Active Visual Art Therapy in the General Hospital: Facts and Challenges from an Ethical Perspective

Valentina Martinelli (), Estella Linda Luisa Lumer, Laura Fusar Poli, Matteo Chiappedi and Pierluigi Politi
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Valentina Martinelli: General Surgery Unit 2, IRCCS Policlinico San Matteo, 27100 Pavia, Italy
Estella Linda Luisa Lumer: Harvey Medical Course, Department of Molecular Medicine, University of Pavia, 27100 Pavia, Italy
Laura Fusar Poli: Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy
Matteo Chiappedi: Istituto Dosso Verde, 27100 Pavia, Italy
Pierluigi Politi: Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy

IJERPH, 2025, vol. 22, issue 2, 1-13

Abstract: For decades, art in its many forms has been used to improve patients’ quality of life and mental health. A growing amount of literature has shown the effectiveness of active visual art therapy (AVAT) on different patient outcomes and highlighted the need for international collaboration and harmonization of research methods. Evidence regarding AVAT inside the general hospital is still limited. This context poses unique challenges in terms of feasibility, heterogeneity, settings, and type of participants, together with significant ethical implications in terms of humanization of care. This narrative review aimed to report the available data on the effectiveness of visual art therapy in the general hospital and discuss them through the lens of the key bioethical principles of autonomy, beneficence, non-maleficence, and justice introduced by Childress and Beauchamp. Current evidence supports the effectiveness of AVAT on children and adult inpatients’ outcomes, particularly in the areas of pain control, anxiety, and depression, therefore supporting the individual’s autonomy and beneficence. With regard to justice and equity, AVAT proved to be a safe and cost-effective adjunct intervention to medical management inside the hospital. A more in-depth understanding of the ethical aspects implied in using AVAT in the general hospital may add a further contribution to the implementation of art interventions in patient-centered care.

Keywords: visual art therapy; ethics; general hospital; mental health; physical health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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