{"id":24,"date":"2026-04-29T17:32:13","date_gmt":"2026-04-29T17:32:13","guid":{"rendered":"https:\/\/artmost.hr\/wordpress_Z\/?p=24"},"modified":"2026-05-17T11:34:32","modified_gmt":"2026-05-17T11:34:32","slug":"art-terapija-i-trauma","status":"publish","type":"post","link":"https:\/\/artmost.hr\/?p=24","title":{"rendered":"Art terapija i trauma"},"content":{"rendered":"

Klju\u010dne rije\u010di: <\/strong>art terapija, trauma, PTSP, depresija, neverbalno izra\u017eavanje<\/p>\n

\u0160to je art terapija<\/strong><\/p>\n

Art terapija<\/strong> omogu\u0107ava klijentima neverbalno izra\u017eavanje<\/strong> putem razli\u010ditih kreativnih medija<\/a>, uklju\u010duju\u0107i fotografiju, slikanje, crtanje i kiparstvo, \u010dime olak\u0161ava istra\u017eivanje i izra\u017eavanje nesvjesnih sadr\u017eaja koji se te\u0161ko verbaliziraju. Razli\u010dita svojstva ovih medija mogu aktivirati specifi\u010dne dijelove mozga<\/a>, omogu\u0107uju\u0107i ciljane terapijske intervencije prilago\u0111ene potrebama klijenta. Likovni rad nastao tijekom terapije mo\u017ee predstavljati vanjsku manifestaciju unutarnje stvarnosti, omogu\u0107uju\u0107i izra\u017eavanje prethodno nesvjesnih ili potisnutih sadr\u017eaja<\/a>. Hersey i Bobick isti\u010du da proces stvaranja mo\u017ee izazvati nesigurnost i tjeskobu kod osoba koje percipiraju vlastiti nedostatak kreativnosti ili vje\u0161tina<\/a>.<\/p>\n

Terapijski u\u010dinci art terapije kod traume<\/strong><\/p>\n

\u00a0<\/strong>Unato\u010d ovim izazovima, istra\u017eivanja ukazuju na art terapijski<\/strong> zna\u010dajnu primjenu kod odraslih pacijenata s traumama<\/strong><\/a>. S obzirom na terapijske u\u010dinke, art terapija<\/strong> se \u010desto primjenjuje u lije\u010denju traumatiziranih osoba pri \u010demu istra\u017eivanja pokazuju smanjenje simptoma traume i depresije<\/strong> kod odraslih<\/a> te donosi obe\u0107avaju\u0107e rezultate u klini\u010dkoj praksi. Istra\u017euju\u0107i svoje umjetnosti, ljudi mogu tra\u017eiti teme i sukobe koji mogu utjecati na njihove misli, emocije i pona\u0161anja.<\/p>\n

Art terapija i PTSP<\/strong><\/p>\n

Osim toga, njena primjena se \u0161iri i na populacije djece i odraslih nakon traumatskih iskustava<\/a> kao \u0161to su seksualno zlostavljanje, nasilje, kroni\u010dne bolesti te izlo\u017eenost terorizmu i ratu. Doprinos art terapije<\/strong> odnosi se na rad s osobama koje pate od posttraumatskog stresnog poreme\u0107aja (PTSP). Vizualno stvarala\u0161tvo mo\u017ee pomo\u0107i u pristupu traumatskim sje\u0107anjima<\/a> \u010dime se pove\u0107ava osje\u0107aj zadovoljstva, u\u017eitak, u\u010dinkovitije suo\u010davanje te smanjenje simptoma PTSP-a, depresije<\/strong>, anksioznosti i stresa. Traumatska sje\u0107anja \u010desto nisu dostupna u obliku svjesnog (eksplicitnog) pam\u0107enja<\/a>, ve\u0107 su pohranjena implicitno ili u senzornoj memoriji \u0161to ote\u017eava verbalno izra\u017eavanje.<\/p>\n

Neverbalno izra\u017eavanje u radu s traumom<\/strong><\/p>\n

Neverbalni terapijski pristupi<\/strong> osobito su u\u010dinkoviti u lije\u010denju traumatizirane djece i adolescenata<\/a>. Sve vi\u0161e istra\u017eivanja potvr\u0111uje da art terapija poma\u017ee u izra\u017eavanju iskustva, dijeljenju pri\u010da, poti\u010de samoizra\u017eavanje i regulaciju emocija. Osim toga, doprinosi ja\u010danju socijalne povezanosti i podr\u0161ke<\/a> \u0161to je klju\u010dno za oporavak traumatiziranih osoba. Art terapija<\/strong> mo\u017ee zna\u010dajno smanjiti intenzitet simptoma anksioznosti i pobolj\u0161ati cjelokupnu sliku o sebi<\/a> kod osoba koje su do\u017eivjele traumatsko iskustvo.<\/p>\n

ITR metoda (Instinctive Trauma Response) <\/strong><\/p>\n

\u00a0<\/em><\/strong>Sudionice su koristile bijeli papir za crtanje, flomastere, uljane pastele, bojice, olovke.<\/p>\n

Cilj je bio prepoznati povezanosti traumatskih iskustava s emocionalnim i fizi\u010dkim reakcijama te omogu\u0107iti njihovu obradu i integraciju.<\/p>\n

Razumijevanje uloge evolucijskih mehanizama pre\u017eivljavanja u kontekstu traume dovelo je do razvoja koncepta \u201eInstinktivnog odgovora na traumu\u201c<\/a> kao univerzalne reakcije na traumatska iskustva kod \u017eivotinja i ljudi.<\/p>\n

ITR je neinvazivan, znanstveno potkrijepljen pristup koji se oslanja na art terapiju, narativnu terapiju, psihologiju dijelova li\u010dnosti i neuroznanost. ITR koristi grafi\u010dki narativ i eksternalizirani dijalog kako bi prekodirao traumati\u010dna sje\u0107anja iz neverbalnog\/emocionalnog dijela mozga u verbalni\/logi\u010dki. To omogu\u0107ava rekonsolidaciju sje\u0107anja bez ponovnog pro\u017eivljavanja iskustva \u0161to zna\u010dajno smanjuje ili eliminira budu\u0107e simptome i okida\u010de. Grafi\u010dki narativ sastoji se od niza crte\u017ea ili vizualnih prikaza stanja prije i poslije traumatskog doga\u0111aja te instinktivnih odgovora na traumu: 1. Prepadnutost \u2013 prva reakcija karakteristi\u010dna za traumatski \u0161ok. Tijelo se priprema za mogu\u0107u opasnost. 2. Borba ili bijeg \u2013 reakcija na opasnost putem fizi\u010dke agresije ili bijega. 3. Zamrzavanje \u2013 obrambeni mehanizam gdje osoba postaje \u201ezaglavljena\u201c i nesposobna za reakciju. 4. Izmijenjeno stanje svijesti \u2013 osje\u0107aji disocijacije gdje osoba do\u017eivljava promjene u percepciji stvarnosti (gledanje odozgo, promijenjeni osje\u0107aj vremena). 5. Automatska poslu\u0161nost \u2013 automatska reakcija osobe koja mo\u017ee uklju\u010divati bezvoljno prihva\u0107anje situacije bez aktivnog otpora. 6. Samooporavak \u2013 proces povratka fiziolo\u0161ke i psiholo\u0161ke stabilnosti nakon traumatskog doga\u0111aja.<\/p>\n

Pri\u010danje pri\u010de omogu\u0107ava rekonstrukciju doga\u0111aja verbalizacijom ili vizualizacijom \u0161to predstavlja klju\u010dni korak u obradi traume. Klijent ispri\u010da pri\u010du terapeutu koriste\u0107i slijed crte\u017ea. Zatim terapeut pri\u010da pri\u010du klijentu koriste\u0107i tre\u0107e lice i klijentove rije\u010di, pri\u010da u pro\u0161lom vremenu. Ova faza omogu\u0107ava verbalizaciju simptoma, navika, obrazaca pona\u0161anja i emocija povezanih s traumom<\/a>.<\/p>\n

Protokol je trajao otprilike 1 sat i 30 minuta, a sudjelovanje je bilo dobrovoljno. Na po\u010detku je nagla\u0161eno da sudionice odaberu iskustvo manje traume \u201et\u201c kako bi se osiguralo da provo\u0111enje protokola ne bude uznemiruju\u0107e.<\/p>\n

Primjer iz prakse (studija slu\u010daja)<\/strong><\/p>\n

\u00a0<\/strong>KLIJENTICA A<\/strong><\/p>\n

Dob: <\/strong>15 godina<\/p>\n

Razlog dolaska<\/strong><\/p>\n

Samoozlje\u0111ivanje, delinkventna pona\u0161anja, disocijacija, problemi u emocionalnoj regulaciji, negativno mi\u0161ljenje o sebi. Dolazi uznemirena, napeta, negativno do\u017eivljava sebe i svoju okolinu, zabrinuta za budu\u0107nost.<\/p>\n

CILJEVI TERAPIJE: Povezanost traumatskih iskustava i njihov utjecaj na emocionalne i fizi\u010dke reakcije, obrada i integracija<\/p>\n

SUBJEKTIVNO IZ PERSPEKTIVE KLIJENTA:<\/p>\n

\"Tinejd\u017eerica<\/p>\n

Slika 1. Klijentica A \u2013 Prije doga\u0111aja (ITR)<\/p>\n

Prije doga\u0111aja \u2013 \u201eJa sam u ku\u0107i. Bilo je jako vru\u0107e. Tu\u017ean dan, razo\u010daranje.\u201c<\/p>\n

\"Tinejd\u017eerica<\/p>\n

Slika 2. Klijentica A \u2013 Prepadnutost (ITR)
\nPrepadnutost \u2013 \u201eTu sam \u010dula svakakve glasove dok sam se borila da odr\u017eim pravdu. Kre\u0107e sva\u0111a. Nisam nikada dopu\u0161tala da me momci tuku. Pla\u010dem. Sva\u0111am se s momkom. Mrzim nepravdu \u2013 vi\u010dem \u201enepravedno, ne po\u0161tuje me, \u017eelim slobodu\u201c.<\/p>\n

\"Tinejd\u017eerica<\/p>\n

Slika 3. Klijentica A \u2013 Borba (ITR)
\nBorba \u2013 \u201eBAMM kre\u0107e tu\u010da. Bila sam u \u0161oku jer nisam mogla iza\u0107i na kraj s time. Uzimam no\u017e i kre\u0107em prema njemu.\u201c<\/p>\n

\"Tinejd\u017eerica<\/p>\n

Slika 4. Klijentica A \u2013 Zamrzavanje (ITR)<\/p>\n

Zamrzavanje \u2013 \u201e WTFF \u2013 ovdje sam se zaledila jer nisam mogla shvatiti kako netko nakon toliko dugo vremena ne mo\u017ee shvatiti. Bijes. U \u010dudu sam.\u201c<\/p>\n

\"Tinejd\u017eerica<\/p>\n

Slika 5. Klijentica A \u2013 Promijenjeno stanje misli (ITR)
\nPromijenjeno stanje misli \u2013 \u201eBila sam u \u0161oku, kao da sanjam. Nisam svoja.\u201c<\/p>\n

\"Tinejd\u017eerica<\/p>\n

Slika 6. Klijentica A \u2013 Automatska poslu\u0161nost (ITR)<\/p>\n

Automatska poslu\u0161nost \u2013 \u201eRadim ne\u0161to \u0161to ima posljedice. Re\u017eem se staklom po ruci. Ovdje sam se porezala iz te muke.\u201c<\/p>\n

\"Tinejd\u017eerica<\/p>\n

Slika 7. Klijentica A \u2013 Stanje \u0161oka (ITR)
\nStanje \u0161oka \u2013 \u201eOblak iz kojeg curi krv. Nisam bila svjesna odakle toliko krvi. Sjedila sam na krevetu i samo sam se htjela probuditi. \u0160ok, puno krvi, jednostavno nisam znala gdje sam, \u0161to sam i kako sam to uspjela napraviti.\u201c<\/p>\n

\"Tinejd\u017eerica<\/p>\n

Slika 8. Klijentica A \u2013 Nakon doga\u0111aja (ITR)<\/p>\n

Nakon doga\u0111aja \u2013 \u201eKad se sve zavr\u0161ilo, kako je ispalo \u2013 \u0161ivana ruka. Davali su mi krv. Izgubila sam puno krvi.<\/p>\n

Nisam bila svjesna da sam to u\u010dinila. Momak se upla\u0161io vi\u0161e nego ja. Ja sam se smijala. Sjedila sam na krevetu i mislila da \u0107u se probuditi, da sanjam. Neki nepismeni susjed je nazvao hitnu. Smijala sam se kasnije, kad sam se vratila, dok je prepri\u010davao kako je zvao hitnu i \u0161to im je rekao. Ne \u017eelim se snimati, ne \u017eelim se slu\u0161ati, imam grozan glas. Zvu\u010dalo mi je zanimljivo kad ste pri\u010dali da se to sve doga\u0111a nekoj drugoj djevojci.\u201c<\/p>\n

Pokazuje sna\u017ene emocionalne reakcije na traumatsko iskustvo, uklju\u010duju\u0107i \u0161ok, disocijaciju i samoozlje\u0111ivanje. Navodi da nikad vi\u0161e ne \u017eeli pristati da je mu\u0161karci tuku, a da im ona ne vrati udarac. Smijeh u izrazito stresnim situacijama djeluje kao obrambeni mehanizam. Opisuje disocijaciju prilikom ozlje\u0111ivanja kao nestvaran osje\u0107aj, kao da sanja. Izra\u017eava emocije i povezuje se sa svojim iskustvima na simboli\u010dkoj razini. Izra\u017eavanje crte\u017eima poma\u017ee joj u osloba\u0111anju potisnutih emocija dok strukturirana obrada faza traume olak\u0161ava kognitivnu integraciju. Dodirivanje i ljubljenje o\u017eiljka, tepanje, mogu ukazivati na potrebu za za\u0161titom unutarnjeg djeteta koje nije bilo vi\u0111eno, pri \u010demu se prelazi iz odbojnosti i disocijacije prema prihva\u0107anju kao dijela sebe. ITR protokol se pokazao korisnim u smanjenju napetosti, obradi traume i poticanju integracije vlastitog iskustva. Djevojka postupno prelazi iz faze odbojnosti prema svom samoozlje\u0111ivanju i velikom o\u017eiljku prema osvje\u0161tavanju i prihva\u0107anju.<\/p>\n

Literatura:<\/strong><\/p>\n

    \n
  1. Australian, New Zealand and Asian Creative Arts Therapies Association (ANZACATA). (2021). About Creative Arts Therapies<\/em>. https:\/\/www.anzacata.org\/About-CAT<\/a> (Pristupljeno: 14.10.2024.)<\/li>\n
  2. Gantt, L. i Tinnin, L.W. (2009). Support for a neurobiological view of trauma with implications for art therapy. The Arts in Psychotherapy<\/em>, 36(3), str. 148\u2013153. https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0197455608001081?via%3Dihub<\/a> (Pristupljeno: 11.11.2024.)<\/li>\n
  3. Garc\u00eda-Moreno, C. i Riecher-R\u00f6ssler, A. (2013). Violence against women and mental health. Key Issues in Mental Health<\/em>, 178(1), str. 167\u2013174. https:\/\/doi.org\/10.1159\/000345276. https:\/\/www.researchgate.net\/publication\/291199224_Violence_against_Women_and_Mental_Health<\/a> (Pristupljeno: 13.12.2024.)<\/li>\n
  4. Gerig Shelly, M. (2022). Art therapy and parts work with survivors of sexual violence: Development of a method<\/em>. Diplomski rad. Lesley University, Graduate School of Arts and Social Sciences. https:\/\/digitalcommons.lesley.edu\/expressive_theses\/552<\/a> (Pristupljeno: 23.1.2025.)<\/li>\n
  5. Hanif, R. i Siddique, M.P. (2017). Art therapy: An effective tool in managing traumatized individuals. Voices Against Torture: International Journal on Human Rights<\/em>, 2. https:\/\/www.vastbc.ca\/vat\/edition\/edition-2<\/a> (Pristupljeno: 2.2.2025.)<\/li>\n
  6. Hinz, L.D. (2009). Expressive therapies continuum: A framework for using art in therapy<\/em>. 1. izd. New York: Routledge.<\/li>\n
  7. Maddox, G.A., Bodner, G.E., Christian, M.W. i Williamson, P. (2024). On the effectiveness of visual arts therapy for traumatic experiences: A systematic review and meta-analysis. Clinical Psychology & Psychotherapy<\/em>, 31(4), e3041. https:\/\/doi.org\/10.1002\/cpp.3041<\/a>.<\/li>\n
  8. Morison, L., Simonds, L. i Stewart, S.-J.F. (2021). Effectiveness of creative arts-based interventions for treating children and adolescents exposed to traumatic events: A systematic review of the quantitative evidence and meta-analysis. Arts & Health<\/em>, 14(3), str. 237\u2013262. https:\/\/doi.org\/10.1080\/17533015.2021.2009529<\/a>.<\/li>\n
  9. Rubin, J. A. (2010). Introduction to art therapy: Sources & resources<\/em> (rev. izd.). New York: Routledge.<\/li>\n
  10. Wheat, L. (2020). Feminist Informed Art Therapy Program for Survivors of Domestic Violence<\/em>. Herron School of Art and Design. https:\/\/hdl.handle.net\/1805\/23861<\/a> (Pristupljeno: 7.10.2024.)<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Klju\u010dne rije\u010di: art terapija, trauma, PTSP, depresija, neverbalno izra\u017eavanje \u0160to je art terapija Art terapija omogu\u0107ava klijentima neverbalno izra\u017eavanje putem […]<\/p>\n","protected":false},"author":1,"featured_media":49,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-24","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artmost"],"yoast_head":"\nArt terapija i trauma - 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