Drawing on a Spiritual Connection: Reflections of an Art Therapist working with Dementia Patients in and around Johannesburg

Dementia is classified within Western biomedical frameworks as various neurocognitive disorders and presents complex challenges beyond physical symptoms, particularly in South Africa, where cultural interpretations and socio-economic factors influence care. This article is not a research article. It offers personal reflections on integrating African spiritual perspectives with Western medical approaches to dementia care. I did not feel comfortable explaining my belief in the sacredness of this work within secular university training. As a newly registered art therapist who has turned a student placement site into work at frail care centres in and around Johannesburg, I reflect on my approach to dementia care. I give context to my abiding African spiritual principles, although I am of German descent and give context to the notion of abstract art relating to the spiritual. I relate how my personal practice of engaging in intuitive abstract artmaking can foster a connection to an inner sacred space for both therapist and participants, enhancing well-being and offering a non-verbal mode of engagement. I explain how my Higher Power and the 12-step programme at an addiction recovery centre have influenced me to embrace diverse knowledge systems and the intangible aspects of healing, such as ancestral connections and spiritual agency. Vignettes are described of my engagement with dementia patients through weekly group art therapy sessions, where music is also included. The reflection concludes my experience that a holistic, integrative model of dementia care can support the dignity and personhood of patients while also addressing the emotional and spiritual needs of caregivers.