Authors now integrate conservation bookbinding with conceptual art and all forms of printing technology, and during the last ten years there have been numerous museum exhibits including this type of work. Binders like Gary Frost and Hedi Kyle have invented new book structures which have been widely disseminated in a short period of time. Kyle's concertina form with alternating tipped fractional sheets has been used by hundreds of artists for unique and printed works. Thousands of schoolchildren are now taught this form every day.
Book Art has developed into a diverse field that includes fine press bookmakers like Andrew Hoyem, Diarists like Raymond Holbert, and authors who use photocopy machines to make books, like Sharon Gilbert. Betsy Davids was one of the first to switch from letterpress to computers to make book art. Many authors are using ancient book forms to express contemporary ideas, like Edna Lazaron's use of the scroll in a jar for a work on terrorism. Alternative book structures that are metaphoric or sculptural in their construction may employ several printing processes in one work, as in Clarissa T. Sligh's What's Happening With Momma? Material as metaphor is also used in miniature books, such as Jo Anna Poehlmann's Drawings in a Nutshell.
