Physical Body, Imaginary Body, Symbolic Body: Investigating the Latent Dimensions of Change

Background and Objectives: We present a pilot study of arts psychotherapy proposed in combination with cognitive restructuring techniques to N=13 adult women affected by a disturbed body image, low self-esteem and depressive tendencies in relationship with obesity.

Methods: The methodology of evaluation is based on a psychometric scale (SVF 78), projective tests (Rotter’s Sentences Blank and TAT), a semi-structured self-evaluation form for the patients and an evaluation questionnaire (FBB) for the therapist. Original rating scales were constructed for the projective tests.

Results: The results of the study show a positive evolution on coping strategies with stress and anxiety, self-esteem, emotional stability and autonomy in social relations. With the help of the Non Linear Principal Components Analysis (PRINCALS) applied on the Delta values of different tests, the latent dimensions of change could be explored.

Limitations: This exploratory study does not aim at statistical generalization but at demonstrating new treatment and evaluation options, opening tracks for future research.

Conclusions: In the context of a sequential design, the application of Optimal Scaling procedures on Delta values seems very promising for the evaluation of psychotherapies in general.