Open Access
Published:
March 2026
Licence: CC BY-NC-4.0
Issue: Vol.21, No.1
Word count: 5,777
About the author

Art therapy with Jungian archetypes and collage for queer body image healing

Wednesdae Reim Ifrach

Abstract 

This practice paper explores the integration of Jungian archetypes and collage-based tarot-style imagery in art therapy to support body-image healing among queer clients. It synthesises recent scholarship on LGBTQ+ affirmative and trauma-informed creative arts approaches, noting that minority stress elevates body dissatisfaction in sexual and gender minorities (Santoniccolo et al., 2025). This paper describes how symbolic archetypes can be evoked through intuitive collage to externalise inner narratives and foster embodiment. Tarot-inspired card-making is presented as a method to personalise archetypal themes. Emphasis is placed on culturally responsive, trauma-sensitive care that honours each client’s identity and lived experience (Van Den Berg & Anderson, 2023). A composite clinical vignette illustrates a collage exercise for a nonbinary client’s body image.

Keywords

Art therapy, Jungian archetypes, collage, tarot imagery, queer identity, body image, trauma-informed care

Cite this practice paperIfrach, W.R. (2026). Art therapy with Jungian archetypes and collage for queer body image healing. JoCAT, 21(1). https://www.jocat-online.org/pp-26-ifrach

Queer individuals often face unique body image challenges shaped by minority stress, stigma, and cultural beauty ideals. Research shows that sexual and gender minority (SGM) people report higher rates of body dissatisfaction than cisgender heterosexual peers (Santoniccolo et al., 2025). Discrimination, internalised homophobia/transphobia, and pressure to ‘pass’ or conform to community aesthetics all contribute to shame and dysphoria around the body. For example, transgender clients may experience body dysphoria when their physical form does not match their identity, while lesbian, gay, and bisexual clients may struggle with societal or community-specific appearance standards. Addressing these issues requires therapeutic approaches that go beyond talk, embracing creativity and symbolism to access feelings that are hard to verbalise.

Art therapy provides a nonverbal, experiential pathway for exploring body image, enabling clients to externalise critical narratives about their body and themselves. By using creative media, individuals can gradually shift from shame and self-objectification toward curiosity, embodiment, and self-compassion (Malchiodi, 2020). Artistic expression engages sensorimotor and emotional processes as well as imagery, providing a safe and non-judgmental space for traumatic or hidden content (Van Den Berg & Anderson, 2023). For queer clients, whose histories often include trauma and marginalisation, a trauma-informed, culturally responsive art therapy framework is essential (Malchiodi, 2020; Van Den Berg & Anderson, 2023). This means prioritising safety, empowerment, and affirmation of identity while respecting the diverse cultural, racial, and social contexts that shape body experience.

This paper focuses on one such integrative approach: engaging Jungian archetypes and collage-based tarot imagery in art therapy for queer body image healing. Jungian archetypes are universal, symbolic patterns that arise from the collective unconscious (Jung, 1981). In therapy, they can serve as a ‘language of the unconscious’, helping clients connect personal struggles to broader human narratives. Collage, especially in a tarot-like format, allows clients to tap into archetypal imagery by assembling visuals that represent internal states. This paper reviews relevant theory and research, outlines trauma-informed, queer-affirming art practices, and presents a composite vignette illustrating how a client might utilise archetypal collage cards to reauthor their narrative of body image. The goal is to show how symbolic, creative work can empower queer individuals to transform bodily shame into sources of strength and self-acceptance.

Jungian archetypes and symbolic imagery in art therapy

Carl Jung (1981) posited that the human psyche is structured by universal, innate, primordial images that recur across cultures in myth and art. These archetypes carry layers of meaning and provide templates for understanding inner experience. The archetypes include the Self, Shadow, Anima/Animus, Persona, Hero, Trickster, and Wounded Healer, among others. In art therapy, engaging with archetypal symbols can help clients articulate complex emotions and connect personal problems to larger human stories. For example, Jung described the Self archetype as the organising principle of the psyche, representing wholeness and integration (Jung, 1981). Mandalas and other integrated figures in art can evoke this archetype, guiding clients toward a sense of inner unity and balance. This understanding and use of archetypes can be empowering, inspiring clients to take control of their narratives and transform their experiences.

Conversely, the Shadow archetype holds repressed or stigmatised aspects of the self, such as undesired feelings, traumas, or desires. In art, dark or chaotic imagery, such as monsters, storms, or wounded figures, often represents the Shadow. Bringing the Shadow into awareness through creative work is crucial for healing. An art therapist might invite a client to create a collage of images that embody what they dread or deny about themselves. By naming and dialoguing with these symbols, the client can integrate dissociated parts of identity (Jung, 1981). For queer clients, the Shadow might contain internalised homophobia/transphobia or body shame. For instance, a gay man’s black-and-white collage of distorted mirrors and jagged masks could reflect fear of judgment. Through guided art dialogue, he might recognise how these images mirror his internalised ‘critical voice’, ultimately learning to transform them into symbols of self-compassion. Understanding and addressing the Shadow archetype in art therapy can be enlightening and empowering for both the therapist and the client. As the vignette will later show through evolving card imagery, archetypal symbols such as the Self and the Shadow can emerge organically in collage work, offering clients a visual language for aspects of the psyche that may be difficult to articulate verbally.

Gender archetypes, such as Anima and Animus, also emerge in art. Jung theorised that each person harbours a contrasexual inner image – the Anima (in men) or Animus (in women) – representing feminine and masculine qualities respectively (Jung, 1981). In queer-informed practice, these archetypes can be used flexibly. For a queer or genderqueer client, exploring Anima/Animus can mean investigating internalised gender norms. A transmasculine client, for instance, might collage a figure of a nurturing woman to explore feelings of femininity, realising this image represents compassion rather than ‘misplaced’ gender identity. Thus, active imagination and art-making with Anima/Animus imagery can help clients balance their own gender energies without rigid stereotypes (MacWilliam, 2019).

The Persona archetype, our social ‘mask’, is directly relevant to body image, as it embodies how one presents outwardly. In art, clients might create literal masks or stylised portraits to express how they feel ‘on show’ versus their private self. For a nonbinary teen with dysphoria, making a decorated mask might reveal the gendered appearance they present to others. In contrast, the unseen side of the mask, or elements hidden behind it, could reveal the true self beneath societal expectations. This process of externalising the Persona versus identity can foster authenticity and highlight the pressure queer clients feel to conform to looks (MacWilliam, 2019).

Other archetypal figures provide empowering narratives. The Hero/Warrior archetype personifies courage and resilience. Artists often draw on this motif to reframe personal struggles as a kind of quest or battle. For example, one client might picture herself as a warrior defending her body against shame. In collage, she might assemble images of strong armour and mythical beasts, symbolising inner strength. The therapist might then ask questions like, “What does your Hero need next?” to help the client actively identify resources. The Trickster archetype, a mischievous shapeshifter, can be especially resonant for queer bodies that blur boundaries. The Trickster’s fluid, boundary-breaking energy can validate queer clients’ own play with identity. In artwork, using humour, parody, or surprising juxtapositions can disrupt negative body narratives. For instance, a playful collage of a clown juggling body parts might help a client laugh at rigid beauty standards and reclaim creative control over their body image story.

Ultimately, nurturing archetypes like the Mother/Divine Feminine can help heal psychic wounds. A queer person with a history of family rejection might draw an image of an earth mother or a benevolent feminine figure embracing all body shapes. This evokes the universal symbol of the ‘good mother’ as a representation of unconditional love (Myss, 2002). In therapy, acknowledging this archetypal mother in the artwork allows the client to experience compassionate support that counters real-life neglect. Such culturally diverse Mother figures, such as Gaia, Isis, or Mary, can be invoked through collage to emphasise that care and acceptance exist beyond their personal history (MacWilliam, 2019).

By naming these archetypes with clients, therapists help situate the client's unique problems within wider patterns of human struggle and growth by verbalising, “I notice the Hero, the Shadow, the Wounded Healer in your collage.” This symbolic reframing can bring relief: it normalises the client’s experience by placing it within a common journey. It offers alternative roles, including the survivor Hero and the wise Trickster, to inhabit. Symbolic healing, through archetypal imagery, thus expands self-understanding and opens new pathways to integrate previously split-off aspects of the self (Jung, 1981; MacWilliam, 2019).

Jungian tarot and the psychological structure of tarot decks

While Jung did not write directly about tarot, subsequent Jungian scholars have examined tarot as a symbolic system that parallels the structure of the psyche. Tarot decks, particularly the Major Arcana, are frequently interpreted as visual representations of archetypal processes associated with individuation (Nichols, 1980; Wang, 2010). Each card embodies a recurring psychological pattern, such as the Fool as the ego at the threshold of transformation or Death as symbolic ego dissolution rather than literal loss. From a Jungian perspective, tarot imagery functions as a projective symbolic language through which unconscious material can emerge in accessible form.

A comprehensive contemporary Jungian treatment of tarot is offered in the three-volume work by Wang (2010, 2015, 2021), who situates tarot within analytical psychology, mythological studies, and depth psychology. Wang argues that tarot operates as a mandala-like system that reflects the psychic movement from fragmentation toward integration. Across the trilogy, tarot is conceptualised not as divination but as an imaginal map of consciousness development, closely aligned with Jung’s theories of archetypes, complexes, and the Self (Wang, 2010). Importantly, Wang emphasises that tarot images activate symbolic resonance rather than fixed meaning, allowing individuals to encounter archetypal material in ways shaped by personal and cultural context.

This Jungian framing is particularly relevant for therapeutic applications, as it positions tarot imagery as psychologically evocative rather than predictive. The non-linear, symbolic structure of tarot supports meaning-making in trauma and identity work, where experience is often fragmented or difficult to articulate verbally. By engaging with archetypal imagery through tarot-inspired forms, clients can externalise internal conflicts while maintaining a sense of safety and symbolic distance (Wang, 2015). This theoretical foundation supports the use of tarot-style collage as an archetypal intervention grounded in depth psychology rather than esoteric practice.

The emergence of queer and inclusive tarot decks

In recent decades, there has been a significant expansion of queer, feminist, and culturally inclusive tarot decks that challenge heteronormative, binary, and Eurocentric representations embedded in traditional tarot imagery. These contemporary decks re-imagine archetypes through explicitly queer, trans, and non-binary lenses, often depicting diverse bodies, gender expressions, and relational structures (Dawson, 2019; Frankel, 2021). Rather than rejecting archetypes altogether, queer tarot creators tend to reinterpret them as fluid, relational, and socially situated, aligning with post-Jungian critiques that emphasise multiplicity over universality.

Queer tarot decks frequently disrupt rigid gender coding embedded in figures such as the Emperor and Empress, offering alternative representations that decouple archetypal function from biological sex or binary gender roles (Frankel, 2021). This re-visioning is particularly significant for queer and trans individuals, for whom traditional archetypal imagery may replicate experiences of exclusion or dysphoria. Inclusive decks instead frame archetypes as roles, energies, or processes that can be inhabited flexibly, supporting identity exploration rather than enforcing normative developmental narratives.

From a therapeutic perspective, queer tarot decks function as culturally responsive symbolic resources. They offer imagery in which queer clients can recognise themselves, thereby reducing symbolic alienation and increasing engagement with archetypal material (Dawson, 2019). The emergence of these decks parallels broader movements within psychotherapy toward affirmative practice and epistemic justice, recognising that symbolic systems are not neutral but culturally constructed. Integrating queer-informed tarot imagery into art therapy, therefore, aligns with ethical commitments to inclusivity, representation, and client-defined meaning-making.

Queer-driven tarot as embodied and political knowledge-making

Beyond the emergence of inclusive or representational tarot decks, queer-driven tarot can be understood as a practice rooted in queer epistemologies that privilege lived experience, relationality, and resistance to normative meaning-making. Queer-driven tarot is not simply tarot for queer people, but tarot authored by, interpreted through, and activated within queer worldviews. In this sense, tarot functions as a site of knowledge production that challenges dominant psychological, spiritual, and cultural narratives (Frankel, 2021; Semetsky, 2011).

Queer theory has long questioned universalising frameworks that erase difference, instead emphasising fluidity, multiplicity, and the instability of identity (Butler, 1990). Queer-driven tarot aligns with this stance by resisting fixed meanings and linear developmental models. Rather than treating archetypes as static universals, queer tarot practitioners often approach them as relational processes that shift across contexts, bodies, and histories. For example, archetypes such as the Fool or the Lovers may be interpreted not as stages of ego development or heteronormative union, but as ongoing negotiations of risk, desire, chosen family, and survival within hostile social environments (Dawson, 2019).

Importantly, queer-driven tarot foregrounds the body as a site of symbolic knowing. Queer and trans bodies have historically been sites of regulation, surveillance, and pathologisation within both psychological and spiritual traditions. In response, queer tarot practice often reclaims embodied experience as a valid source of meaning, intuition, and authority (Frankel, 2021). This emphasis resonates with somatically informed and trauma-aware therapeutic approaches, which recognise that cognition alone is insufficient for healing experiences rooted in bodily shame, dysphoria, or violence (Malchiodi, 2020). Tarot imagery, when engaged through a queer lens, becomes a way of listening to the body’s symbolic language rather than imposing interpretive mastery upon it.

Queer-driven tarot is also explicitly political. It emerges from and responds to histories of exclusion from both mainstream religion and psychology, offering alternative symbolic systems through which queer people can make sense of their lives. Tarot serves as a tool for counter-narrative construction, allowing individuals to re-author stories shaped by stigma, marginalisation, and minority stress (Santoniccolo et al., 2025). In this context, archetypes are not neutral psychic structures but contested cultural symbols that can be queered, subverted, or entirely reimagined. This process mirrors queer therapeutic goals of dismantling internalised oppression and fostering agency through meaning-making (Van Den Berg & Anderson, 2023).

Within creative arts therapies, queer-driven tarot aligns closely with practices that center client authorship and relational symbolism. Rather than interpreting cards according to prescribed meanings, therapists adopting a queer-driven approach invite clients to define archetypal significance for themselves. This decentralisation of interpretive authority supports ethical practice with queer clients, particularly those who have experienced epistemic injustice or medicalised narratives about their identities. Tarot thus functions as a co-created symbolic language, emerging through dialogue between image, body, and relational context.

In the context of this paper, queer-driven tarot provides a conceptual bridge between Jungian archetypal theory and queer-affirmative, trauma-informed art therapy practice. By allowing archetypes to be shaped by queer lived experience rather than imposed as universal truths, tarot-inspired collage becomes a flexible, embodied, and culturally responsive intervention. This approach honours both the depth psychological value of archetypal imagery and the necessity of queering symbolic systems to support healing for those historically excluded from them.

Tarot as a therapeutic and reflective tool

Although empirical research on tarot in psychotherapy remains limited, a small but growing body of literature conceptualises tarot as a reflective, projective, and narrative tool rather than a predictive one. Within counselling and therapeutic contexts, tarot has been described as a visual stimulus that facilitates self-reflection, emotional processing, and narrative re-authoring (Place, 2007; Semetsky, 2011). The cards function similarly to other projective techniques, eliciting associations, metaphors, and affective responses that can be explored collaboratively between therapist and client.

Semetsky (2011) situates tarot within a post-Jungian and educational psychology framework, arguing that tarot images operate as semiotic mediators of meaning-making. Through engagement with symbolic imagery, individuals are able to integrate cognition, emotion, and imagination, supporting reflective learning and psychological insight. In therapeutic settings, this process can foster agency, as clients actively construct interpretations rather than receiving externally imposed meanings.

Tarot-based interventions have been described as particularly useful in trauma-informed practice, where symbolic distance can reduce emotional overwhelm. By engaging with metaphor rather than direct autobiographical narration, clients can explore difficult material in a contained and regulated manner (Place, 2007). While tarot should not be positioned as an evidence-based modality in itself, its underlying mechanisms, projection, symbolism, narrative construction, and imaginal engagement, are consistent with established expressive and creative arts therapies. This theoretical alignment supports the ethical integration of tarot-inspired methods within art therapy when framed transparently and grounded in psychological theory.

Collage and tarot-inspired art exercises

Collage is a versatile art therapy medium, especially well-suited for exploring body image. It allows clients to select pre-made visual elements and combine them intuitively. This bricolage approach can feel safer for clients who are hesitant about their own drawing, and the use of found images can tap into layers of meaning and personal associations. In the context of body image, collage helps externalise perceptions: clients can depict how they see their body or the body they long for by assembling relevant images. A client dissatisfied with their weight might literally collage pictures of scales or numbers; another might cut out images of bodies they admire or fear. In the process, hidden beliefs emerge as tangible compositions, which can then be discussed and transformed into more meaningful ones.

This paper proposes using collage-based, tarot-style imagery as a creative intervention. Much like creating a personal tarot deck, clients design a series of collaged ‘cards’ that each represent an archetypal theme or a personal aspect. Tarot cards traditionally feature archetypal figures, such as the Fool, Empress, or Strength, each with rich symbolism. By adapting this idea, clients design cards with titles and imagery meaningful to them. For example, a client working with body trauma might collage a card called ‘The Phoenix’, layering images of fire and rebirth to symbolise rising from shame. Another card might be ‘The Inner Child’, featuring comforting childhood scenes or protective figures.

The creation of such cards is both playful and profound. Clients begin by choosing an archetypal figure or theme relevant to their journey: this could be a classical tarot archetype, such as “The Empress” for nurturing the body or “The Magician” for empowerment. Alternatively, they might choose a more personal symbol, such as “The Alchemist”, to help transform pain into strength. They then browse magazines, photographs, or other materials to find images, colours, and words that resonate with them. The collage process is nonverbal and intuitive; as clients juxtapose images, new insights often arise. For instance, a trans man might collage ‘The Warrior Queen’ card and find himself drawn to images of protective dragons and fierce, compassionate women, suggesting that he seeks a blend of strength and care.

Figure 1. Wednesdae Reim Ifrach, The Tree Archetypal Collage Example, 2025, cardboard and magazines, 127 × 203mm.

Over sessions, the therapist can build a ‘collage tarot deck’ with the client. This deck serves as a symbolic tool for dialogue. Each card can be turned face-up during art processes or meditations, prompting reflection: What do you feel when you see this image? How does this card speak to your body story?” The cards also serve as tangible reminders of the new narratives the client is creating. A client’s deck can begin with a single archetypal image, such as the ‘Inner Tree’ card, discussed in the later vignette, which became a symbolic anchor for resilience and embodied growth.

Collage’s concrete yet metaphorical nature aligns well with tarot’s structure: both impose a symbolic frame, the card title and its archetype, while leaving space for personal meaning. In a trauma-sensitive way, this can gently distance the client from raw trauma by placing it into a narrative that normalises vulnerability, echoing the metaphor that “even heroes have their nights”. The multi-sensory act of cutting, glueing, and writing engages different brain pathways than talking alone, allowing affect and body-based responses to surface safely (Malchiodi, 2020). For queer clients who may have struggled to ‘fit’ into traditional body ideals, collage allows them to piece together a new image of themselves from empowering fragments.

Trauma-informed, culturally responsive practice for queer clients

Any work with queer clients must be grounded in trauma-informed care and cultural responsiveness. Trauma, ranging from direct abuse to chronic minority stress, is common in LGBTQ+ histories, and body image issues themselves can be trauma reminders. Practitioners should therefore implement the Substance Abuse and Mental Health Services Administration’s core principles: establish physical and emotional safety, build trust and transparency, encourage client empowerment, and attend to cultural and gender issues (SAMHSA, 2014). For example, at the outset of a collage session, the therapist might explain each step, from building trust to asking for permission before providing materials, thereby empowering choice. They might explicitly affirm that all gender and body expressions are welcome in the studio.

Cultural responsiveness means therapists actively acknowledge how social identities impact body image. Intersectional factors, such as race, disability, class, and spirituality, intertwine with queerness. A trans BIPOC client may navigate different body ideals than a white gay cis man, and an immigrant may carry distinct cultural body norms. Therapists should be aware of these contexts and invite clients to share their personal and cultural symbols. In collage, this might mean sourcing images from diverse magazines or allowing clients to incorporate cultural motifs by including sacred fabrics, community media, or spiritual symbols into cards. Such inclusivity aligns with the principle of trauma-informed practice, which emphasises cultural, historical, and gender issues (SAMHSA, 2014).

Queer affirmative frameworks, such as Van Den Berg and Anderson’s (2023) Queer Worldmaking”, emphasise decoupling heteronormativity from therapy. In practice, this involves creating studio spaces that centre pleasure and autonomy over pathology. The therapist’s role is to deconstruct ‘norms’ rather than reinforce them. For example, rather than assuming a client’s goal is weight loss or cis conformity, the therapist asks, “What do you want for your body?” and validates unconventional answers. According to Van Den Berg and Anderson (2023), pleasure-centred interventions that celebrate queer joys, eroticities, and strength can be healing in themselves. In collage work, this could mean incorporating images of sensuality, joy, or community; the process becomes a space for positive self-celebration, rather than just problem-solving.

Art therapy also fosters a sense of community and belonging. Group collage projects can weave queer histories into the work. A therapist might use archival queer art or pride imagery as collage material or invite clients to collage with pieces from queer zines or media they love. This honours the client’s cultural narratives and counters isolation. As Van Den Berg and Anderson (2023) note, connecting personal healing to larger queer stories supports collective liberation. Weaving symbols of chosen family, activism, and queer resilience into the art reminds clients they are part of a rich lineage of survival and joy.

The following composite vignette demonstrates how these archetypal and collage-based methods unfold in practice. Each phase of the process, from initial engagement with symbolic imagery to the development of a personalised tarot-style deck, mirrors the therapeutic themes outlined above, including externalisation, trauma-informed pacing, and queer-affirming meaning-making.

Jungian archetypes beyond Jung: Integrations in creative arts therapies

Within creative arts therapies, Jungian archetypes have frequently been integrated with theoretical frameworks that extend beyond classical analytical psychology. Art therapists have combined archetypal imagery with object relations theory, attachment theory, and trauma-focused approaches to address relational wounds and developmental trauma (Schaverien, 1992; Rubin, 2016). These integrations acknowledge that while archetypes offer symbolic universality, psychological distress is also shaped by early relationships, systemic oppression, and embodied trauma responses.

Object relations–informed art therapy emphasises the internalisation of relational patterns and the role of images as symbolic representations of self–other dynamics (Schaverien, 1992). Archetypal figures in artwork may therefore function simultaneously as universal symbols and as representations of internalised attachment figures. For example, a nurturing archetype may reflect both the Jungian Great Mother and a wished-for reparative object, allowing archetypal imagery to be understood through multiple theoretical lenses.

Trauma-focused creative arts therapies further expand archetypal work by foregrounding neurobiological regulation, embodiment, and safety (Malchiodi, 2020). From this perspective, archetypal symbols are not interpreted for meaning alone but engaged somatically and relationally. Archetypal imagery can support trauma integration when approached flexibly, without imposing interpretive authority, and when clients are empowered to define the personal significance of symbols. This pluralistic use of archetypes aligns with contemporary critiques of Jungian universality, supporting culturally responsive and trauma-attuned practice.

For queer clients, such integrative approaches are particularly important. Archetypes must be held lightly and critically, allowing space for resistance, re-authoring, and subversion. When combined with object relations and trauma-informed frameworks, Jungian archetypes can function not as fixed templates but as evolving symbolic resources that support identity repair, embodiment, and relational safety across diverse lived experiences.

Clinical vignette

Research consent process

This case vignette is a case composite that protects the identity of individual clients, especially in a political climate that is unsafe for queer people to be recognised. Upon entering art therapy treatment, each client was given the option to sign a consent form for the use of de-identified information for research. Declining consent did not impact the client’s access to clinical care or the therapeutic relationship. Each client was notified that their case details would be used and informed of how and why. At this stage, clients had the option to sign another form withdrawing their previous consent to the use of their information for this paper.

Alex’s journey with archetypal collage

Alex is a 28-year-old nonbinary individual who sought therapy for chronic gender dysphoria and low self-esteem. Assigned female at birth, Alex has faced bullying and family rejection related to gender identity and has experienced sexual harassment that left them feeling betrayed by their body. They also struggle with an eating disorder marked by restrictive behaviours and obsessive weighing. Alex reported feeling ‘broken’ and disconnected from their physical self, often describing the body as an enemy. In therapy, Alex was quiet and guarded, but eager for non-verbal ways to heal.

The therapist established safety by explaining each activity and inviting Alex’s input at every step. After some trust-building, the therapist introduced a collage exercise focused on archetypes. The therapist asked Alex to think of a myth or story that resonated with their experience. Alex recalled finding it comforting to see an image of an ancient redwood tree. Together, they decided Alex would create an archetype card that ended up being titled ‘Inner Tree’ to represent resilience in trauma. Alex selected magazines and glue, and slowly cut images of a redwood tree. They pasted these as the central image and then used gold markers to create a design that highlights the physical part of the tree to which they feel most connected (see Figure 1).

Looking at the finished card, Alex said softly, “This feels... hopeful.” The therapist prompted: “What does the tree tell you about yourself?” Alex paused, then said, “Maybe I was never broken. Maybe change can be beautiful.” They began to cry, surprised by the tenderness they felt. The therapist affirmed this insight, highlighting that the tree had transformed their understanding of growth. In subsequent sessions, Alex created more cards. One was ‘The Guardian’, an image of two fists clashing in front of the trees protecting them. The therapist suggested Alex might like to arrange the cards in a sequence; Alex placed ‘The Guardian’ first and ‘Inner Tree’ second. The therapist observed that Alex was starting to construct a journey.

Figure 2. Wednesdae Reim Ifrach, The Guardian Archetypal Collage Example, 2025, cardboard and magazines. 127 × 203mm.

Through discussion and reflection, Alex externalised critical voices onto each card and learnt to dialogue rather than merge with them. The collage process itself was empowering. Alex discovered a fluid identity by examining both masculine and feminine energies in the ‘Inner Tree’ card. This embodied an Anima/Animus integration that felt affirming for them. Alex realised they could be neither entirely masculine nor feminine, but a unique blending, just as the collage freely mixed texture, symbol, and meaning.

Over time, Alex reported feeling more at ease in their body. The art-making became a form of ritual. Before each collage, Alex would set an intention and, afterwards, often sat quietly, gazing at the completed cards. They began to treat the cards as a self-made tarot deck for healing: when overwhelmed, Alex drew the ‘Inner Tree’ card as a reminder of resilience, and when needing self-care, the ‘The Guardian’ card. In therapy, revisiting these cards sparked new insights. For instance, Alex modified ‘The Guardian’ collage by adding images of chosen family and queer role models as a source of support.

In this vignette, the therapist’s approach was explicitly trauma-informed and culturally responsive. They respected Alex’s pace, continually requested consent, and emphasised Alex’s autonomy. They integrated Alex’s nonbinary identity into the work by choosing inclusive language and allowing Alex to define the archetypes on their own terms. For example, ‘Inner Tree’ was named and framed by Alex rather than imposed by the therapist. The therapist also acknowledged social factors, as discussions of the collage cards included talking about how cultural messages had shaped Alex’s body shame, such as the pervasive ‘thin ideal’ in the media, linking to the point made by Santoniccolo et al. (2025) that internalised cultural standards mediate body dissatisfaction.

This case vignette composite illustrates how Jungian symbols and tarot-style collage can translate a client’s pain into a visual narrative, promoting integration and agency. Alex’s journey from viewing the body as an enemy to seeing themselves as a tree illustrates symbolic healing in action.

Discussion and implications

As seen in the vignette, the progression from initial dysphoria to embodied agency becomes more comprehensible when viewed through this symbolic framework, underscoring how archetypal collage can translate theoretical principles into lived therapeutic change. The integration of Jungian archetypes and collage imagery creates a rich symbolic space for queer body image healing. By externalising internal experiences through art, clients gain a more distanced engagement with their issues: they can manipulate images on a page rather than feeling trapped in their bodies. This externalisation also indicates that these issues have broader significance; clients are not ‘crazy’ but rather are working through archetypal patterns of shame and empowerment. This was evident in the evolving meanings Alex attributed to the ‘Inner Tree’ and ‘The Guardian’ cards, which reflect the archetypal dynamics described earlier, echoing the work of the Self, Protector, and Shadow motifs that often emerge in therapeutic art processes.

Research underscores the importance of addressing minority stress in body image work. As illustrated in the vignette, Alex’s movement from dysphoria toward a more embodied sense of self demonstrates how archetypal collage can facilitate symbolic reframing and deepen therapeutic insight. This is in line with Santoniccolo et al. (2025), who found that sexual and gender minorities consistently reported heightened body dissatisfaction linked to prejudice and discrimination. Therapists can use such findings to normalise clients’ struggles. For example, explaining that many queer people feel conflicted about cultural body ideals. Combining this knowledge with Jungian art methods allows therapists to reframe body image issues not as personal flaws but rather as wounds inflicted by societal forces, which can be confronted via universal symbols. By tracing Alex’s unfolding relationship with their collage deck, the vignette offers a concrete example of how these methods translate theoretical constructs into felt therapeutic shifts, providing a model applicable across queer-affirming art therapy contexts.

Trauma-informed care is woven throughout these interventions. The narrative and collage work focus on safety and choice: clients choose archetypes and images that resonate, controlling the pace of disclosure. The use of creative imagery provides a buffer against retraumatisation; instead of re-telling abuse stories verbally, clients translate feelings into symbols and metaphors. This aligns with research suggesting that art-making can bypass trauma defences and engage the body in healing (Malchiodi, 2020). Although empirical studies on tarot-style collage are scarce, the underlying principles align with validated practices, such as Soul Collage (Frost, 2003) and projective collage (Kapitan, 2003), which have been shown to increase self-awareness and self-compassion through card-making.

Cultural responsiveness is also critical. The queer-informed framework (Van Den Berg & Anderson, 2023) shifts focus from pathology to resilience and pleasure. The approach outlined in this paper invites clients to celebrate their bodies in whatever way feels authentic, even if that means embracing or rejecting the body entirely or exploring gender diversity. For nonbinary or trans clients, archetypes provide fluidity rather than fixed gender roles. The ‘Trickster’ or ‘Alchemist’ archetypes explicitly legitimise transformation and ambiguity. Therapists should remain aware of each client’s cultural references, perhaps incorporating community imagery or chosen-family collages, thereby reinforcing that healing is both personal and collective.

A limitation of this practice is that it relies on creative imagery, which may be uncomfortable for some individuals. Therapists can mitigate this by emphasising the process over artistic skill and introducing collage materials sensitively. Additionally, not all clients may resonate with Jungian concepts; therefore, therapists should explain archetypes clearly and accessibly, encouraging clients to interpret symbols in their own words. Archetype titles or names can be changed while adhering to the Jungian archetypes, and clients can create their own archetypes over time in the process.

Conclusion

This practice paper has argued that art therapy that integrates Jungian archetypes with collage-based, tarot-inspired imagery offers a theoretically grounded and culturally responsive approach to body-image healing for queer clients. Drawing on post-Jungian scholarship that conceptualises tarot as an archetypal and psychological system rather than a divinatory tool, the paper situates tarot imagery within established depth-psychological frameworks of individuation, symbolic meaning-making, and unconscious processes. When understood in this way, tarot functions as an imaginal structure through which archetypal material can be encountered safely, flexibly, and in dialogue with lived experience.

The inclusion of queer and queer-driven tarot scholarship further extends this framework by foregrounding the cultural, political, and embodied dimensions of symbolic systems. Queer-driven tarot resists universalising interpretations of archetypes, instead treating them as mutable, relational, and shaped by social context. This re-authoring of archetypal imagery is particularly salient for queer clients, whose bodies and identities have historically been marginalised or pathologised within both psychological and spiritual traditions. By engaging tarot imagery through a queer epistemological lens, art therapy practice can honour client authorship, disrupt normative body narratives, and support identity integration without imposing fixed meanings or developmental trajectories.

The therapeutic application of tarot-inspired collage aligns closely with existing literature on projective and expressive methods in creative arts therapies. Collage-based card-making externalises internal narratives, allowing clients to symbolise trauma, dysphoria, and resilience in ways that are embodied yet contained. This process supports trauma-informed practice by offering symbolic distance, sensory engagement, and client-directed pacing, while also resonating with object relations and relational approaches that emphasise internalised images and reparative meaning-making. As demonstrated in the clinical vignette, archetypal collage can function as both a reflective tool and an evolving personal mythology that clients draw upon beyond the therapy space.

Importantly, this integrative approach positions Jungian archetypes not as fixed or universal truths, but as symbolic resources that can be critically engaged, queered, and combined with trauma-focused and relational theories. Such pluralism reflects contemporary creative arts therapy practice, which increasingly values theoretical flexibility, cultural humility, and responsiveness to systemic oppression. By situating tarot-inspired collage within this broader clinical and theoretical landscape, the paper addresses concerns about eclecticism while demonstrating conceptual coherence and ethical grounding.

Art therapy that incorporates Jungian and queer-driven tarot imagery offers a meaningful pathway for queer clients to move from bodily alienation toward embodied agency. Through the creation and interpretation of archetypal collage cards, clients are invited to re-story their relationships with their bodies, transforming shame and fragmentation into symbols of resilience, care, and becoming. When practiced with reflexivity, trauma-awareness, and cultural responsiveness, this approach supports a form of individuation that is not only intrapsychic but also relational and political, one that honours queer bodies as sites of wisdom, creativity, and ongoing transformation.

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Author

Wednesdae Reim Ifrach

MAAT, NCC, CLAT

Wednesdae is a professor at Moravian University and holds a master’s degree in art therapy. Their work focuses on complex trauma, eating disorder treatment, gender-affirming care, and body liberation. Wednesdae has contributed to public-facing scholarship and arts education, including recorded programs for The Museum of Modern Art’s Artful Practices for Well-Being. Their forthcoming book, QUEER EXPRESSIONS: Expressive Art and Somatic Therapy Practices for Healing Body Trauma (June 2026), expands this work through research-informed clinical applications. Additionally, they have two poetry chapbooks scheduled for release in 2026 and 2027.