Working with Abused Children and Teens

by Linda Chapman, MA, ATR-BC

In a previous article, “Passing Therapeutic Safety Tests”, I have written more extensively about the importance of establishing safety, which is my first consideration. I establish a sense of safety by stating my name and role, and point to the posted studio rules and explain each rule. After getting used to this routine, the seasoned group members often want to explain the rules to a new group member. Although it may seem tedious or repetitive, not one person has ever complained about this ritual in my studio or playroom. It is a great example of mental representation as a therapeutic tool. The child or teens perception is that safety is primary, every session.

The second consideration is establishing goals for the group. I encourage the groups to do this task themselves by offering a menu of possible choices used by other groups. The goals are broad, and the intent is to provide a sense of control over the group for the members.

Another important topic to address is confidentiality. The discussion pertains to whether group members want to provide a safe space for sharing confidential information or whether it is unsafe to do so. Everyone has to agree and this is again discussed with any incoming new group member.

Another useful technique is a structured environment with limited stimulus in the room. Within the structured environment, there is total freedom in the art, with the exception of making weapons or drug paraphernalia. I often use directives in the beginning of group therapy or when new members join the group, however, I strive to offer “free time” sessions where they each work with their media of choice. Rarely is there a child or teen who is not working the entire session on art making or engaged in dialogue about their art or process.

I continue to be surprised and delighted by the art created by the children and teens, and also amazed at the personal insight derived from the opportunity for art making and reflection.

© Copyright 2009-2011 Linda Chapman.