Special thanks to Edina Tomán for her valuable contributions as supervisor. She enabled research triangulation by consistently providing feedback from an external and objective perspective throughout all stages of the study. Through continuous dialogue, a consensus was reached to ensure sound and objective research decisions. With her insights and opinions, she greatly supported the realization of the study and carefully reviewed the initial versions of the manuscript.
AI-Assisted Work Statement: Participants used Midjourney V6 to create self-representative images as part of the data collection process. To create this manuscript, we, the authors, used OpenAI’s ChatGPT models (versions 4o, o3, and 4.5) to assist with the formulation and refinement of the text in English. After using these tools, we carefully reviewed and edited the content as needed and took full responsibility for the final version of the publication.
The authors declare that there are no conflicts of interest.
Ethical approval
Ethical approval for the study was granted by the Research Ethics Committee of the Faculty of Education and Psychology at Eotvos Lorand University, reference number: 2024/483. The research complies with the Declaration of Helsinki (2024).
Consent to participate
Participants were recruited via social media platforms, specifically Facebook and Instagram. Participation in the study was anonymous and voluntary. Informed consent to participate in the study was obtained from all participants.
Consent to publication
All images were generated by study participants using Midjourney V6 prompts in accordance with the study protocol. The copyright of the images is fully retained by the participants. The images do not infringe upon any third-party rights (e.g., trademarks, brands, or recognizable characters) and adhere to the Midjourney community guidelines. Publication of the images has been authorized through explicit participant consent for scholarly purposes.
Availability of data and materials
All images and prompts of the participants are available from the corresponding author on request.
Funding
This research was funded by the Hungarian Ministry of Culture and Innovation under the New National Excellence Programme, code number [ÚNKP-23-2], with the support of the Hungarian National Research Development and Innovation Fund. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.
References
Topol EJ. High-performance medicine: the convergence of human and artificial intelligence.Nat Med. 2019;25:44–56. [DOI] [PubMed]
Chatterjee A. Art in an age of artificial intelligence.Front Psychol. 2022;13:1024449. [DOI] [PubMed] [PMC]
D’Alfonso S. AI in mental health.Curr Opin Psychol. 2020;36:112–7. [DOI] [PubMed]
Abd-Alrazaq AA, Alajlani M, Alalwan AA, Bewick BM, Gardner P, Househ M. An overview of the features of chatbots in mental health: A scoping review.Int J Med Inform. 2019;132:103978. [DOI] [PubMed]
Hacmun I, Regev D, Salomon R. Artistic creation in virtual reality for art therapy: A qualitative study with expert art therapists.Arts Psychother. 2021;72:101745. [DOI]
Tao F. A New Harmonisation of Art and Technology: Philosophic Interpretations of Artificial Intelligence Art.Crit Arts. 2022;36:110–25. [DOI]
Haber Y, Hadar Shoval D, Levkovich I, Yinon D, Gigi K, Pen O, et al. The externalization of internal experiences in psychotherapy through generative artificial intelligence: a theoretical, clinical, and ethical analysis.Front Digit Health. 2025;7:1512273. [DOI] [PubMed] [PMC]
Jean-Berluche D. Creative expression and mental health.J Creat. 2024;34:100083. [DOI]
Reynolds F, Prior S. Creative Adventures and Flow in Art-Making: A Qualitative Study of Women Living with Cancer.Bri J Occup Ther. 2006;69:255–62. [DOI]
Lyu Y, Wang X, Lin R, Wu J. Communication in Human–AI Co-Creation: Perceptual Analysis of Paintings Generated by Text-to-Image System.Appl Sci. 2022;12:11312. [DOI]
Grace SL, Cramer KL. The elusive nature of self-measurement: the self-construal scale versus the twenty statements test.J Soc Psychol. 2003;143:649–68. [DOI] [PubMed]
Kellerwessel K, Ujhelyi A. “I’m creating something just like that, out of words!” – artificial intelligence and art in self-image measurement.Hung Psychol Rev. 2024;79:195–214. Hungarian. [DOI]
Muri SA. Beyond the face: Art therapy and self-portraiture.Arts Psychother. 2007;34:331–9. [DOI]
Esteban-Guitart M, Monreal-Bosch P, Perera S, Bastiani J. Schooling and Identity: A Qualitative Analysis of Self-Portrait Drawings of Young Indigenous People from Chiapas, Mexico.Front Psychol. 2017;7:2083. [DOI] [PubMed] [PMC]
Kellerwessel K. Prediction of depression risk based on AI art prompts.Res square [Preprint]. 2025 [cited 2025 May 27]. Available from: https://doi.org/10.21203/rs.3.rs-5578681/v1
Kellerwessel K, Kovács A, Ujhelyi A. “Not the happiest words came to my mind”—Subjective experiences of AI-assisted self-representation among individuals with high risk of depression. Explor Digit Health Technol. Forthcoming 2025.
Smith JA. Evaluating the contribution of interpretative phenomenological analysis.Health Psychol Rev. 2011;5:9–27. [DOI]
Pietkiewicz I, Smith JA. A practical guide to using Interpretative Phenomenological Analysis in qualitative research psychology. Londo: Sage Publications; 2014. p. 20. [DOI]
Smith JA, Osborn M. Pain as an assault on the self: An interpretative phenomenological analysis of the psychological impact of chronic benign low back pain.Psychol Health. 2007;22:517–34. [DOI]
Kassai S, Pintér JN, Rácz J. Methodology and practical application of interpretive phenomenological analysis (IPA).Manag Sci Budap Manag Rev. 2017;48:28–35. Hungarian. [DOI]
Rácz J, Karsai S, Tóth V, editors. Handbook of Qualitative Psychology. ELTE Eötvös Publishing Ltd.; 2023. Hungarian. [DOI]
Rácz J, Kassai S, Pintér JN. Presentation of Interpretative Phenomenological Analysis (IPA) as a Qualitative Psychological Tool.Hung Psychol Rev. 2016;71:313–36. Hungarian. [DOI]
Tomán E. The Role of the Lived Body in Identity Formation in Individuals Living with Hereditary Thrombophilia: An Interpretative Phenomenological Analysis [dissertation]. Budapest: Eötvös Loránd University; 2024. Hungarian.
Burton L, Lent J. The Use of Vision Boards as a Therapeutic Intervention.J Creat Ment Health. 2016;11:52–65. [DOI]
Drujan M, Fallgatter AJ, Batra A, Fuhr K. Imagining a Safe Place: Emotion Regulation with Detachment Intervention.Imagination Cogn Pers. 2023;43:42–57. [DOI]
Settineri S, Merlo EM, Turiaco F, Mento C. The symbol theory in S. Freud, C. G. Jung and C. S. Peirce.Mediterr J Clin Psychol. 2017;5:1–21. [DOI]
Waalkes PL, Stickl Haugen J, Mizutani Y, Meyer JJ, Salvatierra D, Odle C, et al. American first-generation college students’ narratives of positive relationships with their school counsellors.J Psychol Couns Sch. 2023;33:190–201. [DOI]
Gladding ST. Counseling as an Art: The Creative Arts in Counseling. American Counseling Association; 2008. [DOI]
Junge MB. History of Art Therapy. In: Gussak DE, Rosal ML, editors. The Wiley Handbook of Art Therapy. 1st ed. Wiley; 2015. pp. 7–16. [DOI]
Schönbächler G, Stojkovic D, Boothe B. Mapping a gap: the concepts of the wish and wishing in psychoanalysis and the neurosciences.Neuropsychoanalysis. 2016;18:163–77. [DOI]
Tomán E. “Put the Pain in a Box!” The Integration of Interpretative Phenomenological Analysis and Drawing Examination. In: Rácz J, Karsai S, Tóth V, editors. Handbook of Qualitative Psychology. ELTE Eötvös Publishing Ltd.; 2023. Hungarian.
Crowley P. Paul Ricoeur: the Concept of Narrative Identity, the Trace of Autobiography.Paragraph. 2003;26:1–12. [DOI]
McAdams DP. Narrative Identity. In: Schwartz SJ, Luyckx K, Vignoles VL, editors. Handbook of Identity Theory and Research. New York (NY): Springer New York; 2011. pp. 99–115. [DOI]
Wieslander M, Löfgren H. Turning points as a tool in narrative research: A tentative typology as exemplified by a case on police identity.Narrat Inq. 2025;35:26–46. [DOI]
