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)     

Intensive child-centered play therapy with child witnesses of domestic violence.

Examined the effectiveness of child-centered play therapy sessions every day for 2 wks as an intervention for child witnesses of domestic violence. 22 children (aged 4–10 yrs) participated. The analyses of covariance indicated that children in the experimental group experience a significant increase in self-concept, a significant decrease in external and total behavior problems, a significant increase in the play behavior of physical proximity to the therapist, and a significant increase in the play behavior of nurturing and creative play themes. The results support utilizing intensive play therapy to treat child witnesses of domestic violence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Domestic violence, emotion coaching, and child adjustment.

This article addresses the question of whether parents in domestically violent homes have difficulty talking to and helping their children manage their emotions-what has been referred to as emotion coaching. Emotion coaching as a moderator in the relationship between domestic violence (DV) and children's behavior problems was also examined. Results indicated that DV was not associated with a general deficit in emotion coaching but that DV was associated with less coaching of anger and fear depending on whether the parent was the perpetrator or victim of DV. Emotion coaching also moderated the relationship between DV and children's behavior problems. Implications for the development of an intervention program to improve parental coaching of emotion in domestically violent homes is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reenvisioning Jungian analytical play therapy with child sexual assault survivors.

Child sexual abuse (CSA) is a pervasive, traumatic event (A. H. Heflin & E. Deblinger, 2007) affecting hundreds of thousands of ethnically and socioeconomically diverse children and families across the United States (F. W. Putnam, 2003). E. Gil (2006) and J. S. Shelby and E. D. Felix (2006) have noted that integrative therapies--those that combine directive and nondirective strategies--possess the capacity to benefit a child traumatized by sexual assault. Jungian analytical play therapy (JAPT) is a creative, integrative therapy that may be beneficial when applied to children affected by CSA (J. Allan, 1988). Within the safety of a nonjudgmental, therapeutic relationship, children affected by CSA may become consciously aware of and subsequently resolve conflicting emotions associated with sexual assault in symbolic, less-threatening ways. Through participation in JAPT, the child's psyche may begin the therapeutic process of integrating inner and outer emotional polarities in an archetypal quest for self-healing after sexual trauma (E. Green, 2005). (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)     

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)     

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)     

Psychodynamic play therapy with a high-functioning autistic child.

The increasingly dominant and sound view of autism as a developmental disorder has led to adoption of highly structured behavioral interventions and abandonment of psychoanalytic approaches. This article intends to reaffirm the relevance of traditional psychodynamic play therapy to the milder variants of the autistic syndrome. The therapy process with one high-functioning autistic child is examined and discussed in the context of autistic pathology and psychodynamic theory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of domestic violence on the maternal-child relationship and preschool-age children's functioning.

Although preschool-age children are at risk for witnessing domestic violence, the majority of research has focused on children ages 6 to 12 years. This study examines the mediating role of the mother-child relationship on preschool-age children's functioning in families experiencing domestic violence. Maternal report and behavioral observations of mother-child interactions were used to assess relationship quality. Participants consisted of 103 children and their mothers. The data fit the model well but indicated that some of the correlations were not in the expected direction. Although depressed mothers were struggling with parenting, other mothers appeared to be compensating for the violence by becoming more effective parents. Domestic violence negatively impacted children's behavior with their mothers in interactions but did not influence maternal report of problem behaviors, suggesting that the impact of domestic violence begins very early and in the realm of relationships rather than in mental health. (PsycINFO Database Record (c) 2010 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)     

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)     

Short-term child-centered play therapy training with Israeli school counselors and teachers.

The purpose of this study was to determine the effects of short-term intensive child-centered play therapy training with school counselors and teachers in Israel. Results of the analysis of covariance revealed that trainees in the experimental group demonstrated a statistically significant improvement in the group’s play therapy knowledge as measured by the Play Therapy Attitude, Knowledge and Skills Survey. The experiential group did not demonstrate statistically significant improvement in their attitudes and beliefs toward children or confidence in applying play therapy skills. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reciprocal models of child behavior and depressive symptoms in mothers and fathers in a sample of children at risk for early conduct problems.

Although much has been written about transactional models in the study of parenting practices, relatively few researchers have used this approach to examine how child behavior might be related to parental well-being. This study used latent growth curve modeling to test transactional models of age 2 child noncompliance, parental depressive symptoms, and age 4 internalizing and externalizing behaviors using a subsample of families in the Early Steps Multisite Study. In unconditional models, maternal depressive symptoms showed a linear decrease from child ages 2 to 4, whereas paternal depression did not show significant change. Observed child noncompliance at age 2 showed significant associations with concurrent reports of maternal depressive symptoms and trend-level associations with paternal depressive symptoms. For both parents, higher levels of initial depressive symptoms were related to increased age 4 child internalizing behaviors. The findings provide support for reciprocal process models of parental depression and child behavior, and this study is one of the first to present empirical evidence that fathers' depressive symptoms have bidirectional associations with their children's behavior in early childhood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quantitative analysis of long-term child-centered play therapy.

This exploratory study measured the impact of long-term Child- Centered Play Therapy (CCPT) with 23 children identified by teachers as exhibiting behavioral and emotional difficulties. Through the use of a repeated measures design, researchers examined the use of CCPT from pre-intervention to mid-intervention (16 sessions) to post intervention (32 sessions). Results indicated that children who participated in 32 sessions of CCPT demonstrated statistically significant improvement on the Total Problems Scale as measured on the Teacher Report Form, Total Stress Scale of the Index of Teaching Stress (ITS), ADHD Domain of the ITS, and Student Characteristics of the ITS. Researchers reported improvement to be statistically steady over the full duration of therapy. (PsycINFO Database Record (c) 2010 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)     

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)     

Dialectical behavior therapy for women victims of domestic abuse: A pilot study.

This article describes a brief, 12-week dialectical behavior therapy program modified for female victims of domestic abuse and provides a preliminary examination of this intervention. Dialectical behavior therapy is a comprehensive cognitive–behavioral treatment, which was originally developed to treat multiproblem clients with severe and chronic emotion dysregulation, and was adapted for this study to treat female victims of domestic abuse. From pretreatment to posttreatment, participants (N = 31) showed significant reductions in depressive symptoms, hopelessness, and general psychiatric distress as well as increased social adjustment. Additionally, participants reported high levels of consumer satisfaction with the treatment. Findings support the possible utility of dialectical behavior therapy for enhancing psychological and social well-being in female victims of domestic abuse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)