Exploring Ethical Dilemmas in Art Therapy

Audrey Di Maria, MA, LCPAT, ATR-BC is an Adjunct Associate Professor in the graduate training program in art therapy at the George Washington University in Washington, DC, where she has taught since 1978. She has chaired the Education and Publications Committees of the American Art Therapy Association, is a recipient of AATA’s Clinician Award, and was secretary of the Art Therapy Credentials Board during the development of the initial version of its code of ethics.

• Foreword, Judith A. RubinPrefaceAcknowledgementsThe 50 CliniciansPart I. Looking Beneath the Surface1. Factors That Can Influence the Ethical Decision-Making Process, Audrey Di Maria2. Informed Consent and More: Positioning the Private Practice Contract at the Crossroads of the Art Therapist’s Ethical, Clinical, Financial, and Legal Responsibilities, Anne MillsPart II. The Ethical Dilemmasi. Assumptions, Discrimination, Exclusion3. After the Typhoon: We Brought Art Materials, They Wanted Coffee, Maria Regina A. Alfonso4. Art Therapist? Yes. Minister? That, Too! Ethical Issues That May Arise When One Has Dual Roles, Martina E. Martin5. Can Biases Ever Be Right? The Ethics of Working Internationally as an Art Therapist, a Trainer, and a Professor, Heidi Bardot6. Culturally-Adaptive Art Therapy Practice: Is It Ethical? Mercedes Ballbé ter Maat7. Do No More Harm: The Ethical Practice of Art Therapy with Hospitalized Adults Who Have Severe and Persistent Mental Illness, Deirdre Cogan8. Not Just Another Old Person: Art Therapy with Those Who Strive for Autonomy and Respect Within a Culture of Invisibility, Emery Hurst Mikel9. Redressing Social Injustice: Transcending and Transforming the Borders of Art Therapy Training in South Africa, Hayley Berman10. Translation of the Therapeutic Language: Can One Teach or Practice Art Therapy Ethically Without Considering Culture? Sojung Park11. Walking a New Path: Ethical Considerations in Indigenizing Art Therapy in Canada, Jennifer Vivianii. Confidentiality12. A Part of, Yet Separate: Ethical Issues Arising in Art Therapy with Combat Service Members and Their Families, Paula Howie13. But That Isn’t Exactly What I Meant: The Use of Language Interpreters in Art Therapy, Elaine S. Goldberg14. Ethics and Morality on the Stand: Art Therapist as Expert Witness, David Gussak15. No Man, or Woman, is an Island—Especially on an Island: Practicing Art Therapy in the West Indies, Karina Donald16. When "Client" is Plural: Confidentiality in Art Therapy with Groups, Families, and Couples, Mary Ellen Ruff17. Youth Behind Bars: Ethical Issues That Confront Art Therapists Who Work in Juvenile Detention Centers, Jane Scottiii. Conflicting Interests18. An American Art Therapist in France: 30 Years of Teaching and Supervising European Art Therapists and of Practicing Art Therapy, Elizabeth Stone19. Art for Sale? Using Client Art for Promotional Purposes, Lisa Raye Garlock20. Art Therapy in Chile: The Ethical Challenges and Dilemmas of an Emerging Professional Practice, Pamela Reyes, H.21. I Am Not Disordered, I Am Special: Ethical Issues Faced by Art Therapists in the Evolving World of Children with Special Needs, Laurie Mowry-Hesler22. If Not for the Grace of God, There Go I: The Ethical Challenges of Providing Art Therapy and Other Services to Those Who Are Homeless, Gwendolyn M. Short23. It’s Not Even My Fault: Ethical Issues Encountered in Providing Art Therapy for Those Who Have Been Injured on the Job, Donald J. Cutcher24. My Top 10 Ethical Pet Peeves: An Art Therapist Reflects Upon a Career Working in Psychiatric Settings, Charlotte G. Boston25. Separation of Church and State: Parochial Politics, Third-Party Payers, and Art Therapy for an Individual with Complex Trauma, Eating Disorder, and Dissociative Identity Disorder, Michelle L. Deaniv. Multiple Roles26. Actually, Hong Kong IS a Small Town: Art Therapy and Multiple Relationships Within a Community, Jordan S. Potash27. Avenues and Barriers of Dual Roles: Ethics and the ART Therapist as Researcher, Richard Carolan28. Hovering Between Art Education and "Art Therapy": The Ethical Perspective of a Ghanaian Art Educator, Mavis Osei29. It’s Not All Academic: Addressing Non-Academic Ethical Issues That Arise in Art Therapy Education, Mary Roberts30. Testifying on the Termination of Parental Rights: Art Therapy and Case Management in an Early Intervention Program, Cheryl Doby-Copeland31. The Art Therapist/Art Teacher: Practicing Ethically in Treatment Settings and School Settings, Barbara Mandelv. Scope of Practice32. Adapting the Instinctual Trauma Response Model to Meet the Needs of Clients in Ukraine: Ethical Considerations, Iryna Natalushko33. Apps, Telehealth, and Art Therapy: Online Treatment and Ethical Issues for the Digital Age, Ellen G. Horovitz34. A Safe Space, Standards, and "Gut Feelings": Ethics and Cultural Diversity in Art Therapy Training Groups, Diane Waller35. But Who Really Is On First? Art Therapy as Collaborative Treatment for Trauma Disorders, Tally Tripp36. Ethical Concerns When Applying Drawing to Promote Memory: Research Conducted in Iceland, Unnur Ottarsdottir37. My First Year as an Art Therapist in India: Ethical, Cultural, Logistical, and Supervisory Issues, Sangeeta Prasad38. The Mini Art Therapeutic Session Program in a School Setting in Japan, Yuriko Ichiki and Mercedes Ballbé ter Maat39. Traveling Without My GPS: Creating the First 100% Online Art Therapy Masters Degree Program, Penelope Orr40. Widening the Lens of Ethical Practice in Art Therapy: Visual Free Speech and the Inclusive Studio Environment, Michael A. Franklinvi. Transference and Counter-transference41. An Open Book: How Does a Bereaved Art Therapist Maintain Boundaries with Bereaved Clients? Sharon Strouse42. Boys Will Be Boys: Men, Ethics, and Art Therapy, Michael Pretzer43. Coloring Inside the Rooms: Art Therapy in Residential Substance and Gambling Addiction Treatment, Todd C. Stonnell44. Gaza Was Different: Ethical Issues That Arose on an Art Therapy Journey in the Middle East, Shirin Yaish45. Is All Art Making Ethical? Dilemmas Posed in the Making of Response Art by Australian Art Therapy Trainees, Patricia Fenner and Libby Byrne46. Multiple Roles in Art Therapy Supervision: Using El Duende One-Canvas Process Painting, Abbe Miller47. Trauma and Displaced Aggression: An Art Therapist Works with Refugees in Sweden, Catherine Rogers Jonssonvii. The Abuse of Power48. If You Don’t Stand for Something, You’ll Fall for Anything: Finding Courage When Asked to Do Wrong, Leslie MilofskyPart III. Drawing to a Close49. Finishing Art Therapy Without the Work Unraveling: Ethical Issues in Terminating Long-term Therapy with Children, P. Gussie Klorer50. When the Art Therapist is Ready to Leave Before the Client Is: The Ethical Challenges of Closing a Clinical Practice, Deborah A. GoodAppendix A. Private Practice Contract, Anne Mills.Appendix B. Chapter Writers’ Resolutions to Their Ethical Dilemmas

"This book deals with challenges that art therapists often face in their professional life as therapists, as teachers, and as supervisors. For instance, what kind of art therapy can we teach in countries where art therapy does not exist? Is response-art more helpful to the client or to the art therapist? How flexible should we be with disruptive clients? This book offers a helpful analysis of relevant issues, together with the art therapist’s answers and suggestions."—Paola Luzzatto, PhD, registered art therapist in the UK, USA, and Italy"This book guides the reader into a deep and wide understanding of ethical dilemmas in art therapy practice. The book is easy to read and shows cultural differences told through clinical experience. It expresses many of the dilemmas that are most often not shared in the field and introduces art therapy methodology from different perspectives in a way where the reader is invited to make personal reflections on specific challenges. It can be an important inspiration to any clinician in the therapeutic field."—Vibeke Skov, PhD, clinical psychologist and founder of the Art Therapy Institute in Denmark