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)     

The Impact of an Older Adult's Death on the Family.

The death of an older adult member in a family can have a significant impact on family functioning, and clinicians often find themselves in unfamiliar territory when treating bereaved family members. Psychologists' conception of the grief process has changed a great deal over recent years in combination with a new emphasis on the context in which an individual's grief is taking place. This article focuses on the impact of an older adult family member's death on members of the surviving family, particularly the impact of a parent's death on surviving adult children. The impact of a grandparent's death on surviving children and on the family as a whole is also considered. Implications for treatment are provided based on a review of the theoretical and empirical literatures pertaining to this topic. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Postmodern sandplay: An introduction for play therapists.

In this article we apply postmodern insights to sandplay therapy. In doing so, we seek to move sandplay therapy from its traditional base of an endeavor at problem solving: a therapeutic method to aid one's diagnosis and address concerns over functioning. Rather, we offer an approach to sandplay therapy from a base of postmodern thought. As has been done in the field of family therapy with solution-building therapy (De Jong & Berg, 2002) and narrative therapy (White, 2007), postmodern insights transform this therapeutic method into a narrative endeavor concerned with the articulation of identity as the means to foster change in the client. Sandplay offers a safe and secure site where the articulation of this new, empowered identity begins to get crafted. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Exploring sandplay therapy: Application to individuals with traumatic brain injury.

Adolescents with traumatic brain injury (TBI) often experience social, emotional, and behavioral challenges requiring intervention. Although sandplay techniques have been used with targeted populations, there are no published accounts of sandplay applications with children or adolescents with TBI. This article explores the merits of sandplay approaches for clients with TBI with respect to key features of TBI, including language, communication, psychosocial, and executive function impairments. Two case examples of adolescents with TBI treated with sandplay therapy are presented, followed by discussion and recommendations for further study in the application of this technique with individuals experiencing emotional or behavioral difficulties associated with TBI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of play therapists in children’s transitions: From residential care to foster care.

Permanency planning operates on the belief that all children have the right to stable housing. This approach to child welfare has been implemented as a way to protect children from the negative outcomes associated with long-term residential care and multiple foster home placements. When a child is ready to leave residential care and return to a family living environment, there are multiple steps involved in the selection of a family and a child’s preparation for discharge. Play therapists perform many roles in these cases, all of which are critically important to children’s success in their new environments. This article’s aims are to (a) describe the various roles of play therapists in the residential-to-foster care transition process, (b) highlight several therapeutic techniques play therapists can use in their work with children preparing to leave residential care and enter a new foster home, and (c) discuss some of conflicting feelings that accompanies such sensitive work. A case study will further illustrate the ways in which play therapists can advocate for children who are ready to leave residential care. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counseling children with preverbal trauma.

This article is written to argue, based upon analytical premises, that play therapy holds promise as a means of addressing preverbal trauma. Gaensbauer (2002) indicated that the capacity to encode and retain meaningful internal representations of the salient pieces of a traumatic event may be available to children as early as 6 months of age. Play therapy encourages children to symbolically express their feelings through play and create a coherent trauma narrative as a means of gaining mastery over difficult and often disturbing thoughts and feelings. This article's purpose is to educate play therapists about the complexities of preverbal trauma and promising treatment interventions that can be used in play therapy with this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Play, aggression, the preschool child, and the family: A review of literature to guide empirically informed play therapy with aggressive preschool children.

Preschool-aged children displaying high levels of aggression repeatedly have been shown to be at significant risk for continued behavior problems and other social and emotional challenges throughout their lifetimes. The present literature review seeks to summarize and integrate findings across the fields of developmental psychology, family studies, child development, and play therapy to inform play therapists' practices with this population. Specifically, findings from research in these fields hold substantial implications for empirically informed ways in which play therapists can include parents within play therapy processes. Affective quality of parent- child interactions emerges as the common theme across all existing literature and is emphasized as a critical focus for play-based therapeutic intervention. Topics for future research by play therapists focusing on this population are suggested. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Young children in family therapy.

Reviews the book, Young Children in Family Therapy by Joan J. Zilbach (1985). This is a benchmark book. It is the first attempt to address this topic exclusively and brings attention to a neglected resource in family therapy--young children. It is worthy reading for experienced family therapists and trainers who have excluded young children from participating in family therapy, as well as for students and novice clinicians. The outstanding selection of case vignettes beckons for a reconsideration of the place of young children in family therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An experimental inquiry into transference roles and age.

In this psychotherapy analogue investigation, the effects of client age and therapist age on transference-like projections onto therapists were examined. Young (25–35) and older (60–70) pseudoclients compared paraprofessional therapists to significant figures in their own lives after a dyadic "helping" interview. The results provide empirical support for the phenomenon of reverse transference in therapy with older patients. Older clients were more inclined than young clients to view therapists, particularly younger therapists, as similar to their children. Young clients more willingly attributed parental qualities to older therapists. Both old and young clients may see therapists more as peers or friends than as family members. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family functioning in families of children with anxiety disorders.

The authors examined maternal and paternal reports of family functioning and their relationship with child outcomes as well as the association between anxiety and depression in family members and family functioning. Results reveal that maternal and paternal reports of family functioning were both significantly associated with worse child outcomes, including child anxiety disorder (AD) severity, anxiety symptoms, and child global functioning. Maternal and paternal anxiety and depression predicted worse family functioning, whereas child report of anxiety and depression did not. Parents of children with ADs reported significantly worse family functioning and behavior control, but only fathers reported worse problem solving and affective involvement compared with fathers of children with no psychological disorders. Findings from this study suggest that paternal as well as maternal anxiety and depression play a role in worse family functioning in children with ADs and that unhealthier family functioning is associated with worse child outcomes in this population. (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)     

Who are we, but for the stories we tell: Family stories and healing.

Storytelling is a notable part of family life. Families share stories that illuminate and combine their separate experiences into a meaningful whole. Families narrate both their best and worst life experiences and in this way pass down a heritage of remembrances from one generation to the next. Clinicians working with families who have been impacted by trauma can use family storytelling to aid healing. This article reviews the functions of family storytelling and the skills used by family members in the act of storying to illustrate how therapists can facilitate families' use of their storytelling skills in the healing 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)     

A step toward disentangling the alliance/improvement cycle in family therapy.

The authors focused on 2 unique aspects of the alliance in conjoint therapy: feeling safe in the therapeutic context with other family members and the family's shared sense of purpose about treatment (i.e., productive within-family collaboration). Low-income, multiproblem families were seen in a community clinic by therapists with varying theoretical orientations and a wide range of experience. Alliance-related behavior was assessed using the System for Observing Family Therapy Alliances (M. L. Friedlander, V. Escudero, & L. Heatherington, 2006). The significant mediated model showed that parent safety contributed to productive family collaboration in the 1st session, which, in turn, predicted global improvement rated after Session 3. Given the heterogeneous sample of clients, therapists, and therapy approaches, findings support the ecological validity of the alliance in family therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sandplay: A comparative study.

Examined differences in play themes, play characteristics, object use, and narratives, elicited by the sandplay technique, with 5 coping (CG) and 5 difficulty-coping (DCG) 6–8 yr olds. Differences between the 2 groups, and the assessment and therapeutic value of sandplay was ascertained. Sandplay was adapted from the work of M. Lowenfield (1979), who in 1929 developed the technique of using miniature figures in a sand tray to encourage children to create a symbolic representation of their world in concrete form. Ss participated individually in sandplay, on 4 separate occasions, and over a 2 mo period. The CG tended to view their world as more balanced, vital, and organized, where others guide them, and they are safe. They showed resourcefulness in dealing with adversity and had hope for the future. The DCG tended to perceive their world as barren, a struggle, and consisting of threat and danger. The tended to lack resourcefulness in dealing with adversity and had a lack of hope for the future. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Finishing well: Aging and reparation in the intergenerational family.

Reviews the book, Finishing well: Aging and reparation in the intergenerational family by Terry D. Hargrave and William T. Anderson (see record 1992-98532-000). The purpose of this book is to help older people and their families complete life in a more satisfactory way through contextual family therapy. The essence of the contextual approach is to resolve family relationships by building trust and commitment in the family through redressing the imbalance of entitlements and obligations within the family. In this review, the dynamics of family relationships are described and the stages of family therapy as detailed in the book are summarized. In the book, the authors focus on the importance of forgiveness and describe the technique by which they promote forgiveness between family members. According to the reviewer, the book is well written because the therapeutic techniques are clearly illustrated with examples from therapy cases. This book can be enthusiastically recommended to all therapists engaged in therapy with older people, and to those doing family therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The self in the family system: Expanding the limits of family therapy.

Reviews the book, The self in the family system: Expanding the limits of family therapy by Michael P. Nichols (see record 1987-98398-000). The authors' major thesis is that having recognized the importance of family dynamics (the "system") on the behavior of the individuals within it, systems theory has neglected both the individual self as well as the influence of the self on the system. Nichols demonstrates this by quoting the more influential family systems theorists and by the use of numerous clinical vignettes, and then he sets about to remedy the situation. In so doing he effectively integrates and synthesizes current psychodynamic theories with current systems theory. The result is a powerful argument for the absolute necessity of expanding existing limits of family therapy and attending to the unique feelings, perspectives, motivations, and personal responsibility of the individuals comprising the system. This broadened perspective of the family therapist's role necessarily requires knowledge of and expertise with both systems theory and current psychodynamic theory and practice. Nichols does not advocate individual therapy within a family context. Rather he emphasizes the need for the family therapist to effectively and flexibly shift from a focus on the family dynamics to the individual dynamics depending on the relatively greater therapeutic usefulness of either perspective at any given point in treatment. For those family therapists who have not reached Nichols's conclusions, this book deserves to be read critically, carefully, and with ruthless honesty. Finally, any practicing psychotherapist, student, or teacher will find this book to be an essential addition to his or her personal library. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Opportunity for interaction? A naturalistic observation study of dual-earner families after work and school.

Everyday patterns of interaction can strengthen or undermine bonds between family members. This naturalistic observation study focused on an understudied facet of family life: opportunities for interaction among dual-earner family members after work and family members’ responses to these opportunities. Thirty dual-earner couples and their children were observed and video-recorded in their homes throughout two weekday afternoons and evenings. Two interaction opportunities were analyzed: (1) the behavior of family members toward a parent returning home from work and (2) the physical proximity of family members throughout the evening. Three main findings emerged. Women, who tended to return home before men, were greeted with positive behavior and reports of the day’s information from family members. Men, in contrast, returned home later in the day and received positive behavior or no acknowledgment from family members distracted by other activities. Throughout the evening, mothers spent more time with children whereas fathers spent more time alone. Couples were seldom together without their children. The implications of observed interaction patterns and the contribution of naturalistic observation methods to the study of family relationships are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)