Qualitative research and its role in play therapy research.

The role and value of qualitative research for play therapy is the focus of this article. The premise is that qualitative research is a natural extension of the therapeutic process and thus can make a contribution to play therapy in the development of models and theories that will lead to future research and development. Qualitative research is placed within the context of current issues related to research in play therapy. The characteristics of qualitative research are presented and linked to the therapeutic process. Suggested research questions appropriate for qualitative inquiry are suggested. We can use qualitative research to build our understanding of the therapeutic process and the relationships in therapy helping to construct a model of change and a theory of growth change within play therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparison of behaviors and play themes over a six-week period: Two case studies in play therapy.

As a method for counseling children, play therapy continues to demonstrate effectiveness through research and to be included in mental health training programs throughout the country. However, like other counseling interventions, capturing the essence of the therapeutic environment is complex and dependent on individual perspectives and experiences. In this article, two case studies are presented to demonstrate the use of quantitative and qualitative measures in comparing the behavioral changes as rated by caregivers on the Child Behavior Checklist (CBCL) and play themes observed by play therapists over a 6-week period. For both children in the study, behaviors and themes were related. As the children made changes in their play themes over the 6-week period, they also made changes in their behaviors at home. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Limits and relationship in child-centered play therapy: Two case studies.

This article presents case studies exploring two boys' uses of limit testing as a therapeutic tool in child-centered play therapy (CCPT). Both boys were referred for behavior that was abnormally disruptive for their age and setting, which was kindergarten in an elementary school that serves a very high poverty community and is accustomed to handling misbehavior. Data evidencing progress is provided as a reference point, while analysis is focused on conceptualization and mechanisms of change related to each child's use of limit testing in CCPT. The authors suggest that each boy used limit testing in CCPT to try out the therapeutic relationship as a stand-in for other relationships, to rethink relational expectations inside and outside of therapy, revisit unmet needs and meanings of early experiences, and change self-concept in ways that affected positive behavioral change. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Introduction to play therapy research theme issue.

Play therapy is at a point in its history where outside forces are demanding that we look at ourselves and demonstrate that what we do has empirical value. Many of these outside forces have either ignored play therapy or have questioned, even denied, the capacity of play therapy to produce positive outcomes in therapy and counseling of children. It is from this perspective that the need for a special research theme issue was born. Detractors and supporters of play therapy need to know what the state of the art is in play therapy research, along with ways we can help move play therapy research exposure and credibility forward. Sandra Frick-Helms was invited to guest edit this first in a series of theme issues for the International Journal of Play Therapy. She in turn asked Athena Drewes to join her in coediting this issue because of her wide range of knowledge, skill, and contacts in the therapy and counseling fields. Together, they have compiled an impressive grouping of authors and researchers who offer the reader food for thought and practical tips for research application. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Repetitive symbolic play as a therapeutic process in child-centered play therapy.

Child-centered play therapy describes the therapeutic relationship between the child and play therapist as a facilitative environment that provides the child with an experience of congruence within their sense of self, promoting self-directed healing. Within this environment, the child is able to confront emotional pain imbedded in lived, relational experiences, processing and gaining mastery over it through repetitive symbolic play. However, very little research exists regarding repetitive symbolic play as a therapeutic process. This article aims to illustrate, through the use of a qualitative, interpretative case study and hermeneutic enquiry, how a 6-year-old boy's use of repetitive symbolic play assisted him toward healthier adjustment in his home and school environments. Hermeneutic analysis suggests that the child's use of repetitive symbolic play became a therapeutic process in and of itself that contributed toward self-directed change within his sense of self, which promoted healthier adjustment within his environment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Child-centered play therapy.

Presents child centered play therapy (CCPT), including the rationale, basic tenets and effectiveness of the approach. The stages of CCPT are described. As the name suggests, CCPT focuses on the child and not on his or her problems. Most children not only thrive in the play environment, but with the therapeutic contributions of the therapist, go to reach higher levels of maturity and adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Discovering African American parents' perceptions of play therapy: A phenomenological approach.

A qualitative investigation illuminating the perceptions of eight African American caregivers of elementary school-age children. In particular, this study explored questions that pertained to African American parents' (a) thoughts about counseling, (b) beliefs about the purpose of play, and (c) perceptions about play as a therapeutic agent in counseling. Analysis of African American caregivers' responses to interview questions revealed information about two main themes: (a) value of play and (b) receptivity to counseling. Participants identified developmental learning and energy release as two of the main values surrounding play. They also indicated that receptivity to counseling was directly related to specific facilitative factors, or lack thereof. Implications for play therapists' work with parents and directions for future research are explored. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The effectiveness of play therapy: Responding to the critics.

Notes that play therapy has long been criticized for a lack of adequate research base to prove its efficacy. For 6 decades, while play therapists conducted small research studies, critics challenged the utility and efficacy of play therapy as a viable psychotherapy intervention. The purpose of this study was to conduct a meta-analysis of 94 research studies focusing on the efficacy of play therapy, filial therapy, and combined play therapy and filial therapy. The following electronic databases were used in the authors 3-yr search for studies on play therapy: PsycLit, PsycINFO, ERIC, FirstSearch, and Dissertation Abstracts. Meta-analysis revealed a large positive effect on treatment outcomes with children. Play therapy appeared effective across modality, age, gender, clinical vs nonclinical populations, setting, and theoretical schools of thought. Additionally, positive play therapy effects were found to be greatest when there was parent involvement in treatment and an optimal number of sessions provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integrating play and family therapy methods: A survey of play therapists' attitudes in the field.

The researchers surveyed 295 members of the Association for Play Therapy on their attitudes related to working with families when treating children. The results indicated the majority of play therapists held attitudes conducive to involving families in their approaches with children. However, mixed findings were found in specific areas related to the implementation of play therapy with families, suggesting barriers may exist. These mixed findings included a decreased percentage of play therapists that felt like play therapy was effective in family therapy when compared with the high level who felt that play and family therapy approaches could be integrated. Moreover, the respondents were divided on issues such as parents' willingness to be involved in therapy with their children and if parents were actually resistant to being included in sessions with their children. These mixed findings suggest that a wide range of attitudes and experiences about parental involvement exist among play therapists in the field. The authors raise key questions for the play therapy field to consider in more depth and suggest improvements that may be needed in play therapy education to increase the efficacy of play therapists' skills in working with families. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Gestalt play therapy.

Gestalt play therapy is described in this article. The tenets of this directive approach, the role of the therapist, and the goals of therapy are presented. In Gestalt play therapy the goal is to give back to children those aspects of the self that children have lost. It is the therapist's job to provide experiences to accomplish this. Once children regain healthy use of those immoralities that they had available to them as infants, they will find themselves on the rightful path of growth. This phenomenon has been observed again and again. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Somatic expressions of trauma in experiential play therapy.

The authors postulate that trauma experienced during childhood effects brain functioning that is inaccessible to verbal recall. Trauma memories are observed in children's habitual and sporadic body movements. These repeated somatic expressions and affective states activate somatic disorders and traumatic traits. A correlation between trauma responses in animals to somatic expressions in children is established. The trauma effects of these unconscious, implicit memories require special strategies. Experiential Play Therapy (EPT) (Norton & Norton, 2006) has implications for accessing and alleviating these memories. In EPT, children follow patterns in their expressions of trauma experience as explained using the Nortons' 4 Ss of Trauma Expression and Healing. Utilizing these play patterns facilitates the dissipation of trauma. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Filial family play therapy with an adoptive family: A response to preadoptive child maltreatment.

This article describes an in-depth case study analysis of the process of working therapeutically with a family, who adopted a young male after several child maltreatment experiences, using filial family play therapy. Psychological and behavioral assessments conducted before and after the play therapy process illustrates a varying picture of results in the scores of both parent and child functioning. In-depth narratives collected from the adoptive parents a year later reflect the positive influence the play therapy process had on long-term family dynamics. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multicultural trends and toys in play therapy.

Because culture plays an increasingly important role in play therapy, the purpose of this article is to review existing literature on multicultural issues in play therapy and to discuss current trends and toys in play therapy reported from a group of play therapists. A group of play therapists (N = 505) registered with the Association for Play Therapy were asked to respond to two open-ended questions: What trends, if any, do you see in play therapy with your culturally diverse clients? What items do you include in your playroom to specifically represent culturally diverse populations? Responses to these open-ended questions were analyzed using open and axial coping as part of the inductive process. Results of the first question were grouped into five main categories and responses to the second question were categorized based on area and type of play. Based on the results of this study, implications for multicultural play therapy are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effective parent consultation in play therapy.

Effective communication with caregivers can contribute to successful play therapy outcomes. This article examines the structure of parent consultation in play therapy. The components of effective parent consultation are outlined, from the initial phone interview through termination, to provide guidance to play therapists for communicating with caregivers throughout the therapy process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapists’ use of congruence in nondirective play therapy and filial therapy.

Although the U.S. child-centered approaches of Garry Landreth and Louise Guerney have the same principles and practice skills as nondirective play therapy as practiced by therapists trained at the University of York, there are a few differences in their approach. Therapists’ practice of “congruence” is actively encouraged for York-trained therapists but not for Landreth and Guerney-trained therapists. The theoretical and practice rationales for expressing congruence that underlie the York approach are examined here, as well as potential pitfalls. Examples of therapists and parents verbally expressing their congruent feelings in therapy are given from both play therapy and filial therapy practice. Special attention is paid to the need for and uses of congruence when helping children and young people who were maltreated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Congruence in nondirective play and filial therapy: Response to Ryan and Courtney.

Differences in the training of nondirective play therapists between University of York (U.K.) approach and the Guerney and Landreth approaches (U.S.) has been raised by Ryan and Courtney (2009). York-trained therapists are encouraged to initiate expression of their own feelings at selective times to assure that therapists are congruent in their relationship with children in nondirective play-therapy. Congruence, an important component of the necessary and sufficient conditions for therapeutic personality change (Rogers, 1957), is based on the importance of therapist genuineness to maintain a trustful and safe therapeutic relationship. This article compliments Ryan and Courtney (2009) for introducing the importance of congruence in play therapy. The assumptions of nondirective play therapy in the Guerney approach was influenced significantly by their development of filial therapy and to the training of parents and therapists, This article asserts that congruence, in the Guerney approach, is incorporated by therapists expressing their own feelings only when this is initiated overtly or covertly by the child. Responding to a child in this way is dependent on the empathic attunement to a child's emotional motivation by a skillful parent or therapist. This raises questions about whether a nondirective stance is maintained in the York approach. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Two case studies of child-centered play therapy for children referred with highly disruptive behavior.

This article presents two cases with strong evidence measures in which child-centered play therapy (CCPT) was provided for children referred for highly disruptive behavior, including attention problems and aggression. Apparent progress was evidenced on the Teacher Report Form (TRF) of the Child Behavior Checklist (Achenbach & Rescorla, 2001). One client had a waiting period equal to his treatment period in which ratings were stable before change across his treatment period. The cases provide opportunities to consider how CCPT may work differently for similar behavioral difficulties in individual children. Researchers conceptualized each client's areas of difficulty and apparent treatment effects as an expert panel, aided by indications from the TRF. Individual discussions are provided regarding rationales for apparent progress and why CCPT seemed to have been effective. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Association for play therapy: A decade in retrospect.

This article summarizes a presentation given during the Tenth Annual Play Therapy Conference in Atlanta, Georgia. The purpose was to correlate the relationship between keynote addresses at APT Conferences over the past decade and the continuing development of play therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

How firm is our foundation? Current play therapy research.

The present article examines play therapy research since Phillips’s (1985) review. Play therapy’s evidence base remains largely inadequate using specific scientific/methodological criteria. The most compelling evidence for play therapy’s effectiveness is found for children facing medical procedures, although alternative explanations of the same data cannot be disconfirmed. The present conclusions are considered relative to findings from recent meta-analyses of play therapy research. Suggestions are made for improving play therapy research as well as broad questions to guide such research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)