1. Introduction
Version followed: Natalie Rogers's person-centred expressive arts therapy as she described it in The Creative Connection: Expressive Arts as Healing (1993, Science & Behavior Books, Palo Alto; only catalogue and publisher descriptions of the book are drawn on), her articles "Express Yourself" (Self & Society) and "The Path to Wholeness" (Psychotherapy.net, 2010), and her 2003 interview with Laura Guadiana Martínez. Her group method follows the chapter structure of The Creative Connection for Groups (2011; re-issued by University Professors Press, 2026). The publication year of The Creative Connection is listed differently by different sources: WorldCat gives 1993, a retailer page gives 1983 and a 2016 tribute gives 1980/2000. This guide uses 1993. [uncertain: date variants]
Natalie Rogers (1928–2015; one cited source gives 1927 as her birth year) was Carl Rogers's daughter. She extended his person-centred approach beyond talk into movement, visual art, sound, writing and guided imagery. [source: Wikipedia; Tudor 2016] Person-centred expressive arts is an approach and a training tradition, not a manualised protocol. Its "procedures" are a set of arts invitations, plus a way of being with the client while they create.
How change happens: Rogers held that everyone is innately creative. In her view the creative process is itself transformative, and feelings are an energy that can be channelled into art and transformed. In the Creative Connection® (her term), one art form stimulates the next. Moving with awareness opens feelings. Those feelings go into colour, line and form. Writing straight afterwards flows freely, sometimes as poetry. Each step deepens the work towards an inner core, from which the person also feels connected to others and the world. [source: Rogers 2010; Rogers, "Express Yourself"] She treated this work as growth through self-awareness, carried by Carl Rogers's conditions of empathy, acceptance and congruence. She set it against an analytic or medical model in which art is used to diagnose and "treat". [source: Rogers 2010; Guadiana 2003]
Relation to entry 179: The general multimodal and intermodal practices are covered in 179 Expressive arts therapy and intermodal arts. These include Knill's intermodal transfer, decentering, aesthetic responsibility and the general structure of an expressive arts session. This entry covers only what is specific to Rogers: the Creative Connection sequence, the person-centred facilitator stance, and her group method. Where the two overlap, use 179 for the intermodal mechanics.
Professional frame:
- IEATA credentials. The International Expressive Arts Therapy Association (IEATA) grants the REAT® (Registered Expressive Arts Therapist) and the REACE® (Registered Expressive Arts Consultant/Educator). [source: IEATA REAT standards; IEATA REAT vs REACE]
- REAT is a registration, not a licence. IEATA calls it a "title" and a "status" under professional registration, and does not describe it as a government licence. It does not, by itself, authorise independent clinical practice. [source: IEATA What is REAT]
- REAT requirements. IEATA professional membership is required. You also need a master's or doctorate in expressive arts therapy, or a related master's plus training at an expressive arts institute. Then:
- coursework in expressive arts therapy and general therapy areas (minimum 25 hours each);
- at least 50 documented hours of arts training;
- 200–1,000 practicum hours, depending on route;
- 1,000 post-graduate supervised direct client hours, with 50 individual or 100 group supervision sessions;
- two narratives and references;
- agreement to the REAT Code of Ethics;
- continuing education for annual renewal (from September 2024). [source: IEATA REAT standards]
- REACE is explicitly not psychotherapy. It covers educational, coaching, workshop and community uses. [source: IEATA REAT vs REACE]
- Training in Rogers's own tradition. She ran person-centred expressive arts trainings from the San Francisco Bay Area after 1980. She also co-developed a two-year programme in Norway with Columbus Salvesen (four ten-day residentials). She taught at Saybrook. Her students continue this training through the Person-Centered Expressive Arts Institute. [source: Tudor 2016; Rogers, "Express Yourself"; Wikipedia]
- Use as therapy. Use it as psychotherapy only within your own licensed mental-health profession, and after experiential training. Rogers insisted that facilitators first experience the methods in a person-centred training, and that their attitude matters more than technique. The publisher's description says experiential training and the facilitator's own healing should come before deep psychological work with clients. [source: Guadiana 2003; Crown House]
- Protected titles. In jurisdictions where "art therapist" or "dance movement therapist" is a protected title (e.g. UK HCPC for art therapists), a REAT does not confer that title. Check your local regulator. [uncertain: jurisdiction-specific; not confirmed from a regulator page]
2. Framework
Rogers published no numbered phase model for individual therapy. The structures below come from her descriptions. Session counts and transition criteria are not given in the sources. [uncertain]
A. The Creative Connection sequence (the basic unit of a session).
- Settle and attend to feeling.
- Movement and/or sound, ideally with an empathic, non-judging witness.
- Visual art made straight after moving.
- Free writing straight after the art.
- Reflection and sharing, in which the client gives the meaning.
[source: Guadiana 2003; Rogers 2010; Rogers, "Express Yourself"]
The order is not fixed. A client may talk first and then use colour or movement, or start with art and then talk. [source: Guadiana 2003] Each form is meant to deepen the next.
B. Progression across work. The exercises in The Creative Connection run from simple, playful ones ("simple and fun exercises for a rainy day") to deeper work. That deeper work includes identifying feelings, exploring unconscious material, releasing energy and exploring spirituality. [source: Crown House] Practical meaning: start light and build safety before inviting depth. [synthesis]
C. Group life cycle (The Creative Connection for Groups). [source: University Professors Press contents; detailed chapter contents not drawn on]
- Planning and preparation by the facilitator.
- The beginning: building safety.
- The group's midlife: "illuminating the shadow, recovering spirit", plus body-based work ("discovering the wisdom of the body").
- Expressive arts for healing and social change.
- The closing phase: "endings as beginnings".
Format. Rogers worked with individuals and groups, in workshops and residential trainings (e.g. the ten-day modules in Norway). In groups, several people can work on their own material at the same time. [source: Guadiana 2003; Rogers, "Express Yourself"]
Criteria for moving on (synthesis). These are working rules, not Rogers's own criteria. [synthesis]
- Move from playful to deeper invitations when the client chooses materials freely, is no longer preoccupied with the quality of the product, and can stay with feeling without being flooded.
- Move to closing when the person's own reflections show integration (new self-statements, felt relief).
- Rogers's own example was of grief work that "yielded a sense of relief". [source: Rogers 2010]
3. Guiding principles
[source: Rogers 2010; Rogers, "Express Yourself"; Guadiana 2003; Tudor 2016; WorldCat]
- Every person has worth, dignity and the capacity for self-direction. The client steers. You offer invitations, not prescriptions.
- Everyone is innately creative. Never screen for artistic talent. Introduce materials as open to anyone.
- Process over product. Do not judge the artwork aesthetically or commercially. Do not ask the client to "finish" it.
- The product still carries messages. Rogers wrote that "we can gain insight by studying the symbolic and metaphoric messages". The client finds the message. You do not.
- No interpretation, analysis, advice, labelling or diagnosis. Ask about the client's experience of the image. Never tell them what it means.
- Acceptance is not approval. Avoid praise such as "good job", which makes approval conditional. Show that you accept and are present instead.
- Empathy is for the specific feeling now. Reflect the particular feeling moving in the person at this moment, not a category such as "grief".
- Genuineness and congruence. Be "genuine, warm, empathic, open, honest, congruent, and caring". Share your real response as your own.
- Psychological safety. Carl Rogers named this as a condition for creativity: unconditional acceptance, no external evaluation, and empathic understanding. Build the room so that nobody grades anything.
- Psychological freedom. Permission for symbolic expression. Any feeling may be expressed in the art.
- Stimulating and challenging experiences. This is Natalie Rogers's addition: some structure is needed to plant the creative seed. Offering a structured exercise is compatible with being person-centred.
- Person-centred does not mean unstructured. Offer movement, art and writing structures, then follow the participant's lead.
- Responsibility for direction rests with the participant. Participation is voluntary, offered as a warm invitation. Any opt-out is respected.
- Feelings are accepted; harm is not. Rage can go into clay or movement. Hurting self or others is limited.
- Feelings are energy (Rogers's own metaphor). Treat strong emotion as material to be channelled into form, not something to be quickly calmed.
- Allow the person to stay with grief and tears. Don't rush to reassure. Hearing the pain is the intervention.
- Attitude over technique. Your way of being creates safety more than any exercise does.
- Try it yourself first. Rogers tried each method in her own art journal before offering it to clients.
- Inner and outer connect. Rogers held that inner work also connects people to others and the world, including in social-change work. This is her own humanistic and spiritual framing; present it to clients as a view, not a fact.
4. Intervention inventory
This inventory lists the procedures Rogers names in the sources. Step detail beyond what she describes is marked [synthesis]. The many specific exercises in The Creative Connection (1993) and The Creative Connection for Groups (2011) are not drawn on. Consult the books for her own wording. [uncertain: book exercises] For general intermodal session mechanics (e.g. moving between modalities, aesthetic response), see 179.
Before any exercise: safety setup (materials, space, touch)
- Purpose: Make the psychological and physical safety Rogers requires real in the room. [source: WorldCat; Tudor 2016]
- Materials:
- Use products carrying the ACMI Approved Product seal. Do not use Cautionary-labelled products with young children.
- Prefer premixed, talc-free moist clay to powdered clay, which contains silica. Never sand dry clay. Wet-wipe surfaces afterwards rather than sweeping.
- Use oil pastels or dustless chalk rather than dusty pastels or chalk.
- Use water-based paints, markers and glues instead of solvents, aerosols and epoxy or instant glue.
- Give children blunt scissors.
- No eating or drinking while working. Wash hands afterwards.
- Ask about allergies, e.g. to flour-based dough or natural materials.
- Store materials out of children's reach.
- [source: Alberta Health Services 2025]
- Movement space: [synthesis]
- Clear the floor of furniture edges and trip hazards.
- Use a non-slip floor. Allow bare feet or socks only on a suitable surface.
- Leave room so pairs and groups don't collide.
- For any floor-level work (e.g. "melting"), invite people to go down slowly and only as far as is comfortable, using hands or a chair. Offer a seated or standing version to anyone with pain, pregnancy, balance, mobility or cardiac issues.
- Keep sound levels comfortable when drumming or using vocal work.
- Touch: [synthesis; the sources do not address touch]
- Rogers's movement exercises are described as moving and witnessing, not touching. Keep them non-contact by default.
- If a contact variation is used, ask each person individually beforehand. Name exactly where contact would happen (e.g. palms only).
- Give a simple opt-out ("no thanks", or a hand sign) that needs no explanation. Re-check consent at each change. Always offer a no-touch alternative.
- Never touch genitals, breasts or buttocks. Never use sexual or restraining touch.
- Take extra care with trauma survivors (Rogers's book lists sexual abuse among its applications) and with cultural or religious norms about contact between genders.
- Example language (illustrative): "Everything here is an invitation. You can change it, slow it down, or sit it out and watch. Nobody is going to judge what you make."
- Watch for: Hesitancy that looks like compliance. Check in privately.
Creative Connection sequence (movement → art → writing)
- Purpose: The core method. Each art form opens what the next one expresses, so the person reaches feeling and meaning that words alone miss. Use it when a client is stuck in talk, carries feelings without words, or is at a transition. [source: Rogers 2010; Rogers, "Express Yourself"; Guadiana 2003]
- Steps:
- Ask the client to bring attention to a current feeling or theme. [synthesis]
- Invite them to move that feeling, e.g. sadness or anger, with awareness. You act as an empathic, non-judging witness. Sound may be added.
- Straight after moving, invite them to put what they felt into colour, line or form. Representational skill is not needed.
- Straight after the art, invite free writing. Let it flow without editing; it may come out as poetry.
- Invite the client to describe the experience and what the image and words say to them. Reflect empathically. Do not interpret. [source for steps 2–5: Guadiana 2003; Rogers 2010]
- Example language (illustrative): "Let your body find how that sadness wants to move—small or large, it's up to you." Then: "Before you think about it, take the colours and let the movement land on the paper." Then: "Now write for a few minutes without stopping. Begin with whatever is there."
- Watch for: Working signs are a free flow from one form to the next, surprise at what emerges, and felt relief or release. Rogers describes the writing coming as poetry. Stalling at one form (e.g. freezing over "I can't draw") is a cue to go back to process-over-product (Section 5).
Movement vocabulary warm-ups
- Purpose: Rogers led movement exercises that build a "vocabulary" for expressing through the body before deeper work. [source: Rogers, "Express Yourself"] Use them at session or group openings.
- Steps: [synthesis; her specific warm-ups are not drawn on]
- Start with simple, playful movement: stretching, shaking, contrasts such as fast/slow, large/small, heavy/light.
- Then invite moving a feeling word.
- Keep it short and offer seated versions.
- Example language (illustrative): "Try moving like something heavy… now something light. Notice which one is more familiar."
- Watch for: Self-consciousness. Reduce it by moving alongside the group, or by having eyes-closed or facing-the-wall options.
Melting and Growing (paired mover and observer)
- Purpose: A movement experience of letting go and re-emerging, witnessed by a partner. Rogers did it with Paolo Knill. [source: Rogers 2010]
- Steps:
- Form pairs. One partner moves and the other observes.
- The mover slowly "melts" towards the floor, then slowly "grows" back to full height.
- Swap roles.
- Each then turns the movement experience into art, followed by writing. [source: Rogers 2010]
- No touch is needed. Observers stay at a comfortable distance. Tell movers to go down only as far as is safe, and offer a chair-based version. [synthesis]
- Example language (illustrative): "Melt slowly, as if you were wax in the sun. Only go as low as feels good for your body. When you're ready, begin to grow back up, at your own pace."
- Watch for: Images of collapse or rebirth arising. Rogers reported being "struck with light" during this exercise, and her facilitator took it seriously. Meet unusual experiences with respectful curiosity, not dismissal. [source: Rogers 2010] Watch for dizziness on standing.
Moving a feeling with an empathic witness
- Purpose: Let a strong feeling (sadness, anger) be expressed bodily while someone stays present without judging. This is the first step of the Creative Connection, but it can also be used on its own. [source: Guadiana 2003]
- Steps:
- Name the feeling, or let the client name it.
- Invite them to move it. You witness with full attention.
- Afterwards, reflect what you saw and sensed in plain, non-evaluative words. Ask what it was like for them. [synthesis for step 3 wording]
- Example language (illustrative): "I saw your fists tighten and then open. What was happening for you?"
- Watch for: Movement that speeds up into frenzy or dissociation. Slow it down (Section 5).
Kinesthetic empathy
- Purpose: Empathise through your own body by attending to the client's movement and gesture. [source: Rogers 2010]
- Steps: [synthesis]
- Observe posture, rhythm and gesture.
- Notice what echoes in your own body.
- Offer it tentatively as a reflection ("I'm sensing…"), or subtly mirror a gesture if the client is comfortable with that.
- Check accuracy with the client.
- Example language (illustrative): "When you curled your shoulders, I felt something protective. Does that fit?"
- Watch for: Projection. The client is the judge of accuracy.
Art after movement (colour, line, form)
- Purpose: Turn felt bodily experience into a visible form the person can see and reflect on. [source: Rogers 2010; Rogers, "Express Yourself"]
- Steps:
- Have materials ready before the movement starts, so nobody needs to talk in between (pastels, paints, large paper; clay and collage for grief).
- Invite "no planning" mark-making that stays with the feeling.
- Set a time frame, but don't require the piece to be finished. [source: Guadiana 2003 for no finishing; materials ready is synthesis]
- Example language (illustrative): "It doesn't need to look like anything. Just let the colour carry what you felt."
- Watch for: Judging the product ("it's ugly"). Respond with acceptance rather than praise (Section 3).
Free writing after movement and art
- Purpose: Catch spontaneous material while it is still flowing. Rogers notes that it often comes out as poetry. [source: Rogers 2010; Rogers, "Express Yourself"]
- Steps:
- Go straight from the image to the page.
- Write continuously for a few minutes without correcting. [synthesis on timing]
- Possible prompts: write as the image, write to it, or begin with "I am…". [synthesis]
- Optionally, read aloud. The client chooses whether to.
- Example language (illustrative): "Let the picture speak. What would it say if it had a voice?"
- Watch for: Editing and censoring. Remind the client that spelling and form don't matter.
Sound and voice
- Purpose: Sound is one of the four Creative Connection modes. It is used for releasing energy and, with movement, for anger. [source: Rogers 2010; Guadiana 2003; WorldCat]
- Steps: [synthesis]
- Start with breath and humming.
- Move on to sounds that match a movement or feeling.
- Keep volume at a level comfortable for everyone. Agree on a stop signal.
- Follow with art or writing.
- Example language (illustrative): "If that feeling had a sound, what would it be? Start quietly."
- Watch for: Embarrassment. Try sounding together in a group, or facing away from others.
Guided imagery, guided fantasy and meditation
- Purpose: Explore the inner world and reach unconscious material. Rogers includes these alongside the arts. [source: Rogers, "Express Yourself"; Rogers 2010; WorldCat]
- Steps: [synthesis; her scripts not drawn on]
- Brief grounding.
- A short, open-ended imagery invitation (e.g. a journey or a place), leaving the content to the client.
- Return with orientation to the room.
- Move straight into art or writing.
- Example language (illustrative): "Let an image come of a place where you feel at ease… notice what is there… when you're ready, open your eyes and let the colours show it."
- Watch for: Distressing imagery or dissociation. Allow eyes open throughout. Do not use with clients who have active psychosis without specialist oversight. [synthesis]
Art journal
- Purpose: Between-session and self-care practice: doodling, playing with colours without caring about the outcome, letting off steam. Rogers used her own art journal to try every method before offering it. [source: Rogers 2010]
- Steps:
- Suggest an unlined sketchbook.
- Suggest brief, regular entries with no aim.
- The client brings pages in only if they wish. [synthesis for 2–3]
- Example language (illustrative): "This isn't for showing anyone. It's a place to scribble what the day felt like."
- Watch for: Turning the journal into homework to be graded. Keep it voluntary.
Dream journal
- Purpose: Record dreams and look for recurring patterns and symbols. [source: Rogers 2010]
- Steps:
- Note dreams on waking, in words or quick sketches.
- In session, the client can move or draw a dream image.
- The client names any patterns they see. You don't interpret the symbols. [synthesis for 2–3]
- Example language (illustrative): "What stands out for you in this image now?"
- Watch for: Requests for a "meaning". Turn the question back to the client's own sense of it.
Expressing grief through colour, clay, collage, movement and sound
- Purpose: For loss, when words aren't enough. [source: Guadiana 2003; Rogers 2010] Rogers describes her own grieving being supported by being allowed to stay with sadness rather than being reassured.
- Steps:
- Offer a choice of media.
- Allow tears and silence.
- Don't rush to comfort or fix.
- Close by asking what the work is like to look at now. [synthesis for sequencing]
- Example language (illustrative): "There's no hurry. The clay can hold whatever you need it to."
- Watch for: Relief and softening are good signs. Prolonged inability to function, or suicidal thinking, needs assessment (Section 5).
Channelling anger through movement and sound
- Purpose: Turn anger into usable energy. It is often the way into sadness underneath. [source: Guadiana 2003]
- Steps:
- Set up a "threat-free" room.
- Agree the limit beforehand: feelings are fine, harming yourself, others or property is not.
- Invite movement and sound, then colour and form.
- Look out for, and allow, the sadness that may follow. [source for steps 1–4: Guadiana 2003; physical set-up details are synthesis]
- Example language (illustrative): "All of that anger is welcome here in the clay and in your body. The one rule is that nobody gets hurt."
- Watch for: Escalation rather than release. Pause, ground, and move to a contained medium (Section 5).
Client-chosen entry point (talk first or art first)
- Purpose: Respect self-direction about how to begin. [source: Guadiana 2003]
- Steps:
- Ask whether the client would rather talk first and then use colour or movement, or begin with art and talk afterwards.
- Follow their choice.
- Example language (illustrative): "Would you like to talk for a while first, or go straight to the materials?"
- Watch for: A client who always chooses talk. Gently offer a small, low-stakes art step (Section 5).
Offering a material or structure (the chalk example)
- Purpose: The third creativity condition: offer stimulating, challenging experiences and some structure. Rogers gave the example of suggesting a client use chalk instead of a paintbrush. [source: Tudor 2016]
- Steps:
- Offer as a suggestion, not an instruction.
- Make it easy to decline.
- Follow up with the client's experience of the change. [synthesis]
- Example language (illustrative): "Would you like to try that with chalk instead—see what changes?"
- Watch for: Compliance rather than curiosity. Rogers acknowledged this sits in tension with non-directiveness.
Responding to artwork: the client as authority on meaning
- Purpose: Understand the artist's world rather than analyse the image. Avoid interpreting, labelling, diagnosing, advising and praising. [source: Guadiana 2003; Rogers 2010]
- Steps:
- Invite the client to describe the work and what it was like to make it.
- Reflect feelings and the client's own words.
- Share your own response only as a personal response ("what moves me"), never as evaluation.
- Leave meaning-making to the client. Rogers held that being involved in the process matters more than "understanding" the picture. [source: Rogers, "Express Yourself"]
- Example language (illustrative): "Tell me about this part here." "What do you notice now, looking at it?" Avoid "Good job" and "That black means depression."
- Watch for: Your own urge to decode the image. Do not treat artwork as diagnostic evidence.
Group witnessing (observers say what moves them)
- Purpose: In groups, others respond to someone's work without rating it. [source: Guadiana 2003]
- Steps:
- Ask the artist whether they want responses at all.
- Observers speak in the first person about what moves them.
- No interpretations or critiques.
- The artist has the last word. [synthesis for 1 and 4]
- Example language (illustrative): "Only if you'd like: would anyone share what moved them, speaking for yourself?"
- Watch for: Interpretation slipping in ("you're obviously angry at your mother"). Interrupt kindly and reframe it as an "I" statement.
Play-acting and psychodramatic elements
- Purpose: Rogers mentions play-acting as an expressive mode. Her 1974 evening sessions used movement, sound, art and psychodrama. [source: Rogers, "Express Yourself"; Guadiana 2003] No steps are given in the sources. [uncertain]
- Steps: Not described in the sources. For enactment methods, use a properly trained approach (see the psychodrama and drama-therapy entries). This includes screening, warm-up, de-roling and closure.
- Example language (illustrative) [synthesis]: "That sounds like a scene you'd like to play out. Let's show it in a drawing or a movement first; acting it out is something we'd plan carefully together."
- Watch for: Enactment can flood clients. Do not improvise it without training.
Authentic movement
- Purpose: Rogers mentions it as part of her movement work. [source: Rogers, "Express Yourself"] It is a separate discipline. See the relevant movement entry rather than improvising from this guide. [uncertain: her version not described]
- Watch for [synthesis]: clients asking for eyes-closed moving with a witness. Do not offer it without authentic-movement training; use the eyes-open movement invitations in this guide instead.
Children and young people: drawing feelings; classroom inserts
- Purpose: Children can draw anger or boredom without being told the "right way". Participation is voluntary, offered as a warm invitation. [source: Guadiana 2003]
- Steps:
- Offer simple materials.
- Invite the child to draw how they feel.
- Accept whatever comes.
- Don't praise or correct.
- Educational inserts are not therapy. Rogers described brief expressive activities in ordinary classes, e.g. a planet lesson with costumes and movement, and acting out history through movement and sound. Teachers using them should be able to tell ordinary distress from acute disturbance, and refer on to a counsellor or therapist. [source: Guadiana 2003]
- Safeguarding and consent: [synthesis; not addressed in the sources]
- Get parent or carer consent and the child's assent.
- Explain the limits of confidentiality in age-appropriate words.
- Never treat a drawing as evidence of abuse. A disclosure in words or behaviour triggers your local safeguarding and mandatory-reporting procedure.
- Use the child-safe materials list above.
- Example language (illustrative): "You can draw what your angry feels like. There's no wrong way, and you can stop whenever you want."
- Watch for [synthesis]: a child who copies others or asks what to draw, which may mean they need more permission or simpler choices; and any drawing followed by a disclosure in words, which goes to the safeguarding route above.
Group life-cycle work (The Creative Connection for Groups)
- Purpose: To structure a person-centred expressive arts group through its beginning, midlife, body-focused work, social-change work and closing. [source: University Professors Press contents]
- Steps: The book's own exercises are not drawn on. [uncertain] The working outline below is synthesis. [synthesis]
- Planning and preparation: screen members, set group agreements (confidentiality, no evaluation of art, the right to pass), and prepare the space.
- Beginning: use playful, low-risk exercises to build safety, such as name-movements or simple colour work.
- Midlife: offer deeper Creative Connection sequences. Rogers's chapter title speaks of the "shadow" and of "recovering spirit". Pace by the group's readiness.
- Body: use movement-based exploration under the movement and touch safeguards above.
- Social-change work: for example, cross-cultural dialogue groups. Rogers ran Israeli and Palestinian women's groups. [source: contents]
- Closing: review the artworks made across the group, give each member space to name what they take away, and acknowledge the ending.
- Example language (illustrative): "Let's lay out everything you've made over these weeks and walk around it in silence first."
- Watch for: Uneven readiness among members. Keep everything optional and offer parallel lighter versions.
5. Handling problems
The sources say little about clinical difficulties. Rogers's 2010 article does not address risks, contraindications or crisis handling. Guidance marked [synthesis] is my own and is consistent with her stated principles.
- "I'm not artistic" / performance anxiety.
- Restate that everyone is creative and that the process matters, not the product. [source: Rogers 2010; Guadiana 2003]
- Lower the stakes: non-dominant hand, eyes closed, scribbling, 60-second pieces, or tearing paper for collage.
- Don't praise to reassure. Show acceptance instead. [synthesis]
- Illustrative: "Nobody here is grading. Scribbles are perfect."
- Stuck or flat client.
- Use the third creativity condition: offer a new stimulus or material (as in the chalk example) or switch modality. [source: Tudor 2016]
- Rogers reports that heavy emotions were often easier to approach through expressive play than through talk. [source: Rogers, "Express Yourself"]
- Try a small step in a different form: a gesture, then one colour. [synthesis]
- Resistance or declining an invitation.
- Participation is voluntary and the client directs. Accept the "no" without pressing. Offer a lighter alternative or talk. [source: Guadiana 2003; Rogers, "Express Yourself"]
- Explore what the reluctance protects, empathically, in words or with a small image of the reluctance itself. [synthesis]
- Rogers notes that some participants never take up the responsibility of choosing. Respect this rather than forcing it. [source: Rogers, "Express Yourself"]
- Wanting you to interpret ("What does my picture mean?").
- Reflect the question back with curiosity, and explore the client's associations. Don't decode. [source: Guadiana 2003]
- Illustrative: "I'm curious what you see in it. What strikes you first?"
- Overwhelm, flooding, dissociation. [synthesis]
- Rogers's method intends to deepen emotion. Pace it deliberately.
- Slow or stop movement. Bring the person to sitting. Orient to the room (feet, breath, naming objects).
- Move to a containing medium: drawing a boundary or container, or small-scale work with clay held in the hands.
- Skip the deeper steps of the sequence that day.
- With trauma histories, begin with resource and safety imagery and keep movement small. Avoid intense floor work and loud, cathartic sound until stability is established.
- Keep eyes-open options available.
- Anger escalating instead of releasing.
- Restate the limit: feelings yes, harm no. [source: Guadiana 2003]
- Shift from large movement to pounding or shaping clay, then to colour. Lower volume. Ground before ending. [synthesis]
- Stop if safety is threatened.
- Risk: suicidal ideation or self-harm surfacing in images or writing. [synthesis]
- Respond to what the client says and does, not to symbolism alone.
- Ask directly and carry out a standard risk assessment and safety plan, including safe storage and removal of means.
- Rogers advised that facilitators who are not therapists, such as teachers, refer to a counsellor or therapist when they see acute disturbance rather than situational distress. [source: Guadiana 2003]
- Ruptures. [synthesis]
- Common triggers are an unwanted interpretation, implied praise or judgement, a too-directive suggestion, or a group member's comment.
- Name it congruently, own your part, return to the client's frame of reference, and, if useful, invite the client to express the rupture in an image.
- This applies the core conditions; it is not a procedure Rogers specified.
- Non-adherence with journals. Journals are voluntary practice, not homework. Explore what gets in the way without pressure. Offer a five-minute version. [synthesis]
- Unusual or spiritual experiences (e.g. light, a sense of universal connection).
- Rogers took such experiences seriously and framed them through her humanistic and spiritual view of a "universal energy source" and the collective unconscious. [source: Rogers 2010]
- Receive them respectfully. Present her framing as her theory, not as fact.
- Assess for psychosis or mania if the experiences are intrusive, persistent or impairing. [synthesis]
- Group safety problems. [synthesis, except where cited]
- Screen out or defer people in acute crisis, active psychosis or acute intoxication.
- Set agreements on confidentiality, no critique, and the right to pass.
- Interrupt interpretation of others' work.
- Manage contagion of strong emotion by pacing, and by having a co-facilitator who can attend to anyone who is distressed.
- For conflict-laden or cross-cultural groups, build safety in the beginning phase before deeper work, as in Rogers's group life cycle. [source: University Professors Press contents]
- Follow up after intense sessions.
- Touch problems. [synthesis]
- If a member initiates unwanted contact, or someone freezes at being touched, stop the exercise. Restate the no-touch default and check in privately with both people.
- Never use touch to "help" movement without explicit, specific, revocable consent.
- Physical incidents. [synthesis]
- Dizziness after melting or lying down: rise slowly.
- Slips: non-slip floor.
- Clay or pastel dust: wet cleaning only (see the materials list). [source for dust: Alberta Health Services 2025]
- Allergic reactions to materials: ask beforehand.
- Working beyond competence. Deep expressive arts therapy calls for experiential training and the facilitator's own personal work. If you lack this, use the lighter, playful invitations only. Seek REAT-level training and supervision before using the deeper sequences. [source: Crown House; Guadiana 2003; IEATA]
Sources
Sources:
- Natalie Rogers: The Path to Wholeness: Person-Centered Expressive Arts Therapy (Psychotherapy.net, 2010)
- Natalie Rogers: Express Yourself (Self & Society, vol. 14 no. 4, AHP archive PDF) [uncertain: year not stated on the page]
- Keith Tudor: Natalie Rogers (1928–2015): a personal appreciation (Self & Society, 2016, 44(1), 48–50)
- Guadiana Martínez, L. (2003). Las artes expresivas centradas en la persona: entrevista a Natalie Rogers (Revista Electrónica de Investigación Educativa, 5(2))
- Rogers, N. (2014). Person-centered expressive arts therapy (Psychological Counseling and Psychotherapy; abstract page only)
- WorldCat: The creative connection: expressive arts as healing
- Crown House Publishing: The Creative Connection
- University Professors Press: The Creative Connection for Groups
- Wikipedia: Natalie Rogers
- IEATA: REAT Standards and Requirements
- IEATA: What is REAT?
- IEATA: REAT vs REACE
- Alberta Health Services: Arts & Crafts Safety (2025)
Further reading (not drawn on):
- Rogers, N. (1993). The Creative Connection: Expressive Arts as Healing. Palo Alto, CA: Science & Behavior Books.
- Rogers, N. (2011). The Creative Connection for Groups: Person-Centered Expressive Arts for Healing and Social Change. [uncertain: original publisher; re-issued 2026 by University Professors Press]
- Rogers, N. (1980). Emerging Woman. Santa Rosa, CA: Personal Press (as cited in Guadiana 2003).