"approval, pats on the head, needing reassurance from others, or is it recognition"
Any reaction at all. It might make them run from the room, or vomit, or cry, or be confused, or curious, or angry. To bring about any emotion at all would be the most meaningful goal an artist could shoot for imo.
If you create something meaningful and don't share it with others, that is sad. If people who see/hear/read your art bring their own meaning to it, and find new meaning, that elevates the work.
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