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Bea's Oral Presentation

Art Therapy with a Mexican-American girl who seeks emotional comfort through binge eating

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Bea's Oral Presentation

  1. 1. Art Therapy with a Mexican-American Girl who Seeks Emotional Comfort through Binge Eating Beatriz Ramirez
  2. 2. Presentation Overview <ul><li>Comfort Food </li></ul><ul><li>Binge Eating </li></ul><ul><li>Family Role in Binge Eating </li></ul><ul><li>Client Profile </li></ul><ul><li>Case Study </li></ul><ul><li>Conclusion </li></ul><ul><li>Personal Experiences as an Art Therapist </li></ul>
  3. 3. Comfort Food <ul><li>Nostalgic and sentimental appeal </li></ul><ul><li>Physiological and psychological motivations (Wansink, Cheney, & Chan, 2003). </li></ul><ul><li>Addictive qualities </li></ul>
  4. 4. Binge Eating <ul><li>Overeating and loss of control (Fairburn, 1995) </li></ul><ul><li>Characteristics of a binge </li></ul><ul><ul><li>Feelings </li></ul></ul><ul><ul><li>Speed of eating </li></ul></ul><ul><ul><li>Agitation </li></ul></ul><ul><ul><li>Feeling of altered consciousness </li></ul></ul><ul><ul><li>Secretiveness </li></ul></ul><ul><ul><li>Loss of control </li></ul></ul><ul><li>Triggers, Causes and Factors </li></ul>
  5. 5. Family Role in Binge Eating <ul><li>Family Dynamic Dysfunction </li></ul><ul><ul><li>Concealed Problems (Ringer and Crittenden, 2007) </li></ul></ul><ul><ul><li>Insecure attachment (Sharpe et al., 1996) </li></ul></ul><ul><ul><li>Internal emptiness (Maine, 1991) </li></ul></ul>
  6. 6. Introduction to Site <ul><li>Private non-profit organization in the Colorado Front Range </li></ul><ul><li>Focuses on relieving isolation, reducing the stress of parenting, and prevent child abuse and neglect by providing outreach </li></ul><ul><li>Offer group and individual psychotherapy and art therapy </li></ul>
  7. 7. Client Profile and History <ul><li>Ten year old Mexican-American girl </li></ul><ul><li>Born and raised in the Colorado Front Range </li></ul><ul><li>Heart shaped face with soft pink cheeks, big black eyes, long lashes, and shy but warm smile </li></ul><ul><li>Olive complexion and a little overweight </li></ul><ul><li>Her voice is soft and has a delicate sound </li></ul><ul><li>Her speech is clear but has an accent when speaking English </li></ul><ul><li>Her native language is Spanish </li></ul>
  8. 8. Client History <ul><li>Currently going through major family and financial stressors. </li></ul><ul><li>Weight problems since the age of seven. </li></ul><ul><li>She was assessed for binge eating and anxiety. </li></ul>
  9. 9. Developmental and Educational History <ul><li>At Erik Erikson's “industry vs. inferiority” stage of development (Eccles, 1999) </li></ul><ul><li>Enrolled in the fifth grade in a public school </li></ul><ul><li>Her aspirations are to become an architect </li></ul>
  10. 10. Case Study “ Denielle”
  11. 11. Reasons for Seeking Therapy <ul><li>Entered therapy at mother's request </li></ul><ul><li>Shyness, anxiety, lack of initiative, negative body image, and eating issues. </li></ul><ul><li>Occasional binge, especially when nervous and restless. </li></ul><ul><li>Eats rapidly and big portions </li></ul><ul><li>Eats four to five times during the day </li></ul><ul><li>Loves making art </li></ul>
  12. 12. Theoretical Perspective & Application <ul><li>Client-Centered Expressive Art Therapy </li></ul><ul><ul><li>Integration of Carl Roger's client-centered, and Natalie Roger's expressive art therapy approaches. </li></ul></ul><ul><li>Client-Centered Therapy </li></ul><ul><ul><li>Assist people in becoming more autonomous, spontaneous, and confident (Malchiodi, 2003). </li></ul></ul><ul><li>Expressive Art Therapy </li></ul><ul><ul><li>People are capable of expressing rather than repressing their own maladjustments (Malchiodi, 2003). </li></ul></ul>
  13. 13. Theoretical Perspective & Application <ul><li>Facilitate the growth of the individual (Rogers, 2001). </li></ul><ul><li>Active and empathetic “seeing” (Rogers, 2001). </li></ul><ul><li>Unconditional, positive regards for a person's art expression (Malchiodi, 2003). </li></ul><ul><li>Proven beneficial in eating disorder treatment (Palmera, 2009). </li></ul><ul><li>Used this approach to visually explore feelings and provide luscious buffet of art materials as alternative to binge eating. </li></ul><ul><li>Integrated classical music, scented candles, and movement. </li></ul>
  14. 14. Kramer Art Evaluation <ul><li>Background </li></ul><ul><ul><li>Initiated by Edith Kramer in 1974 with the assistance of Art Therapist Jane Field, ATR (Kramer, 2000). </li></ul></ul><ul><li>Rationale </li></ul><ul><ul><li>Gain as much information in the first session to see a sample of her art work </li></ul></ul><ul><ul><li>Interaction with art materials </li></ul></ul><ul><ul><li>Observe how child handles directives </li></ul></ul><ul><ul><li>Get feel for values and how she sees herself </li></ul></ul>
  15. 15. Artwork from the Kramer Evaluation Pencil Drawing Painting Clay Sculpture
  16. 16. Artwork from the Kramer Evaluation Pencil Drawing
  17. 17. Artwork from the Kramer Evaluation Painting
  18. 18. Artwork from the Kramer Evaluation Clay Sculpture
  19. 19. Child's Attitude During the Sessions <ul><li>Cooperative, respectful, and warm </li></ul><ul><li>Painting appears loose and playful </li></ul><ul><li>Drawing seems rigid and controlled </li></ul><ul><li>Took time get comfortable working with clay </li></ul>
  20. 20. Art Therapy Treatment Plan <ul><li>Assets/Strengths: </li></ul><ul><li>Good student </li></ul><ul><li>Friendly, warm </li></ul><ul><li>Ability to stay focused </li></ul><ul><li>Adapts easily to art materials </li></ul>
  21. 21. Art Therapy Treatment Plan <ul><li>Goals: </li></ul><ul><li>Build rapport and trust. </li></ul><ul><li>Create a safe place to encourage expression of feelings. </li></ul><ul><li>Increase client's ability to asset herself by making more independent choices with art materials. </li></ul><ul><li>Increase client's ability to cope with food related issues. </li></ul>
  22. 22. Art Therapy Treatment Plan Art-Based Interventions <ul><li>Third hand intervention </li></ul><ul><li>Story telling </li></ul><ul><li>Provided client with an array of art materials to feed her needs and indulge her senses with color, and texture </li></ul><ul><li>Provided tools to reduce stress and anxiety </li></ul>
  23. 23. Sessions
  24. 24. “ The Night Starry Skies”
  25. 25. “ Colors”
  26. 26. “ Fence with Grapes”
  27. 27. “ A Dark Place”
  28. 28. “ Together, Side-by-Side”
  29. 29. “ A Yummy World”
  30. 30. Conclusions <ul><li>She has overcome her shyness, and has become more assertive </li></ul><ul><li>She has been able to cope with stress and anxiety </li></ul><ul><li>She has been more communicative during the discussion of her artwork </li></ul><ul><li>She still struggles with binge eating, but is able to manage overeating impulse by making art </li></ul><ul><li>Food themes still appear in art during non-directive activities </li></ul><ul><li>Joint session with mother and sister </li></ul>
  31. 31. Personal Experiences as an Art Therapist <ul><li>Leading groups in Spanish </li></ul><ul><li>Countertransference </li></ul><ul><li>Learned to follow my client's lead </li></ul><ul><li>Self-Care </li></ul>
  32. 32. Questions ?