The Power of Art to Cope With Trauma: Psychosocial Intervention After the Tsunami in Japan

This article describes the significance of an art-based psychosocial intervention with a group of 9 head kindergarten teachers in Japan after the 2011 tsunami, as co-constructed by Japanese therapists and an Israeli arts therapist. Six core themes emerged from the analysis of a group case study: (1) mutual playfulness and joy, (2) rejuvenation and regaining control, (3) containment of a multiplicity of feelings, (4) encouragement of verbal sharing, (5) mutual closeness and support, and (6) the need to support cultural expression. These findings suggest that art making can enable coping with the aftermath of natural disasters. The co-construction underscores the value of integrating the local Japanese culture when implementing Western arts therapy approaches. It is suggested that art-based psychosocial interventions can elicit and nurture coping and resilience in a specific cultural context and that the arts and creativity can serve as a powerful humanistic form of posttraumatic care.

A Therapist’s Vicarious Posttraumatic Growth and Transformation of Self

The South Korean Sewol ferry sank off the Jindo Island in April 2014, with the loss of 304 lives. Of those who died, 250 were students from Danwon High School. Our study examined the tragedy and detailed experiences of the therapist who helped the bereaved families. It employed an idiographic approach that allowed the therapist to speak the language of her consciousness, personal growth, and meaning making. We conducted a critical narrative analysis to integrate individual dialogues and institutional discourses. The results revealed the therapist’s motives for commencing therapy post the Sewol tragedy, her projective identification with adolescent siblings of victims, ambivalence toward their parents, and an awakening that trauma and loss can be framed within a larger sociocultural context. The process transformed the self-of-the-therapist and helped her redefine the role of trauma therapists. The therapist’s critical reflection on macro–micro interconnection and vicarious posttraumatic growth were also discussed. The results suggest therapeutic implications for trauma professionals at both the individual and system levels.

Into the Wild, Out of the Woods: A Systematic Case Study on Facilitating Emotional Change

Cognitive and behavioral treatment programs for individuals who have committed sexual offenses (ISOs) have shown significant but small effect sizes. A growing body of research points toward the importance of difficulties in affect regulation (AR) as a risk factor for sexual recidivism. On this basis, it seems important to target difficulties in AR in treatment. The current systematic case study investigates the potential contribution of emotion-focused therapy (EFT) to changing problematic AR in ISOs. Kevin was a high-risk offender with a traumatic history who met the diagnostic criteria of pedophilic and borderline disorders, with serious AR difficulties. Self-report outcome measures, observation measures, and a biomarker were used to track changes in AR, psychological symptoms, and distress during baseline (Phase A); treatment as usual (Phase B); treatment with an EFT component added (Phase C); and follow-up (Phase A). Statistically significant change was found in AR, psychological symptoms, and distress during treatment (Phase B + C); however, it is not possible to attribute these changes causally to EFT. An examination of the qualitative process data provides deeper insights into how the client reacted to specific EFT interventions. Verbatim clinical vignettes are included to clarify key interventions, hindrances, and mechanisms of change. This study provides preliminary support for the role of therapy to facilitate emotional change in ISOs.