Psychotherapeutic Art Education Method (PAEM) for reducing anxiety and depression in Indonesian undergraduates

Main Article Content

Santiago Paul Erazo Andrade
Juju Masunah
Rita Milyartini

Abstract

This study applied arts-based research with supportive quantitative indicators to design, implement, and evaluate the Psychotherapeutic Art Education Method (PAEM), a structured four-practice art process (Meditation Art Drawing, Psychic Art, Dreaming Art Painting, and Art Discussion) based on the active imagination of Carl Jung and systematized by Comandini (2019). It aims to explore if PAEM could reduce symptoms of anxiety and depression and increase the art & imagination expression among undergraduate students. Ten students from different majors at Universitas Pendidikan Indonesia, who reported mild to moderate emotional distress, participated in two weekend workshops in December 2024. Data were collected through validated pre- and post-questionnaires for mental health and art & imagination scales, reflective portfolios, voluntary Socratic reflections, and symbolic analysis of artworks. Triangulation combined quantitative scores, thematic analysis of written and oral reflections, and Jungian interpretation of visual archetypes. Findings showed a 38.1% reduction in the mean mental health indicator (from 3.78 to 2.34 on a 5-point scale) and a 10.8% increase in art & imagination scores (from 3.32 to 3.68). Participants’ artworks consistently revealed Jungian archetypes, linked to personal narratives of trauma, isolation, and resilience. Students described feeling “lighter,” less alone, and more accepting of difficult emotions. The study offers an initial empirical bridge between Jungian depth psychology and art education practice in the Indonesian university context, creating a safe, non-stigmatizing, and profoundly meaningful space where addressing mental health remains difficult. Even though these ten stories are truly worth telling, this research encourages larger studies in the future.

Downloads

Download data is not yet available.

Article Details

Section
Articles

References

[1] E. Sheldon et al., “Prevalence and risk factors for mental health problems in university undergraduate students: A systematic review with meta-analysis,” J Affect Disord, vol. 287, pp. 282–292, May 2021, doi: 10.1016/J.JAD.2021.03.054.

[2] A. Clarke, M. Sorgenfrei, J. Mulcahy, P. Davie, C. Friedrich, and T. Mcbride, “Adolescent mental health A systematic review on the effectiveness of school-based interventions Adolescent mental health: a systematic review on the effectiveness of school-based interventions,” 2021. [Online]. Available: https://www.eif.org.uk/report/adolescent-mental-health-

[3] M. Solmi et al., “Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies,” Jan. 01, 2022, Springer Nature. doi: 10.1038/s41380-021-01161-7.

[4] D. Juniar et al., “Web-Based Stress Management Program for University Students in Indonesia: Systematic Cultural Adaptation and Protocol for a Feasibility Study,” JMIR Res Protoc, vol. 8, no. 1, Jan. 2019, doi: 10.2196/11493.

[5] A. Shabrina, A. Gimmy Prathama, and R. H. Ninin, “Persepsi Stigmatisasi dan Intensi Pencarian Bantuan Kesehatan Mental Pada Mahasiswa S1,” Jurnal Psikologi, vol. 17, no. 1, 2021, doi: 10.24014/jp.v14i2.11399.

[6] Y. Kotera, H. Kotera, E. Taylor, J. Wilkes, R. Colman, and R. Riswani, “Mental Health of Indonesian University Students: U.K. Comparison and Relationship Between Mental Health Shame and Self-Compassion,” Stigma Health, Nov. 2022, doi: 10.1037/sah0000420.

[7] Hamka, N. ’ Matuzahroh, and M.-W. Suen, “Spiritual Well-Being and Mental Health of Students in Indonesia,” 2020. doi: 10.2991/assehr.k.200120.032

[8] T. Wyatt and S. B. Oswalt, “Comparing Mental Health Issues Among Undergraduate and Graduate Students,” Am J Health Educ, vol. 44, no. 2, pp. 96–107, Mar. 2013, doi: 10.1080/19325037.2013.764248.

[9] N. Z. Kamarunzaman, A. Shanthi, Z. Md Nen, N. Zulkifli, and N. I. Shamsuri, “Mental Health Issues Among University Students and Educators’ Readiness to Detect and Help,” International Journal of Academic Research in Business and Social Sciences, vol. 10, no. 9, Sep. 2020, doi: 10.6007/ijarbss/v10-i9/7738.

[10] S. P. Erazo Andrade, J. Masunah, and R. Milyartini, “Art Creation Using Active Imagination To Express Collective Unconsciousness,” Proceedings of World Multi-Conference on Systemics, Cybernetics and Informatics, WMSCI, vol. 3, pp. 1–5, 2022, doi: 10.54808/WMSCI2022.03.1.

[11] C. G. Jung, The Collected Works of C.G. Jung Volume 9 - Archetypes and The Collective Unconscious, vol. 9. Princeton, New Jersey: Princeton University Press, 1969.

[12] S. Ridley, “The Expressive Use of Masks Across Cultures and Healing Arts,” The Expressive Use of Masks across Cultures and Healing Arts, pp. 1–271, Jan. 2024, doi: 10.4324/9781003365648

[13] F. de L. Luca Comandini, “La Imaginación Activa de Carl Gustav Jung. Hacia Una Nueva Consciencia Ético-Psicológica del Mundo,” in Aportaciones al estudio de la cosmovisión, 1st ed., Mexico: Universidad Autónoma Metropolitana, 2009, pp. 71–89.

[14] C. Roesler, “Evidence for the effectiveness of jungian psychotherapy: A review of empirical studies,” Dec. 01, 2013, MDPI Multidisciplinary Digital Publishing Institute. doi: 10.3390/bs3040562.

[15] G. Nieddu and I. C. Dezza, “Exploring the Active Search for Information During Active Imagination,” Interdisciplinary Understandings of Active Imagination: The Special Legacy of C.G. Jung, pp. 105–113, Jan. 2023, doi: 10.4324/9781003411383-11.

[16] D. K. Webb-Johnson, “Sandtray therapy competencies 1,” 2025.

[17] L. Formaiano, “La Imaginación Activa y las imágenes emergentes en Arteterapia Junguiana,” Arteterapia. Papeles de arteterapia y educación artística para la inclusión social, vol. 19, pp. e93594–e93594, Sep. 2024, doi: 10.5209/ARTE.93594.

[18] Y. Loscalzo, “Sandplay Therapy and Active Imagination: What Are the Similarities and Differences? Reflections about Jung’s Writings on Active Imagination,” Behavioral Sciences 2024, Vol. 14, Page 553, vol. 14, no. 7, p. 553, Jun. 2024, doi: 10.3390/BS14070553.

[19] T. A. Priviero, “Jung and the Quest for Creative Imagination,” vol. 4, pp. 135–155, Dec. 2018, doi: 10.1484/J.EYHP.5.116298.

[20] Y. Loscalzo, “Active imagination: A thorough presentation of a method applicable across psychodynamic approaches,” Cult Psychol, Dec. 2025, doi: 10.1177/1354067X251357961.

[21] D. Bland, “Imagination for inclusion: Diverse contexts of educational practice,” Imagination for Inclusion: Diverse Contexts of Educational Practice, pp. 1–191, Feb. 2016, doi: 10.4324/9781315689913

[22] P. L. Chan, “Using imagination as teaching tool to increase in-service teachers engagement in action research to improve aspects of teaching practice,” International Journal of Learning in Higher Education, vol. 19, no. 1, pp. 1–12, 2013, doi: 10.18848/1447-9494/CGP/V19I01/48667.

[23] A. Gelmi, “How to engage imagination in the classroom: Issues of educational design,” Ricerche di Pedagogia e Didattica. Journal of Theories and Research in Education, vol. 18, no. 1, pp. 217–237, Jul. 2023, doi: 10.6092/ISSN.1970-2221/15976.

[24] R. A. Jones, A. Clarkson, S. Congram, and N. Stratton, “Education and imagination: Post-Jungian perspectives,” Education and Imagination: Post-Jungian Perspectives, pp. 1–220, Jun. 2008, doi: 10.4324/9780203929858

[25] P. McIntosh, “Reflective reproduction: a figurative approach to reflecting in, on, and about action,” Educ Action Res, vol. 16, no. 1, pp. 125–143, Mar. 2008, doi: 10.1080/09650790701833162.

[26] A. Y. Stepanivna, “Results of approbation of the program for the development of active imagination and its building in adolescents,” Insight , no. 5, pp. 67–81, Jul. 2021, doi: 10.32999/2663-970X/2021-5-5.

[27] M. Osman, B. Eacott, and S. Willson, “Arts-based interventions in healthcare education,” Med Humanit, vol. 44, no. 1, p. 28, Mar. 2018, doi: 10.1136/medhum-2017-011233.

[28] M. Skov and M. Nadal, “Can arts-based interventions improve health? A conceptual and methodological critique,” Phys Life Rev, vol. 53, pp. 239–259, Jul. 2025, doi: 10.1016/j.plrev.2025.03.003.

[29] A. McDonald and N. S. J. Drey, “Primary-school-based art therapy: a review of controlled studies,” International Journal of Art Therapy: Inscape, vol. 23, no. 1, pp. 33–44, Jan. 2018, doi: 10.1080/17454832.2017.1338741

[30] T. Van Lith, N. Gerber, and M. Centracchio, “Preliminary modelling for strategic planning in art therapy research: A multi-phase sequential mixed methods study,” Arts Psychother, vol. 85, p. 102055, Sep. 2023, doi: 10.1016/J.AIP.2023.102055.

[31] N. R. I. A. T. Putri, E. D. Cahyaningrum, T. K. Wurdaningsih, Z. Syangadah, and S. F. Mesayu, “Evaluation of coloring therapy as an anxiety reduction strategy in the older adults in the community area,” BIO Web Conf, vol. 152, p. 01032, Jan. 2025, doi: 10.1051/BIOCONF/202515201032.

[32] E. S. Al-Rasheed and M. S. Al-Rasheed, “The value of painting as a therapeutic tool in the treatment of anxiety/depression mental disorders,” J Interprof Educ Pract, vol. 32, p. 100636, Sep. 2023, doi: 10.1016/J.XJEP.2023.100636.

[33] T. M. Blanchflower, “Leavy, P. (2017). Research Design: Quantitative, Qualitative, Mixed Methods, Arts-Based, and Community-Based Participatory Research Approaches. New York, NY: The Guilford Press. ISBN 9781462514380. 300 pp. (Paperback),” Fam Consum Sci Res J, vol. 47, no. 1, pp. 101–102, Sep. 2018, doi: 10.1111/FCSR.12276.

[34] Z. Bowman, “Self-portraits drawn with eyes closed: a response art series,” 2018.

[35] T. M. Bauduin, “The ‘Continuing Misfortune’of Automatism in Early Surrealism,” Volume 4 Occult Communications: On Instrumentation, Esotericism, and Epistemology, 2015.

[36] J. E. Mikosz, “Psychelia and visionary art the work of art as the result of interaction between culture and non-ordinary states of consciousness,” Revista Relegens Thréskeia, vol. 4, no. 1, p. 14, Jul. 2015, doi: 10.5380/rt.v4i1.42258.

[37] J. Schaverien, “Art, dreams and active imagination: A post‐Jungian approach to transference and the image,” Journal of Analytical Psychology, vol. 50, no. 2, pp. 127–153, Apr. 2005, doi: 10.1111/j.0021-8774.2005.00519.x.

[38] M. Gass and H. L. “Lee” Gillis, “Changes: An Assessment Model Using Adventure Experiences,” Journal of Experiential Education, vol. 18, no. 1, pp. 34–40, May 1995, doi: 10.1177/105382599501800108.

[39] I. d’Errico, “Art as a Means of Accessing Ourselves. Using Art in Psychotherapy.,” Psychiatr Danub, vol. 29, no. Suppl 3, pp. 368–374, Sep. 2017.

[40] H. Hewins, “Art therapy, intersectionality and services for women in the criminal justice system,” International Journal of Art Therapy, vol. 28, no. 1–2, pp. 74–83, Apr. 2023, doi: 10.1080/17454832.2023.2175001.

[41] N. Wiltsher, “Feeling, emotion and imagination: in defence of Collingwood’s expression theory of art,” British Journal for the History of Philosophy, vol. 26, no. 4, pp. 759–781, Jul. 2018, doi: 10.1080/09608788.2017.1379001.

[42] H. H. Sdiq and B. O. Qadir, “The Relationship between Art and Education,” Journal of University of Raparin, vol. 10, no. 1, pp. 285–306, Mar. 2023, doi: 10.26750