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Art therapy with cancer patients during chemotherapy sessions: An analysis of the patients' perception of helpfulness

Published online by Cambridge University Press:  18 February 2010

Silvia Forzoni ,
Michela Perez ,
Angelo Martignetti  and
Sergio Crispino
Silvia Forzoni*
Affiliation:
Istituto Toscano Tumori, Firenze, Italy
Michela Perez
Affiliation:
Istituto Toscano Tumori, Firenze, Italy
Angelo Martignetti
Affiliation:
Department of Oncology, Local Health Authority #7, Siena, Italy
Sergio Crispino
Affiliation:
Department of Oncology, Local Health Authority #7, Siena, Italy
*
Address correspondence and reprint requests to: S. Forzoni, Oncology Day Hospital, ASL 7, Campostaggia-Poggibonsi, Siena, Italy. E-mail: [email protected]
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Abstract

Objective:

Art therapy has been shown to be helpful to cancer patients at different stages in the course of their illness, especially during isolation for bone marrow transplantation, during radiotherapy treatment, and after treatment. The aim of this study is twofold: (1) to assess whether patients during chemotherapy sessions perceive art therapy as helpful and (2) to outline in which way art therapy is perceived as helpful.

Method:

157 cancer patients attending an Oncology Day Hospital (Siena, Italy) met the art therapist during their chemotherapy sessions. The art therapist used the same art therapy technique with each patient during the first encounter (“free collage”); afterward the relationship would evolve in different ways according to the patients' needs. A psychologist interviewed a randomized group of 54 patients after the chemotherapy treatment using a semistructured questionnaire.

Results:

Out of the 54 patients, 3 found art therapy “not helpful” (“childish,” “just a chat,” “not interesting”). The other 51 patients described their art therapy experience as “helpful.” From patients' statements, three main groups emerged: (1) art therapy was perceived as generally helpful (e.g., “relaxing,” “creative”; 37.3%), (2) art therapy was perceived as helpful because of the dyadic relationship (e.g., “talking about oneself and feeling listened to”; 33.3%), and (3) art therapy was perceived as helpful because of the triadic relationship, patient–image–art therapist (e.g., “expressing emotions and searching for meanings”; 29.4%).

Significance of results:

These data have clinical implications, as they show that art therapy may be useful to support patients during the stressful time of chemotherapy treatment. Different patients use it to fulfil their own different needs, whether it is a need to relax (improved mood) or to talk (self-narrative) or to visually express and elaborate emotions (discovering new meanings). Some illustrations of patients using the art therapy process to fulfill these three different needs are provided.

Keywords

AnxietyArt therapyChemotherapyCopingSelf-expression
Type
Original Articles
Information
Palliative & Supportive Care , Volume 8 , Issue 1 , March 2010 , pp. 41 - 48
Copyright
Copyright © Cambridge University Press 2010

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References

REFERENCES

Auerbach, C.F. & Silverstein, L.B. (2003). Qualitative data: An introduction to coding and analysis. New York: New York University Press.Google Scholar
Bennett, K.K., Compas, B.E., Beckjord, E., et al. (2005). Self-blame and distress among women with newly diagnosed breast cancer. Journal of Behavioral Medicine, 28, 313–323.CrossRefGoogle ScholarPubMed
Breitbart, W. (2001). Spirituality and meaning in supportive care: Spirituality and meaning-centered group psychotherapy interventions in advanced cancer. Supportive Care in Cancer, 10, 272–280.CrossRefGoogle ScholarPubMed
Carlick, A. & Biley, F.C. (2004). Thoughts on the therapeutic use of narrative in the promotion of coping in cancer care. European Journal of Cancer Care, 13, 308–317.CrossRefGoogle ScholarPubMed
Collie, K., Bottorff, J.L., & Long, C.B. (2006). A narrative view of art therapy and art making by women with breast cancer. Journal of Health Psychology, 11, 761–775.CrossRefGoogle ScholarPubMed
Favara-Scacco, C., Smirne, G., Schilirò, G., et al. (2001) Art therapy as support for children with leukemia during painful procedures. Medical & Pediatric Oncology, 36, 474–480.CrossRefGoogle ScholarPubMed
Folkman, S. (1997). Positive psychological states and coping with severe stress. Social Science and Medicine, 45, 1207–1221.CrossRefGoogle ScholarPubMed
Gabriel, B., Bromberg, E., Vandenbovenkamp, J., et al. (2001). Art therapy with adult bone marrow transplant patients in isolation: A pilot study. Psycho-Oncology, 10, 114–123.CrossRefGoogle ScholarPubMed
Goodwin, P. (2004). Support groups in breast cancer: When a negative result is positive. Journal of Clnical Oncology, 22, 4244–4246.CrossRefGoogle Scholar
Horovitz-Darby, E. (1994). Spiritual Art Therapy: An Alternative Path. Springfield, IL: Charles C Thomas.Google Scholar
Landgarten, H.B. (1993). Magazine Photo Collage: A Multi-Cultural Assessment and Treatment Technique. New York: Brunner/Mazel.Google Scholar
Launer, J. (1999). A narrative approach to mental health in general practice. British Medical Journal, 318, 117–119.CrossRefGoogle ScholarPubMed
Luzzatto, P. (2002 a). L'intervento di arte terapia (The art therapy intervention). In Psicooncologia, Bellani, M. et al. (eds.), pp. 941–993, Milano: Masson.Google Scholar
Luzzatto, P. (2002 b). Il ruolo dell'arte terapeuta (The art therapist's role). In Psicooncologia, Bellani, M. et al. (eds.), pp. 1039–1042. Milano: Masson.Google Scholar
Luzzatto, P. (2009). Arte Terapia: Una Guida al Lavoro Simbolico per l'Espressione e l'Elaborazione del Mondo Interno (Art therapy: A guide to the symbolic work for the expression and the elaboration of the inner world). Assisi: Cittadella Edizioni.Google Scholar
Luzzatto, P. & Gabriel, B. (2000). The creative journey: A model for short-term group art therapy with post treatment cancer patients. Art Therapy, 17, 265–269.CrossRefGoogle Scholar
Malchiodi, C. (ed.). (1999). Medical Art Therapy with Adults. London: Jessica Kingsley.Google Scholar
Oster, I., Svensk, A.C., Magnusson, E., et al. (2006). Art therapy improves coping resources: A randomized, controlled study among women with breast cancer. Palliative & Supportive Care, 4, 57–64.CrossRefGoogle ScholarPubMed
Pratt, M. & Wood, M.J.M. (eds.). (1998). Art Therapy in Palliative Care. London: Routledge.Google Scholar
Qualitative Solutions & Research Pty. Ltd. (1997). QSR NUD*IST: Software for Qualitative Data Analysis, User Guide. Melbourne, Australia: Qualitative Solutions & Research Pty. Ltd.Google Scholar
Rogers, N. (1993). The Creative Connection: Expressive Arts as Healing. Palo Alto, CA: Science & Behavior Books.Google Scholar
Thomas-MacLean, R. (2004). Understanding breast cancer stories via Frank's narrative types. Social Science & Medicine, 58, 1647–1657.CrossRefGoogle ScholarPubMed
White, M. & Epston, D. (1990). Narrative Means to Therapeutic Ends. New York: W.W. Norton.Google Scholar