Thursday, 31 July 2014

                                         A brief history of Projective Drawing

Projective drawing has been used by many clinicians for finding out the developmental status as well as the personality of children (Harris, 1963; Koppitz, 1968, 1984). Drawings were originally used as one kind of children’s intelligence test. Goodenough (1926), a pioneer in projective drawing techniques, made efforts to determine children’s intelligence through studying their drawings. Although it was not the intention of Goodenough to conduct tests for evaluating children’s emotions or in the diagnosis of psychopathology, he discovered that drawings were useful for these purposes. Goodenough believed that “children draw from the world they know rather than the world they see” (Burgess & Hartman, 1993). Falk (1981) noted that children are more likely than adults to get engaged in drawing because they tend to communicate through symbols, especially when they find it difficult to express or too fearful to tell others about their feelings. According to West (1998), for “children who may have been sexually abused by a family member, the projective is a way to disclose when the children do not have the vocabulary to disclose and a way to tell without telling” (p. 1163).

Goodenough’s method initially used to evaluate intelligence, the Draw-A-Man (DAM) test, was re-evaluated by Harris (1963), focusing on evaluation on a number of domains of cognition other than only general intelligence. The Goodenough-Harris Drawing Test (Harris, 1963) is a screening tool for clinicians to assess the cognitive ability of children. “Of all intellectual screening measures, it is probably the briefest and most convenient to use” (Oster & Crone, 2004).
Since the 1940’s, children's drawings have also been used as nonverbal measures of personality (Buck, 1948; Machover, 1949) and emotional difficulties (Koppitz, 1966, 1968). It became apparent to many clinicians that certain drawing tasks tended to tap personality factors in addition to intellectual and conceptual capabilities (Burgess & Hartman, 1993; Hammer, 1980). Apart from human figure drawings, a number of other projective drawing tests have been applied therapeutically with children. Within this context, drawings provide a valuable source of information about a child's psychological realities (Klepsch & Logie, 1982; Naglieri, 1988; Wilson & Ratekin, 1990; Gross & Hayne, 1998). One of the most well-known projective drawing techniques is Buck’s (1948, 1966) House-Tree-Person (HTP). The house drawing is thought to carry information on issues related to the home and those living in it, whereas the tree is believed to represent the drawer’s projection of his/her mother figure. The presence or absence of certain features, details, proportions, perspective, and the use of color is believed to reveal the unconscious realities of the drawer.

Other projective techniques commonly used to assess children's thoughts and feelings include the Draw-A-Family Test (Hulse, 1951) and the Kinetic Family Drawing Test (Burns & Kaufman, 1972). In these tests, children are asked to draw their family members and themselves engaging in certain activities. By examining particular features of the drawings, including the relative sizes, proximity, and placement or omission of various family members, the clinician will be able to make inferences on the dynamics of the relationship between the child and his/her family members (Chandler, 1990; Oppawsky, 1991; Sourkes, 1991). In certain legal settings, these drawings have been used to make decisions regarding child custody (Levick, Safran, & Levine, 1990; Lyons, 1993). In 1990’s, human figure drawings were found to be one of the top ten instruments used by clinicians working with children (Archer, Maruish, Imhof, & Piotrowski, 1991; Gross & Hayne, 1998).
Recent research shows that projective drawing continues to be popular among psychologists, psychotherapists, and social workers (Hammer, 1997; Hojnoski, Morrison, Brown and Matthews, 2006; McNeilly & Gilroy, 2000; Safran, 2002; Silver, 1996; West, 1998; Yellow, 2008). Leibwitz (1999) indicated that projective drawing tests, such as House-Tree-Person (HTP), Draw-A-Person (DAP), Human Figure Drawing (HFD), and Kinetic Family Drawings (KFD), “are commonly included in diagnostic batteries, assessment procedures, and as a method to measure change resulting from psychotherapy” (Leibwitz, 1999, p. IX). Robinson (2011) stated that:
Drawings were noninvasive, nonthreatening, and ideal for people who would not or could not speak of their troubles. Projective drawing has been used to capture and describe emotional and psychological processes over the past century. Developed within the psychoanalytic and psychodynamic literature, drawings were used in a way to view the inner world of the individual. Drawings were used to not only assess a person’s emotional state, but also his or her inner conflicts. Drawings were used to assess unconscious processes such as wishes, desires, and fear. As a result of this interest, projective drawing drew together the fields of psychology, psychiatry, and art therapy. (p. 4-5)

Clinicians who use drawings as a means for assessment as well as therapy permit children to draw whatever they like with or without a theme in any way that they feel comfortable. In comparison to cognitive interventions, projective drawing represents a more direct means for interacting with children because emotions such as sadness cannot be adequately explained by words, where the subtlety of bodily responses including tension and sensations can be fundamental markers in understanding the current perceptions and stress of children (Burgess & Hartman, 1993). Regarding the interpretation of drawings, DiLeo (1983) made a crucial point that children should be encouraged to tell what they have drawn in a general way which is nonspecific. The children’s narration as well as the drawings, comprising the signs, symbols, shapes, colors and line quality, which reflect the children’s unconscious memories, help the clinicians better communicate with their little clients (Burgess & Hartman, 1993; Yellow, 2008). Thanks to Hammer and Buck’s contributions to a number of handbooks, research literature was consolidated in an attempt to attribute meanings to the various aspects of projective drawing (Bieliauskus, 1980; Buck, 1966, 1992; Jolles, 1971; Leibwitz, 1999; Mitchell et al., 1993; Ogdon, 1967, 1981; Urban, 1963; Wenck, 1977).


In the past two decades, a renewed interest regarding drawings to be used in the assessment process has developed (Hammer, 1997; McNeilly & Gilroy, 2000; Safran, 2002; Silver, 1996). Oster and Crone (2004) stated that drawings within the psychological battery “serve a special function by offering a minimally threatening, yet maximally absorbing introduction” (p. 22). Koppitz (1968) believed that drawings could be seen as a language, which can be analyzed in terms of structure, quality, and content. Thus, drawings play a role as the bridge between clinician and client and facilitate communication. Hammer (1967, 1997), Harris (1963), Klepsch and logie (1982), Leibowitz (1999) and other researchers on projective drawing have documented the clinical use of projective drawing in the assessment of clients’ personality strengths and weaknesses, attitude, emotional characteristics, status of behavioral and cognitive development, and even the ability to mobilize their inner resources to cope with interpersonal and intrapsychic conflicts (Oster & Crone, 2004).



                                      Projective drawing as a tool for children 

Projective drawing has long been used as a tool for communication and reflection of individual’s self-concept, attitudes and personality (Koppitz, 1984; Skybo, Ryan-Wenger, & Su, 2007). In particular, children’s drawings have been used in evaluation of personality, development, and cognitive abilities for decades (Golomb, 1990). The study of children’s drawings has a long tradition in the field of psychiatry, psychology, art therapy and education (Malchiodi, 1998). Studies of children’s drawings have generated important information on how children use drawings to express themselves. It is always a fascinating question to ask what children’s drawings can tell clinicians about the children’s psychological states and possible psychopathology (Buck, 1948; Di Leo, 1974, 1983; Drachnik, 1995; Klepsch & Logie, 1982; Machover, 1949; Malchiodi, 1998; Oster & Crone, 2004; Rubin, 2005; Schildkrout, Shenker, & Sonnenblick, 1972).
                                                      Projective drawings 
During the past century, there has been an overwhelming interest in the study of drawings in the context of psychotherapy. In psychoanalytic theory, both conscious and unconscious ideas are expressed in both the verbal and nonverbal realms. Since the unconscious refers to aspects of personality about which one is unaware (Freud, 1966/1991), an individual would be incapable of expressing their unconscious realities, either verbally or via questionnaires or self-rating scales. It is hypothesized that, in order to reach the unconscious content, one must evade the conscious resistance and the associated unconscious defenses (Freud, 1966/1991; Groth-Marnat, 1990). Projective measures were developed as a tool for indirect access to the unconscious realm (Hammer, 1958). Anastasi (1982) argued that the way in which “the individual perceives and interprets the test materials, or ‘structures’ the situation, will reflect fundamental aspects of her or his psychological functioning” (p. 564).
Drawings are considered an alternative means to verbal communication for expression of emotions and psychological states of persons, according to Malchiodi (1998), “to offer an alternative to self-expression that could bring out information about children that words alone could not” (p. 5). In this regard, drawings are seen as a product of the projections of people’s inner psychological realities and subjective experiences (Malchiodi, 1998). Projective drawing, one of the several projective techniques being used in clinical situations, is believed to be less emotionally threatening to clients. It helps bring forward specific issues for focused discussion, it stimulates creative clinical solutions, it provides visual representations of problem areas, and it helps expand therapeutic engagement (Oster & Crone, 2004). In sum, it enables clinicians to obtain an understanding of the inner worlds of clients and to gain insights into their unconscious processes and deeper psychological functioning (Hammer, 1958; Wadeson, 1980; West, 1998).  As noted earlier, Leifer, Shapiro, Martone, and Kassem (1991) pointed out that an inherent value of projective drawing is in its capability to bypass clients’ conscious resistance and unconscious defenses. West (1998) argued that projective drawing could reveal what the client may be unaware of.


A Short Introduction About Occupied Palestine Depicted in the Cartoon Gr...

Wednesday, 30 July 2014

Family Court Australia Children's Drawings





https://www.youtube.com/watch?v=jqt6fVtjmys

A Short Introduction About Occupied Palestine Depicted in the Cartoon Gr...

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https://www.youtube.com/watch?v=UhltBkrekc4



Pardon me for distracting a bit to Gaza battle these days. A five-minute history of the war is truly insightful.

Gaza crisis: Families grieve UN school dead



3 hours ago
The UN claims that Israel attacked a UN-run school housing refugees in Gaza, despite warnings that civilians were there.
Fifteen people were killed and dozens hurt in the incident.
The Israeli military said an initial inquiry suggested soldiers responded to mortar fire.
More than 1,300 Palestinians and 58 Israelis have now died in the conflict. Most of the Palestinian deaths have been civilians.
Ian Pannell reports from Gaza.
http://www.bbc.com/news/world-middle-east-28573314
Behavior
Of course, learning is just one of the aspects impacted by trauma exposure. After a traumatic incident, the reasoning part of the brain gives way to the more primitive mid-brain where everything is about instinct and survival (; Kuban & Steele, 2008; Perry & Szalavitz, 2006). Cognitive processes become limited while sensory reactions to terror dominate. As a result, a traumatized child reframes memories and behaviors in ways that may not make sense to other people, and even the child him/herself; but make great sense to a brain grasping to protect itself from danger. Negative behaviors such as aggression, fighting, assaultive behavior, and emotional detachment are normally the first reactions generally identified as a change since the trauma (Kuban & Steele, 2008). Moreover, revenge is a constant theme when the incident has been a violent one. Intrusive images or flashbacks occur from time to time with the traumatized children. For example, an 11-year-old girl with her head severely injured in an earthquake still suffered from extreme headache four years after the earthquake whenever she heard loud bang. In addition, whenever she heard about news of an earthquake, she could not sleep all night long but re-experienced her fearful experience in the ruin. Traumatic dreams are also significant reactions of trauma. A seven-year-old boy in Sichuan, mainland China, told his counselor about his recurrent nightmare that his parents died and he became an orphan staying in a grass hut which was leaking and dripping in rain after the earthquake. Moreover, inappropriate age-related behaviors such as clinging to mother, bed-wetting, and other regressive behaviors are also reactions of trauma. For example, a seven-year-old girl started bed-wetting when she overheard that her parents were going to divorce.
Following a trauma, the reactions which can be experienced can impact one's behavior as well as emotional and psychological functions. When a child or adolescent, experiences a trauma, arousal is the neurophysiological response. Hyperarousal is one of the reactions of trauma, which is a specific cluster of PTSD symptoms. This cluster includes symptoms that stem from experiencing high levels of anxiety, such as having a difficult time staying asleep, having outbursts of anger, difficulty concentrating, acting constantly "on guard" for ubiquitous danger, and easily startled. Hyperarousal leads to activation of the automatic nervous system, increased muscle tension and released hormones into the blood and reduced or intensified responses of the immune system (van der Kolk et al., 1996).

                    http://www.asktheinternettherapist.com/articles/ptsd-treatment-symptoms/