{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:51:28Z","timestamp":1787500288812,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Posttraumatic nightmares (PTN) are a frequent symptom after a traumatic event and often play part in the psychopathology of patients with borderline personality disorder (BPD). Imagery rehearsal therapy (IRT) currently offers the best evidence for an effective treatment to reduce PTNs, although high drop\u2010out rates are common. Art therapy in IRT may counteract this, by its indirect, nonverbal, and often playful approach that helps to break through avoidance. This case study focusses on the perception of a patient with BPD in an art therapy based IRT treatment for patients with PTNs. It tells the story of Aurelia, a 40\u2010year\u2010old woman who, within this treatment, processes traumatic contents of her childhood like physical and sexual violence, but also current interactional problems that manifest themselves in her nightmares. Following the IR\u2010AT treatment for PTNs Aurelia noticed a reduction in her nightmares, was less afraid of them and felt calmer towards her trauma. She expressed herself in the art medium and by this developed more self\u2010efficacy. Her process resulted in an integration of the trauma and a perceived decrease in borderline symptoms. Future research can build on this basis to further explore the mechanisms and effects of IR\u2010AT for PTNs.<\/jats:p>","DOI":"10.1002\/jclp.23638","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T07:25:19Z","timestamp":1704785119000},"page":"1015-1030","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Drawing your way out: Imagery rehearsal based art therapy (IR\u2010AT) for post\u2010traumatic nightmares in borderline personality disorder"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0248-104X","authenticated-orcid":false,"given":"Timea","family":"Kehr","sequence":"first","affiliation":[{"name":"LVR, Psychosomatic Medicine and Psychotraumatology Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0351-7729","authenticated-orcid":false,"given":"Suzanne","family":"Haeyen","sequence":"additional","affiliation":[{"name":"Academy of Health and Vitality, Research Group Arts &amp; Psychomor Therapies in Health Care HAN University of Applied Sciences Nijmegen The Netherlands"},{"name":"GGNet, Centre for Mental Health, Scelta, Expert Centre for Personality Disorders Apeldoorn Warnsveld The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"American Art Therapy Association. (2017).Definition: Organization.https:\/\/www.arttherapy.org\/upload\/2017_DefinitionofProfession.pdf"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27883"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.06.002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S166089"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12820"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-96773-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.628717"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aip.2015.07.001"},{"key":"e_1_2_8_11_1","volume-title":"Expressive therapies continuum: A framework for using art in therapy","author":"Hinz L. D.","year":"2020"},{"key":"e_1_2_8_12_1","first-page":"479","volume-title":"Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies","author":"Johnson D. R.","year":"2009"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aip.2016.05.012"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2017.06.005"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-016-1570-3"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.70899"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/17454832.2015.1124899"},{"key":"e_1_2_8_18_1","first-page":"104","volume-title":"Art therapy with military veterans: Trauma and the image","author":"Lobban J.","year":"2018"},{"key":"e_1_2_8_19_1","volume-title":"Trauma and expressive arts therapy: brain, body, & imagination in the healing process","author":"Malchiodi C. A.","year":"2020"},{"key":"e_1_2_8_20_1","first-page":"1","article-title":"The clinical effectiveness and current practice of art therapy for trauma: A review of the current evidence on the clinical effectiveness of art therapy and analysis of the status of art therapy within the psychology profession in Australia","volume":"212","author":"McMillan J.","year":"2018","journal-title":"Evidence Review"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7178"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-90-313-9157-8"},{"key":"e_1_2_8_23_1","volume-title":"Trauma\u2010focused art therapy: Individuele, poliklinische beeldende therapie gericht op het verminderen van PTSS klachten (vermijding, arousal en herbeleving) en het versterken van zelfvertrouwen en gevoel van controle bij volwassenen met PTSS\u00a0[Trauma\u2010focused art therapy: Individual, outpatient visual therapy aimed at reducing PTSD symptoms (avoidance, arousal and re\u2010experiencing) and strengthening self\u2010confidence and sense of control in adults with PTSD]","author":"Schouten K. 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