Professional Documents
Culture Documents
Acknowledgements
Designed by Tom Salinsky (07956 009174)
Printed by Alden Press
This booklet was produced by the Medical Foundation as part of its
work with lincs (Learning in Central Camden Schools), London
Borough of Camden Education Action Zone (2000-2003). We are
grateful to the staff, children and families with whom we worked.
© Medical Foundation for the Care of Victims of Torture 2004
A registered charity number 1000340
Published July 2004
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TABLE OF CONTENTS
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
The Importance of Art for Normal Development . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Art Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Exerpts from Two Art Therapy Groups in Schools . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Children who have Experienced Political Violence and Torture . . . . . . . . . . . . . . . . .16
Trauma and Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
What are the Basic Practical Requirements for an Art Therapy Session? . . . . . . . . . .18
Referral to Art Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
How can Art Therapy Help Facilitate Learning and Social Development? . . . . . . . . .19
Collaborating with Schools – Working in Partnership . . . . . . . . . . . . . . . . . . . . . . .20
What do the Children Say? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
What do the Teachers Say? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Booklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
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Introduction
The aim of this booklet is to help teachers better understand art
therapy1 in the context of schools and its usefulness to children
who have experienced political violence and torture.
It is important to acknowledge from the outset that the majority
of children who have experienced political violence and torture
will not need specialist intervention. This work is for those children
who do.
School can be a positive environment for bringing in resources
from the community and making them accessible to children, their
parents2 and teachers. School is a familiar environment for parents
and children and therefore a place through which parents may feel
confident enough to accept help that they might not ordinarily
consider. This is particularly relevant for refugee families who may
be socially isolated and unfamiliar with support services in the UK.
The Medical Foundation works specifically with children,
adolescents and families who have experienced a high level of
political violence, separation, loss and change.3 We recognise that
the specific impact of these events are cumulative and often affect
the child’s capacity to deal with new situations. The development
of these children may be interfered with. Some children may find it
difficult to move forward while others show uneven development.
Crucially this has a significant influence on the child’s academic
and social functioning.
Teachers and clinicians are aware that extreme experiences,
complex feelings, and confusing circumstances are often difficult
for the child to talk about. Many teachers may find listening to the
experiences of these children very difficult as the experiences of the
children are often catastrophic and brutal, bringing to the listener
situations of life and death and issues such as fear of annihilation
and abandonment.
Art therapy provides an opportunity for children who are
exhibiting problems to begin to integrate their internal experiences
(thoughts, perceptions, emotions, etc) with their external experiences
(war, loss, violence, exile, etc.) and their past with their present. It
1 The term art therapy denotes all art forms arts therapy.
2 The word parent denotes parent or carer.
3 The Medical Foundation works specifically with people who have experienced torture and
high levels of political violence. Clearly, not all refugees fall into this category.
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4 The word her is used to denote both male and female throughout the text.
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Art Therapy
What is art therapy?
Art therapy is a combination of disciplines: art and therapy. The
Greek origins of the word therapy suggest serving and attending to
another and art is seen as a mode of intrinsic personal expression.
Art therapy is the disciplined reflection on these two processes.
In an art therapy session the child is involved in making art
(painting, sculpting, writing a poem, telling a story, dancing, acting
out a scene). It is through this process that the child can begin to
make meaning of events, emotions or experiences in her life, in the
presence of a therapist.
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such as: “This is your time and space”, “This is your art work, the
decision is yours”. The art therapist may offer technical help,
encourage expression, facilitate a creative environment, reflect on
individual or group process, offer information or point out
possibilities the child has not seen. But her constant attitude is to
encourage and empower the child to find and develop her own
capacities and skills.
Why art therapy with children who have experienced political
violence?
Political violence is by its nature out of the realm of the ordinary. It
is a situation in which individuals have been forced to experience
the horror of the violence itself. In art therapy the art therapist
must work not only with the traumatic experience and its impact
on the child, but with the resilience and coping of the child too.
Despite this we are aware that the internal resources of the child
may have become stuck (inflexible and inaccessible) and refugee
and asylum seeking children may feel trapped by worries and often
long for a sense of freedom to play and imagine. It is the role of
the art therapist to help the child to reconnect to her internal
resources and to her capacity to mobilise these. Following are a few
working thoughts:
• The experiences a child goes through may be imaginable but
unspeakable. The art allows for concerns to be expressed in a
very concrete form and yet still to be expressed symbolically,
metaphorically, or through displacement. Some children may
find it easier to speak about a fictitious character (rather than
themselves) or to draw/paint/sculpt something (abstract, or
concrete), rather than saying it.
• The art-work can emotionally contain the child and/or serve
as a cathartic expression, for example, to vent anger, express
sadness, terror or fear, as well as to express joy and hope.
• When children are terrified they may cope by forgetting
some of their experience and in so doing they may keep
things in the unconscious at some cost to their thinking and
functioning. Art therapy can work with the dynamic of the
conscious and unconscious and serve to allow for expression
of both.
• Trauma may result in the child becoming rigid so as to cope
with her experience. The use of art encourages the child to
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that this was the passport of a British born Chess Champion whose
parents were born in Afghanistan.
This theme of passports seemed to resonate with each individual
child. All the children in this group had lost at least one family
member and a life that was familiar to them. None of these
children or their families had passports and they knew that they
were neither free to stay or to leave the UK of their own volition.
In addition the documentation of full formal names, including
the names of parents, grandparents and siblings allowed for a
documentation of a family history. This was significant for all the
children but particularly for the unaccompanied children in the
group.
Case study: A year 7 group
The children entered with an abundance of energy, excited to be
meeting again after six weeks and eager to make art. There was a
continuous babble in the room, almost like that of babies trying out
their voices, and yet we could hear no particular words. There was
a sense of playfulness, light-heartedness, and a spirit of co-
operation. Along with this there was an undercurrent of volatility –
a testing of boundaries, as if this was the first group, and yet there
seemed to be a desire to hold back, not to go so far as to destroy
the group.
Over the break one member of the group (Robel) had left the
group to return to his country. For the children in the group his
departure raised the question of going ‘home’ and each child had
individual ideas, fantasies and thoughts about their own possible
return. Robel’s departure from the group had raised an issue that
had clearly caused anxiety and fear for each child.
We had already come to understand that this group of children
had little capacity for reflective thought and found dialogue and
listening challenging. This made it difficult for them to feel
supported by either their peers or ourselves. Their emotions were
played out in actions, and emotional support therefore took a
concrete form.
For this session clay was suggested. We observed as the clay
sculptures emerged. Some of the children punched it angrily, others
moulded, cut, scraped, sliced, rolled and smoothed the clay, while
others added water. Once the water had been poured the clay
transformed into a slippery, slithery substance. The clay became
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thinner and in some cases grey and fluid. The majority of the group
were using the clay in a purely raw and sensual way, rather than
manipulating it to an aim. This was another reminder to us of how
emotionally young most of these children were, despite their
chronological age and their adolescent airs. Their emotions were
raw, uncontained and potentially overwhelming to them.
There was a sense that no matter what was offered they could
not get enough and running parallel to the fluid use of clay were
requests for more clay, more clay utensils, more time by the sink, a
longer art therapy session (“why can’t this club carry on for four
hours”).
The clay allowed for cathartic expression of the very young
emotional needs of these children. Miriam finally produced what
she described as a pizza and an African-style pestle and mortar for
pounding grain. Peter described his objects as a basket for fruit and
a pizza, which he later transformed into a gun. Beti spent the
majority of the session punching the clay, rolling the clay and
pouring water into her sculpture. In the final moments we were
surprised to see a sculpted form emerge. She described this as an
island, with two trees surrounded by a watery mote. Valbona
created a little doll’s house. Slowly and quietly she assembled the
sofa, the cup, the rug and the television. Mbenza poured so much
water onto his block of clay that it became a muddy heap, difficult
to control. He found a polystyrene cup and forced his wet grey mass
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Memories of a
child soldier.
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5 See Melzak S and Punamaki R for further reading on coping and resilience.
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freely in her art making and play. The boundaries include the
maintenance of time, space, rules and confidentiality.
• A regular time. The therapy session takes place at the same
time each week.
• A regular space. It is preferable that the sessions take place in
the same space each week, without interruption.
• Rules. The establishment of clear rules concerns the safe use
of the art therapy session and art therapy room.
• Confidentiality. This is explained and adhered to from the
outset.
6 When a referral is being made careful communication and dialogue needs to take place with
parents as to the reason for referral and the nature of the therapeutic intervention being
offered. Some parents may equate referral to art therapy with ‘madness’. In this context
consideration needs to be given to the cultural implications of therapy.
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Booklist
Blackwell, D and Melzak, S (2000) Far from the Battle but Still at War
Troubled Refugee Children in School Child Psychotherapy Trust, London
Dalley, T and Case, C (1994) The Handbook of Art Therapy Routledge,
London
Dokter, D ed (1998) Arts Therapists, Refugees and Migrants Reaching Across
Borders Jessica Kingsley, London
Melzak, S and Warner, R (1992) Integrating Refugee Children into Schools
Minority Rights and the Medical Foundation, London (a pamphlet)
Melzak, S (1999) in Lanyado, M & Horne A (eds) Psychotherapeutic work
with child and adolescent refugees from political violence in The
Handbook of Child and Adolescent Psychotherapy Routledge, London
Punamaki, R L (2000) Coping and protective factors in Health Hazards of
organised violence in children(II) Pharos, Netherlands
Richman, N (1998) In the Midst of the Whirlwind – a manual for helping
refugee children Trentham Books, London
Rutter, J (2001) Supporting Refugee Children in the 21st Century Refugee
Council, London
References
Lowenfeld, V (1987) Creative and Mental Growth (eighth edition) Prentice-
Hall Inc., Englewood Cliffs, New Jersey
McNiff, S (1992) Art as Medicine Shambhala Publications inc., Boston
Massachusetts
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