Discussion 1: Play Therapy For Children Who Have Been Abused
Discussion 1 Play Therapychildren Who Have Been Abused Or Traumatized
Children who have been abused or traumatized in some way may benefit from working with a therapist. Children often reenact trauma through repetitious play in order to establish mastery over their emotions and integrate experiences into their history on their own terms. Through the use of toys and props, children may naturally share their emotions and past experiences without feeling the pressure they might encounter with traditional talk therapy. For this Discussion, review the course-specific case study for Claudia and the Chiesa (2012) and Taylor (2009) articles. Respond to the colleagues posts below by expanding on evidence in support of play therapy.
Support your responses with specific references to the Learning Resources. Be sure to provide full APA citations for your references.
Paper For Above instruction
Children who have experienced trauma, such as witnessing a mugging, often face emotional challenges that can interfere with their development and daily functioning. Play therapy emerges as a vital intervention, especially suitable for children like Claudia, to help them process and overcome such traumatic incidents. This paper discusses how play therapy can be beneficial for traumatized children, particularly focusing on Claudia’s case, and explores specific strategies that can be employed to address her fears and anxiety, supported by current literature in the field.
Introduction
Trauma in childhood can have long-lasting effects that manifest through emotional, behavioral, and developmental difficulties. Traditional talk therapy may be less effective with young children due to limited language skills and the discomfort of verbalizing intense emotions. Play therapy offers a developmentally appropriate, non-threatening approach that enables children to express themselves through activities and symbolic play (Bratton et al., 2005). For children like Claudia, who witnessed a mugging and now display symptoms of anxiety, fear, and dependence, play therapy presents a tailored method to facilitate healing and emotional regulation.
Theoretical Foundations of Play Therapy
Play therapy is rooted in child-centered and developmental theories, emphasizing the importance of play as a natural mode of expression for children (Knell & Mather, 2011). It allows children to communicate feelings and thoughts that they might struggle to articulate verbally. Techniques like sandtray therapy incorporate symbolism, reflection, and transformation, providing a safe space for children to explore their internal world (Chiesa, 2012). Furthermore, the use of toys, puppets, and sand collaboratively fosters a therapeutic alliance, empowering children to regain a sense of control and mastery over their trauma (Bratton et al., 2005).
Application to Claudia’s Case
Claudia’s trauma from witnessing a mugging has resulted in heightened anxiety, separation fears, and hypervigilance. Play therapy can directly target these symptoms by encouraging her to reenact her experiences and express her fears symbolically. For instance, using a sandtray with figures representing her and the mugging assailant can help her externalize her emotional response. She can gradually develop narratives that symbolize her perceived power, safety, and understanding of her environment (Plummer, Makris, & Brocksen, 2014).
Implementing Sandtray Therapy
The sandtray modality provides Claudia with an opportunity to visually and kinesthetically engage with her feelings. As Chiesa (2012) suggests, the sandtray allows children to observe and reshape their emotional world, leading to insights, emotional relief, and greater self-awareness. This technique helps her visualize her perceptions of "good" versus "bad" people, and gradually distinguishes her fears from reality, fostering resilience (Taylor, 2009). For example, Claudia might place police figures and protective symbols in her sandtray to symbolically represent safety and control over her environment.
Externalization Play
Building upon the case, I would incorporate externalization techniques using puppets or dolls. As Selva (2020) advocates, externalization allows children to detach from their problems, facilitating a non-threatening discussion about fears. For Claudia, a sock puppet representing her fears could be used to enact scenarios where she interacts with her worries, discussing how they might be addressed, and empowering her to reclaim agency (Woolfolk, 2018). This technique helps diminish feelings of helplessness and encourages behavioral and emotional regulation.
Integrating Cognitive-Behavioral Techniques
Complementing play therapy with cognitive-behavioral approaches can enhance outcomes. CBT strategies involve helping children identify and challenge distorted thoughts associated with trauma (Ruffolo & Allen-Meares, 2013). For Claudia, structured activities such as imaginal exposure combined with play, like creating safe scenarios in sand or puppets, could gradually desensitize her fears. Parental involvement is critical, allowing her family to support her emotional processing outside therapy sessions through consistent reinforcement of safety and coping skills (Kazdin, 2008).
Conclusion
In sum, play therapy offers a versatile, effective framework for helping traumatized children like Claudia process their experiences and regain emotional stability. Techniques such as sandtray therapy and externalization play provide safe, symbolic outlets for children to explore difficult feelings. When integrated with cognitive-behavioral strategies and parental involvement, play therapy can significantly improve trauma-related symptoms and promote resilience. Continued research and clinical practice underscore the importance of individualized, developmentally appropriate interventions in fostering healing in traumatized children.
References
- Bratton, S. C., Ray, D., Rhine, T., & Jones, L. (2005). The efficacy of play therapy with children: A meta-analytic review. Psychotherapy Research, 15(4), 319-338.
- Chiesa, C. (2012). Scripts in the sand: Sandplay in transactional analysis psychotherapy with children. Transactional Analysis Journal, 42(4), 242-249.
- Kell, S. & Mather, R. (2011). Play therapy for preschool children. International Journal of Play Therapy, 20(3), 157-170.
- Kazdin, A. E. (2008). Evidence-based practice in child and adolescent psychotherapy. Journal of Clinical Child & Adolescent Psychology, 37(1), 74-85.
- Knell, J. & Mather, N. (2011). Play therapy research review. Professional Psychology: Research and Practice, 42(3), 177-184.
- Plummer, S.-B., Makris, S., & Brocksen, S. M. (2014). Social work case studies: Concentration year. Laureate International Universities Publishing.
- Ruffolo, M., & Allen-Meares, P. (2013). Intervention with children. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 41-69). Wiley.
- Selva, J. (2020). Play therapy techniques, toys and certification opportunities. Play Therapy Association.
- Taylor, E. R. (2009). Sandtray and solution-focused therapy. International Journal of Play Therapy, 18(1), 56-68.
- Woolfolk, A. E. (2018). Educational psychology (13th ed.). Pearson.