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Imagination Therapy through Art and Technology: A Collaborative Mental Health Intervention

(1) * Aditya Wahyu Ramadhan Mail (Institut Seni Indonesia Surakarta, Indonesia)
(2) Eko Supriyanto Mail (Institut Seni Indonesia Surakarta, Indonesia)
(3) Handriyotopo Handriyotopo Mail (Institut Seni Indonesia Surakarta, Indonesia)
*Corresponding author

Abstract


This research explores imagination therapy as a creative method aimed at providing visual therapy for ten schizophrenic clients, referred to as "chosen people." Utilizing the concept of hyperreality, the therapy seeks to reactivate cognitive abilities and minimize delusions and hallucinations. Hyperreality is constructed from imagined data, drawing from clients' personal documents, archives, and daily life elements, such as songs, objects, and routines. Imagination therapy integrates clients' unrealized stories, desires, and imaginations with hyperrealistic visuals through collaborative sessions. The process involves repeated evaluations to refine visuals based on client preferences and feedback, ultimately culminating in the creation of a visual lab. The therapy’s effectiveness is assessed using the PANSS (Positive and Negative Syndrome Scale), measuring symptom changes over time. The findings indicate that imagination therapy not only fosters confidence in clients’ ability to process their expectations but also helps reactivate cognitive functions and empower desires. The concept of hyperreality proves essential in enhancing self-confidence and enabling clients to realize their deepest desires, contributing to their overall mental health recovery. This study highlights the potential of using artistic and technological methods in schizophrenia treatment.

Keywords


chosen people; collaborative lab; empowered and equal; hyperreality concept; imagination therapy

   

DOI

https://doi.org/10.33122/ejeset.v6i2.817
      

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References


Asrullah, M., L’Hoir, M., Paulo, M.-J., Feskens, E., & Melse-Boonstra, A. (2022). Determinants of Common Mental Disorders (CMD) among adolescent girls aged 15-19 years in Indonesia: Analysis of the 2018 National Basic Health Survey Data. PLOS Global Public Health, 2, e0000232. https://doi.org/10.1371/journal.pgph.0000232

Bohlmeijer, E., & Westerhof, G. (2021). The Model for Sustainable Mental Health: Future Directions for Integrating Positive Psychology Into Mental Health Care [Review]. Frontiers in Psychology, Volume 12 - 2021. https://doi.org/10.3389/fpsyg.2021.747999

Branch, R. M., & Varank, İ. (2009). Instructional design: The ADDIE approach (Vol. 722). Springer. https://doi.org/10.1007/978-0-387-09506-6

Bushnell, M. C., Frangos, E., & Madian, N. (2021). Non-pharmacological treatment of pain: grand challenge and future opportunities. 2, 696783. https://doi.org/10.3389/fpain.2021.696783

Coronel-Santos, M. A., & Rodríguez-Macías, J. C. (2022). Integral definition and conceptual model of mental health: Proposal from a systematic review of different paradigms [Systematic Review]. Frontiers in Sociology, Volume 7 - 2022. https://doi.org/10.3389/fsoc.2022.978804

De Pablo, G. S., Radua, J., Pereira, J., Bonoldi, I., Arienti, V., Besana, F.,…Catalan, A. (2021). Probability of transition to psychosis in individuals at clinical high risk: an updated meta-analysis. JAMA psychiatry, 78(9), 970-978. https://doi.org/10.1001/jamapsychiatry.2021.0830

Du, S.-C., Li, C.-Y., Lo, Y.-Y., Hu, Y.-H., Hsu, C.-W., Cheng, C.-Y.,…Chen, C.-R. (2024). Effects of Visual Art Therapy on Positive Symptoms, Negative Symptoms, and Emotions in Individuals with Schizophrenia: A Systematic Review and Meta-Analysis. Healthcare, 12(11), 1156. https://doi.org/10.3390/healthcare12111156

Du, S.-C., Li, C.-Y., Lo, Y.-Y., Hu, Y.-H., Hsu, C.-W., Cheng, C.-Y.,…Chen, C.-R. (2024). Effects of Visual Art Therapy on Positive Symptoms, Negative Symptoms, and Emotions in Individuals with Schizophrenia: A Systematic Review and Meta-Analysis. Healthcare, 12, 1156. https://doi.org/10.3390/healthcare12111156

Fett, A.-K., Velthorst, E., Reichenberg, A., Ruggero, C., Callahan, J., Fochtmann, L.,…Kotov, R. (2019). Long-term Changes in Cognitive Functioning in Individuals With Psychotic Disorders: Findings From the Suffolk County Mental Health Project. JAMA psychiatry, 77. https://doi.org/10.1001/jamapsychiatry.2019.3993

García-López, M., Alonso-Sánchez, M., Leal, I., Martín-Hernández, D., Caso, J. R., Díaz-Caneja, C. M.,…Torio, I. (2022). The relationship between negative symptoms, social cognition, and social functioning in patients with first episode psychosis. Journal of Psychiatric Research, 155, 171-179. https://doi.org/10.1016/j.jpsychires.2022.08.004

Hadjipanayi, C., Banakou, D., & Michael-Grigoriou, D. (2023). Art as therapy in virtual reality: A scoping review [Review]. Frontiers in Virtual Reality, Volume 4 - 2023. https://doi.org/10.3389/frvir.2023.1065863

Hamilton, D., & and Hansen, L. (2024). An artful becoming: the case for a practice-led research approach to open educational practice research. Teaching in Higher Education, 29(7), 1757-1774. https://doi.org/10.1080/13562517.2024.2336159

Hieronymus, F., Correll, C. U., & Østergaard, S. D. (2023). Initial severity of the Positive and Negative Syndrome Scale (PANSS)-30, its main subscales plus the PANSS-6, and the relationship to subsequent improvement and trial dropout: a pooled participant-level analysis of 18 placebo-controlled risperidone and paliperidone trials. Translational Psychiatry, 13(1), 191. https://doi.org/10.1038/s41398-023-02491-6

Holttum, S., Tim, W., & and Wood, C. (2021). Art therapy with people diagnosed with psychosis: therapists’ experiences of their work and the journey to their current practice. International Journal of Art Therapy, 26(4), 126-136. https://doi.org/10.1080/17454832.2021.1893370

Hu, J., Zhang, J., Hu, L., Yu, H., & Xu, J. (2021). Art therapy: a complementary treatment for mental disorders. Frontiers in Psychology, 12, 686005. https://doi.org/10.3389/fpsyg.2021.686005

Huang, Z., Chen, S., & Chen, H. (2024). Relationship between emotional awareness and self-acceptance: the mediating role of emotion regulation strategies. Current Psychology, 43(30), 24906-24914. https://doi.org/10.1007/s12144-024-05945-2

Jia, M., & Shahir, S. (2025). Practice as Research Methodology in the Creative Arts: A Systematic Literature Review. PaperASIA, 41(3b), 309-321. https://doi.org/10.59953/paperasia.v41i3b.540

Kaimal, G., Carroll-Haskins, K., Ramakrishnan, A., Magsamen, S., Arslanbek, A., & Herres, J. (2020). Outcomes of Visual Self-Expression in Virtual Reality on Psychosocial Well-Being With the Inclusion of a Fragrance Stimulus: A Pilot Mixed-Methods Study [Original Research]. Frontiers in Psychology, Volume 11 - 2020. https://doi.org/10.3389/fpsyg.2020.589461

Lee, S.-Y., & Lee, H.-J. (2025). The Effects of Group Arts Therapy Based on Emotion Management Training on the Emotional Expression, Alexithymia, Depression and Quality of Life in Patients with Schizophrenia. BJPsych Open, 11(S1), S55-S55. https://doi.org/10.1192/bjo.2025.10172

Luo, X., Zhang, Z., Zheng, Z., Ye, Q., Wang, J., Wu, Q., & Huang, G. (2022). Art therapy as an adjuvant treatment for schizophrenia: A protocol for an updated systematic review and subgroup meta-analysis of randomized clinical trials following the PRISMA guidelines. Medicine, 101(40), e30935. https://doi.org/10.1097/md.0000000000030935

Martinuzzi, L. J., Strassnig, M. T., Depp, C. A., Moore, R. C., Ackerman, R., Pinkham, A. E., & Harvey, P. D. (2022). A closer look at avolition in schizophrenia and bipolar disorder: Persistence of different types of activities over time. Schizophrenia Research, 250, 188-195. https://doi.org/10.1016/j.schres.2022.11.019

McCutcheon, R. A., Keefe, R. S. E., & McGuire, P. K. (2023). Cognitive impairment in schizophrenia: aetiology, pathophysiology, and treatment. Molecular Psychiatry, 28(5), 1902-1918. https://doi.org/10.1038/s41380-023-01949-9

Melvin, K., E., R. C. P., John, C., Jon, C., R., G. J., K., M. G., & and Suckling, J. (2022). Arts-based methods for hallucination research. Cognitive Neuropsychiatry, 27(2-3), 199-218. https://doi.org/10.1080/13546805.2021.1993807

Meshram, D., & Kasturkar, P. (2021). Assessment of Common Mental Health Problems among General Population. Journal of Pharmaceutical Research International, 33(36B), 210-217. https://doi.org/10.9734/jpri/2021/v33i36B31970

Morande, S., & Tewari, V. (2023). Mapping digital ecosystem for competitive advantage using technological advancements. Electronic Journal of Education, Social Economics and Technology, 4(2), 43-48.

Neves, M. M., Ventura, F., & Madeira, N. (2025). Neuromodulation in the treatment of social cognition dysfunction in Schizophrenia: a systematic review. Schizophrenia, 11(1), 87. https://doi.org/10.1038/s41537-025-00629-7

Parkinson, S., Cole, B., & Trevelyan, C. (2024). Art and mentalizing in early intervention psychosis: rationale and therapist insights on a new psychoeducational course [Perspective]. Frontiers in Psychiatry, Volume 15 - 2024. https://doi.org/10.3389/fpsyt.2024.1243990

Richesin, M. T., Baldwin, D. R., & Wicks, L. A. (2021). Art making and virtual reality: A comparison study of physiological and psychological outcomes. The Arts in Psychotherapy, 75, 101823. https://doi.org/10.1016/j.aip.2021.101823

Sapra, J., & Mathur, I. (2020). Effect of Dimensions of Workplace Spiritualism: Meaningful Work, Sense of Community, Organizational Values and Compassion with Reference to Job Satisfaction. Electronic Journal of Education, Social Economics and Technology, 1, 10-17. https://doi.org/10.33122/ejeset.v1i1.5

Sarandol, A., Güllülü, R., Avcı, İ., Türk, E., & Eker, S. (2024). The Effects of Art Therapy and Psychosocial Skills Training on Symptoms and Social Functioning in Patients with Schizophrenia and Their Relatives. Turkish Journal of Psychiatry, 35. https://doi.org/10.5080/u26773

Servidio, R. (2023). Fear of missing out and self-esteem as mediators of the relationship between maximization and problematic smartphone use. Current Psychology, 42(1), 232-242. https://doi.org/10.1007/s12144-020-01341-8

Shafir, T., Orkibi, H., Baker, F. A., Gussak, D., & Kaimal, G. (2020). Editorial: The State of the Art in Creative Arts Therapies [Editorial]. Frontiers in Psychology, Volume 11 - 2020. https://doi.org/10.3389/fpsyg.2020.00068

Shayanpoor, M., & Kolahjooei, F. (2024). Hyperreal Replicas in Julian Barnes'“England, England”. English Studies at NBU, 10(2), 292-308. https://doi.org/https://doi.org/10.33919/esnbu.24.2.5

Shukla, A., Choudhari, S. G., Gaidhane, A. M., Syed, Z. Q., & Gaidhane, A. (2022). Role of art therapy in the promotion of mental health: a critical review. Cureus, 14(8). https://doi.org/10.7759/cureus.28026

Suwastini, N., & Dewi, G. (2023). Students' perception on the use of poetry for teaching speaking. Electronic Journal of Education, Social Economics and Technology, 4, 8-15. https://doi.org/10.33122/ejeset.v4i1.57

Ursini, G., & Weinberger, D. R. (2021). Replicating G × E: The Devil and the Details. Schizophrenia Bulletin, 48(1), 4-4. https://doi.org/10.1093/schbul/sbab109

Utas-Akhan, L., Avci, D., & Basak, I. (2023). Art Therapy as a Nursing Intervention for Individuals With Schizophrenia. Journal of psychosocial nursing and mental health services, 62, 1-10. https://doi.org/10.3928/02793695-20231025-02

Yazdanpanah, N., Mojtabavi, H., Ziaei, H., Pirkoohi, Z. R., Rayzan, E., & Rezaei, N. (2022). The Clinical Benefits of Art Therapy: Definition, History, and Outcomes with a Focus on Music Therapy. In N. Rezaei (Ed.), Multidisciplinarity and Interdisciplinarity in Health (pp. 457-482). Springer International Publishing. https://doi.org/10.1007/978-3-030-96814-4_20

Zhang, T., & Li, N. (2025). Strategies for Implementing Practice-Led Research in Education: A Bibliometric Analysis. In Exploring Practice-Led Research for Professional Development (pp. 365-394). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3693-6376-8.ch014

Zhou, S., Li, H., Yang, Y., Qi, Y., Liu, W., Mo, L., & Wong, C. L. (2025). Effects of art therapy on psychological outcomes among children and adolescents with cancer: a systematic review and meta-analysis. BMC Complementary Medicine and Therapies, 25(1), 149. https://doi.org/10.1186/s12906-025-04866-2


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