04

 

Alessandra Colfi, Ph.D.(c)

 

~

Expressive Arts Therapy

with Developmentally Disabled and

 psychiatric Adult Clients

 

Art is "the externalized map of our interior self"
~ Peter London
Title Content Introduction Why a web-based Dissertation Review of  Literature on Empathy Story Telling Cancer Patients Developmentally Disabled     Bibliography
University

Community

July 23, 2009

'The best medicine I can offer to a troubled person is a sense of purpose, the feeling that what he is going through may contribute to the vitality of the community; the process is reciprocal.' (Shaun McNiff, p.25, 1992).

A Moment of Wonder

I was invited to see the art exhibition by TERI’s developmentally disabled adults (affectionately called 'guys') in the Art Enables Program a few months ago; it reminded me of a challenging time working with them in 2007 - and of how instinctive it is to work with them. I could notice when I was present with them 100% and when I was instead distracted with other thoughts, at times tuning out or discouraged by how difficult it was to motivate and engage them, even when proposing something playful and easy.

One day something I could call 'intuitive miracle' occurred while I was working with one of the ‘guys’ whom I name here Clayton, to protect his privacy; it was a special moment of stopping and letting observation and intuition be my guide. Clayton is an adult with severe developmental disabilities, blind and deaf, and very spastic in his hand movements. What am I supposed to do here? How can I engage him? - I asked myself …then I noticed that Clayton was bringing each object he had in his hands to his nose and smelled it, and then he was somehow trying to somehow use it …so, I thought of trying something new: I got some aromatic scents (candle and soap scent at the craft store) and the next time I had a session with him, I filled a palette with a different color paint in each well and dropped a tiny amount of scent in each well, trying to associate each scent with a color ( brown=cinnamon; red=berry; yellow=vanilla; etc.), mostly to help me be consistent with the color/scent combination, when it came the time to refill the wells with paint.

Without hesitation, Clayton brought the tray to his nose, smelled each color and dipped his paint brush in each color, smelling and choosing the color he wanted…he kept on smelling and painting for a whole hour, without interruption; it wouldn't had stopped if it wasn't for keeping up with other scheduled sessions.

~

Mary: a developmentally disabled,  psychiatric Client,

severely abused as a child

A client I've been working with has been severely abused as a child, including being burned with cigarettes, locked in the basement or in a closet, being made to drink her own urine and withheld food..

To protect her privacy here I call her Mary. She is 24 years old now and has been diagnosed with drug induced developmental delay, schizophrenia, bipolar disorder, PTSD, and has had a history of anorexia. She also has very difficult behavior concerns including aggression to self and others, severe attention seeking behavior.

The planning team recommended expressive arts therapy to help Mary process her intense emotional experiences, as well as provide an alternative coping mechanism through art.

Mary enjoys art making with various media like drawing painting, working with clay, collage and crafting beaded  bracelets; these are the kinds of activity she can stay engaged with for the longest time among all activities she's been exposed to. She showed pride when I took pictures of her and her artwork. When she heard her paintings would be hung on the office walls, she started selecting some of her paintings for the 'art show'; in all subsequent sessions, she always remarked on painting for 'my art show'. Showing and sharing her art is a motivating factor.

 'By working with the soul in cases of extreme pathology, therapists get to know the range and depth of its expressions and afflictions. But pathology is part of the terrain in every life, so why not embrace it as essential to the ecosystem of the soul? Rather than undertaking the impossible task of eliminating my pathologies, I get to know them better and minimize their unconscious and harmful expression.' (Shaun McNiff, p.25, 1992)

1st Session

Mary came to meet me with Julie, Director of the Day Program;  Mary was very polite and we shook hands, introducing each other; good eye contact; she asked me if I knew her foster sister. While Julie was talking, she kept her head tilted forward, looking down.

She showed interest and eagerness to make art; she helped setting up table and chairs in the room and watched as I was setting up our art station and helped a little. Mary said she would show me later where the bathroom is, if we needed more water for our painting – very well oriented to person and place.

As a first session, I offered a variety of materials to give Mary the opportunity to express likes and dislikes and to see what medium/a she connects with. Classical flute music in the background worked well.

As soon as I pulled out a bag with feathers, Mary got excited and started pulling some out and decided for 2 red ones and said ‘it’s a bird’. Soaring from mountain to ocean, with bright smiley sunshine. She said it felt good. Our dialog went on freedom and she seemed to connect with that idea. And she was very pleased with her first artwork. 

Mary responded well to all the activities, handling the materials in an organized way and acknowledging the messy glue. She was very prolific in her output, at times, maybe because she seemed to just wanting to get through and get onto something else. 

She made stronger connections with some of the images during the Magazine Photo Collage exercises: she chose some images very carefully and many more carelessly: horses, dog, a girl that ‘looks scared’, ‘but she will be OK’; a group of people clinging to a raft in the middle of the ocean made her find a solution for their predicament; she made a simple story about her rescuing them with a boat. Another strong image was a girl with boxer’s gloves on, her choice for ‘bad’; Mary expressed and demonstrated that when she feels angry and she would like to hit someone, she knows it’s best for her to go outside and go see the horses.  She might have referred to a recent incident. The ‘good’ image as a contrast was a girl swimming.

Magazine Photo Collage

            stories           Good                          Scary                          Likes                            Stories                Bad   -   Good     

A woman on a scale prompted her to mention about her weight. A young kid face covered with foam from his bubble bath made her giggle, which might be a good transition into enjoying her showers. She added sparkling confetti to most artworks to improve the look and to fill in the blank spots – good sense of composition and esthetic balance.

We stopped using images and I put out paint and brushes. I prompted her to think of a color that makes her feel happy, peaceful and she immediately asked for some pink. So she learned to make it by blending red & white. She painted a heart and a black spider hanging from its net. She said she sends the spider her love. This resulted to be her favorite painting.  She made 2 more simple paintings; one of them started as a black moon seen from different angles and added some dark blue sky; when Mary took some distance from it, she said it looked like a crib, so she painted a baby in it. It may be because at her foster family there is an infant.

love to spider                          hearts

                            Love to the Spider              Crib with Baby                          Hearts

Mary was ‘done’ about 10 min before the end of the session, so I pulled out the camera and Mary got very interested in having her picture taken with her artwork – one picture shows “Mary's expression of pride” -  and with a horse. She asked me to go with her to show her pictures to staff members.  She asked me if I were coming back the next day.

2nd session

Although I always plan for specific activities to engage in each session, I welcome input from each client and tune in to what seems most beneficial at the moment. Mary asked me if I had brought clay and expressed a strong interest in starting with it. 

Mary started working with clay; she accepted and followed suggestions to keep the clay moist and smooth, to enhance the shape, etc; simple basic techniques.

At first she was moving her fingers with the clay rather quickly and carelessly, but gladly followed prompts and instructions on slowing down, smoothing the edges with a bit of water, adjusting for thickness, shape, adding clay; she stayed with it for a good 30 minutes. Peaceful music was playing in the background. She willingly tried to keep working on her clay piece with her eyes closed for a few moments. Mary said she likes to have me as a teacher and she asked me to be at her birthday party the following week. I thanked her for the invite and said that I would like to celebrate her B-day and will let her know.

clay heart bowl

Clay Heart Bowl
Mary was pleased with the way her work was turning out and she said she wanted to give the bowl to her sister; it turned out to be a heart-shaped bowl and she was very proud of it and showed it to every one at the end of the session.

After her heart-shaped bowl was completed, I suggested to use oil pastel next and showed her a couple of techniques, which Mary practiced for a while.  Then again, she was interested in drawing a spider and a spider web. She said a spider bit her once. She said she’s afraid of spiders. That might be a reference to her sexual abuse. Usually it takes a series of the recurring and developing theme to either work itself out or cause for direct confrontation with the issue. I will pursue this to see where it leads.

Mary followed instructions for a relaxation, breathing and listening to a simple, brief guided visualization; she saw herself in a nice house and used more colors and much less black. This could be her aspiration, but also confirmed much was just fantasy.

3rd Session

Mary was walking alongside a horse when I first arrived at the Day Program; she said she got scared when she got on a horse last time and wanted to take some easy steps to feel comfortable with horses, since she loves them very much.

Since the beginning of our session, I found myself speaking very softly to Mary, even though I’m aware that she has hearing impairment and wears a hearing aid. This is a strong contrast in my mind, since everyone around her uses very strong voices and tones, partly to keep all the consumer under control and possibly other consumers have hearing difficulties.

Mary started working with clay; she accepted and followed suggestions to keep the clay moist and smooth, to enhance the shape, etc; simple basic techniques.

At first she was moving her fingers with the clay rather quickly and carelessly, but gladly followed prompts and instructions on slowing down, smoothing the edges with a bit of water, adjusting for thickness, shape, adding clay; she stayed with it for a good 30 minutes. Peaceful music was playing in the background. She willingly tried to keep working on her clay piece with her eyes closed for a few moments. Mary said she likes to have me as a teacher and she asked me to be at her birthday party on 6/16. I thanked her for the invite and said that I would like to celebrate her B-day and will let her know. Mary was pleased with the way her work was turning out and she said she wanted to give the bowl to her sister; it turned out to be a heart-shaped bowl and she was very proud of it and showed it to every one at the end of the session.

After her heart-shaped bowl was completed, I suggested to use oil pastel next and showed her a couple of techniques, which Mary practiced for a while.  Then again, she was interested in drawing a spider and a spider web. She said a spider bit her once. She said she’s afraid of spiders. That might be a reference to her sexual abuse. Usually it takes a series of the recurring and developing theme to either work itself out or cause for direct confrontation with the issue. I will pursue this to see where it leads.

After some free drawing, I announced that we were going to do a relaxation and guided visualization; I asked to close her eyes and my tone became even softer, my voice almost a whisper. She followed my instructions and was very clear in her images and intent.

4th Session

Mary requested to work with clay and proceeded on her own for a while. She remembered to use water to wet her fingers and smooth out the sides and the edges of her ‘flower pot’; she noticed that besides a flower pot, it looked like a tree. She kept working on the base and expressed satisfaction with a strong, stable base.  I asked her about her feelings while she worked with the clay and she referenced to the clay being cool and then making her feel more relaxed. flower pot

Flower Pot



Vessel

Mary was getting a bit impatient and frustrated while manipulating the clay, since it was hard at first, but gently I showed her how to overcome that problem, worked along side her for a bit and she willingly continued.

We continued working with clay and when Mary was done, I asked her to go wash her hands, while I was going to clean up our station, so that we could start another activity. She went without hesitation.

Clock Drawing Test - I offered oil pastels and I asked Mary to draw a clock. The Clock Drawing Test and exercises are designed to assess cognitive abilities and teach sequential, logical skills with a visual, right-brain approach – see pictures.  The first drawing is the result of simple verbal instructions; it shows poor identification of sequential numbers, but good spatial concept and understanding.

The second time I asked Mary to copy my drawing of a clock the best she could and she identified and placed almost all the numbers correctly. She was tentative. We drew more clocks to represent and read actual time and different hour/minute combinations.  Mary applied herself diligently, listening and responding and adding short and long arrows (=hands).  The activity was apparently very intense for Mary ; it made her very tense.

      Clock Drawing Test

                                 clock 4

All of the sudden she complained that her shoulder hurt, but she finished her clock assignments. We left the room at the end of the session and walked to the lunch room; Mary started crying and whining about her shoulder. Julie said she had a rough morning, so I suggested to let me know the next time it happens, and offered to work with Mary on issues as they present themselves.

Mary was shaking and whining and holding her shoulder with both hands. I set her down and very softly instructed her to breathe and I showed her how to tap on her collar bones. She seemed to calm down. Julie called her sister and Mary talked to her, which also helped Mary regain control and then decided she could eat her lunch then.

5th Session

Mary showed to be very happy to see me.  She asked me if I hade missed her and when I pointed out that we can work together as long as she stays out of the hospital, she offered to shake hands and said ‘I promise, I won’t hit anybody’.

I met Mary's new ‘mom’. Mary showed me the backyard with the vegetable garden – she named most of the vegetables and the lemon tree; then she wanted to show me her room.   showed us a good space to work, in privacy.

Mary accepted suggestion to use oil pastels and draw while listening to soothing, relaxing music.

She also drew a picture of her new family, but at first didn’t include her new mom , although Mary shows a lot of affection for her and  shows to be very caring and thoughtful.

Mary then requested to work with clay and proceeded on her own for a while.  With both media she worked rather fast and especially with clay, she was making very rough shapes and moving on to the next quickly. I prompted her to stay a bit longer with each shape, talking about them, describing them.  She liked to get her picture taken with all her work.

Mary volunteered to go wash her hands after she said she was done working with clay.  She was getting tired faster than usual, probably due to the medications and to the event-filled last few days.  I made her take a break and helped her with some breathing/gentle movement exercises (similar to Qi Gong) to have her take in more oxygen, to help her feel more awake and energetic.

She was looking at her hands while working and showed me a small scar, saying it was from a cigarette burn, inflicted by her birth mother. She became sad thinking that her mom didn’t want her.

Mary was very happy to receive a sketchbook and markers; I suggested for her to draw on it any time she wants, but especially when she feels angry, upset or sad. 

I feel this new home and new family is well matched for Mary.  Her Mom was going to get her new shoes to help her walk better and safer.

6th Session

Mary was eager to start the session. She asked me what we were going to do, so I offered a variety of options and Mary chose painting.

I shared with Mary my intention to work together for 1 ½ hour this time and she responded positively.  She didn’t show to be getting tired at all throughout the sessions.

She painted various subjects on several sheets of paper: clothing, a scene of nature with a very solid tree bearing fruits; she was responsive to my questions and prompts for adding new element to her paintings. She painted herself and her ‘boyfriend’; she kept showing me the necklace she was wearing, a gift from him. The theme of wanting her own house/apartment came up again but she painted her current house, with attached her Grandma’s house; in fact, she wanted to introduce me to her Grandma and talk about her vegetable garden.  I feel Mary is benefiting greatly from this family nurturing environment.

The painting of the house, although simple and monochromatic, shows much better proportion, lines and composition and overall skills than her other paintings, usually more primitive. Mary is showing very good observation skills and with painting certain subjects, good eye-hand coordination.

Mary showed me some drawing she made in her sketchbook and very proudly the money she’s making doing chores apparently at the day program and selling her bracelets.

 

7th Session

Mary told me she had made some money, but was not sure how much she had in her wallet, because she said she couldn’t count; I offered to teach her so we went over dollar bills and change; she’s quite confident counting bills, but couldn’t quite grasp the change. We settled on an estimate. 

We are dealing with a sense of frustration and expectations for tasks to be done quickly and move on to the next activity.  I’m working on making it interesting and comfortable for Mary to work on projects a little longer, helping Mary making some considerations, asking questions, modifications, in other words, exploring and playing more fully with the materials.

Mary wanted to paint; she designed a t-shirt for her new boyfriend.  She wasn’t happy with the result, so I encouraged to paint a new one.  In the meantime, she told me about her new boyfriend, and later she added the previous one ‘dumped her’ – I heard from  that Mary had a first bad reaction to the breakup but she got over it quite quickly.  Mary is quite focused on their interactions.

I brought in several sheets of smooth canvas ready to paint on, with the idea of mounting several paintings as scroll-type wall hangings in her room, but also to be displayed in the  office when we have several completed. Mary completed 2 paintings very quickly, featuring recurring themes and for the first time, a church, quite dominant in the composition.

I invited Mary to explore with images (Magazine Photo Collage) about what is good and what is bad;  very decisively she picked a variety of food images, a one dollar bill and a playful, relaxing image of monkeys as good things; the next collage shows images of smoking a cigarette, smoke, burning and winter as bad things; the next collage is of ‘good’ images of people and the last one is of ‘bad’ images related to people. This last collage shows a woman seemingly relaxing on the sand although Mary said she is waiting for the water to come up and drawn her – Mary said she wouldn’t do that. Mary described that the mountaineer is taking the risk of slipping and dying; the children remind Mary of when she was baby sitting (her sister’s children, I assume); the fact that this image is included in the bad images of people it might be related to her hitting them.

good things                       

                Good Things             Bad Things             Good - People            Bad -People

Mary was getting restless and expressed an interest in exercising – Mary and  have been addressing nutrition and talking about a bit of belly fat.  I took the opportunity to invite Mary to learn and practice Yoga; I was very careful in guiding her, given her limited flexibility. She started shaking a bit and she said it has been happening earlier in the day. Drinking water or juice seems to help.  joined in, as an encouragement, so we went through breathing as awareness and relaxation and a few gentle stretching poses.

Her new mom complained that Mary drew and colored with markers in her sketchbook while in bed, so we agreed on some rules and guidelines about when and where to use the sketchbook; Mary accepted and said she promised to use it accordingly.

Mary's interactions with her new family are quite positive; the whole family is very supportive.

8th Session

Mary was admitted to the hospital early in the week and upon discharge, moved with a new host family

Mary arrived at the office after her day program; she had scratches on the left shoulder and shoulder blade. She later told me that one of the other consumers pushed her; she showed me a scar behind her ear, that apparently was connected with that incident, but to me seemed quite old; it wasn’t clear if they were playing or if there was some confrontation, due to the fact that Mary earned ‘a lot of money’ (?). Those two accounts seemed blending together.

Mary was wearing a watch, which has been unusual since I met her; she took the initiative of drawing a clock and she demonstrated a much better grasp of the layout and the correct position of each number; she was still having a hard time with hands to designate time ( hours and minutes). clock 6 

She also told me about her concern with the medications causing her shaking. She changed subject and started painting. Mary seems to be mostly expressing pleasant events and likes in her paintings. She discovered and became quite fascinated with writing her name and other people’s names by gluing sand on cardstock. She wrote ‘blind’ names with a glue stick and then sprinkled sand on top of the page, revealing letters and complete names. Upon suggestion, she added short messages to these people, using the same technique. She spent quite some time doing that. She was careful and neat throughout these processes.

She painted and then again on her own, she started gathering cut out images from the 'things' box and from the 'people' box.

Good Things  

             mpc july 1              mpc july 2              mpc july 3              

After a good hour, we took a bathroom break, and leisurely chatted. Mary said her new host is ‘a nice guy’ and bought her some chips and a flavored drink. We talked about nutritious food that’ doesn’t make you fat’ versus chips who are loaded with salt and fat.

We stepped into the adjacent room to do some yoga. Mary remembered some of the poses we did 10 days earlier and even showed improvement in the inhale-exhale rhythm in coordination with the pulling & releasing into the pose. Her mobility requires careful and gentle movements, and she seems very interested in working on improving her back and belly.

 

9th Session

Mary and I worked on a couple of paintings; I noticed her left hand shaking, and that she wasn’t using it to hold the paper down; I encouraged to use her left hand to help.

At first she was restless and frustrated with several ‘mistakes’;
together we transformed one of the ‘mistakes’ into something different;
she seemed to appreciate that and wanted to paint some more.


Mistake or Opportunity?

The shaking seems to subside. Usually, it takes a few fast sparse paintings before she settles down; then she spends a little more time and paint more carefully, more focused, with more items on the same paper and more details.

Mary likes painting on canvas and seems motivated to paint for her own art show. While painting she made remarks about her new job and the positive fact of getting paid.  Mary seemed in distress because she didn’t know her schedule for the rest of the week. A clear routine is definitely beneficial to Mary and contributes to her feeling of being cared for.

Mary asked to use clay; I introduced some tools that she could use with it. She made a very complex figure, very carefully, taking the time to make sure all the pieces were in place: she called it her angel and that would go on her nightstand. The other piece she took home is a collage of animals that she carefully cut out from larger photos. All the other paintings will stay in the office for the art show. 

I asked Mary about her sketchbook and she said that she did paint in it when feeling happy and when feeling angry and that she filled all the pages.  I gave her a new one to continue working on her own and she appreciated that.

During our yoga session, she showed much improvement in coordinating her breathing with the movement, but complained about her shoulder and again, she mentioned of falling because someone pushed her. Her skin showed sunburn.

10th Session

Mary wanted to show me her book of vegetarian recipes and wanted to know which ones are not fattening. We reviewed some of them, pointed out those with cheese that need to be scaled down. Mary wanted to copy one of a Greek salad that she remembered liking. But she got off quickly and said she was tired; she had a late night at Sea World. 


Shamu
Motivation was an issue, but with a little encouragement
Mary started painting – a shark turned out to be Shamu
– notice the characteristic tail movement.

Again, the art show came up as a motivating factor. She wanted to know when and where it is going to take place, and who’s going to be invited.

While painting she mentioned that she has the prospects of moving in to her own apartment with a roommate; however, she didn’t paint any house this time.

She was happy to receive a new set of markers and she asked for a new sketch book, saying that she already filled up the one I gave her last week.

Mary started a couple of paintings and dropped them
when she felt she had ‘messed up’.
lion's whiskers    I read a story to Mary concerning a woman’s issue getting the affection of her step child; she painted with glue and glitter while I was reading and focused on a few elements of the story, not responding to the trust issue, but to the fact that the girl – not the woman – was scared of the lion – which was part of the story. Mary shows the ability of visualizing elements of a situation and also making it relevant to her own understanding.

I suggested playing a series of different types of music for her to paint while paying attention to the music. Mary picked out a few CDs; we played a variety of songs – some relaxing, some Latin, African, Hawaiian, classical; Mary used markers and responded to the music; she also copied some of the images she picked from the magazine cutouts. She was drawn to an image of a chubby black child, which turned out to be a monkey (!) and of a group of people with cloaks on, in a church, with candles and crosses, in black and white.

We moved to the adjacent room to do yoga; we went over the same routine and also some breathing exercises – in general, Mary tends to hold her breath while doing the exercises and tries really hard to get into each pose.

My plan is for Mary to continue learning to express events and feelings, to supplement her verbal communication and building on yoga practice.  I’ll make sure she always has a sketchbook and markers available.

11th session

Mary came in and started drawing right away. She drew a large female face and she stated ‘she’s happy’; following my prompts, as to why she’s happy, Mary drew a male face ( large face, much smaller body), smiling, and then said ‘she’s happy because she’s looking at him’ and noted that the man has defined muscles, nice features, even though from an objective observation the male figure is disproportioned . This is a recurrent theme according to Mary’s interest in males.

While she finished this first drawing she looked at me with a very tensed expression, and said she was seeing ‘things’, people…dead people. I acknowledged what she was saying and invited her to draw what she saw, just as she was seeing it. Mary proceeded to draw a face with simple, features, stick- like body, tense grin and then I suggested to use colors when Mary mentioned blood. Mary took a red oil pastel and drew a face with blood coming out of her mouth.

Mary said it was her grandmother, who passed away.  One hypothesis is that Mary could also have been referring to grandma Rose at the house where she was staying previously, since she was ill.

Mary put theses two drawings aside and started painting a tree. I noticed her face got more relaxed.

She drew her face on the same paper, although not interacting with the tree, possibly just watching it. She started a new painting of a tree and a tent, with sunshine and a candy. These are all things that Mary likes and remind her of her childhood, playing and camping with her dad. Camping is one of the activities she remember liking.

Then Mary proceeded with other paintings, playing with materials and things she likes: apple, tree, fireworks. She asked again about her art show and I encouraged her to keep painting to build her body of work.

                       

Mary asked to work with clay and made 3 objects, asked for help, accepted input and then proceeded by herself.  She worked quickly and didn’t want to spend much time on these. 

         

Mary asked me to tell Joey about the fact that she ‘sees dead people’ and she thinks it’s due to the medications that she takes. I reassured that I would.

Mary was eager to do some yoga; she’s improving and willingly following instructions. She does hold her breath when the stretch is a bit challenging, and I need to keep reminding her to breathe in and out to ease the pose. She likes the names of the poses which help her remembering some of them.

When Mary's host mentor came back for Mary, we were reviewing her paintings and taking pictures – Mary enjoys having her pictures taken with her work; it’s a source of pride and satisfaction.

I did share about Mary's visions as per her request, and I followed up asking her I did share about Mary's visions and I asked her if she felt better after drawing what she saw. She said yes, nodding.  I gave her a new sketchbook and encouraged her to draw what she sees, to help her feel less upset about it. She showed much appreciation.

I plan to see Mary again Tuesday, Aug 25 for 1 ½ hour session; this reduces the Expressive Arts Therapy program to 3 hours per month instead of 6, per California Mentor request. This is unfortunate, since Mary responds very well to this work.

My plan is for Mary to continue learning to express events and feelings, to supplement her verbal communication and building on yoga practice.  A clear routine is definitely beneficial to Mary and contributes to her feeling of being cared for.

 

12th Session

Mary seems doing better with the new adjustments to her medication, according to her host mentor.   When Mary came in, I noticed she had gained quite a bit of weight.  I was expecting Mary complaining about it – especially since she’s been concerned about having fat on her belly and wanting to address it – and seeking suggestions on how to lose her excess weight, but there was no mention the whole time we spent together.  

Mary took a bit of time deciding what to do. Her step-sister Michelle was on her mind, since she’s been having serious challenges. She made a card for her. She spent quite a bit of time on it, showing to be very sensitive and caring.

I suggested drawing or painting something she had seen in the past few days and she went right to it, drawing a sunflower.  Mary didn’t mention having any upsetting vision, like previously experienced.

      Then Mary started thinking and talking about moving to her own apartment.  She had questions

       about what she might need, like clothes and household items. I suggested to start drawing from

       her own imagination, what the apartment looks like and ‘to go’ inside the apartment. 

      

She quickly changed subject, possibly because of her difficulty with envisioning what her apartment would look like, or seeing herself in an unknown environment, or even just feeling overwhelmed.

She then asked me about her art show. She’s eager to see her paintings on the walls and to have people over. We need to work on it. 

    

I suggested creating several more paintings, and that it will take a few months before having enough of them to have a show. So Mary asked for a canvas and paint; she started talking about going to Las Vegas with her family for a weekend. Evidently she was wondering what Las Vegas look like and we talked about the mountains in the background and the desert with the strip of hotels/casinos right in the middle and lots of lights. We painted side by side, so she could follow my prompts. We took the longest time on this painting.

 Then again Mary asked about what to paint for the art show and went to her familiar tree, grass, sunshine and rainbow – even though I suggested some variation in painting the grass, she wasn’t interested. Since there was a lot of room on the upper right portion of her painting, I asked what else she might want to paint in that area and somewhat reluctantly she barely included some clouds

 

Mary asked to do some yoga and we went over a routine of breathing and stretching poses. Mary felt better able to stretch her legs and her back with some of the poses.  She’s is puzzled ever time her shoulders or back ‘pops’, and she feels some release.

 

I plan to see Mary again Tuesday, Sept 15 for 1 ½ hour session. I have a couple of suggestions about how to exhibit Marys artwork and how to have a reception that would be rewarding and motivating for Mary, and inspiring for mentors and supporters.

Mary is learning to express events and feelings, to supplement her verbal communication and building on yoga practice.

A clear routine is definitely beneficial to Mary and contributes to her feeling of being cared for.

 

Conclusions

Individuals with special needs like Mary spend most of their lives trapped in a skewed relationship between their bodies, hearts and minds, limited in functionality and constantly having to cope with the struggle of their psychic upheavals, emotional conflicts, longings and physical limitations.

Building self-motivation presents challenges and needs to be linked to attainable goals that are related to the individual personal interests and their level of development/maturity; careful attention needs to be made not to create illusions or false expectations, but to encourage individuals like Mary to stretch their usual boundaries a little more each time, to create unusual colors, to use new techniques under gentle guidance, to combine different modalities. This helps them finding their unique style, their hidden voices and assist them in coping in difficult moments and in building confidence.

As such individual feels the empathic relationship with their mentors, they are always ready to act with empathy and little by little they feel more at peace within themselevs and they welcome more and more self-exploration with confidence and ease. Often new connections are made, a better understanding and improved behavior result from this process.

the very experience of relaxing, calming and prolonged focus during art making is an encouragement to devote more time and efforts in pursuing such activities.

 

The Empathy Quotient: An Investigation of Adults with Asperger Syndrome or High Functioning Autism, and Normal Sex Differences. By: Baron-Cohen, Simon; Wheelwright, Sally. Journal of Autism & Developmental Disorders, Apr2004, Vol. 34 Issue 2, p163-175, 13p; (AN 12729112)

  

 

 

 

















































































Red Bird


Sand Spiderweb






fun times
   Fun Times





























































































































































































































trip
Trip














tree


































































































  You are listening to: "What Grass Is This We Lie Upon" by Dean Evenson
Courtesy of Soundings of the Planet
Celebrating Peace Through Music for more than 25 years
Back to the Garden

Website Design by Ales Colfi © 2009 ~ All Rights Reserved