A broad history of art therapy in the United States offers important perspectives on which to view contemporary art therapy practice and professional identity. This article provides descriptive research on the contributions of art therapist Wayne Ramirez, an active leader in the early days of the American Art Therapy Association whose attention turned in later years to his own expanded view of art therapy. Ramirez's achievements invite today's art therapists to broaden their views, embrace difference and inclusivity, and reconsider roles and practices that define the field.