Art Therapy 101

Liz & Partner: Viennese Waltz, Photo: Jen Gross

Normally, I spend these posts focused on my explorations in art and art therapy. However, behind all of that lies the beauty and wonder of family. Family is my foundation.

This year, in celebration of Mother's Day, I was invited by Claudine Intner, an artist, blogger and mom extraordinaire to join a Mother's Day blog hop. I accepted and chose May 14, my daughter's birthday, as my post date. I couldn't think of a better way of honoring Mother's Day than to write about being Liz's mom.

One of the great delights of my life, Liz came into it twenty two years ago today. A young woman who has faced many challenges, she has overcome them one step at a time.

In fact, Lizzie helped inspire me to become an art therapist. Being with my own daughter, I understood the need to have compassion, to help my child as she met the inevitable challenges of growing up. What an awakening; to discover that no one was going to be a better advocate for her than I. And, it was this same experience of advocacy which spurred me on later, to work with children, who might or might not need an advocate of their own.

Liz & Partner: Nightclub Two Step, Photo: Jen Gross

Years have passed since Liz's elementary school days, but at the time, I poured everything that I knew as an artist into my mothering. When school was frustrating, Liz hunkered down at a small table piled with markers and paper and pounded hard on sheet after sheet of paper, producing a series of pointillist mandalas. Later on studying art therapy, I learned the theoretical underpinnings of catharsis but at the time, Lizzie blazed her own art therapy trail.

When she reached high school, and I learned about SoulCollage^®, it was Liz who took it to new heights, carrying stacks of 5" x 8" cards and magazines up to her room and emerging several hours later with a fan of cards to share with me. (Before long, she began to assist me during workshops, adding her gentle presence and expertise.)

Together, her cards created the portrait of a passionate and deeply creative woman and I wondered what future form(s) this might take in the world. I didn't have long to wait. During her first year of college, Liz discovered ballroom dance. An incurable romantic, this art form fits her to a T. I've delighted in watching her emerge as a gorgeous woman, who continues to craft her life one step at a time. Today, on her birthday, she is performing with her dance team, "Spirit in Motion" and dancing a solo with her partner. I can't think of a more fitting way for her to enter her 22nd year: in motion.

To see more blogs on the hop, click on any of the links below:

5/1 - Claudine Intner http://www.intner.net/blog
5/2 - Melissa Liban http://melissalibanillustrations.blogspot.com/
5/3 - Lynn Krawczyk http://fibraartysta.blogspot.com/
5/4 - Ishita Bandyo http://www.ishitabandyoarts.blogspot.com/
5/5 - Jeri Greenberg  http://www.Jerigreenbergart.blogspot.com
5/6 - Kathleen Mattox http://mixedmessagesbykathleenmattox.blogspot.com/
5/8- Amanda Ruth http://bunnycarrots.blogspot.com/
5/9- Judi Hurwitt http://approachable-art.blogspot.com/
5/10 - Kathleen Murphy http://kathleenmurphydesigns.blogspot.com/
5/11 - Hannah Phelps http://hannahphelpsgallery.blogspot.com/
5/12 - Helen Hiebert http://helenhiebertstudio.blogspot.com/
5/14 - Hannah Klaus Hunter http://hannahklaushunter.blogspot.com/
5/15 - Claudine Intner http://www.intner.net/blog/

Prelude to Mother's Day

Waters of Life, ©2003, H.Hunter, 11" x 15," Collage

It was Bring Your Child to Work Day last week, a day parents working at our hospital bring along their children, in order to explore careers in healthcare. We had speakers, tours and tables all set up to teach kids about a multitude of possible futures.

My assignment was clear: meet the oncoming wave of children, 50 or so, with a quick description of what it means to be an art therapist. A Twitter dilemma if I ever saw one. (Describe what I do in 140 characters or less.) In addition, I offered them an art therapy activity.

I wanted to engage the kids, find out what they might wish to do when they grew up, recognizing any answer is a work in progress.

To that end, I had a collection of muslin dolls, ready to be drawn upon in whatever way a child's dream might dictate. Most of the children wanted to grab the doll and go (and what would you want with a naked baby doll, I ask you?) I politely let them know the talk was part of the bargain. No art, no doll.

My invitation was often initially met with a blank stare, but when I motioned them over to join other kids at a table filled with fabric markers, more colored pens began to "tatoo" muslin skins, transforming the blank "canvas" of that doll into a future self.

It was marvelous and all types of dolls emerged--nurses and doctor dolls of course, but also singers, computer geeks and pharmacists. I was so happy that the children felt that they were able to supplement the ample information that they'd heard with a chance to internalize their knowledge. Perhaps some expressed a dormant desire, a curious inclination just waiting for the opportunity to emerge.

It's taken a long time for me to lean into my future. As a child on the playground, I was often stumped when we talked about what we wanted to be when we grew up. The presumed careers for girls, teaching and nursing, did not feel right. But sitting behind the table last week, wearing a bright pink sweater and sparkly earrings, I felt I was embodying the self that had been waiting all those years ago, an artist, who uses art as medicine.

Postcard Assemblage!

I set aside a day over Thanksgiving weekend to try something new--constructing a series of 25 postcards, destined to be sent to 25 different places around the world. Art Therapy Without Borders had set up a world-wide exchange, asking people to sign up in order to create and send postcards about how each of us practices art therapy in our neck of the woods. The goal of this collaborative art project is to allow community members from the Art Therapy Alliance, International Art Therapy Organization and Art Therapy Without Borders to create a greater sense of connectedness throughout the world, as well as, to see how practices differ from country to country or even state to state.

I wondered where to begin. I could collect medical packaging for collage. That would give people a good clue about where my art therapy is located. (I didn't get too far with this because the wrappers are routinely tossed.) I also considered taking some of the drawings that children leave behind and adding them to the collage mix. The truth is, in the back of my mind, I knew that I would end up utilizing my "everything but the kitchen sink" method, where I grab papers and cloth and treasures from every part of the studio. I just wanted to pretend that I might be a more thematic and organized this time. But wait--there could be an organizing principle: the baby press.

I had received a baby press for the hospital during the last holiday season (courtesy of those good people who ask us for wish lists.) It had been sitting captive in its crate for the better part of the year. Never enough time or tools during the day to unpack it.

What better activity for Thanksgiving break than to get my sister and her big red truck to help me haul it to my studio and put it together? I could test it with these postcards. She was game for the adventure, and we wrestled the crate up my studio stairs and began to unpack it. Before long, with the help of various hex wrenches, we assembled it. Fabulous!

Filled with anticipation, I laid out 25 cards in rows and got to work. I cut up leftover postcards from earlier shows, a rice paper kite and slivers of the book that I had been altering. Throughout the process, I tried to suspend my own sense of judgment, that nemesis on alert, whenever I'm in artist mode. Instead I intended to follow the direction of my fingers and eyes, inviting in the critic only after the composition was basically there.

I wanted my images to allude to the art therapy work I do--not to spell it out in words and images (enough about that was written on the back)--but rather create a riddle for the viewer to solve. I've created a slide show of the postcards which you can see below:

http://www.youtube.com/watch?v=2Yh0JBuEkiU

Keeping Our Selves Warm

Multiple Passages, ©2010, H. Hunter, Multimedia

At this time of the year in most parts of our country, the task is to stay warm, but even more that that, to keep our souls warm. As it becomes darker and colder outside, it's easy to find ourselves in similar inner spaces.

Instead, I'm seeking to turn up my inner heat and discover more of what lies within. With that in mind and my early morning warm-up shower behind me, I wanted to share a few things that have warmed my soul lately...

Multiple Passages was created in memory of a vibrant young woman with whom I worked; she was Fijian, by way of India and she had a spark in her soul that could heat up any room she found herself in during her time at our hospital.

In particular, I appreciated her fierce love of Bob Marley and the Jamaican flag which decorated her room. One day near the end of her life, I entered to find her choosing just the right shade of magenta that she and her nurse planned to dye her hair that weekend. Although she died a year and a few months ago, her presence continues to permeate my work.

Grandma Caroline, ©2006 H. Hunter, SoulCollage®

This morning, in honor of Thanksgiving, I decided to excavate my bedside reading collection. In the pile, I found a sheaf of typewritten letters from my grandmother Caroline. She died at the age of 33 in 1938, years before I was born. I happened to turn to a letter I hadn't yet read, dated a few weeks before the Thanksgiving of 1937. At that time, she was for the most part, confined to her bed with the cancer that took her life. In this letter, she shares with her sister Leah her delight and humor over a Friday night Shabbat (the Jewish sabbath) dinner:

Friday night we had such dandy broiled white bass for supper how I wished you could share it with broccoli with drawn butter and lemon sauce. As if that were'nt enough fish in came Maurice with a jar of Gafilta fish. Of course I raved and raved about it, but it was so white and flat tasting. Maurice said see it was made with frozen haddock and you could'nt tell the difference. But I did'nt say so but just raved about it. Your really need fresh fish to make a jelly like stock to cook the balls in. You can't tamper with that good old fashioned gafilta recipe. (The underlinings are all hers.)


I love her exuberance and her kindness. And, while I have never liked gefilte fish, her excitement over good food helps me understand my own global enthusiasm for food and I am grateful that she lives on in me through our shared devotion to food, words and family.

Last, but not least, to see a video clip from an interview NBC Today show host, Matt Lauer did at St. Jude's Hospital this Monday, click here

You know what they say, a picture is worth a thousand words...

ATx á la carte speaks to this heart

A Flock of Hands

What happens when you put hundreds of art therapists together in a convention center? I found out when the American Art Therapy Association convened their annual meeting this week in Sacramento. I'd been wondering what it would be like to enter a space filled with people who believe that making images and guiding others in the creation of images is a sacred, healing and deeply passionate practice.

One among the flock of hands

Riding up an escalator, I discovered a flock of hands covering vast areas of the lobby. Winding my way through, I found this one, whose message channeled the words of a 12th century saint, Julian of Norwich:"And all shall be well, and all manner of things shall be well."

Filled with anticipation, I landed in a room in which several therapists were discussing grief and loss, my sphere of interest.

Elizabeth Stone, an art therapist who lives in France, works with cancer patients. Her presentation told the poignant story of a mother who had died of cancer and her daughter, who was grieving the loss of her mother. While showing us a series of images of both the mother and the daughter's artwork, she described the healing of wounds that reached back through 3 generations.

Art That Speaks, An Exhibition of Art Therapy in Oncology

Following her talk, another panelist noted: "You broke all the right rules." (Elizabeth had made several unconventional decisions in her treatment.)

Breaking the rules became my own theme for the conference. When I'm engaging in art therapy,  I often find myself of two minds. One part of me is working from the "rules;" the theories and philosophies one studies in school. By the book, as it were.  At the same time, the intuitive part of me is receiving ideas and images of what to do next in the session. Over the years, I've learned to weigh what I call my right and left brain options and then go with my gut. Some part of me knows then to trust my heart over the rules and understands that it is more important to nurture the relationship, whatever that is at the moment, than to stick by the book. Nevertheless, I've always been a bit embarrassed about advertising this because I work in an academic institution.

But today I let go of my qualms. A well known art therapist, Linda Chapman, got up and gave a talk on neurobiology in the clinical setting. After explaining the way that the brain receives and processes information, she told us about the case of a violent young man she had as a client. She described her process of "receiving images" as she worked with this teen. During the sessions, she found herself doing a number of unconventional things, including playing peek-a-boo with him. (Part of her developmental repairative work.) Many were amazed and stunned and I walked out of the session feeling validated for my sometimes out of the ordinary approach.

Break the Rules, 9" x 12," ©2010, Hannah Hunter

It's easy to get overloaded with all the "clini-speak" and I was. Fortunately, for we art therapists at a conference, there's a solution: an entire part of an exhibition hall devoted to art making. I headed down there and made this collage.

This week, I heard the first verse of a poem by Galway Kinnell, which speaks of this necessity:

St Francis and the Sow
The bud
stands for all things,
even those things that don't flower,
for everything flowers, from within, of self-blessing;
though sometimes it is necessary
to reteach a thing its loveliness,
to put a hand on its brow
of the flower
and retell it in words and in touch
it is lovely
until it flowers again from within, of self-blessing...

A Code of Many Colors

Every so often, the worst thing imaginable happens. A woman's voice says in clear distinct tones: "Code Blue, Davis 7"

My heart skips a beat, waiting to hear the floor. "Please," I say inwardly, "not Davis 7."  That's our floor, the kids' floor.

Code blue is called when a person's heart stops beating. Doctors, nurses, a pharmacist and a respiratory therapist are paged to do their best to revive the patient.

From the point of view of the people involved, it's a team effort. From the point of view of an observer, it is an otherworldly event. When it is successful, the rest of the day is spent picking up the pieces, literally and figuratively.

A code blue took place on our floor recently and by great good fortune, the patient was revived.
In this instance, as an art therapist, my role is strictly that of the picker upper, one of many who helps put the pieces back together for a family. In this case that meant working with one of the child's siblings, a ten year old girl.

I looked into my internal Mary Poppins bag of tools. What to do? What project would allow this child to process the swirl of emotions taking place inside of her and yet preserve her dignity, her anonymity? 

I came up with the "Inside Outside" box. It's a standard art therapy directive, using collage materials; magazine pictures, Mod Podge, buttons, gems, pipecleaners, stickers, feathers, small wooden tiles (everything but the kitchen sink.)

We spread these materials on a table along with small boxes. The idea behind the project is that you put images on the outside of the box that express the part of yourself that you feel comfortable showing the world, and on the inside you place those images and objects which are private; images that represent the parts of yourself you might share with family or friends, or perhaps no one.

I watched amazed as this girl took the small tiles, carefully wrote the name of each of her family members and added a colored gem to each tile. She then glued them to two sides of the box and added some feathers on the opposite sides. It looked very ceremonial, like some kind of memorial marker.

Next, she turned her attention to the inside. I looked over as she was about to flick the contents of a brush heavily loaded with chartreuse green paint. "Whew!" I thought, "caught her before that went ALL OVER everything." Knowing she had a huge amount of emotion stored inside of her after the code, I taught her how to "point and flick." She spent the next half hour flicking every color of the acrylic palette into the box. I could not have imagined a more perfect way for her to express and capture her fear, helplessness and uncertainty.

That's the magic of art therapy. Behind a seemingly simple set of directions, lies an opportunity for a person's psyche in a pure, uninhibited yet protected way. (Provided these simple directions are supported by appropriate training in art therapy). It's one of those moments where all the study, hours of supervision, and my effort to keep faith in the process bears fruit.

Perhaps fruit isn't the right metaphor. I'm a Virgo, one of the most service oriented signs in the zodiac and I'm guided by the one of the tenets of my Jewish faith, "tikkun o'lam, " which means repairing the world. In a vulnerable moment like this one, peering into this small maelstrom of a box, I feel a piece of our world has been mended.

Pictured above is one of my first "Inside Outside" boxes made in 1999 during a class in medical art therapy.  I call it "My Father's Box."

Scavenger Hunt

Each week day afternoon, I offer an art group for patients, siblings and any other family members who might wish to attend. Coming after "rest hour," its a welcome activity, providing a chance for parents to chat and kids to get up to their elbows in whatever we're doing that day.

Yesterday we only had one child, eight year old Sonya whose brother has been hospitalized for some time. Sonya loves the art group. Lately, though, as her brother's days in hospital have accumulated, she seems restless. What to do? Organize a one person scavenger hunt!

I found some small give-away toys that we keep, hid them carefully and came up with a list of funny clues about where they were placed, ex.: "Where would you go for a good cup of tea? (Why the dollhouse in the shape of a teapot of course!) As I hid the toys, two more kids joined us, six year old Sam and nine year old Jamie.

As the kids worked out the clues, their smiles were contagious (I mean that in the best way possible.) The hunt went so well I decided to auction off all the "found" toys with Sage, Sam's mom as the auctioneer and using Monopoly money for the bidding process. The kids loved it, getting into bidding wars and flashing goldenrod and sky blue colored slips of paper. (I kind of worried that some administrator would hear the noise and think we were gambling!) When the last stencil set was auctioned to the highest bidder at $600, everyone sighed with relief (they all came out even), pulled out their dragonfly, star and ladybug stencils and began to paint.

In some ways setting up this show, "Striking A Balance," has been its own kind of scavenger hunt. I found an unexpected treasure in my e-mail box yesterday; a post by my friend Beth Rommel about my work in her words. What a gift that was, the opportunity to see myself through another's eyes. Thank you Beth.

A good many of the pieces in the show were created last year when we lost a number of beloved patients. At the end of my rope, I decided to make memorials for each child. I went to work, collecting materials and scavenging for fabrics and images that resonated with each of the children I was thinking of. I quilted pieces of fabric together in colors that I associated with each child and stretched those over a 6" x 6" x 2' frame. Early on, I realized I couldn't keep each of the pieces true to that child.  I had to go further than the notion of "their favorite color or toy." At that point,  I let go of the notion of portraiture and to my surprise, the true nature of the relationship I'd had with each one of them emerged.
Pictured above from top to bottom:
Fan, Please, 2010, ©Hannah Klaus Hunter
Zig-zag Path, 2010 ©Hannah Klaus Hunter
Change Your Buddha, 2010 ©Hannah Klaus Hunter

Striking a Balance Take 1

Someone asked me recently: "Why did you choose the name "Striking a Balance" for your exhibit?

Have you thought much about the balance in your own life? As I live my way through a day, I find myself at the nexus of many continuums: action/inaction, giving/receiving, cleaning up/making a mess, teaching and learning. I'm always in search of the balance, and like the see-saws of my childhood, I seek the miraculous middle.

Recently, I had the opportunity to work with a young woman of 20 who had been in treatment for cancer a good part of her life.  She was referred to me with the thought that I could offer her ways of expressing all of those inexpressible wishes that fill the heart and mind of one with such a diagnosis. When I receive a request like this one, I rely heavily upon the balance between my intuition and my years of training, trusting that both are there to support me.

An article I'd read in the latest Oprah on Vision Boards sprang to mind. I explained the concept to Sarah (not her real name), and talked about how to look for pictures that could paint a picture of her deepest desires. It was absolutely alright to hope.

As Martha Beck noted in her article " To really work, a vision board has to come not from your culture but from your primordial, nonsocial self - the genetically unique animal/angel that contains your innate preferences." I explained that by choosing images and creating a collage, her choices would impress themselves in her mind, helping to guide future choices.

She understood all this and quickly went to work. I scoured the pediatric floor, collecting magazines for her inspection. With the help of several volunteers her own age who supplied companionship, she created a board beyond my imagining.

Framed by a narrow border of leopard print which she had painstakingly drawn and painted, lived the images of a future life: a rose garden, a husband, her present and future family and the words "Love the Divine Life."

The board astonished many of us including her doctor. There is always a delicate balance in these rooms. Will the treatment work? Is it o.k. to talk about one's dreams?  How do you strike a balance between the turbulent voyage of treatment and the possible outcomes? How do you create value and meaning, when to the person in the hospital, their room seems to contain anything but that? This last question often means uncharted territory, but the board broke that wide open. For all of us who work with Sarah, the collage became a doorway into her soul. And, for that moment, she had helped all of us strike a balance.

Balanced Rocks Photo courtesy of: Michelle Meikeljohn, http://www.freedigitalphotos.net/images/view_photog.php?photogid=901
Photo of Red Rose courtesy of: Image: FreeDigitalPhotos.net

Branding My Shoes

I decided to kick off the my week of "working for keeps" by taking a risk in my art therapy practice. Recently, I had the opportunity to work with a young patient of about 13. Her nurse came up to me in the hall and lightly catching me by the arm, said "Adelle wants to paint her tennis shoes."  "Shoes hmmm?" I always enjoy a challenge like this in the midst of hospital hustle and bustle.  "What would I need to paint some tennis shoes, Converse cotton canvas to be precise?" I thought fast.

I would need:
•some acrylic paint thinned slightly in a variety of colors
•2 (at least) emesis basins (those kidney shaped bowls that are standard hospital issue.)
•several toothbrushes. Raid the supply room.
•What to do about the floor? Grab a plastic isolation gown and some medical tape. Spread it out like a tarp, and tape the arms and bottom firmly to the linoleum floor.

Adelle and I hunkered down on the floor and I experimented with my flick and spray techniques. She didn't have much experience in this area, but caught on quickly, expertly flicking the first layer of yellow drops on her orange shoes. A shy tween, she was hesitant at first, especially because our activity attracted the interest of the residents and the nurses who came in and out of her room and couldn't resist asking the obvious "What are you doing?" She smiled and flicked her toothbrush, spraying flecks of yellow. I was impressed. The shoes were looking great and with an additional layer of red and cerulean blue, they appeared as if a professional had created them. Which got me to thinking. Most likely Adelle (not her real name) had a lot more experience with Internet shopping than I and more than likely, Converse was marketing just such a shoe. I went home and checked it out on my laptop. Sure enough, there was an option to "make" your own shoe". I spent a bit of time changing the colors and patterns on my virtual shoe, but in the end, concluded that doing it in the flesh was  better.  I searched around the house, looking for a pair of my daughter's old Converse tennies to spray. Too late, I remembered that they'd gone to Goodwill in a paper sack. What to do? The answer came to me this morning from my friend and coworker Janelle (her real name) while we were sitting together. She stared down at my worn Dansko clogs (standard hospital wear) and noted the multiple flecks of white paint on one of them. "You ought to collage those" she said "you know, create your own brand." "A beautifully painted pair of clogs", definitely a keeper of an idea. I'll be painting, collaging and posting. Care to join me anyone?