Art Therapy with Military Veterans: Trauma and the Image

Cover
Half Title
Title Page
Copyright Page
Dedication
Table of contents
Figures
Plates
Foreword
Contributors
Acknowledgements
Introduction
	References
Part I Art therapy and  Post-Traumatic Stress Disorder
	Chapter 1 The development and practice of art therapy with military veterans
		Introduction
		War art to art therapy
		Art activities to art therapy in military hospitals
		Setting a current context for art therapy with veterans
		Remembrance and ritual
		Working with traumatised veterans
		References
	Chapter 2 An Army Reservist’s story
		Glossary
	Chapter 3 The biological basis of Post-Traumatic Stress Disorder and recovery
		Introduction
		Post-Traumatic Stress Disorder (PTSD)
			What is PTSD?
			Vulnerabilities
			Consequences of PTSD and their implications for treatment
		Biological basis of the stress response
			Evolution of the stress response
			Regulatory range and adaptive capacity
			Predictors of regulatory range
			Stress response systems
				The sympathetic adrenomedullary (SAM) system
				The hypothalamic pituitary adrenocortical (HPA) axis
				The polyvagal theory
			Activation of the stress response
		Pathophysiology of PTSD
			Amygdala
			Hippocampus
			Medial prefrontal cortex
			Neurotransmitters
		Emotional memory
		Biological contributions of art therapy
		Attachment and emotional regulation
			Significance of attachment
			Elements required for secure attachment
			Emotional regulation and integration
		The role of art therapy in recovery from PTSD
		References
Part II The British Forces
	Chapter 4 Mental health treatment for  serving UK military personnel
		Introduction
		A brief history of British military mental health services
		Development into the current structure
		Defence medical services: the wider picture
		The three levels of prevention
			Primary prevention
			Secondary prevention
			Tertiary prevention
		Operational mental health services
		Aeromedical evacuation
		Hospitalisation
		Operational decompression
		Specialist services and rehabilitation
		Support for reservists
		Discharge on mental health grounds
		Transition into the civilian healthcare system
		Summary and conclusions
		References
	Chapter 5 Military culture effects on mental health and help-seeking
		Introduction
		Military law, culture and hierarchy
		Joining the military
		Total institution
		Alcohol
		Military mental health services
		Psychological effects of military training
		Military operations and combat
		Moral injury
		Military families
		Leaving the military
		Homelessness and the Criminal Justice System
		Initiatives to reduce the impact of transition from the military
		Help-seeking behaviours and Combat Stress
		Conclusion
		References
	Chapter 6 Coming home
		Combat Stress: the early years
		The veteran’s tale
		The wife’s tale
		Conclusion
		References
Part III Current approaches to art therapy with veterans in the UK
	Chapter 7 An adaptive art therapy model for working with traumatised veterans
		Introduction
		Art therapy within a wider treatment programme
		A phasic model with the use of themes
			Phase 1
			Phase 2
			Phase 3
		Mike: a participant in an inpatient art therapy group
		Integrating approaches to create an art therapy toolbox
		Summary
		References
	Chapter 8 In two minds
		Divisions
			The influence of neurobiology and brain structure
			Dissociation
			Structural dissociation of the personality
			Psychological defence mechanisms and military culture
		Working with division through art therapy
			Past and present
			In two minds: stuck in time
			Looking on from a distance
		Finding equilibrium through art therapy
		References
	Chapter 9 Trauma and dissociation: An insider’s view
		Background
		Post-traumatic stress
		The experience of psychological dissociation
		My experience of art therapy
		My experience of the value of art therapy
	Chapter 10 Bypassing the sentinel
		Background
		The research framework
		Comparison between the mask images made at the beginning and end of treatment
		The inner critic or self-saboteur – seeing resistance through art therapy images
		Seeing images from a different perspective
		Veteran interviews
			Behind the mask
			The experience of art therapy
		Conclusion
		References
	Chapter 11 Research and evaluation
		Literature review
		The group
		Externalising the image and symbolic expression
		From non-verbal to verbal processes
		Integration and processing of memory
		Containment
		Artistic pleasure and mastery
		Further relevant art therapy research from the US
		Art therapy research at Combat Stress
			Service development questionnaires
			Art therapy group evaluations
		Recommendations for further research
		References
Part IV Taking a wider perspective
	Chapter 12 Cultural collaborations
		A bubble of trust: a space within a space
			Introduction
			Process and content of the workshops at Tate Modern
			Exploring differences and challenges between the contexts of Tate Modern and Combat Stress
			Bringing something back to Combat Stress
			Lessons learned and recommendations for future partnerships
		A pilot short-stay art therapy inpatient admission with gallery workshops
			Discussion
		Exhibiting art therapy images in public places
			Three exhibition partnerships
		Conclusion
		References
	Chapter 13 Art in action: The Combat Art Project
		Introduction
		Context
		Rationale
		Logistics
		Gathering the artwork
		Exhibiting
		Legacy
		Conclusion
		References
	Chapter 14 Reclaiming life through art
		Introduction
		Post-traumatic growth and obstacles to overcome
		Resilience
		Art and recovery: veterans’ stories
			Spike
			Ron
				From the army to art school
				The army was my university
				Art-making and the difficult years
				Putting back what is being drained and lost
				Spiritual antibiotic
				Creativity is a slow release process
				The activity is more important than the end result
				The encouragement of others
				Quiet and calm work
		Discussion
		Conclusion
		References
Index
Plates