NOTES FROM BOOK
Backos, A (2021) Post-Traumatic Stress Disorder and Art Therapy. London: Jessica Kingsley
Publishers
Chapter 1 – PTSD, acute stress and context
WHO has defined PTSD using five key symptoms; ‘hyperarousal including startle reactions,
intrusive thoughts, memories or dreams about the traumatic event, feelings of
numbness…and detachment, anhedonia/lack of pleasure and avoidance and fear of people,
places and situations which are reminders of the trauma’ (WHO, 2019 cited in Backos, 2021,
pg40)
Chapter 2 – stages of therapy to treat PTSD
- Pg 61
Trauma-focused art
They look at details of client’s traumatic experience – sights, sounds, smells, bodily
sensations
- Pg 62
Maslow’s psychological needs pyramid
Esteem is divided into aesthetic and cognitive needs
Aesthetic needs include seeking out beauty and taking time to appreciate it
A lifeline art intervention – clients create a timeline during art therapy of their
significant life events which helps them reflect on how past experiences are only
part of their past experience, not all of who they are
- Art therapies such as doll making (pg 65) and mask making (Ted Talk) seem more
relevant to people with sight and people who can perceive the world with two fully
working eyes.
Chapter 3 – art therapy to address PTSD and acute stress
- ‘Art therapists have long understood that artmaking provides a means of knowing
oneself, processing upsetting experiences and consolidating memories, feelings, and
sensations into meaningful narratives’ (Backos, 2021, pg 71)
- Traumatic memories become fragmented and art therapy offers a non-verbal way of
offering a resolution – clients do not have to talk about it, they can make in response
to what has happened
- There are a wide range of art therapy approaches to trauma developed by
practitioners working in the field
Visual dialogue – looking at the relationship between symbols in art and
psychological diagnosis, Spring discovered more reoccurring forms of disembodied
eyes and wedge shapes in the group who had experienced sexual trauma as opposed
to the controlled group that weren’t (pg84)
Chapter 6 – avoidance
- People with trauma tend to avoid people, places and other reminders of what
caused their pain, but this only means they make less progress.
‘However, we cannot conceptualize a client’s symptom of avoidance as resistance to
therapy’ (Backos, 2021, pg155). Not a personal or moral failing.
- A picture is worth a thousand words (pg 156)
- In a case study from Backos’s book, an art therapy client was told by her art therapist
to draw a bridge which is a form of visualising themselves, it is individual where they
place themselves on the bridge, at the beginning, end or even hanging off it. It is
individual to the client how they present themselves. This shows how art therapy
does not put pressure on you to express your thoughts and feelings and provides a
safe space to describe how you are feeling which says more than you ever could
through words. (pg 157)
- ‘The first stage of grieving is denial, and this holds true when someone learns about
a significant health diagnosis’ (Backos, 2021, pg 159)
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