Building on the American Psychological Association tradition of combining the arts and psychology, this book addresses the therapeutic aspects of clinical use of metaphor, narrative, journal writing, story telling, bibliotherapy, poetry and related arts. Based on clinical theory and romantic philosophy, a unified poetry therapy practice model is presented that combines the use of literature in therapy, creative expression and symbols/rituals. Poetry therapy has been formally recognized for thirty years and has been practiced worldwide with a wide range of clients in numerous settings including hospitals, hospices, mental health centers, family service agencies, addiction centers, schools, nursing homes and correctional settings.