I always "dread" starting - because then I don't want to stop on a piece and have been known to "go to far" - and with digital - if you haven't saved it before you go that distance - it's all for naught. I've never been able to go back to the "original" start and do it just like I had done it.
I don't think I have to be creative - I just am - and I like being creative. But, I doubt I would shrivel up and die if I didn't.
Virtually nothing is random to an artist. What people call "random" in an admiring way is usually better described as "eclectic", a very not-random selection process to create the best selection of associations within a collection. Creativity is part of who we are as human beings. It's built in to who we are. We associate, we connect, and we correlate.
I've always been creative, but it has a lot to do with " creative problem solving " and gets expressed in many ways. For me it is not just through my art, painting or photography. I've used this " right hemisphere " of my mind in cooking and became a nutritional cook. After training and working in hospital janitorial, I turned it into my own sub-contract business with nine RV dealerships. I've used it in property management and when rent increases were required by the corporation, I found an acceptable way for each tenant to raise their rent to whatever comfortable amount that would keep them as a tenant. The building made money as the result of long term tenants.
Whatever we do ... there are challenges, for which there are ... solutions. We can be inspired by and aspire to most anything.
I'm on board with Joe. I just fiddle about with stuff to get something that suits my purpose. People can stick whatever labels they like on that - but I wouldn't want them to attribute anything of mine to mystical unknown forces (that's making Adobe Corp too god-like!)