Play Therapy Final
Card Set Information
Play Therapy Final
Play Therapy Whittington Final
Play Therapy Final 2010
How should adults treat children?
in a way that communicates sensitivity, understanding and acceptance
conveys freedom and responsibility
as capable, creative, resilient persons
What are some things therapists/specialists should NOT do?
offer advice of suggestions
question or interrupt children
view the cild's actions as good or bad
What happens when a child's feelings are expressed and accepted?
they become less intense for him.
it validates the person of the child instead of the importance of the problem
Should questions be used with young children to understand their play?
no, it implies the child should know what his problems are..and it implies that the therapist doesn't understand.
How do you reply when a child says, "What does this do?"
"It can do whatever you want it to do."
How should you address the child?
address him, don't talk about him as though he's not present.
Don't include yourself in the child's actions (we don't do that...")
What is the best way to a child?
What is the most difficult thing for therapist/specialist in therapeutic play?
What are the basic guidelines for limit setting?
opportunity to learn self control
opportunity to choose, gives control
should be kept to a minimum
stated in a calm, patient, matter-of-fact and firm way
focus and emphasis on the child
children should be allowed to be separate
When are limits needed and when should they be stated?
They are not needed until they are needed.
Rationales for Limits
1. limits provide physical and emotional security and safety for children
2. protect the physical well-being of therapist and facilitate acceptance of the child
3. facilitate the development of decision making, self-control, and self-responsibility of children
4. anchor the session to reality and emphasize the here and now
5. promote consistency in the playroom environment
6. preserve the professional, ethical, and socially acceptable relationship
7. protect the play therapy materials and room
Examples of limit setting statements:
"You would like to paint on the wall, but the wall is not for painting."
reflect the child's feeligns
What implications does "okay" have?
it makes the child think that you're unsure or wishy washy, or harsh
What is the ACT method?
Method of communicating a limit
What are the steps to the A.C.T. method?
1. acknowledge the child's feelings, wishes and wants
2. communicate the limit
3. target the limit
What is a final choice and what does it convey?
Final choice- a choice about what he wants to occur, if he chooses to cross the limit
>it conveys choice and responsibility...but doesn't imply rejects of the child, rather the behavior
What happens when limits are broken?
Often a cry for help-they want definite boundaries
Reflect the child's feelings and desires while maintaing the limits
Never use limits to punish a child
You still accept the child even though a limit may have been broken
Taking toys from the playroom
Leaving the playroom
Personal items are not for playing
Limiting water in the sandbox
Urinating in the playroom
LOOK OVER SLIDES FOR IN DEPTH STUDY
What are some things to consider if a child is silent?
acceptance is not conditional
a responsive attitude is not dependent on the child talking
respond to what he is doing, but do not give a running commentary, respond to the feelings the child is expressing
What are some things to consider about bringing personal items into the playroom?
security items can be allowed
remote-control toys, or other toys that perform, rather than engage should not be allowed
no books because child may withdraw
no food, it's distracting
How could you respond to stealing a toy?
don't ask the question you already know
don't beat around the bush or pretend you didn't see
say, "I know you would like to take the car with you, but the car stays here."
How do you respond to a kid sitting on your lap?
"I know that's fun for you, but I know you like me without your sitting on my lap."
sexual abuse? trying to please?
"I know you want to pretend to be a baby, but you can do that in the baby bed over there."
How do you respond to a child refusing to leave?
he is developing self control and he should be able to leave when it is time eventually
give him a few minutes to finish up what he is doing
firmly stat that it is time to leave and he will be back in a week
How do you respond to a child playing a guessing game?
never try to guess what a child is painting, drawing or acting out
say "sounds like you have something in mind." or
"sounds like you have something planned."
"you can tell me"
gifts from the heart, emotional gifts
christmas gifts are ok...but be careful
They think they are "good" if gifts are given
play should not be rewarded
if they are rewarded...they are less likely to express aggressive behaviors
whose needs are being met by giving gifts?
Asking a child to clean up
should not be asked to clean up because this is how he has expressed himself
sweeping, or picking up tissues/adult
toys are children's words, play is their language
not punishing them
There is no way to force them if they refuse.
Why is filial therapy and parental involvements sometimes helpful?
positive effects on language
What are some do's for parents and children?
set the stage
let the child lead
track child's play
reflect the child's feelings
salute child's power and encourage effort
join in play
be verbally active
What are some don'ts for parents and children?
criticize any behavior
praise the child
ask leading questions
initiate new activities
be passive and quiet
What are some reasons why parents misread their child's play?
child who is chronologically 4 years and yet are cognitively 20 months old
What are the elements needed for therapeutic sand play?
sand and water- basic elements of the earth
collection of miniatures- universe of symbols and images
What is the process of sand play?
child chooses miniatures
1 inch thick sand
wet or dry
no direction is provided
some children work silently and some talk
after child leaves, take picture of tray
specialist offers no guidance or interpretation
What are the 6 signs/symptoms of possible clinical implications in sand play?
1. unpeopled worlds
2. empty worlds
3. disorganized chaotic worlds
4. Rigid worlds/worlds with rows
5. fenced/closed worlds
6. aggressive worlds
LOOK ON SLIDE
Differences in brain waves and what state healing occurs in music/dance.
Beta brain waves- 13-25 cycles per second (alert and awake)
Alpha- 8-12 cycles per second (state of relaxation and tranquility)
Theta- 4-7 c/s (verge of sleep)
Delta Brain- 3-5 c/s (deep sleep)
active vs passive listening
: focusing directly on music being played
: background tool to enhance the primary task at hand
Know the differences in breathing (visualization)
complete natural breathing
chest or thoracic
The phenomenological approach would be in art therapies:
study of events in their own right rather than from preconceived causes
open to a variety of meanings, the context in which they were created
maker's way of viewing the world
Significance of Color choice
color choices don't typically emerge until age 4
ages 6-9 children begin to develop rules for color
unusual use of color may be more easily noticed and have more significance
older children use color realistically
Significance of color
unusual use of color
emphasis of one color in a drawing over others
cultural/environmental significance (barney)
red and black
: burning sensation, pain, blood
: red dots or jabs
images and color may represent misconceptions
Depression and color choice
traditional belief that depressed children tend to use black and dark colors has contradicted some studies
bereavement, isolation, despair and destruction are difficult to separate
tears, excessive use of black, rain can all be indicators of grief
isolations may show a character/self separate from group or alone on a page
destructive images may be ugly or damaged images
differences between art creation and acuity of traumatic experiences
acute or recent trauma
: may express more freely, may feel more secure in setting
chronic trauma (life long abuse)
: less secure and more anxious, may be restricted in freedom, may need longer to gain trust
What significance does size play in art?
size of human is related to self-esteem or adequacy
also be an indicator of avoidance or lessening the threat (physical abuse)
unusual size of object conveys significance (coffee pot)
What are ways you can facilitate language during art creation to avoid saying, "What is that?"
"I see a person looking out of the window of the house and a dog in the yard."
"I see lots of green today with wavy lines."
"I wonder what he is thinking when he is looking out the window."
"What title do you want to give the picture?"
"Can I ask them a question?"
"I wonder what would happen if..."