The participants’ accounts indicate that art making involves a series of stages that moved them toward a deep level of concentration. Thus art making fostered implicit changes through intrapersonal awareness. Siegal (2007, 2010) referred to this process as intrapersonal attunement in which one is focused on the present and becomes self-aware without judgment. Creative energy and information move and become integrated between the mind, body, and social relatedness. Siegal (2009) regarded attunement as key to developing a vital and resilient sense of self. Similarly, the concept of flow theory (Csíkszentmihályi, 1990, 1996) suggests that when a person's feelings, intentions, and thoughts are focused on a goal, resulting harmony or coherence enables the self to grow. Thus, it is possible that when the participants immersed themselves in art making they did not experience a loss of awareness but rather felt a heightened state of conscious wakefulness (Csíkszentmihályi, 1990).