Abstract
This research explores the role of visual communication, specifically through artwork, in therapeutic settings for adults with Autism Spectrum Disorder (ASD) and Intellectual Disabilities (ID) who have limited verbal communication capabilities. Conducted in a Specialist Mental Health Care facility in the Western Cape, South Africa, this study highlights the challenges faced by marginalized communities in accessing therapy, particularly due to the under-resourced state mental health care system and the historical legacy of apartheid. Focusing on art therapy, this research seeks to bridge gaps in therapy options for individuals with ASD and ID, offering an alternative to traditional talk-based methods that are more widely available yet inaccessible to those with communication limitations. The study examines how art materials and media can facilitate emotional regulation, communication, and the development of a therapeutic relationship without relying on verbal expression. The research employs the Expressive Therapies Continuum to investigate how different art materials contribute to psychological functioning and communication. Drawing from case study methodology, the study analyses recurring weekly sessions with two individuals to understand the therapeutic potential of art in these unique contexts.