Theories of art therapy cite the complex triangular relationship of this discipline that includes the therapist-client, client-artwork and therapist-artwork relationships. Yet, despite its importance, this triangular relationship has been insufficiently investigated. In this paper, we describe the development of a tool for the Observation of Art Therapy Relationships (OART) that assesses client-artwork and client-therapist interactions in art therapy based on conceptualizations of Attachment Theory. The development of the OART included three stages: a) An inductive stage in which researchers and experienced art therapists collaborated in defining observable phenomena that may shed light on the nature of the therapist-client and client-artwork relationships; b) A deductive stage, in which the phenomena defined in the inductive stage were incorporated into the structuring of an observational tool. 3. A qualitative examination of the OART in therapeutic settings. Challenges that have arisen and that may indicate the need for further work on the OART are discussed.

中文翻译：

---

艺术治疗关系观察（OART）：用于研究艺术治疗中治疗师与客户以及客户与艺术品关系的观察工具

艺术治疗的理论引用了该学科复杂的三角关系，包括治疗师与客户、客户与艺术品以及治疗师与艺术品的关系。然而，尽管这种三角关系很重要，但尚未得到充分的研究。在本文中，我们描述了艺术治疗关系观察（OART）工具的开发，该工具基于依恋理论的概念来评估艺术治疗中客户与艺术品以及客户与治疗师之间的互动。OART 的发展包括三个阶段： a) 归纳阶段，研究人员和经验丰富的艺术治疗师合作定义可观察的现象，这些现象可能揭示治疗师与客户以及客户与艺术品关系的本质；b) 演绎阶段，将归纳阶段定义的现象纳入观察工具的结构中。3. 治疗环境中 OART 的定性检查。讨论了已经出现的挑战以及可能表明需要进一步开展 OART 工作的挑战。