Narrative Arts Therapy

What is Narrative Arts Therapy?

Narrative Arts Therapy: An Interdisciplinary Approach to Healing and Well-being


Narrative arts therapy (NAT) is an innovative therapeutic approach that integrates principles of narrative therapy with creative arts therapies. This interdisciplinary method harnesses the philosophy of storytelling, visual arts, music, dance, and drama to facilitate psychological healing and personal growth. Rooted in both ancient healing traditions and contemporary therapeutic practices, NAT offers a holistic approach that addresses the cognitive, emotional, and social dimensions of human experience. This short paper is a brief introduction to the foundational concepts of narrative arts therapy, explores its theoretical underpinnings, and examines its applications in various contexts.

Historical Foundations

The origins of the narrative arts can be traced back to ancient practices where storytelling and art played pivotal roles in human societies. From the cave paintings of Lascaux and Altamira to the intricate rock art of the San people in Southern Africa, early humans used visual art and storytelling to record and process their experiences, express their beliefs, rituals, identity and connection with their communities. Rock art are narrative artifacts that reflect the human need to tell stories and make sense of the world through storytelling.

Ritualistic practices such as dance and music were integral to community cohesion and spiritual healing. In many indigenous cultures, shamans and healers used these forms of narrative art to guide their communities through transitions and traumas. For example, the Navajo people of North America have a rich tradition of healing through sand painting and storytelling, where the act of creating and narrating is believed to restore harmony and balance to the individual and the community. In southern Africa, traditional San people had extensive healing rituals, including the healing dance, also known as the trance dance, during which the healer visited the spiritual world to draw on ancestral power for the sake of her community's well-being.

Theoretical Foundations

Narrative arts therapy draws from a rich palette of theoretical perspectives, including philosophy, narrative therapy, expressive arts therapy, and cognitive-behavioral therapy. Narrative therapy, developed by Michael White and David Epston, posits that individuals construct their identities and make sense of their lives through stories. By externalizing problems and re-authoring their narratives, clients can gain agency and develop more empowering self-concepts – or personal stories.

Expressive arts therapy emphasizes the therapeutic potential of engaging in creative processes. This modality is grounded in the belief that artistic expression can bypass verbal defenses, allowing clients to access and process unconscious material. Cognitive-behavioral therapy (CBT) contributes techniques for identifying and challenging maladaptive thought patterns, which can be integrated into narrative arts interventions to enhance their efficacy.

Neuroscientific Insights

Recent advances in neuroscience provide compelling evidence for the efficacy of narrative arts therapy. Neuroimaging studies have demonstrated that engaging in creative activities activates brain regions involved in emotion regulation, memory, and social cognition. For instance, functional magnetic resonance imaging (fMRI) studies have shown that storytelling and artistic creation stimulate the prefrontal cortex, which is associated with executive functions and emotional regulation (Beauregard, 2014). Additionally, the mirror neuron system, which is activated during both the creation and observation of art, plays a crucial role in empathy and social bonding (Gallese, 2009).

These findings align with the concept of neuroplasticity, which suggests that the brain can reorganize itself in response to new experiences. By engaging in narrative arts therapy, clients can potentially rewire neural pathways associated with maladaptive behaviors and emotional responses, fostering psychological resilience and well-being.

Applications in Clinical Practice

Narrative arts therapy has been applied in a variety of clinical settings, demonstrating its versatility and effectiveness across diverse populations. In trauma therapy, for example, NAT provides a non-threatening medium for survivors to process and integrate traumatic experiences. Techniques such as storytelling, visual journaling, and drama therapy allow clients to externalize their trauma narratives, facilitating a sense of control and mastery over their experiences (Malchiodi, 2015).

In the context of anxiety and depression, narrative arts therapy can help clients identify and challenge negative thought patterns while fostering self-compassion and emotional expression. Music therapy and dance/movement therapy, for instance, have been shown to reduce symptoms of anxiety and depression by promoting relaxation, improving mood, and enhancing body awareness (Koelsch, 2010).

Adolescents, who may be particularly resistant to traditional talk therapies, often respond well to the creative and engaging nature of NAT. By incorporating elements such as digital storytelling, graffiti art, or dance therapy, practitioners can connect with young clients on a cultural level, making therapy more relatable and effective (Travis & Deepak, 2011).

One of the leading 20th century psychologists in the global narrative therapy movement, Michael White (1999), had this to say about people’s problem stories:




Make an appointment for a free 15-minute introductory consultation on WhatsApp: message +27 83 392 5153 or email

Subscribe to the quarterly newsletter

Recieve Stories and Narrative Arts Therapy articles.

No spam or unwanted stuff. Promise!