Anxiety is one of the most pervasive childhood disorders, with a poor prognosis if left untreated. Traditional methods of treating anxiety have been less effective with young children. Based on theoretical assumptions regarding the potential effectiveness of child-centered play therapy (CCPT) as a treatment approach, I sought to explore the effects and mediating factors of CCPT on young children with symptoms of anxiety. Fifty-three participants between the ages of 6 to 8 years old were recruited from four elementary schools, including 36 males and 17 females. Of participants, 11 were African American, 24 were Caucasian, 10 were Hispanic/Latino, one was Asian, and seven were biracial. Twenty-five participants were randomly assigned to an experimental group receiving a mean of 15 sessions of individual CCPT, and 28 participants were assigned to an 8-session active control group. Five factorial analyses of variance (ANOVA) were conducted applying an alpha level of .05 for interpretation of statistical significance and Cohen’s d to assess practical significance. ANOVA results indicated a statistically significant interaction with a large effect size on Total Anxiety score of the Revised Children’s Manifest Anxiety Scale-2nd edition (p = .013, d = .715). Subscale ANOVA results indicated a statistically significant interaction effect with large effect size on the Worry subscale (p = .006, d = .795), no statistically significant interaction on the Defensiveness subscale (p = .710, d = .110), no statistically significant interaction but moderate effect size on the Physiological subscale (p = .076, d = .506), and no statistically significant interaction but moderate effect size on the Social Anxiety subscale (p = .162, d = .398). Statistically significant differences with large practical effects were found in total anxiety and worry, suggesting that children who received CCPT decreased their overall levels of anxiety and worry whereas children who were in the active control group increased their levels of anxiety and worry. When examining differences in relationships between groups, the CCPT group relationship scores were significantly higher than the control group relationship scores, as reported by counselors. Although the groups were different in their relationships, the relationship was not considered a statistical mediator of anxiety due to the lack of correlation between relationship scores and outcome. Overall, children seemed to benefit from CCPT, and it may be considered a viable treatment for children who are anxious. Due to the lack of mediation of relationship found in this study, further research is encouraged to consider other mediating and/or moderating effects when attempting to investigate the therapeutic relationship as a mediator.

Child-centered play therapy (CCPT) is an empirically supported and developmentally appropriate counseling intervention for young children. Despite the clinical effectiveness of CCPT with children, no known study has been conducted in which parents were surveyed or interviewed regarding the services they have received as a part of their children’s participation in CCPT. Therefore, this study was designed to gain a better understanding of parents’ reported needs and expectations in CCPT. This study utilized Q-methodology in which participants completed a Q-sort by actively sorting 40 items on a continuum of least important to most important. Items included services and processes regarded by CCPT scholars and child therapy practitioners as being important to working with parents. Data was collected from 19 parents of children receiving CCPT services in a community-based counseling clinic. Participants included 16 females and 3 males; 15 Caucasian and 4 Hispanic; and 14 biological parents, 2 adoptive parents, and 3 other biological caregivers. Data was analyzed using centroid factor analysis, and results revealed a one factor solution representing 18 of the 19 participants. Eighteen parents reported similar beliefs regarding the processes they consider most and least important to their experience in working with child-centered play therapists. In general, parents’ beliefs aligned with CCPT philosophy, particularly in regards to respecting children’s natural pace of development and healing. Furthermore, parents shared preferences for play therapists who demonstrate expert knowledge and training and who understand the individual needs of their children. Discussion includes implications for the practice of CCPT and training of future play therapists, limitations of the study, and implications for future research.

This study was designed to determine the effectiveness of short-term child-centered play therapy training with school counselor and teachers in Israel. A short-term child-centered play therapy course is an intervention that focuses on changing trainees attitudes and beliefs towards children while teaching them child-centered play therapy theory and skills. The experimental group, consisting of 18 volunteer school counselors and teachers in Israel received a total of 15 hours of child-centered play therapy didactic training with a variety of learning experiences. The control group consisted of 15 volunteer school counselors and teachers in Israel. The control group did not receive any training. All participants completed the Play Therapy Attitude-Knowledge-Skill Survey (PTAKSS) before and after the training as a means of measuring change in attitude, knowledge and skill. A second purpose of this study was to compare the effectiveness of short-term child-centered play therapy training with a comparison group semester long child-centered play therapy training course at the University of North Texas. An analysis of covariance revealed statistically significant positive increase in Knowledge subscale as compared to the control group. However the differences between the experimental and the control group were not significant on the participant's total score on the PTAKSS, their attitudes and beliefs towards children or their skill level. A t-test revealed no significant difference between the experimental and comparison groups on the skill subscale of the PTKASS. Results indicated that there was a significant difference between the experimental and the comparison groups on the Total score, Attitude and Knowledge subscales of the PTAKSS. This study supports the use of short-term play therapy training as an effective training model for increasing the trainee's knowledge of child-centered play therapy. It does not support the use of short-term play therapy training as an effective training model for increasing the trainee's attitudes towards children or increasing their confidence in applying play therapy skills.

The purpose of this study was to determine the effectiveness of an intensive version of the Landreth (2002) 10-week filial therapy model as a method of intervention for children of Israeli parents living in Israel. This study was designed to determine the effectiveness of intensive filial therapy training in (a) reducing internalizing behavior problems of Israeli children; (b) reducing externalizing behavior problems of Israeli children; and (c) reducing overall behavior problems of Israeli children. A second purpose of this study was to determine the effectiveness of intensive filial therapy training with Israeli parents in increasing the parents' (a) empathic responsiveness with their children; (b) communication of acceptance to their children; (c) allowance of self-direction by their children; (d) involvement in their children's play activities; (e) feelings of efficacy as parents; and (f) reduction of parental stress. The experimental group consisted of fourteen Israeli children who their parents received nine intensive Filial Therapy training sessions within a five week period and had seven parent-child play sessions. The non-treatment comparison group consisted of thirteen Israeli children whose parents received no treatment. Parents in the study completed the Hebrew version of the Child Behavior Checklist, the Parenting Stress Index, and conducted pre-test and post-test play sessions for the Measurement of Empathy in Adult-Child Interaction. Multivariate Analysis of Covariance revealed the children in the experimental group significantly reduced external behavior problems. The results also revealed the parents in the experimental group significantly reduced parental stress and significantly increased communication of empathy to their children.

The purpose of this study was to determine the effectiveness of child-centered play therapy and curriculum-based small-group guidance on the behaviors of aggressive children in an elementary school as determined by (a) the reduction of aggressive behaviors, (b) the decrease in internalizing problems, and (c) the decrease in externalizing problems of aggressive children. Two types of behavioral instruments, the Behavioral Assessment System for Children-Teacher Rating Scale/Parent Rating Scale and the Child Behavior Checklist-Caregiver/Teacher Report Form, were used to provide multiple measures of the same construct in this matched pretest-posttest comparison group experimental designed study. Qualitative data was also collected. The population studied was comprised of 37 volunteer children identified as aggressive in kindergarten through fourth grade, ages 5-12, who qualified for counseling services at a Title I public elementary school in North Texas . Children who were referred by teachers and parents, and met the required criteria, were matched in pairs on grade level and randomly assigned to one of the two real-world setting interventions; play therapy treatment group (n=20), which received 12-15 individual child-centered play therapy sessions, or the curriculum-based small-group guidance group (n=17), consisting of 12-19 lessons. Major strengths of the study included utilizing students referred for counseling due to behavioral difficulties (students demonstrating at-risk and clinically significant aggressive behaviors) and servicing them at school, a real-world setting. Another strength was the use of 30-minute play therapy and guidance sessions, which conform to typical school practice. Twelve hypotheses were tested using two-factor mixed repeated measures and eta squared. The data of this study tentatively support the effectiveness of both modalities in decreasing the aggressive behaviors, internalizing problems, and externalizing problems of aggressive children. The data seems to indicate that school-based child-centered play therapy is as effective at improving the behaviors of aggressive children as a nationally recognized guidance curriculum program. Qualitative data from the parents and teachers of the children demonstrated clinical significance, suggesting that school-based child-centered play therapy is more noticeably effective in reducing the aggressive behaviors of children. A control group is needed to determine conclusive results and discern possible effects of maturation.

This survey research was designed to identify play therapy behaviors of sexually abused children. A survey instrument was developed from a comprehensive review of the professional literature and the assistance of an expert panel. After a field test, 140 items of play therapy behavior were developed into a survey instrument. The respondent was asked to rate on a Likert scale the frequency of occurrence of these play therapy behaviors of sexually abused children. Each play therapy behavior was rated for the following four groups: Males, 3-6 Years; Females, 3-6 Years; Males, 7-10 Years and Females, 7-10 Years. The entire international membership of the Association of Play Therapy (APT) was used to obtain the largest possible number of viable responses. As anticipated, of the 786 replies, 41% were not seeing sexually abused children in play therapy. In order to insure the most robust findings possible, it was determined to utilize data from the 249 most experienced play therapists (having worked with 16 or more sexually abused children). The typical respondent in this group was a female play therapist, 40-50 years of age, with a Masters degree in Counseling or Social Work.

This research study investigated the effectiveness of the application of child-centered play therapy procedures and skills by trained fifth grade students in play sessions with kindergarten children who had adjustment difficulties. Specifically, this research determined if play sessions with trained fifth grade students facilitated change in kindergarten children's self concept, internalizing behavior, and externalizing behavior and their parents' stress level.

This study was designed to determine the effects of child-centered play therapy as a play therapy training model for beginning play therapy students. The purpose of this study was to determine the effects of child-centered play therapy training on play therapy trainees in (a) improving positive attitudes and beliefs toward children; (b) improving knowledge of child-centered play therapy; (c) improving confidence in applying child-centered play therapy skills; (d) reducing dominance tendencies in trainees' personality as measured by the California Psychological Inventory; and (e) increasing tolerance levels in trainees' personality as measured by the CPI. The experimental group, consisting of 37 counseling graduate students with a specialty in child counseling, received 45 clock hours of introduction to play therapy graduate course training at the University of North Texas, Denton. The control group, consisting of 29 counseling graduate students with a specialty in child counseling, received other counseling graduate courses training but no play therapy training at the time of their participation in this study at the University of North Texas. Both experimental and control group students completed the pretest and the posttest on the Play Therapy Attitude Knowledge Skills Survey and the California Psychological Inventory at the beginning and the end of the semester terms of Fall 1995, Spring 1996, and Summer 1996. Analyses of covariance revealed that students in the experimental group demonstrated (a) a significant improvement in their positive attitudes and beliefs toward children; (b) a significant improvement in their child-centered play therapy knowledge; (c) a significant improvement in their confidence in applying child-centered play therapy skills; and (d) a significant reduction in their dominance tendency. An insignificant result was found in their tolerance level. This study suggests that child-centered play therapy training is a viable training model for prospective and beginning play therapists.

The threefold purpose of this study was to assess the extent to which counseling seminary students' beliefs corresponded to the tenets of child-centered play therapy, the amount of training seminary counseling students received in the area of child counseling and play therapy, and the applicability of child-centered play therapy courses in seminary counselor education programs. The researcher pursued this purpose through administration of a survey instrument she developed. The instrument consisted of 22 demographic items and 23 5-point Likert scale items based on the tenets of child-centered play therapy. The sample was comprised of 206 seminary counseling students from 12 Christian seminaries across the United States: 155 female and 51 male participants ranging in age from 21 to 60 years old and including 5.3% African American, 3.9% Asian, 1.5% Biracial/Multiracial, 3.4% Hispanic, 83% White (Non-Hispanic), 2.4% Other. Multiple regression analysis was utilized to determine which demographic variables were significant predictors of respondents' beliefs regarding child-centered play therapy. Results indicated significance at p < .05 level. Specifically, respondents who reported feeling more prepared to counsel children reported beliefs more congruent with child-centered play therapy, and respondents from the Southwestern and Southeastern portions of the United States exhibited beliefs less congruent with child-centered play therapy. Respondents' reports of their gender, age, denominational grouping, counseling theory, previous training to work with children, parental status, and future plans to counsel children did not significantly predict beliefs corresponding to child-centered play therapy. Descriptive data revealed that 83.5% of respondents intended to counsel children after completing their graduate studies, yet only 20.4% of respondents reported having completed coursework in child counseling; thus, they appeared inadequately prepared to work with this specialized population. Implications for seminary counselor education programs are discussed.

Externalizing behavior problems in children reflect negative actions toward the external environment and can have detrimental consequences for their academic, social, and mental well-being. These actions range from breaking the rules to exhibiting extremely disruptive and aggressive behaviors, and they frequently come with issues with social behavior and emotional control. Socioemotional competencies, such as empathy and emotion regulation, serve as protective factors against behavior problems, enabling children to effectively manage their emotions and behaviors. This study focuses on examining the effectiveness of child-centered play therapy (CCPT) in reducing externalizing problems and enhancing socioemotional competencies in children aged 3 to 12. CCPT utilizes play as a natural language to establish a therapeutic relationship between play therapists and children. This relationship provides a safe and accepting environment for children to express themselves and develop self-regulation skills. By accepting responsibility for their actions, children can progress toward self-actualization and improved behavior management. To investigate the effectiveness of CCPT in reducing externalizing behavior problems and increasing socioemotional competencies in children, a systematic literature review was conducted, considering studies published over the last decade. Four databases were analyzed, and six articles met the predetermined inclusion criteria. While the data extracted from the included articles demonstrated promising results regarding the effectiveness of CCPT in reducing externalizing problems, the impact of CCPT on enhancing socioemotional competencies was not clear. It is important to acknowledge the limitations of this study, including the scarcity of research in this field and small sample sizes, which impede the generalization of the results to all populations. However, this study identified a research gap concerning the effectiveness of child-centered play therapy in addressing externalizing problems and children's social and emotional functioning. Future research is required to have a more comprehensive picture of how CCPT reduces externalizing problems and what abilities it gives children to cope with their problems; otherwise, it is not possible to consider CCPT as an evidence-based intervention for externalizing problems and widely use it for all children based on current data in the literature.