Exploring Ethical Dilemmas in Art Therapy : 50 Clinicians From 20 Countries Share Their Stories book cover
1st Edition

Exploring Ethical Dilemmas in Art Therapy
50 Clinicians From 20 Countries Share Their Stories

Edited By

Audrey Di Maria

ISBN 9781138681903
Published April 4, 2019 by Routledge
490 Pages 13 Color & 81 B/W Illustrations

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Book Description

Exploring Ethical Dilemmas in Art Therapy: 50 Clinicians From 20 Countries Share Their Stories presents a global collection of first-person accounts detailing the ethical issues that arise during art therapists’ work. Grouped according to themes such as discrimination and inclusion, confidentiality, and scope of practice, chapters by experienced art therapists from 20 different countries explore difficult situations across a variety of practitioner roles, client diagnoses, and cultural contexts. In reflecting upon their own courses of action when faced with these issues, the authors acknowledge missteps as well as successes, allowing readers to learn from their mistakes. Offering a unique presentation centered on diverse vignettes with important lessons and ethical takeaways highlighted throughout, this exciting new volume will be an invaluable resource to all future and current art therapists, as well as to other mental health professionals.

Table of Contents

Foreword, Judith A. Rubin



The 50 Clinicians

Part I. Looking Beneath the Surface

1. Factors That Can Influence the Ethical Decision-Making Process, Audrey Di Maria

2. Informed Consent and More: Positioning the Private Practice Contract at the Crossroads of the Art Therapist’s Ethical, Clinical, Financial, and Legal Responsibilities, Anne Mills

Part II. The Ethical Dilemmas

i. Assumptions, Discrimination, Exclusion

3. After the Typhoon: We Brought Art Materials, They Wanted Coffee, Maria Regina A. Alfonso

4. Art Therapist? Yes. Minister? That, Too! Ethical Issues That May Arise When One Has Dual Roles, Martina E. Martin

5. Can Biases Ever Be Right? The Ethics of Working Internationally as an Art Therapist, a Trainer, and a Professor, Heidi Bardot

6. Culturally-Adaptive Art Therapy Practice: Is It Ethical? Mercedes Ballbé ter Maat

7. Do No More Harm: The Ethical Practice of Art Therapy with Hospitalized Adults Who Have Severe and Persistent Mental Illness, Deirdre Cogan

8. Not Just Another Old Person: Art Therapy with Those Who Strive for Autonomy and Respect Within a Culture of Invisibility, Emery Hurst Mikel

9. Redressing Social Injustice: Transcending and Transforming the Borders of Art Therapy Training in South Africa, Hayley Berman

10. Translation of the Therapeutic Language: Can One Teach or Practice Art Therapy Ethically Without Considering Culture? Sojung Park

11. Walking a New Path: Ethical Considerations in Indigenizing Art Therapy in Canada, Jennifer Vivian

ii. Confidentiality

12. A Part of, Yet Separate: Ethical Issues Arising in Art Therapy with Combat Service Members and Their Families, Paula Howie

13. But That Isn’t Exactly What I Meant: The Use of Language Interpreters in Art Therapy, Elaine S. Goldberg

14. Ethics and Morality on the Stand: Art Therapist as Expert Witness, David Gussak

15. No Man, or Woman, is an Island—Especially on an Island: Practicing Art Therapy in the West Indies, Karina Donald

16. When "Client" is Plural: Confidentiality in Art Therapy with Groups, Families, and Couples, Mary Ellen Ruff

17. Youth Behind Bars: Ethical Issues That Confront Art Therapists Who Work in Juvenile Detention Centers, Jane Scott

iii. Conflicting Interests

18. An American Art Therapist in France: 30 Years of Teaching and Supervising European Art Therapists and of Practicing Art Therapy, Elizabeth Stone

19. Art for Sale? Using Client Art for Promotional Purposes, Lisa Raye Garlock

20. Art Therapy in Chile: The Ethical Challenges and Dilemmas of an Emerging Professional Practice, Pamela Reyes, H.

21. I Am Not Disordered, I Am Special: Ethical Issues Faced by Art Therapists in the Evolving World of Children with Special Needs, Laurie Mowry-Hesler

22. If Not for the Grace of God, There Go I: The Ethical Challenges of Providing Art Therapy and Other Services to Those Who Are Homeless, Gwendolyn M. Short

23. It’s Not Even My Fault: Ethical Issues Encountered in Providing Art Therapy for Those Who Have Been Injured on the Job, Donald J. Cutcher

24. My Top 10 Ethical Pet Peeves: An Art Therapist Reflects Upon a Career Working in Psychiatric Settings, Charlotte G. Boston

25. Separation of Church and State: Parochial Politics, Third-Party Payers, and Art Therapy for an Individual with Complex Trauma, Eating Disorder, and Dissociative Identity Disorder, Michelle L. Dean

iv. Multiple Roles

26. Actually, Hong Kong IS a Small Town: Art Therapy and Multiple Relationships Within a Community, Jordan S. Potash

27. Avenues and Barriers of Dual Roles: Ethics and the ART Therapist as Researcher, Richard Carolan

28. Hovering Between Art Education and "Art Therapy": The Ethical Perspective of a Ghanaian Art Educator, Mavis Osei

29. It’s Not All Academic: Addressing Non-Academic Ethical Issues That Arise in Art Therapy Education, Mary Roberts

30. Testifying on the Termination of Parental Rights: Art Therapy and Case Management in an Early Intervention Program, Cheryl Doby-Copeland

31. The Art Therapist/Art Teacher: Practicing Ethically in Treatment Settings and School Settings, Barbara Mandel

v. Scope of Practice

32. Adapting the Instinctual Trauma Response Model to Meet the Needs of Clients in Ukraine: Ethical Considerations, Iryna Natalushko

33. Apps, Telehealth, and Art Therapy: Online Treatment and Ethical Issues for the Digital Age, Ellen G. Horovitz

34. A Safe Space, Standards, and "Gut Feelings": Ethics and Cultural Diversity in Art Therapy Training Groups, Diane Waller

35. But Who Really Is On First? Art Therapy as Collaborative Treatment for Trauma Disorders, Tally Tripp

36. Ethical Concerns When Applying Drawing to Promote Memory: Research Conducted in Iceland, Unnur Ottarsdottir

37. My First Year as an Art Therapist in India: Ethical, Cultural, Logistical, and Supervisory Issues, Sangeeta Prasad

38. The Mini Art Therapeutic Session Program in a School Setting in Japan, Yuriko Ichiki and Mercedes Ballbé ter Maat

39. Traveling Without My GPS: Creating the First 100% Online Art Therapy Masters Degree Program, Penelope Orr

40. Widening the Lens of Ethical Practice in Art Therapy: Visual Free Speech and the Inclusive Studio Environment, Michael A. Franklin

vi. Transference and Counter-transference

41. An Open Book: How Does a Bereaved Art Therapist Maintain Boundaries with Bereaved Clients? Sharon Strouse

42. Boys Will Be Boys: Men, Ethics, and Art Therapy, Michael Pretzer

43. Coloring Inside the Rooms: Art Therapy in Residential Substance and Gambling Addiction Treatment, Todd C. Stonnell

44. Gaza Was Different: Ethical Issues That Arose on an Art Therapy Journey in the Middle East, Shirin Yaish

45. Is All Art Making Ethical? Dilemmas Posed in the Making of Response Art by Australian Art Therapy Trainees, Patricia Fenner and Libby Byrne

46. Multiple Roles in Art Therapy Supervision: Using El Duende One-Canvas Process Painting, Abbe Miller

47. Trauma and Displaced Aggression: An Art Therapist Works with Refugees in Sweden, Catherine Rogers Jonsson

vii. The Abuse of Power

48. If You Don’t Stand for Something, You’ll Fall for Anything: Finding Courage When Asked to Do Wrong, Leslie Milofsky

Part III. Drawing to a Close

49. Finishing Art Therapy Without the Work Unraveling: Ethical Issues in Terminating Long-term Therapy with Children, P. Gussie Klorer

50. When the Art Therapist is Ready to Leave Before the Client Is: The Ethical Challenges of Closing a Clinical Practice, Deborah A. Good

Appendix A. Private Practice Contract, Anne Mills.

Appendix B. Chapter Writers’ Resolutions to Their Ethical Dilemmas

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Audrey Di Maria, MA, LCPAT, ATR-BC is an Adjunct Associate Professor in the graduate training program in art therapy at the George Washington University in Washington, DC, where she has taught since 1978. She has chaired the Education and Publications Committees of the American Art Therapy Association, is a recipient of AATA’s Clinician Award, and was secretary of the Art Therapy Credentials Board during the development of the initial version of its code of ethics.


"This book deals with challenges that art therapists often face in their professional life as therapists, as teachers, and as supervisors. For instance, what kind of art therapy can we teach in countries where art therapy does not exist? Is response-art more helpful to the client or to the art therapist? How flexible should we be with disruptive clients? This book offers a helpful analysis of relevant issues, together with the art therapist’s answers and suggestions."

—Paola Luzzatto, PhD, registered art therapist in the UK, USA, and Italy

"This book guides the reader into a deep and wide understanding of ethical dilemmas in art therapy practice. The book is easy to read and shows cultural differences told through clinical experience. It expresses many of the dilemmas that are most often not shared in the field and introduces art therapy methodology from different perspectives in a way where the reader is invited to make personal reflections on specific challenges. It can be an important inspiration to any clinician in the therapeutic field."

—Vibeke Skov, PhD, clinical psychologist and founder of the Art Therapy Institute in Denmark