Sandtray therapy with a 24-year-old woman in the residual phase of schizophrenia.

Sandtray therapy is a clinical tool for helping a client express and understand his or her unconscious dynamics. It utilizes a sandtray and anywhere from a few hundred to a few thousand figurines in the room for the client to select from. These figurines cover a wide range of people, situations, and objects, from the most ordinary to the mythical. The client makes a story in the sand, which the client and therapist then discuss. It is standard therapeutic wisdom that one should not use techniques involving fantasy with psychotic clients since it is typically too hard for both them and the clinician to contain those fantasies in a healthy manner. Although this is very often true, the authors offer an example of how they were able to use sandtray to great therapeutic advantage with a schizophrenic client in the residual phase of schizophrenia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)