The power of Filial Relationship Enhancement therapy as an intervention in child abuse and neglect.

Identified variables that influence intervention in child abuse and neglect and proposes a constructive approach that can help these children and their families change. This is a difficult and complex societal problem, and it is difficult to tease out the specific elements that are responsible for the frequency of its occurrence. The family context is often recognized as having a significant influence. Filial Relationship Enhancement, using an improved family context to support gains, has a long history of research and practice to support its efficacy to intervene in difficulties that impede optimum functioning in children. Filial Relationship Enhancement helps parents learn to conduct weekly child-centered play therapy sessions with their own children at home. This article presents the basic assumptions and the rationale for considering the potential power of this approach. It also describes a program of intervention incorporated by a child protective unit of a county agency. Using informal measures, outcomes are described as well. (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)     

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)     

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)     

Child-centered play therapy with a seven-year-old boy diagnosed with intermittent explosive disorder.

Child-centered play therapy (CCPT) has been supported as an effective method for working with children. A case study is presented that describes treatment using CCPT with a 7-year-old boy diagnosed with intermittent explosive disorder (IED). This case study delineates 16 sessions of play therapy with a registered play therapist. The behavioral problems the child exhibited at the onset of therapy were greatly improved at the conclusion of the sessions. The outcome of this case study supported the use of play therapy for children with IED. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intensive filial therapy with child witnesses of domestic violence: A comparison with individual and sibling group play therapy.

The rationale for utilizing filial therapy as a treatment intervention with child witnesses of domestic violence while residing with their mothers in a shelter facility is explored and the effectiveness of an intensive 12-session filial therapy parent training group, conducted within 2-3 weeks, is described (n=11; aged 4-10 yrs). Results of analysis of covariance revealed that child witnesses in the experimental group significantly reduced behavior problems prevalent in child witnesses and significantly increased their self-concept as compared to child witnesses in the non-treatment comparison group. In addition, t-test results showed that mothers who facilitated treatment of the experimental group scored significantly higher after training on both their attitudes of acceptance and their empathic behavior. Comparative analysis revealed that intensive filial therapy as facilitated by the children's mothers was as effective in reducing behavior problems as was intensive individual play therapy and intensive sibling group play therapy as facilitated by professionally trained therapists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A longitudinal study assessing trauma symptoms in sexually abused children engaged in play therapy.

Children who have been sexually abused exhibit a variety of emotional, sexual, behavioral, and psychological problems. A great deal of interest has been generated in the use of play therapy as a clinical approach to intervention with sexually abused children. This study explores the effect of play therapy as a primary treatment modality with sexually abused children. The impact of specific traumatic symptoms and overall treatment is examined. Findings indicate that, overall, trauma symptom severity in children decreased after 6 months of play therapy. In addition, anxiety, depression, post-traumatic stress, and sexual distress scores indicated a significant decrease. Additional research is recommended to develop evaluative and systematic guidelines that will further validate the use of play therapy as an empirically supported assessment and treatment tool. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Discovering the moments of movement in filial therapy: A single case qualitative study.

This study examines the process of change in filial therapy, a type of play therapy, which engages parents as therapeutic agents in working with troubled children. Outcome studies have supported the efficacy of this approach in building parent-child relationships, reducing parenting stress, and reducing child behavior problems. The purpose of this qualitative study is to examine the process in order to understand how these changes occur. The researchers compare the viewpoints of the therapist, the parents, and an independent observer, noting the points in therapy which are deemed facilitative or inhibitive of change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

From the editor...

This editorial discusses the current issue of the International Journal of Play Therapy. In this issue, there are two special sections which feature research studies with an emphasis on play therapy strategies. The first special section focuses on the Color-Your-Life (CYL) technique--a play therapy tool developed by Kevin O'Connor. The other special section features the winner of the Association for Play Therapy's Student Research Award--a study of the effects of family play. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intensive group play therapy with child witnesses of domestic violence.

Describes the effectiveness of intensive sibling group play therapy with child witnesses of domestic violence in improving self-concept, reducing internalizing and externalizing behavior problems, and reducing overall behavior problems. A second objective of this study was to compare the effectiveness of intensive sibling group play therapy and intensive individual play therapy on the dimensions identified above. 10 children (aged 4–9 yrs) participated in the experimental group and 11 children (aged 4–10 yrs) served as controls. An analysis of covariance revealed children in the experimental group exhibited a significant reduction in total behavior problems, externalizing and internalizing behavior problems, aggression, anxiety, and depression, and a significant improvement in self- esteem. Intensive sibling group play therapy was found equally effective as intensive individual play therapy with child witnesses of domestic violence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Play therapy in Hong Kong: Opportunities and challenges.

Play therapy is a well-established therapeutic approach for working with children and families in the West. This article describes the current situation of play therapy in Hong Kong—a cosmopolitan city where East meets West. The strengths, weaknesses, opportunities, and threats confronting the development of play therapy as an extension of core graduate-level mental health training are analyzed. Through this process, a number of strategic issues central to the growth and development of professionalism in play therapy are identified and discussed. A path for the future development of play therapy for mental health professionals in Hong Kong over the next decade is presented. Possibilities for collaboration in research and practice among play therapists from all over the world are also suggested. (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)     

Play therapy outcome prediction: An exploratory study at a university-based clinic.

In this study we investigated the prediction of child centered play therapy (CCPT)/nondirective play therapy on emotional and behavioral problems using archival data from 82 child clients at a university-based counseling clinic. Statistically significant predictions were found on the Internalizing and Externalizing Problems scales on the Child Behavior Checklist. Termination and family relationship concerns variables were found to be strong contributors to predicting greater improvement. Results are discussed concerning implications for clinical practice and further research. (PsycINFO Database Record (c) 2011 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)     

How do therapists enhance family alliances? Sequential analyses of therapist-client behavior in two contrasting cases.

To identify alliance-related behavior patterns in more and less successful family therapy, the authors intensively analyzed two cases with highly discrepant outcomes. Both families were seen by the same experienced clinician. Results showed that participants' perceptions of the alliance, session impact, and improvement at three points in time were congruent with the families' differential outcomes and with observer-related alliance behavior using the System for Observing Family Therapy Alliances. In this measure, therapist behaviors contribute to the alliance and client behaviors reveal the strength of the alliance on four dimensions: Engagement in the Therapeutic Process, Emotional Connection with the Therapist, Safety within the Therapeutic System, and Shared Sense of Purpose within the Family. In the poor outcome case, observer ratings and self-reported alliance scores revealed a persistently "split" alliance between family members; this family dropped out midtreatment. Only in the good outcome case did the clients follow the therapist's alliance-building interventions with positive alliance behaviors; sequential analyses showed that therapist contributions to Engagement significantly activated client Engagement behavior, and therapist Emotional Connection interventions significantly activated client Emotional Connection. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An exploratory study of child-centered play therapy with aggressive children.

Children exhibiting aggressive problem behaviors typically reach a peak of aggressive acts at an early age, providing evidence that early intervention for aggression is needed. Child-centered play therapy (CCPT) is 1 intervention that offers the child an environment in which aggression can be expressed and empathically responded to by a play therapist. Forty-one elementary school age children were assigned to a CCPT condition or a wait-list control group condition. Children who participated in 14 sessions of CCPT showed a moderate decrease in aggressive behaviors over children in the control group, according to effect sizes as reported by parents (N = 32). Teachers reported that both groups significantly improved over time (N = 41). Post hoc analysis revealed that children assigned to CCPT decreased aggressive behaviors statistically significantly and children assigned to control group demonstrated no statistically significant difference. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of Teaching Play Therapy Attitudes and Skills to Undergraduate Human Services Majors.

This study investigated the effectiveness of an undergraduate human services course based on Landreth's (1991, 2002) 10-week model of filia, therapy and Adlerian principles as in Kinder therapy (White, Flynt, and Draper, 1997). Specifically, this research determined whether the training received in this course facilitated change in the undergraduate students' attitudes toward and empathic behavior with children, the students' parenting attitudes, and their play therapy attitude, knowledge, and skills. Experimental and control groups of undergraduate human services majors completed pretest and posttest measures. Each group also had a 30-minute videotaped play session with a young child. The results revealed the undergraduate students in the course had significantly better scores. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Efficacy of Play Therapy With Children: A Meta-Analytic Review of Treatment Outcomes.

The efficacy of psychological interventions for children has long been debated among mental health professionals; however, only recently has this issue received national attention, with the U.S. Public Health Service (2000) emphasizing the critical need for early intervention and empirically validated treatments tailored to children's maturational needs. Play therapy is a developmentally responsive intervention widely used by child therapists but often criticized for lacking an adequate research base to support its growing practice. A meta-analysis of 93 controlled outcome studies (published 1953-2000) was conducted to assess the overall efficacy of play therapy and to determine factors that might impact its effectiveness. The overall treatment effect for play therapy interventions was 0.80 standard deviations. Further analysis revealed that effects were more positive for humanistic than for nonhumanistic treatments and that using parents in play therapy produced the largest effects. Play therapy appeared equally effective across age, gender, and presenting issue. (PsycINFO Database Record (c) 2010 APA, all rights reserved)