Table Of ContentDBT-INFORMED
ART THERAPY
of related interest
Mindful Art Therapy
A Foundation for Practice
Barbara Jean Davis
ISBN 978 1 84905 426 3
eISBN 978 0 85700 791 9
Mindfulness and the Arts Therapies
Theory and Practice
Edited by Laury Rappaport, Ph.D.
ISBN 978 1 84905 909 1
eISBN 978 0 85700 688 2
Raising Self-Esteem in Adults
An Eclectic Approach with Art Therapy, CBT and DBT Based Techniques
Susan I. Buchalter
ISBN 978 1 84905 966 4
eISBN 978 0 85700 821 3
DBT-INFORMED
ART THERAPY
Mindfulness, Cognitive Behavior
Therapy, and the Creative Process
SUSAN M. CLARK
Jessica Kingsley Publishers
London and Philadelphia
Material from Linehan (1993a) Cognitive-Behavioral Treatment of Borderline Personality
Disorder and (1993b) Skills Training Manual for Treating Borderline Personality Disorder
(1st edition) reproduced with kind permission from Guilford publications, Inc.
Activities 3, 4,and 5 on pp174–8 adapted with permission from Betty Edwards.
First published in 2017
by Jessica Kingsley Publishers
73 Collier Street
London N1 9BE, UK
and
400 Market Street, Suite 400
Philadelphia, PA 19106, USA
www.jkp.com
Copyright © Susan M. Clark 2017
All rights reserved. No part of this publication may be reproduced in any material form
(including photocopying, storing in any medium by electronic means or transmitting) without
the written permission of the copyright owner except in accordance with the provisions
of the law or under terms of a licence issued in the UK by the Copyright Licensing
Agency Ltd. www.cla.co.uk or in overseas territories by the relevant reproduction rights
organisation, for details see www.ifrro.org. Applications for the copyright owner’s written
permission to reproduce any part of this publication should be addressed to the publisher.
Warning: The doing of an unauthorised act in relation to a copyright work
may result in both a civil claim for damages and criminal prosecution.
Library of Congress Cataloging in Publication Data
Names: Clark, Susan M.
Title: DBT-informed art therapy : mindfulness, cognitive behavior therapy,
and the creative process / Susan M. Clark.
Description: London ; Philadelphia : Jessica Kingsley Publishers, 2017. |
Includes bibliographical references and index.
Identifiers: LCCN 2016022022 | ISBN 9781849057332 (alk. paper)
Subjects: LCSH: Art therapy. | Dialectical behavior therapy. | Emotional
problems--Treatment. | Borderline personality disorder--Treatment.
Classification: LCC RC489.A7 C53 2017 | DDC 616.89/1656--
dc23 LC record available at https://urldefense.proofpoint.com/v2/
url?u=https-3A__lccn.loc.gov_2016022022&d=BQIFAg&c=euGZstcaTDll
vimEN8b7jXrwqOf-v5A_CdpgnVfiiMM&r=VCKr2NBFNTs4O_kp07esGY2J-
doQEb4zTq5sCaeXa-I&m=7prXKPYwzi5ic-bbzUbJjB9NejulnsKtUKCqYD7Do-
g&s=OZ1xMae5G-M6-DpNYs8MKhCmKvp4EEEF9joLQpzwEqk&e=
British Library Cataloguing in Publication Data
A CIP catalogue record for this book is available from the British Library.
ISBN 978 1 84905 733 2
eISBN 978 1 78450 103 7
I dedicate this book to my family,
and to all of my clients, past and present.
I also present it in memory of Julie Upham,
Nancy Rees Brown, Thomas Ruppert, OB
and Virginia Carol Kennedy.
ACKNOWLEDGMENTS
First, I am so very grateful to my husband, Joe, who was consistently
supportive and loving throughout the seemingly never-ending period
during which this book project hijacked our lives.
I thank Jessica Kingsley Publishers for the wonderful opportunity,
and Annie Heiderscheit for inviting me to contribute a chapter in her
book Creative Arts Therapies and Clients with Eating Disorders (2015).
I deeply appreciate the contributors, my fellow DBT-informed
expressive arts therapists: Jane DeSouza, Jessica Masino Drass, Megan
Shiell, Deborah Spiegel, and Karin von Daler.
I am very grateful to a number of special friends, colleagues, and
mentors in no particular order: Pam Bertaud, Tracy Carter, Barbara
Bagan, Roger Strachan, Betty Edwards, Denise Ben-Porath, Jeannie
Mehl, Les Huizenga, Jill Tucker, Martine Musy, Heidi Larew, Yvette
“Roxi” Tolbert, Tom and Erica Lynch, the drummers of Ka De Dunaa,
Darcy Scott and Judith Sklar.
I thank Scribbles Coffee Co. and Last Exit Coffee House, both in
Kent, Ohio.
Thank you, Drs. Lucene Wisniewski and Mark Warren, everyone
on the DBT consultation team at The Emily Program – Cleveland,
and all of my colleagues and clients. And of course, thank you,
Dr Marsha Linehan.
CONTENTS
Introduction . . . . . . . . . . . . . . . . . . . . . 9
PART 1. The Background
1. Standard DBT and Its Adaptations . . . . . . . . . . 18
2. Art Therapy . . . . . . . . . . . . . . . . . . . . . 54
3. Mindfulness Practice and Mindfulness as the Core
Skill in DBT . . . . . . . . . . . . . . . . . . . . . 78
4. Mindfulness and the Creative Arts Therapies. . . . . 97
PART 2. DBT-Informed Art Therapy
5. “DBT in Action” . . . . . . . . . . . . . . . . . . . 106
6. Stage 1 DBT-Informed Art Therapy . . . . . . . . . 127
7. Mindfulness, Metaphor, and Mastery. . . . . . . . . 136
8. Characteristics and Practices of the DBT-Informed
Art Therapist. . . . . . . . . . . . . . . . . .. . . 149
PART 3. The Activities
9. Core Mindfulness Skills . . . . . . . . . . . . . . . 170
10. Interpersonal Effectiveness Skills . . . . . . . . . . . 191
11. Emotion Regulation Skills . . . . . . . . . . . . . . 204
12. Distress Tolerance Skills . . . . . . . . . . . . . . . 232
13. Supplemental Skills. . . . . . . . . . . . . . . . . . 266
PART 4. Stage 2 DBT-Informed Art Therapy
and Beyond
14. Using Art Therapy Within DBT Stages 2, 3, and 4. . 288
15. Developing an Evidence Base for DBT-Informed Art
Therapy . . . . . . . . . . . . . . . . . . . . . . . 293
References. . . . . . . . . . . . . . . . . .. . . . . . 297
Subject Index . . . . . . . . . . . . . . . . . . . . . . 316
Author Index . . . . . . . . . . . . . . . . . . . . . . 322
