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Digital art therapy--2012 Presentation by Cathy Malchiodi, PhD, and Don Cutcher, ATR-BC

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One of our first presentations on the ethics of digital art therapy and social media for the Buckeye Art Therapy Association in September 2012.

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Digital art therapy--2012 Presentation by Cathy Malchiodi, PhD, and Don Cutcher, ATR-BC

  1. 1. + Issues & Ethics of Art Therapy in a Digital Age September 7, 2012, Dublin, OH, Buckeye Art Therapy Association Presented by: Cathy Malchiodi, PhD, LPAT, LPCC, ATR-BC Donald Cutcher, MA, ATR-BC, HLM/BATA
  2. 2. + Summary… This presentation provides attendees with an overview of major aspects of “Art Therapy 2.0,” digital technology and social media as they apply to work with art therapy clients. The emphasis is on emerging applications in art therapy and ethical challenges encountered in using digital media (digital art therapy) and Internet-based technology in work with clients and information transfer. iPad…Tablet Technology
  3. 3. + Our Goals & Objectives… This presentation’s goal is to provide an overview of digital art therapy and social media, with an emphasis on the ethics of technology with clients. Participants will: 1) Learn at a working definition of “digital art therapy;” 2) Learn at least three forms of social media used by art therapists and clients; 3) Learn at least three possible ethical challenges in using digital technology and social media.
  4. 4. + What is Digital Art Therapy?  All forms of technology-based media, including digital collage, illustrations, films and photography in therapy  May involve computer keyboards or screens  May include tablet technology and smart phones  May include any manipulation or generation of images by electronic means
  5. 5. + Generation Z: The Digital Nation…  Children and adolescents now make up the “digital generation”  Called “Gen Z” and born in the mid-1990s  Grown up with digital technology ~ do not know of a world without it.  Clients are beginning to demand to use technology in sessions…how will art therapists respond?
  6. 6. + Applications of Digital Art Therapy with Children and Adolescents  It’s not all the “work of the devil”… it’s has many positive applications.  Mostly in hospitals where tablet technology [iPad] and cameras are used.  Specific applications with some populations such as autism are possibly more effective than traditional media.
  7. 7. + Apps, Apps, Apps…Here are just a few! Doodle Buddy and others… Comic creators and graphic novels… Mandala drawing and coloring programs… Stress reducing programs such as Zen Garden…
  8. 8. + Adaptive Technology Using technology for individuals with quadriplegia or traumatic brain injury Helping those children who are hospitalized communicate with others [Starbright Foundation for example’] Starbright World®
  9. 9. + Virtual Reality Therapy (VTR)  Mostly used with posttraumatic stress in adults as “exposure therapy”  Also being used with children and adolescents who have physical disabilities so they can practice skills in virtual reality and develop a sense of self- efficacy Electronic Visualization Lab
  10. 10. + Small Group Activity…Discuss the following questions.  What are the challenges to confidentiality when using an iPad or digital camera as media with art therapy clients? Is there a potential for a HIPAA violation?  How would you handle security and storage of digital images produced by art therapy clients? What standards does your agency/institution have in place?  If you use digital media in art therapy, what would you include or change about your informed consent given to clients or guardians/parents?
  11. 11. + Digital Art Therapy It’s our ethical responsibility to know what works and what doesn’t and to look at client welfare. Sometimes “digital art therapy” may be the best approach, but it comes with ethical challenges.
  12. 12. + What is Electronic Media?  Broadcast or storage media that takes advantage of electronic technology  May include television, radio, Internet, fax, CD- ROMS, DVD, and any other medium that requires electricity or digital encoding of information.  Also includes other forms of news publication, including websites, blogs and social networking sites.  The term “electronic media” is often used in contrast with print media.
  13. 13. + Current “Superfecta” of Social Media  Facebook  Twitter  LinkedIn  Pinterest
  14. 14. Example of Pinterest Page
  15. 15. +Electronic Media…digital art images, records, social media, films and more… What are the ethical concerns? Confidentiality challenges?Legal issues?
  16. 16. + Health Information and Digital Transmission Protected Health Information: HIPAA Privacy and Security Rules
  17. 17. + About Electronic Media… “Even before you put electronic client information or an image online or send it by e-mail it is at risk.” “The risks for electronic data can be internal, external, and random, and can result in data damage, falsification, loss, or leakage.” P. Orr (2011), ATCB Summer Review
  18. 18. + ATCB Ethics Code  3.11.5.1 Addresses issues related to the difficulty of maintaining the confidentiality of electronic transmitted communications, and the difficulty in removing any information or imagery that has been posted electronically if consent is later revoked.  3.11.5.2 Inform clients of all colleagues, supervisors, and employees (including Informational Technology (IT) administrators, who might have access to electronic transmissions. ATCB Code of Professional Practice states:
  19. 19. + More from ATCB ethics document... 3.3.1 Art therapists shall not engage in any relationship, including through social media, with current or former clients, students, interns, trainees, supervisees, employees, or colleagues that is exploitative by its nature or effect.
  20. 20. + Small Group Activity…Discuss the following questions. Should you have a Facebook Page for your private practice? What are the risks? Are there situations when it is acceptable? Should you post client artwork or films of clients in art therapy/counseling sessions to your Facebook Page? Or elsewhere on the Internet? What are some of the ethical issues involved?
  21. 21. + Facebook Page & Professional Practice: Commentary from Keely Kolmes, PhD, 2009 “If you are using your Facebook profile to establish your professional identity or to attract, connect, or interact with potential or current clients and colleagues, your Facebook presence has now become part of your professional space. This means that legal and ethical provisions may now apply to your online activities.” “Accepting client requests to “friend” you can be perceived as an extension of your professional practice. Be aware that professional relationships come with legal and ethical responsibilities which do not cease to exist just because you are on a social networking site.”
  22. 22. True or False? What is the strangest thing you have read that has been posted by a peer professional?
  23. 23. + Some of our experiences… Cathy: “A professional art therapy colleague posted that she was getting a divorce from her husband because one of his relatives was abusing their child.” Also seen via colleague’s Facebook postings…expletives, culturally insensitive jokes,”I read 50 Shades of Grey,” and public questions about “how to I deal with a client who…” Don: “A professional colleague posted video tapes of sessions with a minor child onto the person’s facebook professional website. It included identifier of client, as well as no masking of face or image. This was reported to the ATCB and AATA, as ethical violations of codes and resolution was requirement for person to remove all data and respect confidentiality.”
  24. 24. + A “hypothetical” case scenario. Posting Client Films to Facebook…it happens.
  25. 25. + Have you Googled yourself lately?  On July 23, 2012,”Donald Cutcher Art Therapis”t has 19,200 hits on Google…  On July 23, 2012, Cathy Malchiodi has 540,000 hits (she has a lot to look into…)  Major sources of Google hits: Social media such as Facebook activity and websites with your name on them.  Your clients can see them all.  Nothing ever disappears from the Internet. Nothing. Really.
  26. 26. + And what if a client read this on the Internet… “…There was also the good-looking 30-something manic guy, who drove hundreds of miles, went out on the town, drank all night, met a lady, went home with her and decided to “show her the proper way to commit suicide.” The girl found him in her bathroom with double wrist and neck lacerations. He survived to tell the story (to me) and continued to try to take his stitches out (while in the unit) by use of the electrical outlets on the wall. He really liked art, though. I write a lot of progress notes for my patients that include statements like “she remains resistant to therapeutic intervention and spends most of her day in bed, talking to Jesus” or listen to proclamations like “you know, I was born in 1786 for the 4th time?” “No, I didn’t know that. What is that like?” From “Art Therapist Works with Dangerously Psychotic Patients” on BuzzFeed website, written by anonymous Licensed Creative Arts Therapist.

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