medical art therapy with children

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222 CHAPTER 16 Medical Ar t Therapy with Childr en Tracy Councill T he fundamental qualities that make the creative process empowering to children in general can be profoundly normalizing agents for those undergoing medical treatment. When the ill child engages in art making, he or she is in charge of the work—the materials to be used; the scope, intent, and imagery; when the piece is ﬁnished; and whether it will be retained or discarded. All these factors are under the child artist’s control. Participating in creative work within the medical setting can help rebuild the young patient’ s sense of hope, self- esteem, autonomy , and com- petence while offering opportunities for safe and contained expression of feelings. Art therapy has been used with a variety of pediatric medical populations, including those with cancer, kidney disease, juvenile rheumatoid arthritis, chronic pain, and severe burns (Malchiodi, 1999). When medical art therapy is included as part of team treatment, art expression is used by young patients to communicate perceptions, needs, and wishes to the professionals who take care of them. The medical art therapist is skilled at assessing each young patient’s strengths, coping styles, and cognitive development. Information gathered through artworks can be invaluable to the medical team as it seeks to treat the whole person, not just the disease or diagnosis. Children who experience traumatic injury, a chronic medical condition, or the onset of a life-threatening illness share a need to understand the treatment they receive, tell their stories, and rebuild their sense of self. WHA T A MEDICAL DIAGNOSIS MEANS The diagnosis of a serious i llness or i njury is a catastrophic blow to the yo ung patient and his or her family’s fundamental sense of trust and well-being. The onset of a serious illness is often experienced as a bolt out of the blue, robbing the child and

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