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Art Therapy Q & A
The Importance of Using Art Therapy with Adults with Dementia

By Diane Alvy, M.A., ATR-BC

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Q.  During the week, I drop my husband off at an adult day care center and they offer regular art classes and art therapy groups. What are the differences between regular art classes and art therapy groups for people with cognitive impairments?

A.  Regular art classes focus on the individual’s interaction with the art media and the finished art product. Art therapy groups are aimed to activate the language center of the brain. The implementation of using art therapeutically includes several goals which include facilitating language expression, memory retrieval and socialization.

Q.  My father is unable to initiate conversation anymore, and his ability to verbalize has declined dramatically during the past year. I can tell this really bothers him a lot. Is there a way I can use art therapeutically to facilitate communicate between us?

A.  Yes, definitely! What I do to help facilitate language expression is to first see there are no other distractions in the room. I provide a quiet environment and begin by having several pre-cut images from magazines that depict several things such as food, animals, sports, facial expressions, objects, etc. for the person to view. I tell the individual I’m going to show them pictures and I ask them to choose images that they like. I usually have the person choose no more than four. I have a large piece of paper and ask them where on the paper they would like the pictures glued. I proceed by asking them what it is about the images they like, or what is happening in the picture. Through this activity, conversations surface. At this point, I usually try to guess the words they may be trying to convey.
I worked with a man that chose an image of a basketball player trying to get a basketball into a hoop. When I asked the man about the picture, he said the picture was about the basketball player’s ‘worries’ of not being able to get the ball into the hoop. At this point, I began to ask him about his ‘worries’ about not doing things. Apparently this hit home because he shared his concerns about not being able to do the things he use to do, such as being able to express himself verbally and being independent. The man felt relieved being able to share what was enormously difficult to express.

Q.  How does art therapy work for individuals with dementia?

A.  Art therapy works by actively engaging both sides of the brain. The brain has two hemispheres which work in conjunction: left and right. The right side receives information while the left side finds the words to describe the sensory information. Because there are vascular changes in persons with dementia, language areas become less functional. The therapeutic use of art accesses the language areas (the left side) by prompting the other side (right side) of the brain. Older individuals that have lost the ability to communicate feel isolated and self-conscious. Using art therapeutically provides a non-threatening activity which makes it easier for individuals to access and express language.

Q.  What is art therapy and what are the educational requirements to become an art therapist?

A.   Art therapy is the therapeutic use of art, within a professional relationship, by people who experience illness, trauma, or challenges in living, and by people who seek personal development. Art therapists are professionals trained both in therapy and in art. In the state of California, entry into the profession is at the Master’s level. The American Art Therapy Association sets the curriculum and educational standards to qualify as an art therapist. 


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