Chapter 11

Materials and spaces

From pastels to clay, from music to reinvented medical supplies: the tools of art therapy practice.

Materials: tradition and innovation

Art therapy draws its strength from the wide range of materials made available, capable of stimulating the senses, evoking memories, and offering channels of expression that go beyond words.

The selection includes classic tools — colored pencils, fine- and broad-tip markers, colored chalks, wax and oil pastels, tempera, acrylics, watercolors, fabric paints. Alongside these are more specialized materials: fabrics, trimmings, embroidery wools and cottons, buttons, zippers, threads and ribbons of every kind, needles of various sizes.

For manipulation and composition activities: magazines for collage, glue, scissors, tape, iconographic material for inspiration, powdered and whole spices, dried legumes, tea, coffee, beads, and found objects. Paper, too, in different weights, formats, and colors, and materials for manipulation such as clay.

Each material carries a symbolic meaning and an emotional charge. Traditional materials can evoke childhood memories or offer a familiar foundation on which to build. More unusual ones stimulate exploration, curiosity, and creative play, pushing beyond the comfort zone.

Unmasking medical materials

In particular settings such as vegetative state wards, even materials commonly found in the facility — gauze, gloves, adhesive bandages, masks, bandages, syringes, and tourniquets — can be reinvented. In a proposal directed at the team, I invited participants to strip these materials of their medical function, transforming them into creative elements.

This process not only redefines the identity of the material but helps neutralize its clinical connotation, making it more approachable and “friendly.” Divesting an object of its original meaning and assigning it a new function becomes a symbolic act of resignification — a gesture that can mirror the processing of one’s own experiences with illness and the hospital environment.

Music as a companion

Art therapy presents itself as a neutral container, a space in which the patient can freely explore their inner world. However, the needs of the individual or the group may make the introduction of music beneficial.

Music must never interfere with the patient’s narrative process, but accompany it gently, offering an integrative and reassuring dimension. It can be a unifying factor, a bridge among group participants, or a discreet guide for the individual patient. Its use should always be agreed upon with all members involved.

If included, it must be chosen with care: relaxing pieces, free of emotional or rhythmic excess, at low volume — almost whispered — so that it remains a secondary presence. Music can serve as an element that helps create continuity between inner and outer worlds, stimulating associations, facilitating the emergence of implicit memories, and offering a secure base for emotional expression.

Art Corner and Bookcrossing

Within the common room I created two dedicated spaces, designed to offer continuity to creativity even in my absence.

The Art Corner takes shape around a glass wall, transformed into a dynamic gallery. Works created by patients, family members, and staff are displayed, creating a place of sharing visible to all. Each work transcends the aesthetic dimension: every drawing, every color is a fragment of narrative, a signal from the inner life of its maker. Exhibiting one’s work is equivalent to projecting parts of oneself into a shared space — a gesture that can carry a cathartic significance.

The Bookcrossing — the book exchange — expands the concept of narrative, offering the possibility of accessing stories that interweave with one’s own. The act of leaving or taking a book acquires meaning, becoming an act of emotional and intellectual exchange. Reading becomes a form of symbolic processing, a safe space in which to take refuge.

These corners are not merely physical locations: they are psychic spaces, capable of holding the need for relationship and transformation.

Practical considerations

A fundamental measure is the preparation of single-use kits with art materials for sessions. This ensures practicality and control over sterilization, reducing the risk of contamination. The use of gloves is essential, and masks represent an additional protective measure.

It is crucial to participate regularly in team meetings and daily handovers. Teamwork is fundamental not only for sharing clinical information, but for collective reflection on relational dynamics. Only through continuous dialogue is it possible to provide therapeutic support that respects the patient as a whole person.

Back to Index