Where art is used mainly as a tool in psychotherapy, art materials are limited to those that produce effects quickly and without  the need for a great deal of technical proficiency. Art  methods aimed at spontaneity of expression are presented in the hope that  unconscious  material will escape censorship. Since the art works are valued mainly  for their immediate communicative value, the complete development  of  expressive art products is not emphasized.

Therapy is primarily interpretive,with the client’s own verbal associations and formulations playing a large part.Provided that the therapist has sufficient training, the development of transference  (shifting feelings about significant people to the therapist) may be  encouraged and its handling then becomes an important  element in treatment (Naumburg, 1966).

Where therapy depends  primarily on values inherent in art itself, the therapist strives  to help  clients  make art products  whose    expressive quality and depth are as fully realized as  the individual’s capacities permit. Art materials are selected on the basis of their suitability for this  purpose in the hands of  people of  various  ages        or who are in particular stages of artistic development.The  therapist  uses his clinical background to respond to the latent as well  as  the  manifest messages contained in the art and to help clients to be more tolerant of the less easily accepted aspects  of themselves.The significance of habitual behavior and attitudes is likely to be discussed, but direct interpretations of unconscious material evident  in the art  work are seldom made or invited.

Art therapy of this kind does not stand alone as an agent of profound psychological change.  It complements psychotherapy by providing an area of symbolic experience, where new attitudes may be tried  out, gains deepened and made an integral part of  the person (Kramer, 1971).

There are many variations  on these two  basic technical  approaches. For example, clients are sometimes asked to collaborate  —  in conducting a pictorial dialogue, producing  a mural,  or working on a single small picture. In most of these instances, emphasis is placed on the way in which the immediate experience enhances  self-awareness     and demonstrates or influences the relationship between group members. Both artistic development and insight gained  through  the interpretation of symbolic content play a relatively minor part.

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