Film/video-based therapy

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Film/video-based therapy involves making movies with clients. It draws from several disciplines from cinema therapy, expressive therapy, narrative therapy, art therapy, [1] digital storytelling, and phototherapy [2] which requires a collaboration to integrate the many dynamic aspects of art and medicine. Joshua Lee Cohen author and co-editor of Video and Filmmaking as Psychotherapy: Research and Practice (2015), [3] helped to establish a collaborative effort in forming film/video-based therapy. This form of therapy is about making films with clients, as opposed to cinema therapy, which involves watching films. Cohen has utilized watching films and mindfulness in his work. [4] Cohen has been cited in Tuval-Mashiach and Patton's clinical trial [5] and participated in peer reviewed research on the use of video narrative in cancer research. [6] It is not trademarked for advertising or financial purposes but intended to protect the sanctity of the license for mental health professionals and the use of the word "therapy" when used in conjunction with film/video in the United States.[ peacock prose ] [7] Other countries may have different policies. [3] [8]

Contents

Film/video-based therapy is used in both research and practice. It has several names. Each name has a slightly different purpose for each population. In some cases, film/video-based therapy and Virtual Reality can be used with psychological assessments first before using filmmaking as recreational activities. This can keep the clinical aspects from the fun of the recreational activities. Psychological assessments need to be conducted by licensed psychologists, recreational activities can be done with art therapists, Marriage and Family Therapists, Social Workers, filmmakers, digital storytellers, and others qualified to run groups and recreational activities with the support of a licensed clinician. Alcoholics Anonymous and SMART Recovery are just two examples of the use of storytelling and trauma work without requiring a licensed professional as they are often run by peers.[ citation needed ]

In California, peers with mental health challenges might run storytelling groups approved by state bill 803 as long as they pass a state-backed peer certification program. Once they pass the certification program, they will bill off of insurance for running these groups.

Therapeutic filmmaking

This term was coined by J. Lauren Johnson, the co-editor of the academic monograph/book titled Video and Filmmaking as Psychotherapy: Research and Practice. To learn more about Therapeutic Filmmaking, one can read about Johnson and Alderson's pilot study on the subject [9] or Johnson's use of Therapeutic Filmmaking with first nations populations. [10] The term is also used for both veterans and active duty servicemen and women with Benjamin Patton's and Rivka Tuval-Mashiach's work. [11] The work is left intentionally ambiguous, so that the population may not be intimidated by the stigma of a diagnosis. [12] The lack of pressure to call it "therapy" opens up a space to allow for new and old healthy memories to form.[ citation needed ]

Video remix therapy

Video art therapy is used primarily in private practice with art therapists, drama therapists, and other expressive art therapists. [13] "Stories play a significant role in how we feel about and interact with the world. Narrative therapy and expressive arts therapy are major influences on the creation of expressive remix therapy, a new form of engagement with clients. This article is an exposition of this particular mental health modality. The use of digital media art in therapy in group settings will be discussed, and examples of how to use digital media art and technology in group therapy sessions are provided. The intention of this article is to promote a renewed appreciation for stories as the backdrop for all narrative work; it also seeks to inspire people to look at the practice of mental health differently, particularly the tools used to positively impact clients." Jamerson, J. (2013). Expressive Remix Therapy: Using Digital Media Art in Therapeutic Group Sessions With Children and Adolescents. Creat Nurs Creative Nursing, 182-188. [2]

Digital storytelling

Digital storytelling is also used in collaboration with film/video-based therapy and is used primarily for education.

Storytelling is an indigenous and ancient way for people to relate to one another and to understand the mysteries of life. Using modern technology, artists have used film and video for expressing ancient and modern images and sounds. [14]

History of film/video-based therapy and other similar therapies

This method of using film as a healing tool is not a new concept. However, with the advent of modern technology and filmmaking, digital storytelling, virtual reality, and therapeutic filmmaking as well as film/video-based therapy are growing in popularity and the research is growing. It is a collaboration between clinicians and practitioners in art therapy, expressive therapy, phototherapy, psychotherapy, digital storytelling and other mental health and academic fields of study and practice. Currently art therapists, expressive therapists, psychologists, masters level practitioners, psychiatrists, anthropologists, filmmakers, academics, and other clinicians have contributed to this collaborative effort in building a global community to help further define this field. The use of film and video in, or as, therapy, has a decades-long history in practice. Early work in this field included the post-World War II use of experimental, non-narrative films to calm veterans suffering from shell shock. The 1970s saw boys in a group creating short films together to foster group cohesion, mastery skills, and better communication. With the advent of portable video equipment in the 1970s, female artists began turning the camera on themselves, making themselves the object of their own gaze.

There is a dearth of literature on the theory and practice of using film/video production as therapy and the multidisciplinary practitioners who support its use. Copious literature exists discussing the use of related media in a therapeutic context, such as photography, writing, drawing, music, and drama, but this body of literature is virtually vacant of film/video as a therapeutic medium.

Despite the fact that there is little writing in this area, numerous practitioners from around North America and Europe are quietly working with film/video-based therapy – often independently, as the community of practitioners is still quite small and geographically scattered.

This is an attempt to bridge that gap and bring people together as a global community and new research and practices are emerging.

Virtual reality and Artificial Intelligence

Film/video-based therapy can also be used with virtual reality (VR) and specifically designed to treat bipolar disorder, [15] [ unreliable medical source? ] phobias, [16] psychosis, etc. Film/Video-based therapy combines somatic techniques, depth psychology, VR, and digital storytelling, which is different from the cognitive/exposure therapy being used today in most forms of VR therapy which favors exposure therapy and cognitive behavioral therapy over depth approaches and narrative and makes use of gaming technology like Unreal Engine.[ citation needed ] Although some exceptions exist [17] as depth approaches are gaining more acceptance after proving evidence based approaches to depth work as in Allan Schore's work at UCLA. [18] Rizzo (2023) said about Film/Video-Based Therapy in relation to Virtual Reality that "Thus, the potency for using both traditional and new media as a positive driver and influence on mental health demands a deep analysis to support more thoughtful and comprehensive investigations as to the risks and benefits that could be accrued from a fully-connected, experiential, and globally accessible “metaverse.” [8] As of May 2023, an AI-driven app "Battle Buddy" is being developed by researchers at the Institute for Creative Technologies to address suicides among military veterans. [19]

Using technology to improve health through narrative

One theory as to why film/video-based therapy works with trauma, may be due to the reprocessing that happens during the final moments of editing, similar to EMDR. In the moment of making a film, one can use somatic experiencing which was designed to regulate the autonomic nervous system.[ citation needed ] Telling one's story can help to reprocess old memories while avoiding triggers or reprocessing them in a new way using the technology. There is some research in this area yet, but it is still in development. [17]

Culture

Film/video-based therapy is also about building a therapeutic relationship with a person and a wider support group or community. [20] When dealing with any technology, whether virtual reality [16] or digital storytelling,[ citation needed ] the theory remains the same, film/video-based therapy is about using technology for human purposes and building relationships to others and nature. Technology is just the language for understanding, appreciating, and honoring our nature. [8] [3]

Related Research Articles

<span class="mw-page-title-main">Psychotherapy</span> Clinically applied psychology for desired behavior change

Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience.

Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. The term can legitimately refer to any form of psychotherapy when delivered in a group format, including art therapy, cognitive behavioral therapy or interpersonal therapy, but it is usually applied to psychodynamic group therapy where the group context and group process is explicitly utilized as a mechanism of change by developing, exploring and examining interpersonal relationships within the group.

The expressive therapies are the use of the creative arts as a form of therapy, including the distinct disciplines expressive arts therapy and the creative arts therapies. The expressive therapies are based on the assumption that people can heal through the various forms of creative expression. Expressive therapists share the belief that through creative expression and the tapping of the imagination, people can examine their body, feelings, emotions, and thought process.

<span class="mw-page-title-main">Art therapy</span> Creation of art to improve mental health

Art therapy is a distinct discipline that incorporates creative methods of expression through visual art media. Art therapy, as a creative arts therapy profession, originated in the fields of art and psychotherapy and may vary in definition.

<span class="mw-page-title-main">Narrative therapy</span> Form of psychotherapy

Narrative therapy is a form of psychotherapy that seeks to help patients identify their values and the skills associated with them. It provides the patient with knowledge of their ability to live these values so they can effectively confront current and future problems. The therapist seeks to help the patient co-author a new narrative about themselves by investigating the history of those values. Narrative therapy claims to be a social justice approach to therapeutic conversations, seeking to challenge dominant discourses that it claims shape people's lives in destructive ways. While narrative work is typically located within the field of family therapy, many authors and practitioners report using these ideas and practices in community work, schools and higher education. Narrative therapy has come to be associated with collaborative as well as person-centered therapy.

Online counseling is a form of professional mental health counseling that is generally performed through the internet. Computer aided technologies are used by the trained professional counselors and individuals seeking counseling services to communicate rather than conventional face-to-face interactions. Online counseling is also referred to as teletherapy, e-therapy, cyber therapy, or web counseling. Services are typically offered via email, real-time chat, and video conferencing. Some clients use online counseling in conjunction with traditional psychotherapy, or nutritional counseling. An increasing number of clients are using online counseling as a replacement for office visits.

<span class="mw-page-title-main">Play therapy</span> Childrens mental health therapy method

Play therapy refers to a range of methods of capitalising on children's natural urge to explore and harnessing it to meet and respond to the developmental and later also their mental health needs. It is also used for forensic or psychological assessment purposes where the individual is too young or too traumatised to give a verbal account of adverse, abusive or potentially criminal circumstances in their life.

Child psychotherapy, or mental health interventions for children refers to the psychological treatment of various mental disorders diagnosed in children and adolescents. The therapeutic techniques developed for younger age ranges specialize in prioritizing the relationship between the child and the therapist. The goal of maintaining positive therapist-client relationships is typically achieved using therapeutic conversations and can take place with the client alone, or through engagement with family members.

<span class="mw-page-title-main">Writing therapy</span> Technique for self-guided improvement

Writing therapy is a form of expressive therapy that uses the act of writing and processing the written word for therapeutic purposes. Writing therapy posits that writing one's feelings gradually eases feelings of emotional trauma. Writing therapeutically can take place individually or in a group and can be administered in person with a therapist or remotely through mailing or the Internet.

Supportive psychotherapy is a psychotherapeutic approach that integrates various therapeutic schools such as psychodynamic and cognitive-behavioral, as well as interpersonal conceptual models and techniques.

The use of electronic and communication technologies as a therapeutic aid to healthcare practices is commonly referred to as telemedicine or eHealth. The use of such technologies as a supplement to mainstream therapies for mental disorders is an emerging mental health treatment field which, it is argued, could improve the accessibility, effectiveness and affordability of mental health care. Mental health technologies used by professionals as an adjunct to mainstream clinical practices include email, SMS, virtual reality, computer programs, blogs, social networks, the telephone, video conferencing, computer games, instant messaging and podcasts.

PTSD or post-traumatic stress disorder, is a psychiatric disorder characterised by intrusive thoughts and memories, dreams or flashbacks of the event; avoidance of people, places and activities that remind the individual of the event; ongoing negative beliefs about oneself or the world, mood changes and persistent feelings of anger, guilt or fear; alterations in arousal such as increased irritability, angry outbursts, being hypervigilant, or having difficulty with concentration and sleep.

Barry Marc Cohen is an American art therapist, scholar, event producer, and art collector. He is known for his contribution to the theory and practice of art therapy, both in originating and researching a new assessment technique and in understanding the art of people diagnosed with dissociative disorders. These endeavors have garnered him awards from the American Art Therapy Association and the International Society for the Study of Trauma and Dissociation.

Robert Joseph Langs was a psychiatrist, psychotherapist, and psychoanalyst. He was the author, co-author, or editor of more than forty books on psychotherapy and human psychology. Over the course of more than fifty years, Langs developed a revised version of psychoanalytic psychotherapy, currently known as the "adaptive paradigm". This is a distinctive model of the mind, and particularly of the mind's unconscious component, significantly different from other forms of psychoanalytic and psychodynamic psychotherapy.

Cinema therapy or movie therapy is a form of expressive therapy – like art, music and dance therapy – for medical and mental health issues. It is also used as a form of self-help. Cinema therapy was created and popularized by Dr. Gary Solomon, the first to write on using movies as therapy.

Trauma focused cognitive behavioral therapy (TF-CBT) is an evidence-based psychotherapy or counselling that aims at addressing the needs of children and adolescents with post traumatic stress disorder (PTSD) and other difficulties related to traumatic life events. This treatment was developed and proposed by Drs. Anthony Mannarino, Judith Cohen, and Esther Deblinger in 2006. The goal of TF-CBT is to provide psychoeducation to both the child and non-offending caregivers, then help them identify, cope, and re-regulate maladaptive emotions, thoughts, and behaviors. Research has shown TF-CBT to be effective in treating childhood PTSD and with children who have experienced or witnessed traumatic events, including but not limited to physical or sexual victimization, child maltreatment, domestic violence, community violence, accidents, natural disasters, and war.

<span class="mw-page-title-main">Expressive therapies continuum</span>

The Expressive Therapies Continuum (ETC) is a model of creative functioning used in the field of art therapy that is applicable to creative processes both within and outside of an expressive therapeutic setting. The concept was initially proposed and published in 1978 by art therapists Sandra Kagin and Vija Lusebrink, who based the continuum on existing models of human development and information processing.

Cathy Malchiodi is an American licensed professional mental health counselor, registered expressive arts therapist, and art therapist, best known for her work on trauma-informed treatment in expressive arts therapy.

Natalie Rogers (1928–2015) was an early contributor to the field of humanistic psychology and the founder of Person-Centered Expressive Arts. This combination of the arts with psychotherapy is sometimes referred to by Rogers as The Creative Connection. The daughter of Carl Rogers, one of the founders of humanistic psychology, she established her own center, the Person-Centered Expressive Therapy Institute. Her writings, teachings, and practice introduced many to the power of creative arts for healing both within and outside the therapeutic setting.

References

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  2. 1 2 "Related Techniques". PhotoTherapy, Therapeutic Photography, & LÖÖPS. 2014-07-03.
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  14. Alders, A., Beck, L., Allen, P. B., & Mosinski, B. B. (2011). "Technology in art therapy: Ethical challenges". Art Therapy: Journal of the American Art Therapy Association. 28 (4): 165–170. doi:10.1080/07421656.2011.622683. S2CID   72998412.{{cite journal}}: CS1 maint: uses authors parameter (link)
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