Life's final chapter: A psychoanalytic reading of the 'six-part story making' projective tool with older adults

Or Shalev, Tom Livni, Adi Toaff, Mayan Berger

Research output: Contribution to journalArticlepeer-review

Abstract

As global populations age, art therapists increasingly face the challenge of addressing older adults’ complex psychological needs, particularly regarding death anxiety and end-of-life concerns. While death is a natural process, Western cultural taboos often leave older adults isolated in their end-of-life journey. This paper examines how the Six-Part Story Making (6PSM) projective tool can provide a structured framework for processing death-related material in art therapy. Drawing on two in-depth case studies and psychoanalytic theory, we demonstrate how 6PSM's inherent narrative fragmentation can serve as a protective mechanism, allowing clients to safely explore challenging emotional content. Our analysis highlights how this structured method enables the gradual working-through of split-off aspects of experiences related to mortality. The findings suggest that 6PSM's unique structure supports older adults in addressing end-of-life concerns while maintaining psychological safety, offering valuable implications for art therapy practice with aging populations.

Original languageEnglish
Article number102339
JournalArts in Psychotherapy
Volume95
DOIs
StatePublished - Sep 2025
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2025 Elsevier Ltd

Keywords

  • Art therapy
  • End-of-life care
  • Older adults
  • Psychoanalysis
  • Six-part story making

ASJC Scopus subject areas

  • Health Professions (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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