Art-thérapie auprès d'adultes Inuits en psychiatrie: Comment apprendre par l'expérience de l'art
Bibliographic record
Abstract
Les adultes en crise psychiatrique au Nunavik sont d'abord évalués et stabilisés localement puis transférés à Montréal lorsque l'hospitalisation est nécessaire. En plus de leurs problèmes en santé mentale, ces patients peuvent vivre un choc culturel. Cette étude de cas explore comment l'art-thérapie peut aider des adultes inuits durant leur hospitalisation à Montréal, en examinant leur processus selon l'un des principes culturels inuits, l'apprentissage expérientiel. La définition de ce principe dans le contexte de l'art-thérapie et de la culture est suivie d'un relevé des sources d'apprentissage expérientiel dans la littérature sur la psychothérapie et l'art-thérapie auprès d'Inuits et d'Autochtones, puis de psychotiques. Le codage du processus thérapeutique a été utilisé dans deux vignettes d'adultes Inuits hospitalisés pour épisode psychotique dans un contexte d'abus de drogue et d'alcool. Ils ont reçu trois et cinq séances individuelles d'art-thérapie. L'analyse du contenu de l'apprentissage a permis de dégager des pistes à explorer pour les patients ainsi que des processus en jeu, comme l'agir dans l'art et le développement d'une narration symbolique. L'étude a permis d'identifier des conditions influençant l'apprentissage expérientiel, telles que la ritualisation de l'espace thérapeutique, la variation sensorielle des matériaux, l'écologie de l'atelier et une approche non directive. Les résultats de la recherche ne sont pas généralisables étant donné le petit nombre de cas, mais ils fournissent des pistes d'intervention en art-thérapie dans un contexte de diversité culturelle et de thérapie brève en milieu hospitalier. \n \nAdults in psychiatric crisis are first evaluated and stabilized locally, then transferred to Montreal when hospitalization is necessary. In addition to their mental health problems, these patients may live a cultural shock. This case study explores how art therapy may help Inuit adults during their hospitalization in Montreal, through one of the Inuit cultural principles, experiential learning. The definition of this principle in the context of art therapy and culture is followed by a review of experiential learning sources in the literature on psychotherapy and art therapy with Inuit and Aboriginals, as well as with psychotics. Coding of process notes has been used in two vignettes of adult Inuits hospitalized for psychotic episodes in a drug and alcohol abuse context. They have received 3 and 5 individual art therapy sessions. The analysis of what was learnt has revealed avenues of exploration for patients in addition to processes such as action in the art-making and the development of a symbolic narrative. The study has permitted to identify conditions influencing the experiential learning, such as ritualization of the therapeutic space, sensorial variation of materials, the ecology of the studio and a non-directive approach. The findings cannot be generalized due to the small number of cases, but they provide avenues for art therapy interventions in the context of cultural diversity and brief therapy in the hospital milieu.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.007 | 0.004 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".