Creativity,Acceptance, and the Pause: A Case Example of Mindfulness and Art in Therapy with an Adolescent

ABSTRACT

Mindfulness, defined as nonjudgmental awareness, has been integrated into a variety of therapeutic approaches. The benefits of mindfulness for adults have been demonstrated, and mindful interventions for youth are increasing. Creating a space for mindfulness to arise can be challenging within the hectic and technology-filled lives adolescents often lead. Art in therapy with adolescents can be a beneficial way of creating a pause, thereby helping clients to connect to a mindful state. The use of art in therapy to promote mindfulness can be especially useful for adolescents who can be reluctant to engage in traditional forms of talk therapy. In this article, we use a case example of therapy with a Mexican-American male youth to exemplify the clinical application of a combination of mindfulness and various art modalities.     

Using Sand Tray Therapy With Juveniles in Correctional Settings

The authors propose sand tray therapy as a developmentally appropriate, trauma‐sensitive, engaging intervention in counseling juvenile offenders as an aid in rehabilitation. The authors present a fictional case study to demonstrate the use of sand tray therapy with a juvenile offender in a correctional setting.     

Photo-synthesis: Facilitating Goal Setting in Supervision Using Images and Creativity

ABSTRACT

One of the most important aspects of clinical supervision is goal-setting. In the early stages of supervision, supervisees may find it difficult to connect authentically with their supervisors due to the inherent power differential in supervision. Difficulty connecting may be exacerbated when students are attempting to set goals regarding their areas for growth. Based on literature reviewed on the counselor-client relationship, the authors posit that using images may increase vulnerability between supervisors and supervisees. Additionally, the authors introduce relational-cultural theory as a framework for connecting authentically through creative images. The authors present examples of using images in individual and group supervision, specifically employing The Coaching Game made by Points of You.     

Creating Creative Clinicians: Incorporating Creativity Into Counselor Education

Creativity plays a critical role in today’s society by aiding an individual’s response to the mounting complications of modern life and assisting in the maintenance of mental health. Though counselors seek to promote similar developments in their clients, they often do so without the benefit of any particular training in theories of creativity or creativity-enhancing techniques. This article examines literature in the fields of creativity, counseling, and education to highlight the essential nature of creative processes in counseling and psychotherapy, ultimately presenting a rationale for the incorporation of creativity in counselor education.     

Mistakes as Pathways Towards Creativity in Counseling: A Case Example

ABSTRACT

The relationship between mistakes, improvisation, and counseling process is explored through the use of a case example involving a failed clinical intervention. Exploration of mistakes offers an opportunity to examine multiple elements of counseling while highlighting the creative nature of the counseling process. Counselor educators are encouraged to incorporate discussions of mistakes and creative development into training.     

Using Comedy to Explore Racial-Ethnic Identity with Clients: A Narrative Approach

ABSTRACT

The physical and mental health benefits of humor and comedy have been widely documented. This article presents a therapeutic framework outlining several clinical applications of comedy designed to facilitate client exploration of racial-ethnic identity. It also discusses how comedy can enhance narrative therapy approaches by serving as an engaging and effective tool for assisting clients in the process of externalizing storytelling, identifying exceptions to problems, and authoring new and positive stories about racial-ethnic identity.     

Sandtray Therapy: A Familial Approach to Healing Through Imagination

The application of creative techniques in counseling is often tailored to a unique problem, and limited by individual characteristics of the client. One intervention, sandtray therapy, a derivative of play therapy, has gained strong momentum as a creative technique. With greater flexibility for treating a much larger population, sandtray therapy is more applicable for families than other creative approaches. The purpose of the current article is to give an overview of sand tray therapy, as well as provide information regarding its use for working with families. Specifically, the authors discuss exactly how counselors can successfully incorporate sandtray therapy in the familial population setting, and describe its application through case study.     

Memoirs of a Mentor: Using Creativity for Counselors in Coping With the Loss of a Mentor

This article was inspired by my (S.S.) own personal loss. My mentor passed away during spring break of my 2nd year postgraduate school after a short battle with systemic lupus. I remember the deep sadness that I felt when it became apparent that she was coming home from the hospital for the last time. No words can describe the emotions; she had helped me through the toughest times in my academic life. How would I ever get the type of mentorship she provided again? She was there when I almost quit as a young student, back when my anger still got the best of me. She talked me down from the edge so many times; I never expected to be on this journey without her.

I dedicate this article to her and mentors like her. Equally, I dedicate this article to mentees who have lost their mentors. I offer my story (in italicized font) in the hopes that it will help others who are dealing with a similar loss. In this article, we attempt to illuminate the true power of mentorship, honor the significance of the relationship between mentor and mentee, and provide a tool useful to anyone who has lost their guide. I share my story in gratitude for my own mentor; I am so thankful that she was a part of my journey and that I can pass on to others the patience she had with me.     

Using Popular Film to Teach Multicultural Counseling: A Constructivist Approach

The use of popular film as an experiential teaching tool in multicultural counselor education has been well documented. However, existing research has been limited. The purpose of this study is to implement a unique pedagogic intervention using popular films and to study how counseling students experience the activity as part of their multicultural counseling training. The researchers utilized the popular films Crash and Precious to stimulate student dialogue and reflection on topics pertaining to race, culture, privilege, and social justice. The findings indicate that popular films, when implemented in conjunction with reflective learning activities, are effective in promoting students’ multicultural and social justice counseling competencies. Participants reported that the pedagogic activity was effective in bringing to life the multicultural course concepts and stimulating difficult but necessary conversations about race, ethnicity, privilege, and power. Finally, implications of this study could further inform the field of multicultural counselor education.     

Creativity in Teaching Case Conceptualization Skills: Role-play to Show the Interconnectedness of Domains

Case conceptualization is an important skill for counselors to master in order to meet treatment needs of clients. Some students struggle while learning this skill, as it requires advanced cognitive complexity, reflection skills, and affective awareness. Further, it is difficult for developing counselors to understand the interconnectedness of clients’ presenting problems, history, and strengths to form a holistic case conceptualization. The authors of this article describe a role-play for teaching the complexity of case conceptualization, in which students role-play various perspectives of psychosocial information and process the experience to create a holistic conceptualization. Activity steps are outlined with examples, and process questions to facilitate classroom discussion are included. Suggestions for implementation are also provided.     

Supporting Counselors After a Client Suicide: Creative Supervision Techniques

Many professional counselors will experience the loss of a client to suicide. The effects of this loss are explored in this article. The supervisor’s role in supporting a supervisee after a client’s suicide is presented. Additionally, creative interventions that can be used by supervisors to support supervisees after the loss of a client are provided. These creative techniques are theoretically grounded within the cognitive behavioral, solution-focused, and narrative paradigms.     

Creative Occupational Therapist: It's About the Client Using Focus Groups to Explore Creativity in Occupational Therapy

Although creativity is an important aspect of occupational therapy theory and practice, there have been few studies that would explore this concept in the context of the occupational therapy process. This was the first qualitative study of creativity in occupational therapy in Slovenia. It was conducted as part of a larger mixed-methods study and included 22 experienced occupational therapists who participated in four focus groups. The focus of the study was on the exploration of different factors that could contribute to creativity and creative strategies in occupational therapy, in either a positive or a negative way. Since occupational therapy promotes a client-centered therapy approach, the role of the client as the motivating factor was of particular interest to our study. Six factors that can influence the creativity of occupational therapists emerged from the qualitative analysis (Strauss & Corbin, 1990). While the client was identified as the key factor, the potential of other factors was also recognized. This qualitative study increased the understanding of the concept of creativity and creative behavior in occupational therapy, and also provided empirical material that formed the basis for the development of a questionnaire on creativity in occupational therapy.     

Making the Intangible Tangible: Using Expressive Art During Termination to Co-Construct Meaning

In this article, a creative termination activity grounded in relational-cultural theory is presented. In addition to providing a means for summarizing the counseling experience, this activity promotes relational development in the midst of client termination. Following implementation of the activity, the client and counselor are provided tangible, co-constructed gifts that are symbolic of the therapeutic relationship and relational growth. The authors provide a rationale for how this intervention promotes self-awareness, outline directions for implementation, and provide a case illustration to demonstrate how counselors can help promote relational closure and solidify clients’ therapeutic gains.     

Using Visual Journaling in Individual Counseling: A Case Example

The purpose of this article is to describe and illustrate through a hypothetical case example how visual journaling, a form of expressive arts counseling, can be adapted for use in individual counseling. Counselors may consider using visual journaling as a counseling intervention when working with clients who may not have words for what they are feeling or experiencing, and for clients who tend to be very analytical. Visual journaling can be a way to bypass the intellect and give clients another way to access their experience.     

Using Relational Cultural Theory as a Pedagogical Approach for Counselor Education

ABSTRACT

In the article the authors will discuss core concepts of RCT in greater detail while relating these concepts to the counselor education classroom setting. There are many aspects of the counseling process that are open-ended due to the necessity of counselors needing to be responsive to the client’s needs in the moment. It is the assertion of the authors that using RCT in the classroom as a pedagogical framework may be beneficial to the growth of CITs. Through creating and maintaining an environment that supports growth fostering relationships, mutual empathy, authenticity, recognition and healing of disconnection, identification of central relational paradoxes, and processing relational images can all lead to developing relational competence in the CITs who will become the next generation of counselors. Additionally, the authors provide examples of the core concepts in action that are grounded in their experiences, blending RCT into their instructional delivery in their course.     

Fostering Client Creativity in Family Therapy: A Process Research Study

Creativity has been shown to enhance problem solving, and to increase flexibility and adaptability—qualities associated with positive therapeutic outcomes. Literature related to therapist and/or client creativity is primarily anecdotal. Empirical literature addressing how therapists can facilitate the creativity of their clients in family therapy is scarce. In this study, the researchers used process methodology to code the behavior of therapists and clients in 31 videotaped family therapy sessions. Results show a significant positive correlation between interventions that induce positive affect and the creative client behaviors of optimism and playfulness.     

Taking the Red Pill: Using The Matrix to Explore Transgender Identity Development

This article presents a plot analysis of The Matrix and comparisons to a transgender identity development model. Major scenes throughout the movie are discussed through the lens of Devor’s transgender identity development model. The main character’s evolution from Mr. Anderson to Neo is presented, as well as how his experiences align with multiple stages in transgender identity development. Stages of transgender identity development are discussed and emphasized, including identity confusion, discovery of transgenderism, identity acceptance, transition, and transgender pride. These stages and others are discussed and related to uses in counseling sessions with transgender individuals and their family members.     

Photovoice: Fulfilling the Call for Advocacy in the Counseling Field

Counselors are bound by ethical code to advocate at individual, group, institutional, and societal levels to examine potential barriers and obstacles that inhibit the growth and development of clients. Photovoice is a participatory action research method that utilizes a specific photographic technique to capture an issue from the lens of those affected. The authors of this article propose that photovoice can be adapted to individual counseling with clients to fulfill our ethical call to advocate at the individual level to address barriers and promote growth. A case example is given to demonstrate how photovoice can be used in a counseling session to advocate for clients.     

A Sandtray a Day Keeps the Doctor at Play: Using Sandtray for Personal and Professional Development

This article details a year-long project in which the author created a series of 365 sandtrays and journaled about them as a professional and personal growth project. The author shares professional and personal lessons learned from this experience and describes how reflective practices can be used as a method to improve clinical work.