Group art therapy as adjunct therapy for the treatment of schizophrenic patients in day hospital

  • Gordana Mandic Gajić Clinic for Psychyatry, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Keywords: schizophrenia, art therapy, psychotherapy, group, integrative medicine, treatment outcome,

Abstract


Introduction. The schizophrenics are frequently disinterested and resistant to standard care. Case report. We presented clinical observations of group art therapy of two schizophrenic patients during integrative therapy in Day Hospital. We modified the original “Synallactic collective image technique” (Vassiliou G, Vassiliou V.). The group is open, heterogeneous, meets once a week and discusses on exhibited drawings, drawn by free associations. The patients' drawings and group protocols showed clinical improvement by lowering depressive themes, more human figures and self-confidence. The obvious severity of markedly impairment on Clinical Global Impression (CGI) and Global Assessment of Functioning (GAF) scales on admission with minimal improvement at discharge was rated. Conclusion. Group art therapy enables visual expression of emotions, perceptions and cognitions, develops creative potentials and support within the group, thus facilitating the integrative therapeutic process of schizophrenics. It may be useful adjunctive therapy for schizoprenic patients.

 

Author Biography

Gordana Mandic Gajić, Clinic for Psychyatry, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
PhD neuropsychiatrist

References

Messias EL, Chen CY, Eaton WW. Epidemiology of schizo-phrenia: review of findings and myths. Psychiatr Clin North Am 2007; 30(3): 323−38.

Dibonaventura M, Gabriel S, Dupclay L, Gupta S, Kim E. A patient perspective of the impact of medication side effects on adherence: results of a cross-sectional nationwide survey of patients with schizophrenia. BMC Psychiatry 2012; 12: 20.

Ruddy R, Milnes D. Art therapy for schizophrenia or schizo-phrenia-like illnesses. Cochrane Database Syst Rev 2005; (4): CD003728.

British Association of Art Therapists. What is Art Therapy? [up-dated 2013 August 23]. Available from: http://www.baat.org/art_therapy.html

Shek E, Stein AT, Shansis FM, Marshall M, Crowther R, Tyrer P. Day hospital vs outpatient care for people with schizophrenia. Schizophr Bull 2009; 35(6): 1057−8.

National Institute for Clinical Excellence. Schizophrenia: Core in-terventions in the treatment and management of schizophre-nia in adults in primary and secondary care. London: NICE; 2009.

Patterson S, Debate J, Anju S, Waller D, Crawford MJ. Provision and practice of art therapy for people with schizophrenia: re-sults of a national survey. J Ment Health 2011; 20(4): 328−35.

Vassiliou VG. Outlining the sinallactic collective image tech-nique as used within a systemic, dialectick approach. In: Durkin JE, editor. Living groups: Group psychotherapy and general systems theory. New York: Brunner/Mazel; 1981. p. 216−27.

Polovina N. The Center for Family and Group Therapy, Athens Institution “Anthropos” work presentation. Engrami 1989; 11(3): 283−7. (Serbian)

Mandic-Gajic G, Spiric Z, Alacov T, Samardzic R, Preradovic M. The Group analysis of drawing in therapy of reactive disor-ders. Engrami 1996; 18(4): 37−46. (Serbian)

Busner J, Targum SD. The clinical global impressions scale: ap-plying a research tool in clinical practice. Psychiatry (Edgmont) 2007; 4(7): 28−37.

Jones SH, Thornicroft G, Coffey M, Dunn G. A brief mental health outcome scale-reliability and validity of the Global Assessment of Functioning (GAF). Br J Psychiatry 1995; 166(5): 654−9.

Crawford MJ, Killaspy H, Barnes TR, Barrett B, Byford S, Clayton K, et al. Group art therapy as an adjunctive treatment for people with schizophrenia:a randomised controlled trial (MATISSE). Health Technol Assess 2012; 16(8): iii−iv, 1−76.

Teglbjaerg HS. Art therapy may reduce psychopathology in schizophrenia by strengthening the patients' sense of self: a qualitative extended case report. Psychopathology 2011; 44(5): 314−8.

Richardson P, Jones K, Evans C, Stevens P, Roswe A. Exploratory RCT of Art Therapy as an adjunctive treatment in schizophre-nia. J Mental Health 2007; 16(4): 483–91.

Crawford MJ, Killaspy H, Barnes TR, Barrett B, Byford S, Clayton K, et al. The MATISSE study: a randomised trial of group art therapy for people with schizophrenia. BMC Psychiatry 2010; 10: 65.

Published
2017/01/20
Section
Case report