Enstranglements: Performing Within, and Exiting From, the Arts-in-Health “Setting”

The following text explores performative art works commissioned within a specific “arts and health” cultural setting, namely that of a medical school within a British university. It examines the degree to which the professional autonomy of the artists (and curator) was “instrumentalized” and diminished as a result of having to fit into normative frames set by institutional agendas (in this case, that of “the neoliberal university”). We ask to what extent do such “entanglements,” feel more like “enstranglements,” suffocating the artist’s capacity to envision the world afresh or any differently? What kinds of pressures allow for certain kinds of “evidence” to be read and made visible, (and not others)? Are You Feeling Better? was a 2016 programme curated by Frances Williams, challenging simplistic expectations that the arts hold any automatic power of their own to make “things better” in healthcare. It included two performative projects – The Secret Society of Imperfect Nurses, by Anthony Schrag with student nurses at Kings College London, and Hiding in Plain Sight by Becky Shaw (plus film with Rose Butler) with doctoral researchers in nursing and midwifery. These projects were situated in a climate of United Kingdom National Health Service cuts and austerity measures where the advancement of social prescribing looks dangerously like the government abnegating responsibility and offering art as amelioration. The text therefore examines the critical “stage” on which these arts-health projects were performed and the extent to which critical reflection is welcomed within institutional contexts, how learning is framed, expressed aesthetically, as well as understood as art practice (as much as “education” or “learning”). It further examines how artistic projects might offer sites of resistance, rejection and mechanisms of support against constricting institutional norms and practices that seek to instrumentalise artistic works to their own ends.

Integration of Arts and Health Sciences in Developing an Opera on Veteran Resilience and Recovery

There is an emerging literature on research interviews to inform arts projects, but little on opera. This case study illustrates how research data informed an opera on Veteran recovery. Deidentified interviews were selected from 280 adults with a history of depression at 10-year follow-up to a randomized trial. Interviews were used to inform characters, storyline, and libretto. Ethical strategies included: changing details and merging stories and characters to create two Veterans and one spouse as leads, a storyline, and choral passages, with a focus on recovery from post-traumatic stress and homelessness. To engage a broad audience and address stigma, accessible composition techniques (melody, harmony) were used. We found that qualitative/mixed data can inform libretto and composition for an opera on Veteran recovery, through integrating art and health science.

Links Between Arts and Health, Examples From Quantitative Intervention Evaluations

The author presents eight of his own group’s studies. They have been published from early 1980s until 2016. Each study will be placed in its scientific context and discussed in relation to possible progress in arts and health research. In these examples, statistical methods with longitudinal designs and mostly control groups have been used. Some of them are randomized controlled trials. Physiological and endocrinological variables have been assessed in some of these studies in efforts to increase our understanding of how music experiences and other kinds of arts experiences interact with bodily reactions of relevance for health development. Although some of the studies have suffered from low statistical power and other methodological weaknesses, they show that it is possible to do statistical evaluations of arts interventions aiming at improved health.

Collaborative composition and performance in arts and health workshops

The “Collective Music-Making as Social Interaction” (CMSI) study was conducted at Vic University, Catalonia. The project was a music-based arts and health workshop, featuring as part of the University’s Art as a Tool for Social Transformation program, aimed to explore how music and the design of bespoke notation can be used in groups to support social interaction among participants. Findings identified within the experiences of participants included discovery, expression, perception, recognition, imagination, communication, cohesiveness, confidence, and self-esteem. The project reveals how a creative, collaborative process can demonstrate a group’s capacity to learn new ways of socially interacting and communicating. The study also shows how the collective product (both composition and ensemble performance) is representative of such social interaction. It is suggested that designing musical notation in collective workshops can facilitate healthy engagement between individuals, proposing extensions of the model for use with arts on prescription and social prescribing service users.

Mapping research on the social impact of the arts: what characterises the field?

This article explores the broad and undefined research field of “the social impact of the arts”. The effects of art and culture are often used as justification for public funding, but the research on these interventions and their effects is unclear. Using a co-word analysis of over 10,000 articles published between 1990 and 2020, we examined the characteristics of the field as we have operationalised it through our searches. Since 2015, the research field of “the social impact of art” has expanded and consists of different epistemologies and methodologies, summarised in largely overlapping subfields belonging to the social sciences/humanities, arts education, and arts and health/therapy. In formal or informal learning settings, studies of theatre/drama as an intervention to enhance skills, well-being, or knowledge among children are most common. A study of the research front, operationalised as the bibliographic coupling of the most cited articles in the data set, confirmed the co-word analysis and revealed new themes that together form the ground for insight into research on the social impact of the arts. As such, this article can inform discussions on the social value of the arts and culture.

“The music gets through”: Experiences of classical composers and observations of hospitalized adolescents in a music-based intervention

Music is a valuable aid for hospitalized adolescents as they navigate normative and non-normative stressors. Music-based interventions link these adolescents with composers who write music designed to facilitate emotional well-being; yet little is known about how each engage and find meaning in these interventions. This study examines the motivations and musical choices of composers of music for mental health, as well as how hospitalized adolescents engage in and benefit from the creative process. Ten adolescents with extensive hospital experiences, six composers, two hospital staff, and one program coordinator were observed and/or interviewed in a music-based intervention. Interpretative phenomenological analysis (IPA) of interviews with composers, coordinators, and hospital staff was performed to gain deep understanding of psychosocial benefits for all groups. This was supplemented by ethnographic observation of the program. Qualitative themes of Composer Reasoning, Listener Influence, and Adolescent Engagement revealed interplay of challenges and rewards for composers and adolescents. Composers reported positive change in adolescent mood and engagement and reflected on this within the context of meaning-making and social connection. This study demonstrates the potential value of music as a tool to promote positive identity and contributes to the body of research forging a connection between the arts and health care.