I came across this nicely written article that gives a brief overview of why the creative arts therapies work and how they access things differently than talk therapy.
https://khironclinics.com/blog/why-creative-therapies-work/
Why Creative Therapies Work
June 9, 2023
Creative
therapies, such as art therapy, music therapy, dance or movement therapy, and
drama therapy, have gained recognition for their effectiveness in helping
people to better understand themselves, process feelings and make positive
changes in their lives. While these approaches may seem unconventional compared
to traditional talk therapies, a growing body of scientific evidence that sheds
light on why creative therapies work.
The science
behind the effectiveness of creative therapies is grounded in the powerful
impact of non-verbal expression, neuroplasticity, stress reduction, symbolic
representation, and social connection. By providing unique avenues for
self-expression and healing, creative therapies offer individuals a holistic
approach to addressing emotional and psychological challenges. 1
What are
Creative Therapies?
Creative
therapies encompass a range of artistic practices, including Dance/movement,
music, art, poetry, drama, expressive writing and psychodrama. Creative therapy
practitioners must be accredited, and unlike arts-based support groups or
healthcare practices, creative therapy centres on a person’s involvement in the
therapeutic process as part of a targeted psychotherapeutic intervention.
Much like talk
therapy, creative therapies have various approaches and aims. For some people,
creative therapy can serve as a way to communicate feelings or emotions they
struggle to verbalise or use a creative process to bring that not yet seen into
a client’s awareness. Some creative therapies can also increase a client’s
connection to their body, something they might have lost due to trauma or
mental illness.
A Look at the
Science
Researchers
have identified three key brain networks involved in creativity: the default
mode network, the executive control network, and the salience network. These
networks work together, with the default mode network generating ideas, the
executive control network evaluating them, and the salience determining which
things tend to be noticed and which go unnoticed. For those with PTSD, the
salience network is constantly scanning for threats.
It is thought
that creative therapies may be particularly helpful when working with trauma as
they can help you process traumatic experiences, which are often stored
non-verbally in the brain. 2
Let’s look at
the science of how creative therapies work.
Non-Verbal
Expression and Emotional Release
One key factor
in the benefit of creative therapies lies in accessing non-verbal forms of
expression. Art, music, movement, and drama allow individuals to communicate,
process and release emotions that may be difficult to express verbally. Studies
have shown that engaging in these creative processes activates brain regions
associated with emotional regulation and release, helping clients let go of
emotions that may have been stuck and reducing psychological distress. 3
Neural
Plasticity and Rewiring of the Brain
Creative
therapies have the potential to promote neuroplasticity. This is the brain’s
ability to reorganise its structure, form new neural connections, and
strengthen existing ones.3 It enables learning, recovery from harm and
adaptation as the brain rewires itself based on experiences, learning, and the
environment. Artistic activities stimulate multiple sensory pathways, cognitive
processes, and motor skills, engaging various brain regions simultaneously.
This complex stimulation strengthens neural networks and promotes adaptive
changes in the brain. As a result, creative therapies can enhance cognitive
flexibility, emotional resilience, and problem-solving abilities.
Stress
Reduction and Relaxation
Engaging in
creative activities has been found to induce and enhance a relaxation response
in the body. It helps reduce stress hormone levels such as cortisol and
activates the parasympathetic nervous system, which is responsible for the
body’s rest-and-digest response.3 Music therapy, in particular has been shown
to lower heart rate and blood pressure, promoting relaxation and calmness. By
providing a means of self-expression and unwinding, creative therapies offer a
safe space to process and alleviate stress and anxiety.
Symbolic
Representation and Meaning-Making
The use of
symbols and metaphors in creative therapies can facilitate the exploration and
understanding of deeply rooted and even hidden emotions and experiences 4.
Artistic creations, movement patterns, or improvised performances can act as
symbolic representations of inner conflicts, personal narratives, and
unconscious processes. With the support and guidance of a trained therapist,
individuals can explore these symbols and derive personal meaning, leading to
increased self-awareness, insight, and a sense of empowerment. This can help
with identifying triggers and practising acceptance.
Social
Connection and Support
Creative
therapies often involve group settings, fostering social connections and a
sense of belonging. Group art therapy, for instance, allows individuals to
share their artistic creations, engage in collaborative projects, and receive
feedback and support from peers. This social interaction promotes empathy,
validation, and a shared sense of humanity, crucial elements in the healing process.
Positive social experiences within creative therapy settings can greatly
improve self-esteem, reduce feelings of isolation, and promote overall
well-being.
Many people
have the misconception that they need to be proficient in creative practice to
participate in that kind of therapy. However, creative therapies are about the
artistic and therapeutic process instead of the result. The value of a session
is in the effect on well-being as opposed to the aesthetic of the artwork.
Endnotes
Chiang, M., Reid-Varley,
W. B., & Fan, X. (2019). Creative art therapy for mental illness.
Psychiatry research, 275, 129–136.
https://doi.org/10.1016/j.psychres.2019.03.025
Sussex
Publishers. (2018). Your brain on creativity. Psychology Today.
https://www.psychologytoday.com/gb/blog/experimentations/201802/your-brain-creativity
Ziff. (2010).
Expressive Therapies Continuum: A Framework for Using Art in Therapy by Lisa
Hinz. Journal of Creativity in Mental Health, 5(2), 221–225.
https://doi.org/10.1080/15401383.2010.485121
Lusebrink,
& Hinz, L. D. (2020). Cognitive and Symbolic Aspects of Art Therapy and
Similarities With Large Scale Brain Networks. Art Therapy, 37(3), 113–122.
https://doi.org/10.1080/07421656.2019.1691869