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group therapy

Art Therapy

Lava Tree: Anger in a Female Correctional Setting

lava tree guided drawing

Closet-Sized Interview Room

After receiving back to back mental health and group requests from a patient, I was a bit apprehensive about her coming to group this day. From an earlier individual session, Mary angrily demanded that I change jail rules so she could be moved from her current housing. She became louder and more enraged unable to speak rationally. Sitting together in a closet-sized interview room, her anger required me to conclude our session early for safety. In any correctional institution, only security designates dorm assignments for inmates. When faced with the reality of their legal situation, inmates become angry and pose challenges to safe expression in a female correctional group setting.

What Keeps Us Alive

In this group of 8 female inmates, all participants had been to the group previously and Mary attended today for the first time. To begin, we reviewed the group rules and any new members signed the rules. The session began with psychoeducation about a breathing technique. I began to ask them questions about how many times on average does one take a breath in a minute? (Approx. 15). How much oxygen is in our air? (21%) The discussion culminated with one main point about the breath: no matter what, the body will keep us alive by breathing. Further, I shared what an amazing discovery, the very essence of what keeps each of us alive is already within us. We can tether ourselves to the rhythm of our breath anytime. From my studies of mindfulness researcher and practitioner Kabat-Zinn (1994), I encouraged connection to the breath as if our life depended on it. Next, the group was led in a breathing and guided imagery meditation, asking patients to imagine a safe place in nature they enjoy, a place imagined or real and where they can be by themselves.

Resting Bitch Face

After the restful venture, members expressed they felt calm and refreshed. Mary was disengaged, maintaining her “resting bitch face.” So, I began our project by asking each person to choose an object from their imagined safe place in nature. Then provided crayons, card stock, white copy paper and scrap paper remnants. Next, I invited them to sculpt and/or draw their objects from nature in any way they wish. With joy, patients engaged with the materials in a fury of creation with conversation.

Scribble Your Way Out

Mary sat unmoving with her blank piece of white paper in front of her. I asked which hand she uses to write with. She signaled, moving her right hand. I suggested to help her get started, “use your left hand and scribble with the crayon to fill up the page.” She looked at me and did not comply. With calm, I returned to drawing alongside the group. Slowly, she began to draw.

Lava to Rock

As patients finished, a natural conversation about the images emerged. Last to speak, Mary shared about her image. She said it was a bumpy road and a tree. The road, wide at the bottom of the page, triangulated up to a flat line towards the top of the page. With reluctance, she commented the road was originally going to be a volcano. In the image, the road was filled with numerous brown dots, suggesting a bumpy ride. To its left, a large tree with lines on its trunk opened to a crown of truncated, dagger-like branches. A faint indication of light green marks was made on the branches.

For Every Season

Another patient asked, “what season is this?” Mary replied, “I don’t know.” I suggested, “maybe it could be spring, looks like the leaves are sprouting.” Time was up; we reviewed ways mindfulness and creativity can be added in moments through their day to release stress and tension back in their jail dorm. I provided praise for their creativity, openness and flexibility to the group task. Patients expressed gratitude for this group providing a break from the dorm. Then, everyone got up and gathered at the steel green door awaiting to hear the electronic sound of the lock to be escorted back to their dorm by the deputy.

Cutting the Tension

As I cleaned up the room, I witnessed the remaining images as bright and cheerful recalling stories of music, families, homes, picnics and more. Mary’s image stood in contrast with harsh textures and no story of good times. When lava cools, the magma forms rock. Likewise, Mary moved from a volcano to that of a bumpy road and tree. Possibly, the group members may have encouraged her to move away from the tension or she may have felt the pressure to conform. Perhaps, the small hints of sprouted leaves might make room for a new way.

Art Therapist with Conviction

Through my art therapy education, artmaking is engrained not only for patients but for us art therapists too. In supervision, artmaking helps to reflect on our therapeutic process with patients. Based on Elbrecht’s (2018) Guided Drawing process, I created a series of 3 images called “For Every Season” to reflect on this session. With 2 oil pastels in hand, I imagined the hostility and anger felt by my patient as lava erupting through hard up and down scribbles that truncated at the top. Physically, I felt claustrophobic, trapped by the anger. In the second image, I drew the dagger-like branches. With eyes closed, it felt like I was punching. In my final image, I imagined what I needed to move away from this pain. I chose a sunny yellow and light blue water oil pastels and calmly drew flowing circles. I stopped to scribble some earthy green leaves. With careful body attention, I was able to release the witnessed tension and come back to my calm core. In reflection, I recalled the song, Turn! Turn!, Turn! (1961): “To everything (turn, turn, turn)/There is a season (turn, turn, turn)/And a time to every purpose, under heaven.” Then I desired: “A time for peace, I swear it’s not too late.”

References

Elbrecht, C. M. (2018). Healing trauma with guided drawing: A sensorimotor art therapy approach to bilateral body mapping. Berkeley, CA: North Atlantic Books.

Seeger, P. (1961). Turn! Turn! Turn!. [Recorded by The Byrds]. On Mr. Tambourine Man [Vinyl record]. New York City, NY: Columbia Records.

Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.

Art Therapy

Shoot the Breeze: Holding Space for Artmaking

“Shoot the Breeze”

Follow the rules
So you’re not missed
Amongst those on the list.
Line up against the wall
Follow the leader

With security in tow.
One hour a week
To take the walk
Down the halls
Through lots of locks
To find a break from the dorm
A silence begins to form
What’s that you say
“I’m good”
Ain’t that enough for the day?
Then this crew began
To reminisce about a can
A barrel precisely
For burning refuse wisely.

Then with a turn of the head
You can’t understand
Our musings said.
Silence broken
Then laughter rolled
So follow the rules
Humanity restored.

Make a Walk

This morning, I dropped off my patient list at the security tower in the jail. I stopped in a few minutes early to remind the deputy the therapy group was about to begin. He walked down the iron steps from the tower. The heavy green painted dorm door was popped and a boisterous yell ensued calling the names off my group list. Patiently, I waited with all my belongings in tow. Then, inmates began to exit the dorm and line the walls. Security performed a pat search and then escorted them in a line much like the days of elementary school. To make the walk, I followed behind the deputy to the last cinder block room. It was a painfully slow walk for me, but the inmates seemed to enjoy the stroll. They looked at new sights, sometimes seeing friends at other dorm doors shouting “what’s up.”

Cinder Block Classroom

At the end of the hall, the classroom opened to a sea of bland block walls, folding tables and green plastic chairs. To my delight, I found a room of nothingness; because some days, this room doubles as a barber shop with “fresh clippings” unswept. Today, quiet cheerfulness seems to be the mood. Inmates know they have to “turn off” dorm life and now come to “civil life.” One wrong move and they might lose the freedom to get out of the dorm, catch a disciplinary action or worse, get reassigned to confinement for their misdeeds.

No Politics or Religion

In group, inmates are directed to create a scribble with their nondominant hand. As the scratching of colored pencils begins to subside, silence fills the room. Today, there seems to be a reluctance to participate. Inmates are glad to be there but don’t want to “put themselves out there.” A lone voice speaks up. “I’d like to talk but I can’t because it’s about religion.” One of the group rules is not to discuss politics or religion. Usually when I review this rule, a sigh of relief fills the room. Many inmates have shared about the how these hot topics implode in the battleground dorm.

A Scribbled Mess

Considering the group contract, I realized this rule may be impending a freedom to share. So, I explained we are not here to banter the ‘should’s’ or ‘should nots’ about religion or politics. However, spiritual or religious ideas are important to each individual and should not be discounted. The inmate felt relieved, “so I can talk about how my image relates to my faith?” “Yes,” I replied. He stayed on topic and spoke freely about how he realized he needs to mature in his faith. Looking at his scribble, he could see what a mess he has made of his life. He is saddened about taking another trip to prison. Other group members begin to open up. Many in the room have either been to prison, are fighting a legal battle to keep from going to prison, or already sentenced and waiting on the “bluebird” (prison bus) to show.

Humanity over a Burn Barrel

As the leader, I noticed that I am beginning to shrink into the background. The discussion gets heavy. Then one inmate, who wears sunglasses (all the time) speaks up. He reminisces about how they (on the outside) hung out many a’ night by the burn barrel. Inmates began to laugh and speak lovingly about sitting and watching their trash fire. The group evolved from coldness to warm laughter. They forgot I was there. Then, out of the side of the first inmate’s eye, he turned to me and laughed, “she doesn’t even know what a burn barrel is.” He meant it with all sincerity and I responded in the moment by laughing out loud. Nothing had to be said. We all laughed. Holding the space, the art therapy hour moved a group of inmates away from their manipulative ways, a myriad of feelings were expressed and many thoughts were heard, “humanity restored.”

Art Therapist with Conviction

In my painting, “Shoot the Breeze,” I imagined our group sitting around the burn barrel. I tried on the fingerless gloves. With hands outstretched warming over the fire, I sat in the dark and witnessed the fire growing. I’m reminded of Shaun McNiff’s (2015) ‘principle of simultaneity.’ The idea is we have the choice of witnessing everything in the moment while also sacrificing some things because so much is happening at the same time. With so much going on, I knew some things could be missed and also felt honored to hold the space. When I heard, “she doesn’t even know what a burn barrel is,” I reacted to the space created by this group of incarcerated inmates. For, I laughed with them.  In a place of so much meaninglessness and emptiness, a group making art tapped into their free choice to create. Opening up about their ultimate concerns, this group discovered meaning and purpose from a little scribble this day.

References

McNiff, S. (2015). Imagination in action: Secrets for unleashing creative expression. Boston, MA: Shambhala Publications, Inc.