A Creative Intervention: Mandala Art Therapy and Midwifery in Women's Health

Abstract

Art therapy covers all mind-body based approaches applied as a method to improve the psychological health of the individual in the presence of illness or any difficulty experienced by the individual. Art therapies allow the abstract and complex thoughts in the individual's mind to become concrete. One of the many different types of art therapy involves mandala. Mandala, which has a deep-rooted history, is used in art therapy today. The ease of use and accessibility of mandalas for people of all age groups have contributed positively to the treatment of various diseases. From this perspective, mandala art therapy may be beneficial for different periodic life crises in women's lives. Midwives are health professionals who play a key role in every stage of women's health. Innovative midwifery approaches to create positive results in care at all stages of women's health are also nourished by spiritual and artistic practices. The International Confederation of Midwives has also developed a holistic and continuous care model in its midwifery care philosophy, covering women's social, emotional, spiritual, cultural, psychological and physical experiences. In line with this model, midwives' incorporating spiritual and artistic therapy methods in their care practices at all stages of women's health can make a difference in the quality of care. In this review, it is aimed to investigate the application areas of mandala art therapy in the field of midwifery, to evaluate the results of mandala art therapy in these areas and to identify gaps in the literature.

Keywords

• Art therapy
• mandala
• midwifery
• women

References

1. Aksun, A.(2015). Mandala: Rengarenk bir terapi yöntemi. https://hthayat.haberturk.com/yasam/roportajlar/haber/1027736-aslihanaksun-ile-mandala-uzerine-sohbet
2. Aktaş, S., & Pasinlioğlu, T. (2016). Ebenin empatik iletişim becerisinin doğum eylemine ve doğum sonrası döneme etkisi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 19.
3. Akyol, S. (2024). The effect of mandala activity on postoperative pain and anxiety levels in gynecological oncology patients. (Tez No:845928). [Yüksek Lisans Tezi, Üsküdar Üniversitesi]. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
4. Amelia, G., Satiadarma, M. P., & Wati, L. (2020). The effects of drawing and coloring mandala on anxiety among pregnant women in their third trimester. In The 2nd Tarumanagara International Conference on the Applications of Social Sciences and Humanities (TICASH 2020) (pp. 997-1002). Atlantis Press. American Arttherapy Assosation http://www.arttherapy.org/aboutart.htm
5. Anolak, H., Lau, F., Davis, D., Browne, J., & Watt, B. (2023). Creative arts intervention in support of women experiencing a high-risk pregnancy: A qualitative descriptive thematic analysis. Sexual & Reproductive Healthcare, 36, 100830.
6. Armstrong, J., & De Botton, A. (2014). Art as therapy. Europe, 1(416), 504-0274.
7. Babouchkina, A., Robbins, S. J, (2015). Reducing negative mood through mandala creation: A randomized controlled trial. Art Therapy, 32 (1), 34-39.
8. Bayıroğlu, E. K., Durdu, C. B., & Çolak, M. B. (2023). Ebelikte geleneksel ve tamamlayıcı uygulamalara bakış. Bütünleyici ve Anadolu Tıbbı Dergisi, 4(3), 23-39.

9. Beckwith, P. (2014). Mindfulness and mandalas: Alternative therapeutic techniques for AOD adolescents. Capital Univ. Undergraduate Res. J, 1-5.
10. Bostancıoğlu, B., & Kahraman, M. E. (2017). Sanat terapisi yönteminin ve tekniklerinin sağlık–iyileştirme gücü üzerindeki etkisi. Beykoz Akademi Dergisi, 5(2), 150-162.
11. Cross, G., & Brown, P. M. (2019). A comparison of the positive effects of structured and nonstructured art activities. Art Therapy, 36(1), 22-29.
12. Çam, O., & Altınköprü, H. (2013). Üniversite öğrencilerinde müziğin ruhsal duruma ve stresle başa çıkma tarzları üzerine etkisi.Motif Akademi Halkbilimi Dergisi, (2), 262- 272.
13. Çelikbaş, E. Ö. (2022). Mandala terapisi ile şifalanma: Jung ve çok kültürlü bir sanat terapisi yaklaşımı. Ankara Üniversitesi Güzel Sanatlar Fakültesi Dergisi, 4(1), 181-195.
14. Chadwick, D.M. (2009). The arts therapies, In developmental-behavioral pediatrics. Elsevier, 944-949.

15. Coar, H. (2010). Using mandalas to support grieving female adolescents: A case study. [Master Thesis, California State University].https://www.proquest.com/openview/db147f2b63f3e098de5423d2b6a85770/1?cbl=18750&pq-origsite=gscholar
16. Couch, J. B, (1997). Behind the veil: Mandala drawings by dementia patients. Art Therapy, 14(3), 187-193.
17. Ergür, İ., Ergür, E., & Ergür, E. (2021). Mandala ve sanat terapisine tarihsel ve klinik bakış. Türkiye Bütüncül Psikoterapi Dergisi, 4(7), 36-48.
18. Gençdoğan, B., Çetinkaya, S. K., & Gümüş, E. (2018). Effects of coloring mandalas on test anxiety. İnönü Üniversitesi Eğitim Fakültesi Dergisi, 19(1), 221-229.
19. Giannini, J. (2004). Pilgrimage to the ancient healing sites of greece, A Journey with Edward Tick. The San Francisco Jung Institute Library Journal, 23, 75–91.
20. Gray-Foti, A. (2019). Mindful mandala creation to reduce anxiety and ıncrease self-confidence in new mothers [Doctoral dissertation, Notre Dame de Namur University].https://www.proquest.com/openview/9233b39d296876cb85af5b8ab63fe9dd/1?cbl=18750&diss=y&pq-origsite=gscholar
21. Güney, E. (2023). The effect of mandala art therapy on pregnant women with abnormal OGTT. https://ichgcp.net/clinical-trials-registry/NCT05705609
22. Gürcan, M. (2020). The effect of mandala activity on psychological symptoms and anxiety/depression level of adolescents receiving cancer treatment. (Thesis No: 638333). [Master’s Thesis, Akdeniz University].https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
23. Henderson, P. G, (2012), Empirical study of the healing nature of artistic expression: Using mandalas with the positive emotions of love and joy, [Texas A&M University].
24. International Confederation Midwives (2024). Definition of a Midwives’ Association. https://internationalmidwives-org.translate.goog/resources/definition-of-a-midwives-association/?_x_tr_sl=en&_x_tr_tl=tr&_x_tr_hl=tr&_x_tr_pto=tc
25. Jung, C. G, (2017), Mandala Symbolism. Princeton University Press,450-580. https://books.google.com.tr/books?hl=tr&lr=&id=XIQrDgAAQBAJ&oi=fnd&pg=PP1&dq=Jung,+C.+G,+(2017),+Mandala+Symbolism.+Princeton+University+Press,+450-580.&ots=lwVD11bOa_&sig=wRHS5mS8SpPzAGuI4PSgGn6BL_o&redir_esc=y - v=onepage&q&f=false
26. Karagöz, F. (2023). Kemoterapi alan hematoloji hastalarında mandala boyamanın yorgunluk ve uyku kalitesi uzerine etkisi. [Yüksek Lisans Tezi, Bursa Uludag Üniversitesi].https://acikerisim.uludag.edu.tr/server/api/core/bitstreams/2923b537-3237-43f2-aa35-6424de73a805/content
27. Kim, S.İ., Ghil, J.H., Choi, E.Y., Kwon, O.S., & Kong, M. A. (2014). Computer system using a structured mandala to differentiate and identify psychological disorders. The Arts in Psychotherapy, 41(2),181-186.
28. Kırca, A. Ş., Dağlı, E., Derin, E., & Aka, N. (2024). The effect of mandala coloring on anxiety and quality of life of women in the climacteric period: a randomized controlled study. Revista da Associação Médica Brasileira, 70(6), e20240059.
29. Kurt, N. (2022). Kadın sağlığında spiritüel yaklaşım ve ebelik uygulamaları. World Women Studıes Journal, 7(1), 51-57.
30. Lu, X., Chen, Q., & Ming, L. (2017). Assessment of effects on mandala art therapy for children with autism. Chinese Journal of chool Health, (8), 21.
31. Mengqin, Z., Xing, L., Yan, H., & Jianhua, R. (2024). Does mandala art therapy improve psychological well-Being of gynecological cancer patients during the perioperative period? a quasi-experimental study. Integrative Cancer Therapies, 23, 15347354241259180.
32. Obernyer, K. G. (2006). Creating a path toward healing: Art therapy with mothers of premature and high-risk infants in the intensive care unit. Ursuline College.
33. Özsavran, M. (2017). Ergenlerde duygusal esnekliğin artırılmasında bir sanat aktivitesinin etkisinin değerlendirilmesi: Mandala. [Yüksek Lisans Tezi, Bülent Ecevit Üniversitesi].https://acikbilim.yok.gov.tr/handle/20.500.12812/598047
34. Özsavran, M., & Ayyıldız, T. K. (2023). The effect of mandala art therapy on the comfort and resilience levels of mothers who have children with special needs: A randomized controlled study. Child: Care, Health and Development, 49(6), 1032-1045.
35. Ratnasari, W., Satiadarma, M. P., & Roswiyani, R. (2023). The effect of art therapy mandala to reduce symptoms of depression in adolescents with ınsomnia. International Journal of Application on Social Science and Humanities, 1(1).
36. Sarı Öztürk, C., & Demir, K. (2023). The effect of mandala activity and technology-based breastfeeding program on breastfeeding self-efficacy and mother-ınfant attachment of primiparous women: A randomized controlled study. Journal of medical systems, 47(1), 44.
37. Sezen, C., & Ünsalver, B. Ö. (2018). Group art therapy for the management of fear of childbirth. The Arts in Psychotherapy, 64, 9-19.
38. Şişli, B. (2023). The effects of mandala activity with two different types of music on stress levels and coping with stress in infertile women undergoing embryo transfer (Thesis No: 807879). [PhD Thesis, Okan University]. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
39. Topcu, T. (2023). The effect of mandala studies on fear of childbirth and birth outcomes in primiparous pregnants. (Thesis No: 817642). [Master’s Thesis, Marmara University] https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
40. Xie, G. & Wang, Q. (2021). Mandala coloring as a therapeutic tool in treating stress-anxiety-depression syndrome.Asian journal of Interdisciplinary Research, 4(4).
41. Yakar, H. K., Yilmaz, B., Ozkol, O., Gevher, F., & Celik, E. (2021). Effects of art-based mandala intervention on distress and anxiety in cancer patients. Complementary Therapies in Clinical Practice, 43, 101331.