A Bipolar Patient’s Painting Style Changing Process:An Art Therapy Case
|關鍵字:||躁鬱症;藝術治療;繪畫風格的象徵;bipolar disorder;art therapy;symbolism of style|
This five-year longitudinal study aimed to explore how a bipolar disorder inpatient developed his painting styles process in his five-period of hospital admission, and the relationship between his changes of painting styles and periods of hospitalizations. This research found the main changes of painting styles between each admission and discharge. (1) During the first period of 42 weeks：he completed 39 pictures. His painting style started from Archaic Linear Style, anti-clockwisely developed the Traditional Linear Style, Traditional Massive Style, to Archaic Massive Style. Before discharge his painting style reverted clockwise to Traditional Massive Style. The patient maintained living in the community for 11 months after discharge. (2) During the second period of 6 weeks, he completed 10 pictures. The painting style started with Archaic Linear Style, clock-wisely developed the Archaic Massive Style, to the Traditional Massive Style. The patient maintained 6 months of living at home after discharge. (3) During the third period of 11 weeks, he completed 11 paintings. The painting style began with Traditional Linear Style, reverted anti-clockwisely to Traditional Massive Style, Archaic Massive Style, to Archaic Linear Style. The patient was re-admitted 2 months later. (4) During the fourth period of 30 weeks, he created 40 drawings. The painting style started with the Archaic Linear Style, to the main painting style proceeded with Traditional Linear Style. After several switch-backs with opposite and similar styles, the main paintings style ended with Traditional Massive Style at the time of discharge. The patient maintained 10 months of communal living afterwards. (5) During the fifth period of 16 weeks, he completed 18 paintings. His painting style began with Archaic Linear Style, then proceeded clock-wisely and finished with Traditional Massive Style. This research findings are as follows. First, when the main painting style started with the Archaic Linear Style, developed either clock-wise, anticlockwise, or totally in opposite direction to Traditional Massive Style, other than when the main painting style developed from Traditional Linear Style anti-clockwisely to Archaic Linear Style, he remained longer period of being discharged. This indicates that the patient is able to remain longer discharge time if his unconscious with sensuous state of internal and external conflicts, they could be integrated into reality through intellectual and emotional transformation. Second, throughout the 5-period of art therapy process, the patient was able to balance the Archaic and Traditional categories and integrated with reality, thus developed inner strength for recovery. Third, in a safe, trusting, containing space and therapeutic relationship, it promoted the patient’s insight to be aware of the connection between inner aggressive conflicting emotions and the original family's negative interaction and attachment. The art therapy process empowered the patient to develop his intrinsic value of the middle ground.
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