ABSTRACT This study examined the explanation for the found causal relationship between art therapy and positive therapeutic effects, in a previously conducted randomised controlled trial (RCT) with personality disorders cluster B/C. In-depth interviews were used to collect the data, in order to examine the experience without preconceived notions or expectations. Thematic analysis was used to analyse the data to generate and interpret themes. Eight patients who participated in the RCT intervention were asked to evaluate their experiences with art media highlighting emotion regulation and Expressive Therapies Continuum (ETC) levels. Also three art therapists were asked to evaluate the artwork made by these participants. Thematic analysis resulted in five themes. These results suggested that through the targeted use of art assignments, material handling, and preferred approaches to art process and ETC levels, patients experienced, shaped and shared emotions not previously wilfully encountered. The therapeutic effects were explained by combined specific art therapy factors linked to the art media. These factors were reported by participants as evoking and helping them understand and regulate internal images and emotions. Results suggested that art therapy encourages a present-focused awareness and stimulates emotional processes evoked by material interaction.

中文翻译：

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人格障碍患者群 B/C 的艺术治疗：从患者和艺术治疗师的角度对情绪调节的专题分析

摘要 本研究在先前进行的一项随机对照试验 (RCT) 中对人格障碍群 B/C 中发现的艺术疗法与积极治疗效果之间的因果关系进行了解释。深入访谈用于收集数据，以便在没有先入为主的观念或期望的情况下检查体验。主题分析用于分析数据以生成和解释主题。八名参加 RCT 干预的患者被要求评估他们在艺术媒体上的体验，突出情绪调节和表达疗法连续体 (ETC) 水平。还要求三名艺术治疗师评估这些参与者制作的艺术品。专题分析产生了五个专题。这些结果表明，通过有针对性地使用艺术作业，材料处理，以及艺术过程和 ETC 水平的首选方法，患者体验、塑造和分享以前没有故意遇到的情绪。治疗效果通过与艺术媒体相关的特定艺术治疗因素的组合来解释。这些因素被参与者报告为唤起并帮助他们理解和调节内部图像和情绪。结果表明，艺术疗法鼓励关注当下的意识并刺激由物质互动引起的情感过程。这些因素被参与者报告为唤起并帮助他们理解和调节内部图像和情绪。结果表明，艺术疗法鼓励关注当下的意识并刺激由物质互动引起的情感过程。这些因素被参与者报告为唤起并帮助他们理解和调节内部图像和情绪。结果表明，艺术疗法鼓励关注当下的意识并刺激由物质互动引起的情感过程。