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Outcomes of Art Therapy Treatment for Military Service Members with Traumatic Brain Injury and Post-traumatic Stress at the National Intrepid Center of Excellence

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Mobile Brain-Body Imaging and the Neuroscience of Art, Innovation and Creativity

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Abstract

Recent conflicts of war have resulted in what are being referred to as the “invisible wounds of war.” Complex, comorbid conditions in military service members (SMs) and veterans, including TBI and PTSD, have prompted clinicians and researchers to explore treatments which address this population’s unique needs, including personalized care in which the SM can meaningfully engage. Since 2010, the National Intrepid Center of Excellence (NICoE) has designed and implemented an interdisciplinary care model which incorporates the creative art therapies for SMs with TBI/PTSD and other associated psychological health conditions. Art therapy programming and research outcomes were presented at the 2017 International Conference on Mobile-Brain Body Imaging and the Neuroscience of Art, Innovation, and Creativity conference held in Valencia, Spain. Key findings when examining art therapy for SMs with TBI/PTSD include the need for individualized care for this unique population, including treatment which allows for safe expression of traumatic and emotional content, the fostering of a sense of belonging within community, as well as the use of art therapy as an assessment tool. Future need for prospective, controlled, multi-site research in art therapy has been implicated and is outlined in the Creative Forces®: NEA Military Healing Arts Network’s Clinical Research: A Strategic Framework and Five-Year Agenda (2018–2022).

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References

  1. Wenger, J.W., O’Connell, C., Cottrell, L.: Examination of Recent Deployment Experience Across the Services and Components. RAND Corporation, RR-1928-A, Santa Monica, CA. https://www.rand.org/pubs/research_reports/RR1928.html (2018). Accessed 9 Dec 2018

  2. Walker, M.S., Kaimal, G., Gonzaga, A.M.L., Myers-Coffman, K.A., DeGraba, T.J.: Active-duty military service members’ visual representations of PTSD and TBI in masks. Int. J. Qual. Stud. Health Well-Being 12(1), 1267317 (2017)

    Article  Google Scholar 

  3. Yurgil, K., Barkauskas, D., Vasterling, J.J., Nivergelt, C., Larsan, G.E., Schork, N., Baker, D.G.: Association between traumatic brain injury and risk of posttraumatic stress disorder in active-duty marines. JAMA 71(2):149–157 (2014)

    Google Scholar 

  4. Jones, J.P., Walker, M.S., Drass, J.M., Kaimal, G.: Art therapy interventions for active duty military service members with post-traumatic stress disorder and traumatic brain injury. Int. J. Art Therapy (2017). https://doi.org/10.1016/j.psychres.2018.08.019. Epub 2018 Aug 11

  5. Kroch, R.: Living with military-related posttraumatic stress disorder (PTSD)-a hermeneutic phenomenological study. Dissertation, University of Calgary (2009)

    Google Scholar 

  6. Aase, D.M., Babione, J.M., Proescher, E., Greenstein, J.E., DiGangi, J.A., Schroth, C., Kennedy, A.E., Feeley, S., Tan, M., Cosio, D., Phan, K.L.: Impact of PTSD on post-concussive symptoms, neuropsychological functioning, and pain in post-9/11 veterans with mild traumatic brain injury. Psychiatry Res. 268, 460–466 (2018). https://doi.org/10.1016/j.psychres.2018.08.019

    Article  PubMed  Google Scholar 

  7. Defense and Veterans Brain Injury Center (DVBIC): DoD Worldwide Numbers for TBI. https://dvbic.dcoe.mil/files/tbi-numbers/worldwide-totals-2000-2018Q1-total_jun-21-2018_v1.0_2018-07-26_0.pdf (2017). Accessed 9 Dec 2018

  8. Committee on the Assessment of Ongoing Efforts in the Treatment of Posttraumatic Stress Disorder, Board on the Health of Select Populations: Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Final Assessment. Institute of Medicine, National Academies Press (US), Washington, DC. https://www.ncbi.nlm.nih.gov/books/NBK224874/#sec_00047 (2014). Accessed 9 Dec 2018

  9. American Psychological Association (APA): Clinical Practice Guideline for the Treatment of PTSD, pp. 7–8. https://www.apa.org/ptsd-guideline/ptsd.pdf (2017). Accessed 9 Dec 2018

  10. Bahraini, N.H., Breshears, R.E., Hernández, T.D., Schneider, A.L., Forster, J.E., Brenner, L.A.: Traumatic brain injury and posttraumatic stress disorder. Psychiatr. Clin. North Am. 37(1), 55–75 (2014)

    Article  Google Scholar 

  11. National Intrepid Center of Excellence (NICoE): Intensive Outpatient Program. http://www.wrnmmc.capmed.mil/NICoE/healthcare-services/SitePages/intensive-outreach-program.aspx (n.d.). Accessed 9 Dec 2018

  12. National Endowment for the Arts (NEA): Creative Forces Research and Scholarly Manuscripts Inventory. https://www.arts.gov/sites/default/files/Creative-Forces-Research-Inventory-Version-8.13.18.pdf (2018). Accessed 9 Dec 2018

  13. American Art Therapy Association: About Art Therapy. https://arttherapy.org/about-art-therapy/ (n.d.). Accessed 9 Dec 2018

  14. Walker, M.S., Kaimal, G., Koffman, R., Degraba, T.J.: Art therapy for PTSD and TBI: a senior active duty military service member’s therapeutic journey. Arts Psychother. 49, 10–18 (2016)

    Article  Google Scholar 

  15. Walker, M.S., Stamper, A., Nathan, D.E., Riedy, G.: Art therapy and underlying fMRI brain patterns in military TBI: a case series. Int. J. Art Therapy 23(4), 180–187 (2018). https://doi.org/10.1080/17454832.2018.1473453

    Article  Google Scholar 

  16. Stone, A.: How Art Heals the Wounds of War. National Geographic. https://news.nationalgeographic.com/news/2015/02/150213-art-therapy-mask-blast-force-trauma-psychology-war/ (2015). Accessed 9 Dec 2018

  17. Junger, S.: Tribe: [on homecoming and belonging]. HarperCollins Publishers, New York (2016)

    Google Scholar 

  18. Lyons, H.A.: Civil violence—the psychological aspects. J. Psychosom. Res. 23(6), 373–393 (1979)

    Article  CAS  Google Scholar 

  19. Berberian, M., Walker, M.S., Kaimal, G.: ‘Master My Demons’: art therapy montage paintings by active-duty military service members with traumatic brain injury and post-traumatic stress. Med. Humanit. 0:1–8 (2018). https://doi.org/10.1136/medhum-2018-011493

  20. Herman, J.: Trauma and recovery: the aftermath of violence- from domestic abuse to political terror, p. 214. Basic Books, New York, NY (1992)

    Google Scholar 

  21. Martin, J.A., Hartley, S.L.: Lonely, stressed, and depressed: the impact of isolation on U.S. Veterans. Mil. Behav. Health 5(4):384–392 (2017). https://doi.org/10.1080/21635781.2017.1333064

  22. TED: Art can Heal PTSD’s Invisible Wounds. TEDMED 2015. https://www.ted.com/speakers/melissa_walker (2016). Accessed 9 Dec 2018

  23. Alexander, C.: Healing our soldiers. National Geographic Magazine, Single issue February 2015 (2015)

    Google Scholar 

  24. Collie, K., Backos, A., Malchiodi, C., Spiegel, D.: Art therapy for combat-related PTSD: recommendations for research and practice. Art Therapy J. Am. Art Therapy Assoc. 23(4), 157–164 (2006)

    Article  Google Scholar 

  25. Lobban, J.: Factors that influence engagement in an inpatient art therapy group for veterans with post traumatic stress disorder. Int. J. Art Therapy Formerly Inscape 21(1), 15–22 (2016). https://doi.org/10.1080/17454832.2015.1124899

    Article  Google Scholar 

  26. Walker, M.: Art therapy approaches within the National Intrepid Center of Excellence at Walter Reed National Military Medical Center. In: Howie, P. (ed.) Art Therapy with Military Populations: History, Innovation, and Applications, pp. 111–123. Routledge, London, UK (2017)

    Chapter  Google Scholar 

  27. Barker, V.L., Brunk, B.: The role of a creative arts group in the treatment of traumatic brain injury. Music Therapy Perspect. 9(1), 26–31 (1991)

    Article  Google Scholar 

  28. Dodd, F.G.: Art therapy with a brain-injured man. Am. J. Art Therapy 14(3), 83–89 (1975)

    Google Scholar 

  29. Lazarus-Leff, B.: Art therapy and the aesthetic environment as agents for change. J. Am. Art Therapy Assoc. 15(2), 120–126 (1998)

    Article  Google Scholar 

  30. Chilton, G., Gerber, N., Bechtel, A., Councill, T., Dreyer, M., Yingling, E.: The art of positive emotions: expressing positive emotions within the intersubjective art making process. Can. Art Therapy Assoc. J. 28(1), 12–25 (2015)

    Article  Google Scholar 

  31. Kimport, E.R., Robbins, S.J.: Efficacy of creative clay work for reducing negative mood: a randomized controlled trial. Art Therapy J. Am. Art Therapy Assoc. 29(2), 74–79 (2012)

    Article  Google Scholar 

  32. Kline, T.: Art therapy for individuals with traumatic brain injury: a comprehensive neurorehabilitation informed approach to treatment. Art Therapy J. Am. Art Therapy Assoc. 33(2), 67–73 (2016)

    Article  Google Scholar 

  33. King, J.L.: Summary of twenty-first century great conversations in art, neuroscience and related therapeutics. Front. Psychol. 9, 1428 (2018). https://doi.org/10.3389/fpsyg.2018.01428

    Article  PubMed  PubMed Central  Google Scholar 

  34. Cogan, A.M., Huang, J., Philip, J.: Military service member perspectives about occupational therapy treatment in a military concussion clinic. OTJR (2018). https://doi.org/10.1177/1539449218813849

  35. Peres, J.F., McFarlane, A., Nasello, A.G., Moores, K.A.: Traumatic memories: bridging the gap between functional neuroimaging and psychotherapy. Aust. N. Z. J. Psychiatry 42(6), 478–488 (2008)

    Article  Google Scholar 

  36. Rauch, S.L., Savage, C.R., Alpert, N.M., Fischman, A.J., Jenike, M.A., et al.: The functional neuroanatomy of anxiety: a study of three disorders using positron emission tomography and symptom provocation. Biol. Psychiat. 42, 446–452 (1997)

    Article  CAS  Google Scholar 

  37. Shin, L.M., McNally, R.J., Kosslyn, S.M., Thompson, W.L., Rauch, S.L., Alpert, N.M., et al.: A positron emission tomographic study of symptom provocation in PTSD. Ann. N. Y. Acad. Sci. 821, 521–523 (1997)

    Article  CAS  Google Scholar 

  38. van der Kolk, B.A.,van der Hart, O., Marmar, C.R.: Dissociation and information processing in post traumatic stress disorder. In: van der Kolk, B.A., McFarlane, A.C., Weisaeth, L. (eds.) Traumatic stress: the effects of overwhelming experience on mind, body and society, pp. 303–327. New York, NY: Guilford Press (1996)

    Google Scholar 

  39. Gantt, L., Tinnin, L.W.: Support for a neurobiological view of trauma with implications for art therapy. Arts Psychother. 36, 148–153 (2009)

    Article  Google Scholar 

  40. Howie, P., Burch, B., Conrad, S., Shambaugh, S.: Releasing trapped images: children grapple with the reality of the September 11 attacks. Art Therapy J. Am. Art Therapy Assoc. 19, 100–105 (2002)

    Article  Google Scholar 

  41. Lobban, J.: The invisible wound: Veterans’ art therapy. Int. J. Art Therapy Formerly Inscape 19(1), 3–18 (2014)

    Article  Google Scholar 

  42. US Department of Veterans Affairs (VA): PTSD: National Center for PTSD. https://www.ptsd.va.gov/ (n.d.). Retrieved 9 Dec 2018

  43. Hinz, L.D., Ragsdell, V.: Using masks and video in group psychotherapy with bulimics. Arts Psychother. 17, 259–261 (1990). https://doi.org/10.1016/0197-4556(90)90009-F

    Article  Google Scholar 

  44. Fryrear, J.L., Stephens, B.C.: Group psychotherapy using masks and video to facilitate intrapersonal communication. Arts Psychother. 15, 227–234 (1988). https://doi.org/10.1016/0197-4556(88)90007-X

    Article  Google Scholar 

  45. Strauss A., Corbin J.: Basics of qualitative research: techniques and procedures for developing grounded theory, 2nd edn. Thousand Oaks, CA: Sage (1998)

    Google Scholar 

  46. National Endowment for the Arts (NEA): Creative Forces Clinical Research: A Strategic Framework and Five-year Agenda. https://www.arts.gov/sites/default/files/CF-Clinical-Research-Framework-and-Agenda-10.23.18.pdf (2018). Accessed 9 Dec 2018

  47. Kaimal, G., Walker, M.S., Herres, J., French, L., DeGraba, T.J.: Observational study of associations between visual imagery and measures of depression, anxiety and posttraumatic stress among active duty military service members with traumatic brain injury at the Walter Reed National Military Medical Center. BMJ Open 8, e021448 (2018). https://doi.org/10.1136/bmjopen-2017-021448

    Article  PubMed  PubMed Central  Google Scholar 

  48. James, L.M., Van Kampen, E., Miller, R.D., Engdahl, B.E.: Risk and protective factors associated with symptoms of post-traumatic stress, depression, and alcohol misuse in OEF/OIF veterans. Mil. Med. 178(2), 159–165 (2013)

    Article  Google Scholar 

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Walker, M.S. (2019). Outcomes of Art Therapy Treatment for Military Service Members with Traumatic Brain Injury and Post-traumatic Stress at the National Intrepid Center of Excellence. In: Contreras-Vidal, J., Robleto, D., Cruz-Garza, J., Azorín, J., Nam, C. (eds) Mobile Brain-Body Imaging and the Neuroscience of Art, Innovation and Creativity. Springer Series on Bio- and Neurosystems, vol 10. Springer, Cham. https://doi.org/10.1007/978-3-030-24326-5_12

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