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Play Therapy

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Play Therapy Occupation ... Materials Toolbox Creative Visualization Art Storytelling Sandtray Music Dance and Movement Dramatherapy Puppets ... – PowerPoint PPT presentation

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Title: Play Therapy


1
Play Therapy
  • Occupation Based Practice I
  • Spring 2008

2
  • In here I turn myself inside out and give
    myself a shake, shake, shake, and finally I get
    glad all over that I am me.
  • 8 year old girl

3
Appropriate for
  • Ages 3 to 11
  • Physical illness
  • Abuse and trauma
  • Divorce or foster parenting
  • Grief
  • Developmental delay
  • Mental illness

4
Benefits
  • Allows child to communicate feelings at a level
    that is comfortable for them.
  • Allows child to slowly accept reality of a
    situation, without being overwhelmed.
  • Encourages developmental maturation.
  • Provides information for treatment planning.

5
Precautions
  • Dont force or hurry!
  • Dont ignore what you hear even if it is
    disturbing.
  • Be informed re legal options usually you will
    simply inform your director.
  • Document everything!

6
Non-Directed Therapy
7
Virginia Axline
  • Play Therapy (1947)
  • Dibs In Search of Self (1964)
  • English psychologist, based work on client
    centered approach of Carl Rogers

8
Role of the Therapist
  • Must develop a warm and friendly relationship
    with the child.
  • Accepts the child as she or he is.
  • Establishes a feeling of permission in the
    relationship so that the child feels free to
    express his or her feelings completely.
  • Is alert to recognize the feelings the child is
    expressing and reflects these feelings back in
    such a manner that the child gains insight into
    his/her behavior.

9
Role of Therapist, cont
  • Maintains a deep respect for the childs ability
    to solve his/her problems and gives the child the
    opportunity to do so. The responsibility to make
    choices and to institute change is the childs.
  • Does not attempt to direct the childs actions or
    conversations in any manner. The child leads the
    way, the therapist follows.

10
Role of Therapist, cont
  • Does not hurry the therapy along. It is a gradual
    process and must be recognized as such by the
    therapist.
  • Only establishes those limitations necessary to
    anchor the therapy to the world of reality and to
    make the child aware of his/her responsibility in
    the relationship.

11
5 Phases of Non-directed
  • 1. Child uses play to express diffuse negative
    feels.
  • 2. Uses play to express ambivalent feelings,
    i.e., anxiety, or hostility.
  • 3. Express mostly negative feelings, again, but
    the target is now more specific, i.e, parents,
    sibs, or therapist
  • 4. Ambivalent feelings resurface again but the
    target is now  more specific, as in 3
  • 5. Positive feelings are now predominant, but
    negative feelings are more grounded and
    realistic.

12
Relationship Therapy
13
Clark Moustakes
  • Children in Play Therapy (1973)
  • Focused on here and now of the relationship

14
Principles
  • Therapy happens within the context of the
    therapeutic relationship.
  • The therapist sets limits that do not tamper
    with the will of the child.
  • Therapist enacts personal limits.
  • Therapist uses him or her self  in therapy.
  • Response to aggressive behavior.
  • Children have within themselves the ability to
    control their behavior, and want to.
  • Source Edwards, J (2001)

15
Filial Play Therapy
  • Filial- of or pertaining to son or daughter

16
Bernard and Louise Guerney
  • Child Psychologists, Penn State
  • family therapy model that teaches parents how to
    become the primary therapeutic agents for their
    children

17
Benefits
  • Strengthens family relationships that have been
    strained by illness.
  • Provides parents of an ill child a proactive
    way to help at a time when they might feel quite
    helpless.
  • Can provide quality time during a stressful
    situation.

18
7 Step Process
  • 1. Explain the rational and process of filial
    play therapy
  • 2. Demonstrate the play therapy session, as the
    parents watch and record their observations.
  • 3. Discuss the session demonstration with parents
    afterward

19
Process
  • 4. Therapist trains the parents in the four basic
    play therapy session skills    structuring,
    empathic listening, child- centered imaginary
    play, and limit  setting.
  • 5. Mock play therapy session, with feedback from
    therapist, and discussion of session, including
    skills feedback.

20
Process
  • 6. Parents begin play therapy sessions, under
    supervision of the therapist. 
  • 7. When parents begin to feel comfortable with
    the process, they begin the sessions at home. 
    Parents and therapist meet to discuss and problem
    solve the sessions, and generalize the skills to
    everyday life.
  • Source Edwards, J (2001)

21
Materials
22
What works and what doesnt work with this set up?
23
Toolbox
  • Creative Visualization    
  • Art
  • Storytelling
  • Sandtray
  • Music
  • Dance and Movement
  • Dramatherapy
  • Puppets
  • Masks
  • Clay

24
For each of the following
  • Identify what other diagnoses you might be
    working with
  • Tell what performance areas and client factors
    you might be addressing

25
Portable Play Therapy
26
Art
www.storyboards.com
27
Dress Up Drama
28
Sand Trays
29
Dolls
30
Books and Storytelling
31
Aggression
32
Feeling Stuff
33
Resources
  • Association for Play Therapy
  • http//www.a4pt.org/
  • Play Therapy International
  • www.playtherapy.org
  • Transpersonal Sandplay
  • www.sandplay.net/
  • Products
  • www.childtherapytoys.com/store/index.html
  • www.sunburst-media.com

34
References
  • Edwards, J (2001) Workshop notes on Play Therapy.
    Northeastern Illinois University
  • Guerney, L. (2000). Filial Therapy into the
    21st century. International Journal of Play
    Therapy, 9(2), 1-17.
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