Artwork Submission for Research Cooperation

Thank you for your interest in participating.
Please complete the form below and upload your artwork files.

Request for Research Cooperation
We conduct research on the significance of art in mental health and present the results at academic conferences and journals. For this purpose, we kindly request artwork submissions from individuals experiencing mental health challenges.

Please submit a set of two artworks:
1) An artwork expressing your feelings in daily life
2) An artwork expressing your feelings after completing the artwork

You may use a pseudonym. Providing your age, gender, and (optionally) diagnosis would be greatly appreciated.
* Required fields

Please check if you agree to cooperate in the research. *

I agree

Email * Full Name * Name (Phonetic) * Age

Gender

Female
Male
Non-binary

Pen Name (optional) Address Emergency Contact (Mobile)

Mental Health Treatment History

Previously attended a psychiatric or psychosomatic clinic
Currently attending a psychiatric or psychosomatic clinic

Diagnosis (optional)

1) Artwork expressing daily life feelings

Artwork Title Artwork Description Mental state during creation Please upload a scanned image or photo of the artwork.

2) Artwork expressing feelings after completion

Artwork Title Artwork Description Mental state during creation Please upload a scanned image or photo of the artwork.

• You may request removal from online exhibition by contacting us.
• Copyright belongs to the artist. The organizer may use images for exhibition and website purposes.
• Personal information will be handled with strict confidentiality.
• No honorarium will be provided.

Submit