dalley
(2014) offered the following definition:
However art therapy definitions may develop and vary over time in em-
phasis, the making of art objects and images is central;
We hope that the reader will hold these definitions in mind throughout the
Handbook and understanding will be modified and elaborated with further
thinking about art therapy in this edition.
This has led us to look further into psychoanalytic theory and how the art
process can be understood in a therapeutic setting. Significant to the dis-
cussion is the pioneering work of Freud with a classical analytic view of art
and primary and secondary processes. His views on art and writing are
considered in some detail in Chapter 11 alongside commentary from Anna
Freud, Gombrich, Fuller and Wolheim. The works of Marion Milner,
Donald Winnicott and Carl Jung are explored in more depth and how they
have been profoundly inspirational to art therapists.
Taking these ideas forward, the writings of other important psychoanalysts,
such as Klein, Bion, Segal, and Stokes, who consider art as a form of re-
paration moving onto symbolisation, explore further understanding with
particular consideration of the creative experience, the aesthetic experience
and the developing theory of symbolism (see Chapter 12). Processes operating
at a pre-symbolic, non-representational level in art therapy are also important
to consider as several more contemporary artists and writers have been in-
terested in exploring ‘the concreteness of the material itself’ such as Susan
Sontag, Donald Judd and Anish Kapoor. They aspire to have as direct an
experience of the art work as possible without interpretation, which some
might argue, relates back to the original ideas of Adamson in the early 1940s.
I have learned while working with children with special needs that they
are first and foremost a child and their diagnoses is the cloak they wear
rather than something that defines them.
Making the connection needed to reach the child where they feel seen
and understood is fundamental in my approach, from there I can begin
working therapeutically. Establishing basic reciprocity is part of devel-
oping a communicative relationship. I look for ways to enter the child
12 Introduction
or young person’s world rather than requiring them to join mine. This
connection is part of a creative process that looks for ways of
communication where words are limited or not used.
In one particular case, I used a skateboard which the young adult sat
on because it was the only way he could tolerate being in the room. This
autistic young man had experienced trauma and had very limited words
and understanding. There was no way he was able to sit still in the room
or give me any acknowledgement so I needed to find a way of helping
him tolerate being in the art therapy space with me. I moved him around
the space and slowly he learned the room was no threat. He needed to
communicate to me if he wanted to go fast or slow, stop or start. These
regulatory processes helped me to slowly build a relationship with him.
Once the security of the room had been established, he was able to find
stillness and was ready to allow a relationship to develop.
In another example, I have used the art materials in role-play to create
feasts. One particular student with learning difficulties had experienced
loss and deprivation. He always asked for food so I used the art
materials to create what he required. We made cherry pies out of paper
or whatever was available and cooked them on a shelf. This ritual
became a symbol in our relationship and I knew every time he wanted to
make cherry pies that what he really wanted was a connection with me
through an imaginary world.
Generally, I have always been able to find a pathway to reach the
child and experience moments of connection where we are both seen
simultaneously. In harder to reach children that are in an intensified
autistic state the connection might not be able to be established but I am
given an invite to be an observer in their reality. Often I have joined in
with their actions or sounds so I can mirror back what they are creating
in the space.
Often children with special needs are thought about through their
behaviour and not given the space to consider the emotions causing the
behaviours. I believe that every single child can find the space needed to
work therapeutically through a creative approach that meets their needs.
(Leah McClelland letter to the authors April 2021)
referred for gender and body dysphoria. The establishment of the GIDS
(Gender Identity Disorder Service) team at the Tavistock Clinic in London
provides specialist service to these young people and their families. The
approach to this work in terms of assessment, age of consent and treatment
programmes continues to be the subject of much controversy.
The COVID-19 pandemic forced an immediate and urgent change in
work practices for all professionals and medical teams. The experience of
lockdown for families was profound with reliance on zoom and other
technology and devices for contact with the outside world. Social distancing
and wearing masks became the norm. Without the structure of normal ac-
tivities such as school, clubs, social gatherings and the workplace, some
families turned to their own resources for entertainment such as drawing,
painting and baking which resulted in a surge of interest in these areas. Some
families benefited from this experience with home education and attending
to family issues together while many others struggled with rising tensions in
households leading to the onset of mental health concerns such as anxiety,
loneliness, isolation and alienation leading to depression and in the worse
cases, suicide. Incidents of domestic abuse also rose sharply which created a
huge number of referrals to already overwhelmed services. Working through
the trauma, loss and bereavement for many families will take some years.
Recovery from the long term impact of the anxiety of family members
struggling to survive on life support machines for many months and also
traumatised and exhausted medical staff dealing with such high death rates
will take time. Other effects such as the physical symptoms of long-COVID,
overuse of screens with ‘non-verbal overload’ and also of ‘social thinning’,
the effects of sudden removal from social structures and activities are only
starting to permeate through with the return to some normality.
The backdrop of the climate change crisis is also a top priority and must
be considered with equal urgency. Many children and families discovered
outdoor activities of cycling and walking and began to take an interest in
nature and the natural world. Lockdown enabled some noticeable recovery
in the environment with lower pollution levels, turtles nesting in areas for
the first time in 30 years, fishing stocks multiplied and dolphins were seen
playing in old habitats. Some commentators have urged governments and
lobby groups to consider the climate change crisis, as urgent as the pandemic
in its threat to human existence and demand as a swift action as the inter-
national response to COVID.
What makes Harry Potter so popular? I never had a good answer. It has
occurred to me that much of what young people found in the Potter
books are the very same things they seek on-line: escape, excitement and
agency. The Potter books also describe a community that sees and
embraces what others might see as oddities. Who doesn’t want that?
How much more ‘seen’ can a person feel than to be told ‘you’re a
wizard’? But the great thing about a book as opposed to a social media
platform is that it puts no pressure on its reader to perform or conform.
Like a friendly common room, it’s there to retreat to, but it doesn’t
judge. It makes no crushing demands.
(Rowling Sunday Times Culture section 10.10.21 page 5)
These ideas are helpful particularly for some parents seeking to monitor or
limit the internet use by their ever more absorbed and withdrawn adolescent.
Another factor is the influence of gaming and its inherent addictive qualities,
which potentially leads to an increase in violence and uncontrollable be-
haviour in young boys. Therapists must inform themselves about the virtual
world that many clients inhabit and how this may affect the therapeutic
encounter. First-hand experiences of art therapists working during the
COVID-19 Pandemic are important in learning from this experience.
Therapists and clients alike had to adapt immediately, without training or
experience, to the circumstances of lockdown when communication and
therapeutic work was conducted entirely online. The complexities of
working virtually when it was not possible to meet physically in a clinical
space will continue to be debated for many years to come. The legacy of this
change will inform the ongoing practice as the ‘new normal’ post-pandemic
world emerges into new relatedness across the globe.
16 Introduction
Many would argue that online work is effective and can replace face to face
contact in the consulting room. Through the discussion in the book, we hope to
persuade readers that there is nothing to replace the visceral experience of being
in a room together with body language, movement, innuendo, eye contact and
space between which communicates so much of underlying feeling and affective
experience. Winnicott (1951) emphasised the importance of the role of illusion
in the development of the early infant relationship with his mother. For him,
illusion is fundamentally necessary if the baby is to have any chance of living a
meaningful life, which has a sense of feeling real. This initial experience of
illusion is the source of the capacity for generating psychical meaning and the
foundation for the development of the capacity for symbolisation and the
imaginative process. As the mother becomes real, the transitional, creative
space enables healthy development moving onto a capacity to be alone. This
develops the capacity to play and to elaborate the personal meaning of the
world of relationships and beyond. The experience of working therapeutically
on a screen challenges the building of this space between illusion and reality in
the relationship between patient and therapist which can lead to less possibility
for creativity and play and often a collapse in the potential space.
While some of these dilemmas will continue to challenge more traditional
ways of thinking which form the bedrock of our understanding and pro-
fessional roots, what is becoming clear is the increasing divergence in the
wider world between living and working online in a virtual ‘artificial’ world
of interaction in the medium of digital images and the developing interest in
the environment, eco-therapy and work outside in nature and the natural
world. Many would argue that the relationship with nature contributes to
addressing the balance for young people who spend a lot of their time on-
screen, ‘A relationship with nature, I believe, is of crucial importance, given
our contemporary society with its ever-seductive ways for our children to
disconnect, dull their senses and disappear into cyber realities at their det-
riment…’ (Boon 2021: 58) (see also Chapter 9).
Mary Jayne Rust, art therapist and psychotherapist has been the fore-
runner in developing ecopsychotherapy and the importance of the en-
vironment and the natural world in relation to understanding healthy
human experience. In a poignant quote, she describes the predicament of
children that may arise as the ‘toxic split’ that happens in childhood:
Yet from the moment children are sent to school they are taught that
indoors is the place for ‘real work’ and outdoors is for play. This lays
the foundation for a toxic split between rational, focused, linear thought
located in the mind and a more diffuse, creative consciousness which
emerges from the body-mind. Gradually we are taught that it is rational
thinking that really matters in life while play, imagination and creativity
is what happens in the gaps between real work
(Rust 2020: xvii)
Introduction 17
This spectrum seems to be ever-widening for children and adults alike and
may lead to new areas of thinking and research in the future. We hope this
new edition of the Handbook will inspire debate, expand horizons and
further understanding of the complexity of these splits by holding in mind
the important role of art therapists, as artists and therapists, in keeping
creativity, imagination and play alive and central to our practice. There are
40 new colour illustrations and, for those interested in further reading, an
extensive reference section with publications from colleagues in the UK and
around the world.
Chapter 2
In this new edition of the Handbook, this chapter is divided into three parts
to give room to some of the important changes to the profession in the UK.
In Part One, we look at becoming an art therapist with sections on training,
working in an art therapy post, referral, assessment, therapeutic contract,
feedback and case conferences. The discussion on sessional work, self-
employment and independent practice reflects the current trend in how art
therapists are established in the profession. In Part Two, we look at the
work of the art therapist outside of the therapeutic session and the necessary
support structures such as clinical supervision and CPD (continuing pro
fessional development). A section on the art therapist as an artist is included.
Part Three covers the more peripheral but essential tasks of the art therapist
in the recording of clinical work, note-taking and the storage of art work.
Lastly, the need for further research to provide evidence-based practice is
explored as a requirement for the ongoing development of the profession.
groups that have developed in affiliation with The British Association of Art
Therapists. BAAT is the professional organisation for therapists in the UK
with twenty regional groups and a European and International section.
BAAT has a Code of Ethics of Professional Practice and Clinical standards.
Membership of the BAAT is not a requirement for practice but art thera
pists must register with the Health and Care Professions Council (HCPC)
and adhere to HCPC standards of conduct, performance and ethics in order
to practice in the UK. The growth of art therapy internationally and the
greater collaboration between art therapists from different countries is re
flected in the establishment of new professional art therapy bodies such as
the European Federation of Art Therapy (EFAT) which was constituted in
2018 by art therapists from 27 different European countries.
At the best art colleges in the UK, the student learns to court
discomfort, to abandon obvious or well-tried solutions and to test
that which is new and different in her experience. Such an approach
fosters emergence of inner reality, however chaotic, this being shaped
into outer, more objective, imagery and objects once the raw material is
manifest.
(Schaverien 1989: 147)
The experience of art training allows the future art therapist to develop in an
environment which is to some degree an anarchic one. This ensures that the
student emerges with some understanding of how one proceeds in this en
vironment and, as a result, has come to some personal decisions as to issues
such as resourcefulness, the need for boundaries, limits and rules and so on. An
art student cannot fail to have confronted at least some of these issues in her
20 The art therapist
Pre-course experience
Entry to the postgraduate art therapy training programmes requires a first
degree in art and design (except in IATE). There are special entry criteria for
teachers and honours graduates from medicine, social science and huma
nities, and those without degrees but with a working background. The
minimum age for applicants is 23 but maturity and life experience is seen as
a valuable asset. A minimum of one year’s clinical experience is required.
Many applicants will be mature and may have a previous professional
qualification in the caring professions or may have gone into very different
work after their first degree and have decided to retrain, seeking a new di
rection or returning to work after having a family. An art portfolio is pre
sented at an interview to show an ongoing commitment to a personal art
process. It is preferable that applicants have previous or current experience
in personal or group therapy. Personal therapy is a requirement for the
duration of the training and is seen as a necessary component of the stu
dents’ learning process. The courses are demanding both personally and
academically. The student has to make fundamental adjustments in devel
oping a professional identity as an art therapist during the training.
Before applying for training it is wise to gain some experience in art
therapy. A good way of doing this is to attend one of the Introductory
The art therapist 21
MA in art therapy
The current MA programmes are two years full time or three years part-
time. The philosophy of the MA programme places the making of art and its
relationship to therapeutic practice as central to the training. Key elements
in the training are experiential groups and studio practice to facilitate the
ongoing development of the artist within the art therapist. The MA pro
gramme offers students a broad theoretical foundation in the key principles
of art therapy theories, relating to psychodynamic and humanistic psy
chotherapies. These theoretical studies also include child development,
psychology, attachment theory, psychiatry, cultural theory and neuro-
science which all form the background knowledge of the art therapist.
Placement experiences and supervision develop an understanding of clinical
work and the professional role of the art therapist. Training art therapists
undertake research projects, both qualitative and quantitative, relevant to
clinical practice. The integration of the programme components is regarded
as essential so that the trainee art therapist will graduate from the course
having developed their own orientation as an art therapist. This commit
ment to personal growth and creative development of the art therapist can
be at odds with the current preponderance of outcome measures. Art
therapy training helps trainees develop reflective capacities in order to take a
critical, reflective stance towards the contexts in which they practice.
Training units
Experiential learning
Studio practice provides students with the time and space to develop their
own art practice within the context of therapeutic training. Students are
required to put on their own art exhibition at some point in their training to
give a focus to this aspect of their development. Art Therapy Workshops
give experience of a range of approaches and therapeutic interventions used
in different clinical settings. The training groups offer experience of a closed
group, run on psychodynamic lines, where students can develop an under
standing of psychotherapeutic group processes that are both verbal and
non-verbal. Students will be asked to do a piece of reflective work on these
experiences to demonstrate understanding of the image and the dynamics
around its making in these contexts.
22 The art therapist
Personal therapy
Personal therapy is a course requirement and a central training component.
Communication between the college and the therapist confirms weekly
The art therapist 23
attendance. The trainee takes responsibility to find a suitable therapist and for
payment. Colleges will give guidance on therapists with approved qualifications
and registration of the therapist. The therapist needs to be someone who values
working with different aspects of imagery whether two or three dimensional,
performative or mental and dream imagery. Individual personal therapy gives an
important experiential contrast to the art therapy training groups on the course
and first-hand experience of being a client/patient that will be important to draw
on when working with clients. In this way, the personal therapy of the trainee is
for the protection of both client and future therapist. Providing a therapeutic
model for processing complex emotional issues develops resilience when working
in often stressful environments as a therapist. As a source of emotional growth
and development, personal therapy gives personal support and understanding
throughout the training which may be a time of emotional upheaval. The courses
are demanding on every level and challenge previous assumptions as well as
psychological defences and habitual ways of managing conflict, emotion and
psychological pain. If a trainee therapist has unresolved issues or conflicts of her
own, then this renders her less able to be emotionally available and open to
working with a client whose own issues touch on similar areas.
Self-employment
A number of art therapists are self-employed. Where few qualifying art
therapists are able to get full-time jobs in the statutory services on leaving a
training course, many may be at least partially employed through sessional,
freelance or independent practice work. It used to be quite common in the
earlier years of art therapy for art therapists to be offered employment
following on from a college placement sometimes as the sole therapist or to
become a member of a department and team. In this scenario, the ‘em
bryonic’ art therapist benefits and learns from built-in support structures of
the institution and clinical team. To leave a course and go into sessional
work or freelance work lacks the same support systems in the workplace and
requires resilience for independent working which might be familiar from
practising as an artist. Art therapists who are self-employed or working on a
sessional or independent basis must take out their own insurance cover.
The BAAT website has accessible and useful guidelines for self-employed
status available to qualified members. Unlike ‘an employee’ who has stat
utory employment rights, self-employed people do not receive sick pay,
holiday or maternity pay and are responsible for their own annual income
tax returns, national insurance and payment invoices. Some expenses can be
offset against tax which might include professional membership fees, in
surance, costs to do with training, supervision and continuing professional
development and postage, telephone and travel.
Art therapists in this situation may have several different sessional hours
for varying organisations which requires good networking skills and time
management. This peripatetic way of working can be complex but can build
a broad range of clinical experience, and opportunities for net-working
which may lead to a more permanent job. (See letter from Watts 2013 giving
an account of her work with homeless children, young people and families in
their homes.)
Independent practice
How does private or independent practice differ? An art therapist is con
tracted and paid by an organisation and works with other team members
who have shared ‘duty of care’ and joint clinical responsibility for the client.
In independent practice a contract is made directly with the client and
payment is made directly to the therapist. Independent work with children
requires agreement from the parent or carer. It is advisable to extend this to
the wider members of the family if the parents are not living together.
Contact with relevant community and medical professionals, such as the
referrer or, with permission, the client’s General Practitioner, is also advised
at the outset and closure of the work regarding the therapeutic agreement
and outcome. The art therapist, either works from a consulting room, which
26 The art therapist
ideally has its own entrance and toilet facilities, so there is no intrusion from
others in the building or sometimes the consulting room is part of a larger
clinic in a mixed therapeutic setting with other practitioners.
Once qualified and HCPC registered, an art therapist can establish an
independent practice. BAAT compiles an up to date list of registered in
dependent practitioners and supervisors and requires members to have two
years full-time equivalent experience of employment post training before
applying for registration. We would recommend taking the BAAT course in
Private Practice and to have more than this minimum post-qualification
experience. Independent practice requires good support systems, personal
therapy as well as supervision. It can feel isolated without colleagues or
access to consultation with a multi-disciplinary team, so that it is essential to
keep contact with peers, engage with a local BAAT group and be committed
to Continuing Professional Development.
and patient. Gilroy et al. (2012) summarises the current thinking on suit
ability for different modes of art therapy discussing not only the indications
and contraindications but also the differing viewpoints in the literature.
Working with referrers to improve the quality of referrals can be helpful,
especially in non-clinical settings such as schools where the referrers might
not have a clear understanding of art therapy. Well-designed referral forms
can help by asking for useful and relevant information (e.g. asking the re
ferrer to list other agencies and professionals who might be involved with the
referred person).
FOOTNOTES
CHAPTER VIII
GLORY AND DECLINE OF THE EMPIRE
[969-1204 a.d.]
The Russian war was the great event of the reign of Joannes
Zimisces. The military fame of the Byzantine emperor, who was
unquestionably the ablest general of his time, the greatness of the
Russian nation, whose power now overshadows Europe, the scene of
the contest, destined in our day to be again the battle-field of Russian
armies, and the political interest which attaches to the first attempt of a
Russian prince to march by land to Constantinople, all combine to give a
practical as well as a romantic interest to this war.
The first Russian naval expedition against Constantinople in 865 would
probably have been followed by a series of plundering excursions, like
those carried on by the Danes and Normans on the coasts of England
and France, had not the Turkish tribe called the Patzinaks rendered
themselves masters of the lower course of the Dnieper, and become
instruments in the hands of the emperors to arrest the activity of the
bold Varangians. The northern rulers of Kieff were the same rude
warriors that infested England and France, but the Russian people was
then in a more advanced state of society than the mass of the
population in Britain and Gaul. The majority of the Russians were
freemen; the majority of the inhabitants of Britain and Gaul were serfs.
After the defeat in 865, the Russians induced their rulers to send
envoys to Constantinople to renew commercial intercourse, and invite
Christian missionaries to visit their country; and no inconsiderable
portion of the people embraced Christianity, though the Christian religion
continued long after better known to the Russian merchants than to the
Varangian warriors. The commercial relations of the Russians with
Cherson and Constantinople were now carried on directly, and numbers
of Russian traders took up their residence in these cities. The first
commercial treaty between the Russians of Kieff and the Byzantine
Empire was concluded in the reign of Basil I. The intercourse increased
from that time. In the year 902, seven hundred Russians are mentioned
as serving on board the Byzantine fleet with high pay; in 935, seven
Russian vessels, with 415 men, formed part of a Byzantine expedition to
Italy; and in 949, six Russian vessels, with 629 men, were engaged in
the unsuccessful expedition of Gongyles against Crete. In 966, a corps
of Russians accompanied the unfortunate expedition of Nicetas to Sicily.
There can be no doubt that these were all Varangians, familiar, like the
Danes and Normans in the West, with the dangers of the sea, and not
native Russians, whose services on board the fleet could have been of
little value to the masters of Greece.
But to return to the history of the Byzantine wars
[907-944 a.d.] with the Russians. In the year 907, Oleg, who was
regent of Kieff during the minority of Igor the son of Ruric, assembled
an army of Varangians, Slavonians, and Croatians, and, collecting two
thousand vessels or boats of the kind then used on the northern shore
of the Euxine, advanced to attack Constantinople. The exploits of this
army, which pretended to aspire at the conquest of Tzaragrad, or the
City of the Cæsars, were confined to plundering the country round
Constantinople; and it is not improbable that the expedition was
undertaken to obtain indemnity for some commercial losses sustained by
imperial negligence, monopoly, or oppression. The subjects of the
emperor were murdered, and the Russians amused themselves with
torturing their captives in the most barbarous manner. At length Leo
purchased their retreat by the payment of a large sum of money. Such is
the account transmitted to us by the Russian monk Nestor, for no
Byzantine writer notices the expedition, which was doubtless nothing
more than a plundering incursion, in which the city of Constantinople
was not exposed to any danger. These hostilities were terminated by a
commercial treaty in 912, and its conditions are recorded in detail by
Nestor.
In the year 941, Igor made an attack on Constantinople, impelled
either by the spirit of adventure, which was the charm of existence
among all the tribes of Northmen, or else roused to revenge by some
violation of the treaty of 912. The Russian flotilla, consisting of
innumerable small vessels, made its appearance in the Bosporus while
the Byzantine fleet was absent in the Archipelago. Igor landed at
different places on the coast of Thrace and Bithynia, ravaging and
plundering the country; the inhabitants were treated with incredible
cruelty; some were crucified, others were burned alive, the Greek priests
were killed by driving nails into their heads, and the churches were
destroyed. Only fifteen ships remained at Constantinople, but these
were soon fitted up with additional tubes for shooting Greek fire. This
force, trifling as it was in number, gave the Byzantines an immediate
superiority at sea, and the patrician Theophanes sailed out of the port to
attack the Russians. Igor, seeing the small number of the enemy’s ships,
surrounded them on all sides, and endeavoured to carry them by
boarding; but the Greek fire became only so much more available
against boats and men crowded together, and the attack was repulsed
with fearful loss. In the meantime, some of the Russians who landed in
Bithynia were defeated by Bardas Phocas and Joannes Curcuas, and
those who escaped from the naval defeat were pursued and slaughtered
on the coast of Thrace without mercy. The emperor Romanus ordered all
the prisoners brought to Constantinople to be beheaded. Theophanes
overtook the fugitive ships in the month of September, and the relics of
the expedition were destroyed, Igor effecting his escape with only a few
boats. The Russian chronicle of Nestor says that, in the year 944, Igor,
assisted by other Varangians, and by the Patzinaks, prepared a second
expedition, but that the inhabitants of Cherson so alarmed the emperor
Romanus by their reports of its magnitude, that he sent ambassadors,
who met Igor at the mouth of the Danube, and sued for peace on terms
to which Igor and his boyards consented. This is probably merely a salve
applied to the vanity of the people of Kieff by their chronicler; but it is
certain that a treaty of peace was concluded between the emperors of
Constantinople and the princes of Kieff in the year 945.
The cruelty of the Varangian prince Igor, after his
[944-970 a.d.] return to Russia, caused him to be murdered by his
rebellious subjects.[64] Olga, his widow, became
regent for their son Sviatoslaff. She embraced the Christian religion, and
visited Constantinople in 957, where she was baptized. The emperor
Constantine Porphyrogenitus has left us an account of the ceremony of
her reception at the Byzantine court. A Russian monk has preserved the
commercial treaties of the empire; a Byzantine emperor records the
pageantry that amused a Russian princess. The high position occupied
by the court of Kieff in the tenth century is also attested by the style
with which it was addressed by the court of Constantinople. The golden
bulls of the Roman emperor of the East, addressed to the prince of
Russia, were ornamented with a pendent seal equal in size to a double
solidus, like those addressed to the kings of France.
Against these domestic enemies, the son of Romanus first drew his
sword, and they trembled in the presence of a lawful and high-spirited
prince. The first, in the front of battle, was thrown from his horse by the
stroke of poison, or an arrow; the second, who had been twice loaded
with chains, and twice invested with the purple, was desirous of ending
in peace the small remainder of his days. As the aged suppliant
approached the throne, with dim eyes and faltering steps, leaning on his
two attendants, the emperor exclaimed, in the insolence of youth and
power: “And is this the man who has so long been the object of our
terror?” After he had confirmed his own authority and the peace of the
empire, the trophies of Nicephorus and Zimisces would not suffer their
royal pupil to sleep in the palace. His long and frequent expeditions
against the Saracens were rather glorious than useful to the empire; but
the final destruction of the kingdom of Bulgaria appears, since the time
of Belisarius, the most important triumph of the Roman arms.h