More than Words: Applying the Discipline of Literary Creative Writing to the Practice of Reflective Writing in Health Care Education

This paper examines definitions and uses of reflective and creative writing in health care education classrooms and professional development settings. A review of articles related to writing in health care reveals that when teaching narrative competence is the goal, creative writing may produce the best outcomes. Ultimately, the paper describes the importance of defining literary creative writing as a distinct form of writing and recommends scholars interested in using literary creative writing to teach narrative competence study pedagogy of the field.     

A Swedish Version of the Regressive Imagery Dictionary: Effects of Alcohol and Emotional Enhancement on Primary–Secondary Process Relations

ABSTRACT: The Regressive Imagery Dictionary (RID) measures the degree of primary and secondary process content in texts and verbal speech/writing. RID was translated into Swedish and 2 studies were performed to validate it. In Study 1, alcohol was used in a placebo design to induce a shift toward the dominance of primary over secondary process thinking. Surprisingly, the alcohol group showed indications of using more secondary process in written stories than both the control group and the placebo group, although there were no significant differences between the groups in primary and secondary process as measured with the Swedish RID. In Study 2, the participants watched either a neutral film or an action film, whereupon they wrote down an ending of their own choosing. The action film condition produced more primary process than the neutral film condition, as measured by the Swedish RID. These findings underline both alcohol dose relationships in behavioral studies and emotional state in primary–secondary process thinking relationships in creative expression. Above all, in validating the Swedish RID scope for new insights into processes involved creative performance is obtained.     

The Divine,The Deviant and the Diabolical: A Journey Through An Artist's Paintings During Her Participation in a Creative Process Group: An Evolution of "Developmental Mourning"

Participation in writing and creative process offers a unique window to view the evolution of the mourning process. This study traces how a painter's work as shown to such a group reveals and interacts with her developmental progress as she goes through the mourning process in individual therapy with the author, who is also the leader of the writing and creative process group to which the artist belongs. Through these mutually beneficial exchanges, the patient is able to relinquish her constructed false self-identity for an authentic female identity, as seen in the evolution of her painting over her two-year participation in the writing and creative process group.     

Teaching Creative Writing Skills to Primary School Children in Hong Kong: Discordance Between the Views and Practices of Language Teachers

Although creativity has been valued in ancient and contemporary Chinese literature, the degree to which creativity is valued and incorporated into teaching by Chinese language teachers is not known. This information is important given that creativity has been increasingly recognized in the education literature as a component of effective writing. The purpose of this study was to compare the views of Chinese language teachers in Hong Kong about creativity and the acquisition of creative writing skills by primary school children, and their teaching practices. A total of 449 Chinese language teachers, employed at primary schools throughout Hong Kong completed a survey questionnaire. The 14‐item questionnaire focused on teachers' views of creativity, their perceptions of how to develop students' creativity, their awareness of creative writing strategies, and teaching practices related to creative writing. With respect to the definition of creativity, teachers identified imagination foremost, followed by inspiration, and original ideas. Teachers identified developing students' confidence, and providing an open atmosphere as essential means of fostering creativity. Despite the apparent value of creativity expressed by the teachers and their familiarity with methods for enhancing creativity, the majority reported using traditional methods of teaching writing. Strategies are recommended for reconciling this discrepancy, and promoting creative writing skills by primary school teachers in Hong Kong and other Chinese speaking societies.     

Deductive reasoning and creativity: a cross-cultural study

The present cross-cultural study examined the relationship between deductive reasoning and creativity among college students (M age=20.4 yr., SD= .6) from Hong Kong (n=39) and the United States (n=38). Participants performed tasks designed to measure deductive reasoning, creative writing, and insight problem-solving, all in verbal form. No correlation was found between the performance for deductive reasoning and creativity as measured by creative writing. Insight problem-solving performance correlated significantly with that for both reasoning and creativity. Significant cultural differences favoring the American participants were only found on the creative writing and insight problem-solving tasks, both of which supposedly involve creative thinking. There seems to be cultural dependence for creativity but not for deductive reasoning which suggests a qualification of a strong cultural-relevance view positing pervasive cultural influences on human thinking processes.     

The Contribution of Ideational Behavior to Creative Extracurricular Activities

The prediction of creative performance from ideation has shown promise, but questions remain. In this study, the relationship of ideational behavior and the creative performance of elementary school children (N = 255) was examined across 6 domains of creative performance: science, mathematics, technology, fine arts, music, and writing. Importantly, the potential confounding of grade and gender were controlled and creative self-efficacy tested as a moderator. Results indicated that ideational behavior explained a unique portion of variance in creative performance, above and beyond the potential confounding factors. The moderating effect of creative self-efficacy was confirmed, but only in the domain of science. Interestingly, ideation was more strongly related to creative activity than was creative self-efficacy in every domain except art and writing. Limitations and future research are discussed.     

Effect of alcohol on quantity of creative production using the Purdue tests

An experiment was performed to test whether a moderate dose of alcohol (1 ml of 100% alcohol/kg body weight) facilitates the production of creative solutions as measured with a standard creativity test and whether a creative attitude interacts with alcohol in this respect. The 60 subjects were randomly assigned to either an alcohol, a placebo, or a control group, with 10 women and 10 men in each group. Two different personality tests measuring the creative attitude were administered a priori. Analysis indicated that both the placebo and alcohol groups produced significantly less creative solutions to the ten stimulus pictures. The a priori attitude scores significantly predicted the creativity scores for the placebo and alcohol subjects but not for the control subjects. Results were discussed in terms of disinhibition and cognitive changes under alcohol.     

Contingency management in writing and the appearance of creative ideas: Implications for the treatment of writing blocks

Data for 3 groups of 9 ‘blocked’ writers who sought treatment to increase their output as writers are presented. Academicians who charted both their writing output and their generation of creative ideas for writing over 10 weeks of treatment showed the highest level of creativity under contingency management conditions that essentially forced them to write habitually. Subjects who wrote spontaneously reported modest levels of creativity, once writing was practiced with some regularity. Subjects who voluntarily abstained from professional writing generated minimal numbers of creative ideas. Conclusions:(1) External contingencies that ‘produce’ writing seem to facilitate, not impede, creativity.(2) Spontaneity in writing is relatively ineffective, compared to contingency management, for producing written copy or novel and useful ideas.     

Four Factors That May Predict the Emergence of Creative Writing: A Proposed Model

Factors that may predict that a child will become a creative writer as an adult are explored. Two areas of research are reviewed: studies documenting the incidence of mood disorders in adult creative writers and retrospective studies examining the childhoods of creative writers. The first body of research shows a clear correlation between creative writing and mood disorders. The second shows that children who later become creative writers experience an atypical amount of stress. It is suggested here that these 2 findings are related, because stress in childhood is associated with mental illness in adulthood. Stress cannot however be a necessary condition for becoming a creative writer because not all creative writers experienced stress in childhood. Nor can it be a sufficient condition since most children who experience stress do not become writers. It is argued that, along with the stress that many writers experience as children, 3 factors may be associated with creative writing ability: growing up in an enriched and child-centered family (which can co-exist with stress), having high verbal ability, and having an unusually rich imaginative life. These latter 3 factors may mediate against stress and foster resilience in these children and allow them to grow up to become writers.     

Creative Writing as Resistance and Discovery in an Analysis

This paper was originally written as a graduation paper for the completion of adult analytic training. In this paper I trace and explore multiple uses of creative writing in my personal analysis, illuminating the development of analytic phases and process. The creative writing used in this paper is primarily from the first three and a half years of my analysis, well before entering analytic training. It is an eventual interpretation on the part of my analyst, as well as the rest of my analysis and analytic training, that allow me to realize that while my writing felt like self-discovery, it also served as resistance, defense against the entirety of my affective world and internal conflicts. A poem written much later in the analysis is included, as it reveals the integration of struggled with concepts, as well as the pain of the inevitable separation of termination.     

“Visiting Day” at Rikers Island

Wacquant (2002) calls for ethnography to meet the jailhouse on its own terms, noting the dearth of first-hand writing from the carceral facility. This article describes a creative representation of qualitative research made by the author and two creative collaborators that both meets Wacquant’s call and problematizes it; meets it, as we depict the functioning of the visitation process at Rikers Island based on our first-hand experience on both sides of the bars, and problematizes it, as we chose for our medium the zine, a creative form common to prison writing, yet not sufficiently academic by Wacquant’s standards. I offer a novel definition of the zine form grounded in the academic literature, describe the visitation process at Rikers and the making of the “Visiting Day” zine, and reflect on challenges to the binary of inside/outside the carceral facility, as well as the political stakes of this theoretical formulation.     

Effects of Creative and Non-Creative Work on the Tendency To Drink Alcohol During the Restitution Phase of the Creative Process

An experimental study explored how type of task (hard or light creative task or hard non-creative task) would affect the propensity to drink either alcoholic or nonalcoholic beverages. Subjects worked for forty minutes and a following taste test indicated that subjects working on the hard creative task drank more totally and more of both the alcohol and the placebo drinks than subjects working on the hard non-creative task. Also subjects with light creative work drank more alcohol than did the control subjects. The results were discussed in terms of a need to calm down during a phase of restitution after creative work. The results are in keeping with how creative artists seem to use alcohol.     

KNOWING WHEN TO SAY WHEN: A SIMPLE ASSESSMENT OF ALCOHOL IMPAIRMENT

The use of writing samples as indices of alcohol impairment was explored. Students at a campus fraternity party wrote a sentence and their signatures before and after consuming alcohol (in beer and mixed drinks). Later, undergraduate and graduate students attempted to discriminate between pre- and postparty handwriting samples. The average percentage of correct discriminations of entrance and exit writing samples was 83.7% for sentences and 67.5% for signatures, and the percentage of correct discriminations increased directly with the blood alcohol concentration of the partier who gave the writing sample. When a partier's blood alcohol concentration reached 0.15, all of the judges accurately discriminated 90% or more of the sentences, and 25 of the 28 judges correctly discriminated at least 80% of the signatures. All of the judges correctly discriminated at least 90% of the 18 sentences written by partiers with a blood alcohol concentration of 0.12 or more. Implications of these findings for reducing the risk of driving while intoxicated are discussed, as well as directions for follow-up research.     

The oedipal wound in two stories by Kafka: The Metamorphosis and A Country Doctor

Kafka read Freud and was interested in psychoanalysis but believed there was no ‘cure’ for what was essentially the problem of living. As always with creative artists, the writer is his own psychoanalyst, and the actual process of writing is his means of self-revelation. The aim of this paper is to consider, in relation to two stories (The Metamorphosis and A Country Doctor), Kafka’s use of this background oedipal conflict with his father or received values (the ‘law’) as a springboard for the type of wound that results in creative writing. The wound for him became a kind of personal myth, and was also associated with other painful stimuli, including his tuberculosis and his troubled love affairs, but above all with his identity as a writer. The writing process and the ‘faith-value’ it demands is an underlying metaphor behind these narratives of Kafka’s ‘dream-like inner life’. There are parallels here with Bion’s psychoanalytic philosophy of ‘suffering’ and ‘psyche-lodgement’.     

Uncorking the muse: alcohol intoxication facilitates creative problem solving

That alcohol provides a benefit to creative processes has long been assumed by popular culture, but to date has not been tested. The current experiment tested the effects of moderate alcohol intoxication on a common creative problem solving task, the Remote Associates Test (RAT). Individuals were brought to a blood alcohol content of approximately .075, and, after reaching peak intoxication, completed a battery of RAT items. Intoxicated individuals solved more RAT items, in less time, and were more likely to perceive their solutions as the result of a sudden insight. Results are interpreted from an attentional control perspective.     

Enhancing the Creative Process in Couple Therapy

ABSTRACT

This paper reviews the literature as it relates to psychotherapy and creativity. The focus is on the creative process and the role of the therapist as “artist” in the practice of couple therapy. The theory on which the paper is based in problem-centered with influences from the writing of Satir, humanistic psychology and psychodynamic psychotherapy. The paper attempts to offer suggestions as to how therapists might enhance their innate creative ability when working with couples.     

Creativity on tap 2: Investigating dose effects of alcohol on cognitive control and creative cognition

This preregistered study aimed to replicate and extend research on the role of cognitive control in creative cognition by examining dose effects of alcohol in a randomized controlled trial. A sample of 125 participants was randomly assigned to three experimental groups, either drinking alcoholic beer (BAC = 0.03 or 0.06) or drinking non-alcoholic beer (placebo-control group). Before and after the alcohol intervention, participants completed two tests of cognitive control and two established creative thinking tasks. A BAC of 0.06 led to an impairment of verbal fluency, while working memory performance was unaffected at both alcohol levels. Alcohol had no facilitative or detrimental effects on creative thinking performance, neither in terms of RAT performance, divergent thinking fluency or divergent thinking creativity. These results indicate that moderate alcohol levels have dose-dependent, selective effects on cognitive control, and that minor impairments of cognitive control do not generally increase or attenuate creative thinking performance.     

Cognitive style and literary regression A study of student writers1

Forty undergraduates, from either beginning or advanced writing classes, and classified as either abstract or concrete thinkers from responses to the “This I Believe” test, provided two works of prose fiction, which were coded for the use of regression techniques. As predicted, abstract thinkers with advanced training were most likely to employ regression. The relations among abstract cognitive style, creative writing training, and literary regression are discussed.     

Controlled Substance‐related Beliefs and Use: Relationships to Undergraduates' Creative Personality Traits

The relationship between creativity and various mind‐altering substances — especially alcohol — has been a popular topic among creativity researchers and the public at large. Yet experimental studies have found little evidence that alcohol use has a causal influence on creativity, with most studies of creative production showing negative or neutral effects. However, the impact of high levels of creativity on future alcohol use (i.e., the reciprocal relationship) has been rarely studied. The present study examined the relationship between creative personality characteristics, use of alcohol, tobacco, and marijuana, and alcohol‐related beliefs among 431 undergraduates. Results of correlational and t‐test analyses suggest that creative personality is not significantly correlated with use of these three controlled substances, and that the relationships between personality scores and self‐reported beliefs about alcohol are generally weak, with notable exceptions. The paper concludes with specific recommendations regarding research on the relationship between creativity and the use of controlled‐substances.