This balanced relationship is the basis of the underlying hypothesis of work undertaken by Arts Access International (). The hypothesis states that: “the way, from within ourselves, we look outwards at the world around us influences our perception of factors in the external environment that impinge on us and how we respond to them. The relationship is dynamic and symbiotic”. The hypothesis is developed to note that: “ greater understanding is needed of this interdependent relationship and of how the roles in it of creative endeavour and aesthetic appreciation benefit our morale, self-esteem, confidence, well-being, sense of belonging and.