The origin, application and prospect of the expressive therapy continuum (ETC)

Authors

  • Xiaohan Niu Graduate School of Social and Cultural Anthropology,Hanyang University ,Korea

DOI:

https://doi.org/10.71113/JMSS.v2i1.185

Keywords:

expressive therapy continuum, art therapy, cultural adaptation, mental health, therapeutic intervention

Abstract

With the rapid urbanization and economic development in China, mental health problems are becoming increasingly serious, especially in urban areas, where work and life pressures are huge, while in rural areas, mental health problems are more serious due to the lack of resources. Existing interpersonal psychotherapy (IPT) and cognitive behavioral therapy (CBT) have limitations in cultural adaptation and wide application, and it is difficult to fully meet the needs of the Chinese public. The expressive therapy continuum (ETC), as a multi-level art therapy model, helps patients release emotions, express feelings, and promote mental health through art activities at the levels of kinesthetic/sensory, perceptual/emotional, and cognitive/symbolic. The flexibility and creativity of ETC enable it to better adapt to different cultural backgrounds, especially in combining traditional Chinese art forms such as calligraphy and painting, to develop treatment methods that are more in line with local culture. In order to better promote ETC, it is necessary to strengthen professional training and public education, cultivate art therapists that meet international standards, and enhance the public's awareness and acceptance of ETC. Through these measures, ETC is expected to play an important role in China's mental health field, make up for the shortcomings of existing treatment methods, and comprehensively promote the mental health development of the Chinese public. This innovative art therapy method can not only adapt to China's actual background, but also effectively deal with the psychological problems of the masses.

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References

[1]Ran, M.-S., Weng, X., Liu, Y.-J., Zhang, T.-M., Yu, Y.-H., Peng, M.-M., … Xiang, M.-Z. (2019). Changes in treatment status of patients with severe mental illness in rural China, 1994–2015. BJPsych Open, 5(2), e31. doi:10.1192/bjo.2019.13 10.1192/bjo.2019.13

[2]Jin, L., & Tam, T. (2015). Investigating the effects of temporal and interpersonal relative deprivation on health in China. Social Science & Medicine, 143, 26–35. https://doi.org/10.1016/j.socscimed.2015.08.014

[3]Zhuyun Lin. Go beyond the individual: an intersectional perspective on mental illness stigma in China, 27 April 2023, PREPRINT (Version 1) available at Research Square [https://doi.org/10.21203/rs.3.rs-2851490/v1]

[4]Lin Z.,2023, “Go beyond the individual: an intersectional perspective on mental illness stigma in China”. Research Square.

[5]Ying, Y., Ruan, L., Kong, F., Zhu, B., Ji, Y., & Lou, Z. (2020). Mental health status among family members of health care workers in Ningbo, China, during the coronavirus disease 2019 (COVID-19) outbreak: a cross-sectional study. BMC psychiatry, 20(1), 379. https://doi.org/10.1186/s12888-020-02784-w

[6]Lei, F., Chung, E., & Ling Siew Eng. (2022). Factors Affecting Mental Health Among Chinese College Students: A Preliminary Review of Literature. Journal of Cognitive Sciences and Human Development, 8(1), 175-185.

[7]Sun, J., PhD., & Buys, N., PhD. (2013). Challenges, opportunities and strategies in mental health promotion in china: Literature review of mental health promotion models. International Public Health Journal, Suppl.Special Issue: Health Promotion to Improve Quality of..., 5(4), 385-397.https://doi.org/10.33736/jcshd.4496.2022

[8]Tang, L., Xu, F., Yu, G., Li, C., Wen, S., & Zheng, W. (2023). Efficacy of interpersonal psychotherapy in mainland China: a systematic review and meta-analysis. Frontiers in psychiatry, 14, 1160081. https://doi.org/10.3389/fpsyt.2023.1160081

[9]Chen, J., Guo, L., Gu, L., & Han, H. (2021). The introduction of treatment and the cultural adaptability of western psychotherapies for eating disorders in China. The International journal of eating disorders, 54(1), 102–106. https://doi.org/10.1002/eat.23437

[10]Ng, R. M., Lee, C. K., Liu, J., Luo, J., Zu, S., Mi, S., et al. (2017). Psychotherapy services in China: current provisions and future development. J. Contemp. Psychother. 47, 87–94. doi: 10.1007/s10879-016-9345-410.1007/s10879-016-9345-4

[11]Carter, A., Davis, N., Klin, A., & Volkmar,F.(2005). Social development in autism. Handbook of autism and pervasive developmental disorders (3rd ed., pp. 312-334).

[12]Silveira-Zaldivara, T. ., Özerk, G. ., & Özerk, K. (2021). Developing Social Skills and Social Competence in Children with Autism. International Electronic Journal of Elementary Education, 13(3).

[13]Scattone, D. (2007). Social skills interventions for children with autism. Psychology in the Schools, 44, 717-726.https://doi.org/10.1002/pits.2026

[14]Crowell, J. A., Keluskar, J., & Gorecki, A. (2019). Parenting behavior and the development of children with autism spectrum disorder. Comprehensive Psychiatry, 90, 21–29. https://doi.org/10.1016/j.comppsych.2018.11.007

[15]Lusebrink, V. B. (1990). Imagery and visual expression in therapy. New York, NY: Plenum Press.

[16]Malchiodi, C. A. (Ed.). (2003). Handbook of art therapy. New York, NY: Guilford Press.

[17]Rubin, J.A. (Ed.). (2016). Approaches to Art Therapy: Theory and Technique (3rd ed.). Routledge.

[18]Lusebrink, V. B. (2010). Assessment and Therapeutic Application of the Expressive Therapies Continuum: Implications for Brain Structures and Functions. Art Therapy, 27(4), 168–177. https://doi.org/10.1080/07421656.2010.10129380

[19]Lusebrink, V.B., Martinsone, K., & Dzilna-Šilova, I. (2013). The Expressive Therapies Continuum (ETC): Interdisciplinary bases of the ETC. International Journal of Art Therapy, 18(2), 75 - 85.

[20]Lusebrink, V. B., & Hinz, L. D. (2019). Cognitive and Symbolic Aspects of Art Therapy and Similarities With Large Scale Brain Networks. Art Therapy, 37(3), 113–122. https://doi.org/10.1080/07421656.2019.1691869

[21]Hinz, L. D. (2015). Expressive Therapies Continuum: Use and Value Demonstrated With Case Study (Le continuum des thérapies par l’expression : étude de cas démontrant leur utilité et valeur). Canadian Art Therapy Association Journal, 28(1–2), 43–50. https://doi.org/10.1080/08322473.2015.1100581

[22]Nam, C., & Yau, E.A. (2021). Expressive Arts Therapy with Chinese Calligraphy Elements as a Working Approach. Creative Arts Educ Ther, 6(2):179–186 https://doi.org/10.15212/CAET/2020/6/2

[23]Hinz, L. D., VanMeter, M. L., & Lusebrink, V. B. (2022). Development of the Expressive Therapies Continuum: The Lifework of Vija B. Lusebrink, PhD, ATR-BC, HLM. Art Therapy, 39(4), 219–222. https://doi.org/10.1080/07421656.2022.2131951

[24]Yi, S., Wu, N., Xiang, X., & Liu, L. (2020). Challenges, Coping and Resources: A Thematic Analysis of Foreign Teachers' Experience of Cultural Adaptation in China. Frontiers in psychology, 11, 168. https://doi.org/10.3389/fpsyg.2020.00168

[25]Guo, F., & Hanley, T. (2015). Adapting cognitive behavioral therapy to meet the needs of Chinese clients: Opportunities and challenges. PsyCh journal, 4(2), 55–65. https://doi.org/10.1002/pchj.75

[26]Sit, H. F., Ling, R., Lam, A. I. F., Chen, W., Latkin, C. A., & Hall, B. J. (2020). The Cultural Adaptation of Step-by-Step: An Intervention to Address Depression Among Chinese Young Adults. Frontiers in psychiatry, 11, 650. https://doi.org/10.3389/fpsyt.2020.00650

[27]Tung M. (1991). Insight-oriented psychotherapy and the Chinese patient. The American journal of orthopsychiatry, 61(2), 186–194. https://doi.org/10.1037/h0079249

[28]Hodges, J., & Oei, T. P. (2007). Would Confucius benefit from psychotherapy? The compatibility of cognitive behaviour therapy and Chinese values. Behaviour research and therapy, 45(5), 901–914. https://doi.org/10.1016/j.brat.2006.08.015

[29]Ran, M. S., Xiang, M. Z., Chan, C. L., Leff, J., Simpson, P., Huang, M. S., Shan, Y. H., & Li, S. G. (2003). Effectiveness of psychoeducational intervention for rural Chinese families experiencing schizophrenia--a randomised controlled trial. Social psychiatry and psychiatric epidemiology, 38(2), 69–75. https://doi.org/10.1007/s00127-003-0601-z

[30]Zeng, Z., Deng, Y., Liu, J., Yang, K., Peng, H., & Jiang, Y. (2022). Chinese Cancer Patients' Attitudes Toward Psychotherapy and Their Willingness to Participate in Clinical Trials of Psychotherapy. Cancer control : journal of the Moffitt Cancer Center, 29, 10732748221112664.https://doi.org/10.1177/10732748221112664

[31]Wei, J., Fritzsche, K., Shi, L., Cao, J., Bassler, M., Müller, A. M., Zhang, Y., Lüdemann, H. T., & Leonhart, R. (2023). Training in psychosomatic medicine and psychotherapy for medical doctors in China: A field report. Frontiers in medicine, 10, 1119505. https://doi.org/10.3389/fmed.2023.1119505

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Published

2025-02-25

How to Cite

Niu, X. (2025). The origin, application and prospect of the expressive therapy continuum (ETC) . Journal of Modern Social Sciences, 2(1), 36–42. https://doi.org/10.71113/JMSS.v2i1.185

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Articles