Check this blog out!

I dont know how I didn’t come across it before, but Cathy Malchiodi ATR-BC, LPC and Certified Trauma Specialist not only has a website, but she has a blog too.

For those of you who are unfamiliar with her work, Cathy has written several books relating to art therapy such as art therapy and children’s drawings, art therapy and trauma, art therapy in a medical setting, as well as computer technology and art therapy.

Cathy is a prolific writer with experience in many different areas. She’s an example of what I want to be when I grow up.

Oh…the disappointment…

A few days ago I received an email from NorCATA informing me (and everyone on their mailing list) that the bill for the LPC in California failed to pass the Senate by one vote. This is so disappointing and I’m trying not to let it get me down.

I would like to thank everyone who is working hard on this issue, and I very much hope that next year the bill will pass. In the next few months, as they gear towards another attempt, there will be emails sent out asking for psyc professionals in California to write to their Congressman/woman to express their support for the bill. If you are interested in getting involved or getting on the mailing list for updates, I’m sure if you contacted NorCATA or the California Coalition for Counselor Licensure that could be arranged.

Creative Pier

Martha Mysko from Creative Pier recently introduced me to some of the current workshops being offered at her facility, which is located in New York City.

Creative Pier is a studio space as well as an art gallery, and they offer regular classes, workshops and events. Their purpose is to promote art making as a way to explore the self, raise self esteem, and make connections with others.

Here’s some of the upcoming events:

Giving Art: Prayer Flags
Thursday, September 25th
6 PM – 9 PM

Take an opportunity to learn new ways of making art and to expand your creativity, while expressing kindness and sharing it with those in need. In this workshop we will create prayer flags, whose origins come from Tibet where the flags are made to promote peace, compassion, strength, and wisdom.

Every prayer flag made in this workshop will be sent to a patient diagnosed with cancer, whose hopes for healing will be supported by your good will.
The intent of this workshop is to welcome positive life changes and to acknowledge that all beings are part of a greater cause.

$35 to participate. Art materials are included. 15% of the proceeds will be donated to Gilda’s Club, and Memorial Sloan-Kettering Cancer Center.

Art for Bliss Sake
Begins Wednesday, October 1st
6 sessions
6:30 PM – 9:00 PM
$285/6 sessions or $50/1 session
Unlock the key to your creativity and find your unique voice!

Explore and expand your creative expression in a mixed media workshop, using collage, drawing, sculpting and writing. Liberate your creative potential from any censoring by focusing on the process rather than the product, and experience the delight of authentic self-expression and personal exploration.

Judy de Zanger, author of the Tao of Creativity, invites beginners as well as practicing artists to play and experiment with a variety of materials and processes, discovering and enjoying the creative spirit within.

Please check out the Creative Pier website for registration details and info on upcoming events, workshops and classes.

Tele-Therapy (Cyber Counseling)

The latest Creative Therapy Session podcast featured a topic that I have always been interested in, but always felt hesitant to bring up during my schooling. I felt that the idea of conducting art therapy sessions online would have been a taboo topic in a program that emphasized the presence of the therapist with the client in order to foster a therapeutic relationship, not to mention the fact that I had no idea how one could go about making artwork online.

In this fourth episode of the podcast, Melissa Solorzano, ATR, interviews Kate Collie, PhD, ATR, RPsych, about the work she does in the emerging field of cyber counseling and the way she combines tele-therapy with art therapy. During the interview, Melissa and Kate discuss many of the questions described above and more.

Thank you Melissa for getting this interview! I believe that cyber therapy is a field that is not only emerging, but is here to stay and will only grow bigger, and for this reason its something that needs to be addressed and talked about extensively amongst the psychological community. Like it or not, there therapists like Kate who offer online group therapy services for people who live in remote areas, and there are also therapists who have set up shop in virtual communities like Second Life. Not only must we begin exploring the effect working virtually has on the therapeutic alliance, transference, picking up nuances during sessions, curative factors in therapy, socialization etc…, but we must also remember issues such as confidentiality and technological limitations (i.e., whether someone has a computer, speed of internet, malfunctioning software). Other questions to consider; is there a difference between being present in a therapy session as an avitar versus through a webcam where the therapist and client can see each other’s faces? What are the differences between text forms of communication (email, instant messaging) versus hearing someone’s voice through a microphone during an online therapeutic session? Are there populations that online sessions are more suited for than others? Is online therapy more effective than no therapy at all?

Its certain that a new frontier in therapy is already here and cannot be ignored. To quote Heidi Klum from Project Runway, “either you’re in or you’re out!”. I certainly don’t want to be left behind by technology, if in fact there are ways to work around all the issues discussed above and more.

AATA Conference

For those of you who are interested, the registration is open for the AATA (American Art Therapy Association) conference this year. Its from November 19-23 in Cleveland. The keynote speaker, Dr. Bruce Perry, M.D., Ph.D. discuss “the topic of how art therapy can have an impact on the healing, recovery and restoration of healthy functions of the brain of a child who’s been through trauma and neglect” (AATA conference website).

I’ll be there…will you?

Cross Your Fingers

I remember when I was in grad school, we had a discussion regarding what options art therapists had in different states. It was then that I learned that art therapists could not become licensed in the state of California unless they qualified to sit for the exams required to obtain an MFT (Marriage and Family Therapy license) or LCSW (Licensed Clinical Social Worker).

Life brought me to Northern California, and when it did, it became more and more obvious that my career would be stunted because I am ineligible for a state recognized license. When I was searching for a job there were lots I was qualified for, except that I wasn’t an MFT or LCSW. I would have to go back to school for another Master’s degree…or perhaps this even would be the impetus for me to continue my studies even further and get a Psy D (Doctor of Psychology).

But wait. The creation of an LPC license (Licensed Professional Counsellor), which is available in all other 49 states except California, and what most art therapists are licensed as by each state (in addition to the national license of ATR-BC, registered art therapist-board certified), is something that art therapists in California have been working towards for the past several years (if not decades). And yes, these things can take forever…and it seems like it has, but we’re now closer than ever to having a bill pass in the Senate that would give rise to the LPC license in California. The bill may even pass within the next few weeks (if the Senate doesn’t close early for the year), and if this happens, the Governor could sign the bill by the end of September, and the bill would come into effect as early as Jan 1, 2009.

This is incredibly exciting for me, since, as I said before, without a state license I have much less opportunity.

Photography

A few months ago I watched the Oscar winning movie called Born Into Brothels and I’ve been meaning to write about it ever since. Its a documentary on a photographer from NYC, Zana Briski, who goes to Calcutta to photograph the red light district, when she discovers that the children of the prostitutes are interested in learning how to photograph pictures. She sets up a photography workshop for a number of these children, gives them cameras, and in turn these children photograph their everyday lives.

I wont get into much more detail so that I don’t spoil the movie for anyone who hasn’t seen it…but the line between being a photographer/teacher begins to blur for the NYC photographer, and the film began bringing up similar feelings for me as working within a therapeutic/social-work context. That is to say, the photographer seemed to learn from her experience that although we may want to save others from a life that we may view as tragic or that we would not want for ourselves, we must recognize this wish and our limitations where we can do no more than offer support and opportunity (to learn, to explore, to grow). I also have to give Zana credit for going above and beyond what many would have done or thought they were capable of doing for these children. At the very least, the children discovered a part of themselves that allowed them to be creative, explore themselves and their environment, as well as become empowered through the use of creative expression.

Mike

Yesterday, I checked out Season2 Episode1 of This American Life on Showtime. The first segment, involving some kids in what I think is North Philly riding horses, brought back memories of grad school and missing my friends in the city of brotherly love. But, the next act, which discussed the story of a guy, about my age, with a muscular disorder trying to gain his independence from his family, was far more touching.

Mike Phillips lives with his mom (although this may have changed since the airing of the show?), and is largely dependent on others to care for him. Because of this, the (second) separation and individuation stage most people experience, where they pull away from their parents usually during adolescence, seems more challenging for him than for most. Mike requires a lot of physical maintenance and observation. A mistake can mean life or death for him. And he trusts his mom, who is thorough and is constantly paying attention to detail.

There are many dimensions to Mike and his story; he grapples with love, hopes, fears and dreams. But there is a sensitivity that Mike has, along with a great sense of humor, that seems attuned in such a way that I feel like he must be incredibly introspective about himself and the world around him.

I have had health problems through out my teenagehood, often spending lots of time unable to move about, unable to eat, having to stay in bed and rely on others for help. Perhaps this is why Mike’s story has touched me in the way it did.

In any case, I also would like to show the episode to the clients I work with. Many of them despise their disabilities and have yet to come to terms with the possibilities that they can make for themselves (within reason). They always sound surprised when I mention people who are able to work with their disabilities to make the life that they wanted and were ultimately capable of having. I think Mike would be a great example of this- not because he is an inspiration, but because he acknowledges his humanity and continues to hope, dream and strive despite the fact that he could easily live his life passively, in the way others choose for him.

I encourage everyone to check out Mike’s blog. Also, here’s a link to the TV show- This American Life on Showtime.

Eating Disorders

When I was working with individuals with eating disorders, I was struck by the qualities that seemed to accompany the personalities of anorexics. As I wrote my thesis, my literature review shed some light on my observations and how researchers describe these personality traits. For example, it has been mentioned in numerous studies that anorexics tend to exhibit qualities of perfectionism, obsessionality and the inability to feel happiness except during times of starvation.

It became clear to me that although the environment definitely has a defining influence on people who eventually develop eating disorders (abuse seems to precede the development of eating disorders in many cases, for example), I couldn’t help but wonder if genes also play a major role. I remember during my thesis defense discussing the possibility that one day we will have a better understanding of the biological mechanisms of anorexia, to the point that new drugs may be developed and be helpful in the same way that Lithium can be helpful for bipolar, or Prozac can be helpful for depression. Having medications that can help alleviate symptoms can increase the chance of therapy being successful…and this is so important in the case of anorexia, which has the highest death rate amongst young women in comparison to any other mental illness.

The current issue of Scientific American Mind has an article entitled “Addicted to Starvation: The Neurological Roots of Anorexia” that sheds light on the possible underlying genetics of eating disorders. It’s an interesting read and puts a lot of what is observed clinically into context.

I was surprised at the genetic similarity between drug addiction and anorexia, where people seem to be addicted to not eating. Certainly this had been a thought that crossed my mind before, even to the point where I wondered if something similar to a 12 step program could be helpful to some anorexic individuals, but I don’t recall actually reading anywhere a researched link between addiction and anorexia. Perhaps that is a new finding from recent studies? Or maybe I just missed it in my lit review.

Scientific American Mind

This month’s Scientific American Mind is really great. There are tons of articles on topics I am very interested in such as, creativity, anorexia, clues to the origin of consciousness through split brain patients, as well as epigenetic theory that gives new clues to how the environment influences gene expression, but does not actually alter our genetic codes.

In today’s post I’ll briefly address the article on creativity entitled “How to Unleash Your Creativity”. Three experts in creativity; one psychologist (John Houtz), one academic scholar (Robert Epstein) and one writer/filmmaker (Julia Cameron) discuss the nature of creativity and what one can do to help oneself become more creative.

Here is an excerpt from the beginning of the article,

John Houtz: There’s so much power in a new idea taking shape and changing the way people live and act. Often the rest of us are in awe, or we are even afraid of a new idea, and sometimes our fears spur us to learn more about it. In addition to what some academics call Big Creativity or “Big C” profound ideas that sometimes change the world—there is what we call the “little c” type of creativity: the everyday problem solving that we all do. The bottom line is that we’d all like to be more creative. We’d all like to be able to solve our problems in a better way. We don’t like being frustrated. We don’t like having obstacles in our path.

The three experts then begin discussing their conceptualization of the creative process and how one needs to practice being creative. Here are some observations by Cameron as to the changes that occur internally when people discover the creative process and try to incorporate these practices into their everyday lives,

I…have found the creative process to be teachable and trackable. I teach people three simple tools, and anyone using those tools has what might be called an awakening. They become much more alert; they become much more friendly in interacting with people and much less threatened by change

Epstein describes four skill sets needed for creative expression to take place, according to his research,

The first and most important competency is capturing preserving new ideas as they occur to you and doing so without judging them…The second competency is called challenging, giving ourselves tough problems to solve. In tough situations, multiple behaviors compete with one another, and their interconnections create new behaviors and ideas. The third area is broadening. The more diverse your knowledge, the more interesting the interconnections, so you can boost your creativity simply by learning interesting new things. And the last competency is surrounding, which has to do with how you manage your physical and social environments. The more interesting and diverse the things and the people around you, the more interesting your own ideas become…

There’s lots more great stuff in this article, but I was happy to find that Epstein acknowledged the effect our society has on discouraging creative thinking from a very young age,

When children are very young, they all express creativity, but by the end of the first grade, very few do so. This is because of socialization. They learn in school to stay on task and to stop daydreaming and asking silly questions. As a result, the expression of new ideas is largely shut down. We end up leaving creative expression to the misfits, the people who can’t be socialized. It’s a tragedy.

Its sad for me to think how many children are being steered away from creative problem solving, thinking or expression for the purpose of following the rules or conforming, for example. And then for some of these children as adults, striving to relearn what used to come instinctually…I guess thats just one of the ironies of living in our society…or perhaps in any society? What I mean by this is that perhaps the pressure to conform to certain styles of thinking may be an important part of learning how to live in any society, not just ours.