[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-592130-105":59,"doc-detail-592130-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","face-to-face-with-addiction-the-spontaneous-production-of-self-portraits-in-art-therapy","“Face-to-Face” With Addiction: The Spontaneous Production of Self-Portraits in Art Therapy","","Brief report presenting two examples of self-portraits spontaneously produced by chemically dependent patients participating in art therapy in an acute inpatient psychiatric hospital. The author argues that self-portraits offer true-to-life representations of diseased aspects of the self and allow patients to confront their addictive natures. The discussion connects denial, insight, and defense mechanisms with creative imagery.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/face-to-face-with-addiction-the-spontaneous-production-of-self-portraits-in-art-therapy/592130/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/face-to-face-with-addiction-the-spontaneous-production-of-self-portraits-in-art-therapy/592130.png","ImageObject",300,407,{"name":92,"@type":93},"Grenda","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-10-15",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the central claim about self-portraits in the report?","Question",{"text":112,"@type":113},"The report concludes that self-portraits provide true-to-life representations of diseased aspects of the self, enabling patients to confront their addictive natures.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does denial relate to addiction in the introduction?",{"text":117,"@type":113},"Denial prevents chemically dependent individuals from recognizing the addiction, allowing them to disavow or distort evidence and avoid painful realities and consequences.",{"name":119,"@type":110,"acceptedAnswer":120},"What role does art therapy play in the described cases?",{"text":121,"@type":113},"Art therapy helps patients work through defense mechanisms that distort their sense of self and life circumstances, supporting production of spontaneous imagery during treatment.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},592130,1792612160,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52},7971474921005,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","“Face-to-Face”With Addiction: The Spontaneous Production of Self-Portraits in Art Therapy  \nMichael J. Hanes, Edmond, OK  \nAbstract  \nIn this brief report, two examples are presented of selfportraits spontaneously produced by chemically dependent patients who participated in art therapy while in an acute inpatient psychiatric hospital. The author concludes that selfportraits provide true-to-life representations of the diseased aspects of the self and enable patients to confront their addictive natures.  \nIntroduction  \nOften the chemically dependent person is the last to recognize that he or she has an addiction. This lack of awareness is commonly referred to as denial. As an integral part of the disease process, denial allows the individual to either disavow or distort variables associated with his or her addiction in spite of evidence to the contrary (Kaufman, 1994; Stevens-Smith & Smith, 1998) . It is a defense mechanism whereby chemically dependent individuals can avoid facing painful realities and the consequences of their addictive practices.  \nAddiction causes a person to construct a self and worldview that is harmonious with the preservation and continued progression of the addiction. Consequently, addiction renders difficult if not impossible the experience of a self and a worldview incongruent with its objectives. The process of addiction eventually transforms the worldview of the addicted individual and even realigns the person’s sense of self so as not to impede the advancement of the disease (George, 1990; Springham, 1999; Winship, 1999) .  \nDenial creates a major obstacle to recovery and is frequently a precipitous factor in relapse events. The addiction cannot be effectively addressed until the individual acknowledges its existence (Perkinson, 1997; Waller & Mahony, 1999) . The chemically dependent individual can have various levels of insight and readiness to alter worldviews or sense of self (Stevens-Smith & Smith, 1998; George, 1990) .  \nArt therapy can often assist a chemically dependent individual to work through defense mechanisms that distort his or her sense of self and life circumstances.  \nEditor’s note: Michael J. Hanes, MAT, ATR-BC, LPC, is Director of CQI at Red Rock BHS and an art therapist at the Oklahoma County Detention Center. He is an adjunct faculty member at Oklahoma State University and guest lecturer at the University of Oklahoma. Correspondence concerning this article may be sent to the author [at www.artpsychotherapy.com](at www.artpsychotherapy.com).  \nSchaverien (1990) wrote that a spontaneous frontal portrait often implies the need to recognize and accept something that is difficult to acknowledge. Dalley, Rifkind, and Terry (1993) agreed and stated that a self-portrait may represent the individual’s need to face up to something difficult to accept. Hammer (1967) argued that a full frontal portrait possibly indicates the individual is ready to contend with reality and to confront painful truths that may alter his or her self-image.  \nOn occasion, self-portraits are spontaneously produced by chemically dependent patients during the course of art therapy. My clinical observations have shown me that a spontaneous frontal self-portrait often reflects the individual’s effort to come face-to-face with his or her addictive nature. The self-portrait is a true-to-life representation of the individual’s addictive practices. Often it is a candid reflection that refutes the individual’s false sense of self and distorted worldview. Thus, self-portraits enable the chemically dependent individual to confront painful realities and to acknowledge the ill effects of his or her addiction.  \nCase Examples  \nThe following examples were obtained from individuals participating in group art therapy in an acute inpatient psychiatric hospital. Group membership changed as patients were discharged and new individuals were admitted. The group was not homogeneous and included people with a variety of psychiatric d","cbCais86KsK4OCba","https://ap.wps.com/l/cbCais86KsK4OCba","pdf",174709,"English","# Abstract\n# Introduction\n# Editor’s note\n# Case Examples\n## Group art therapy setting\n## Bob (pseudonym)","[{\"question\":\"What is the central claim about self-portraits in the report?\",\"answer\":\"The report concludes that self-portraits provide true-to-life representations of diseased aspects of the self, enabling patients to confront their addictive natures.\"},{\"question\":\"How does denial relate to addiction in the introduction?\",\"answer\":\"Denial prevents chemically dependent individuals from recognizing the addiction, allowing them to disavow or distort evidence and avoid painful realities and consequences.\"},{\"question\":\"What role does art therapy play in the described cases?\",\"answer\":\"Art therapy helps patients work through defense mechanisms that distort their sense of self and life circumstances, supporting production of spontaneous imagery during treatment.\"}]","“Face-to-Face” With Addiction: The Spontaneous Production of Self-Portraits in Art Therapy | PDF",1792073921]