Many fields of interest, of which Pediatrics is one, exist in Occupational Therapy. In the field of Pediatrics there are also diversity fields of interest. Many diagnostic groups are treated in the field of Pediatric Occupational Therapy. The traditional Pediatric Occupational Therapy process aims at treating the child holistically with regards to his cognitive, perceptual, motor and emotional areas of development. It seems that there is a tendency to focus on the more tangible aspects of development rather than the less visible elements such as emotional needs and problems. The question that might be asked is whether Pediatric Occupational Therapists are in fact equipped to deal with emotional needs and problems. Due to the nature of their work, there is a strong possibility that Pediatric Occupational Therapists can encounter children who suffer from emotional problems. These children are more often than not seen by Occupational Therapists although the therapists might prefer to rather work on the more tangibly aspects of development. This research study was aimed at assessing the need amongst Pediatric Occupational Therapists to deal with emotional problems. After completing the study it was possible to make valuable conclusions and recommendations. Gestalt Play Therapy was also proposed as a possible approach in dealing with children's emotional needs and problems in the course of their Occupational Therapy intervention. OPSOMMING Arbeidsterapie omsluit `n breë spektrum van spesialiteitsrigtings, waarvan Pediatrie een is. Binne die veld van Pediatrie blyk daar egter verdere diversiteit te wees met betrekking tot die diagnostiese groepe wat binne hierdie veld hanteer word. Die tradisionele Pediatriese Arbeidsterapie proses het ten doel om die kind holisties te benader met verwysing na die kognitief -perseptuele, motoriese en emosionele ontwikkelingsareas van die kind. Dit blyk egter dat daar `n geneigdheid is, en moontlik ook groter gemak bestaan om eerder aan die meer sigbare aspekte soos byvoorbeeld perseptuele en motoriese ontwikkeling te werk. Die vraag kan dus gevra word of Arbeidsterapeute genoegaam toegerus is om ook aan die emosionele behoeftes en probeleme van die kind aandag te kan gee. Die moontlikheid dat Arbeidsterapeute vanwee die diversiteit met betrekking tot die diagnostiese groepe wat ter sprake is in kontak kan kom met kinders wat ook emosionele behoeftes en probleme het bestaan. Alhoewel hierdie kinders opgeneem word in die Arbeidsterapie proses, is behandeling dikwels net op die tasbare ontwikkelings areas gerig. Die navorsing was spesifiek daarop gerig om te bepaal of daar wel `n behoefte bestaan onder Arbeidsterapeute om kinders se emosionele behoeftes aan te spreek. Na afloop van die studie, en nadat alle toepaslike inligting geïntegreer is, is daar waardevolle afleidings gemaak en is hierdie behoefte onder Arbeidsterapeute bevestig. Gestalt Spelterapie is ook voorgestel as `n moontlike benadering wat geïntegreer kan word ten einde die Arbeidsterapeut instaat te stel om meer effektief te werk te gaan met die kind se emosionele behoeftes en probleme. / Social work / D.Phil.

This study describes three case studies with three children diagnosed with Asperger's Syndrome, the focus of the dissertation being the sensory processing issues that these children experience, the limited intervention regarding this subject, and the possible emotional connotations that may accompany these difficulties. In the study, three children partook in six Gestalt Play Therapy sessions, where sensory stimulants were utilised as a medium of expression. The data was analysed, with the emphasis on the children's responses to the sensory work and the emotions that could be linked to this experience. A detailed description of the sessions is provided. It was found that these children were able to make use of the Gestalt Play Therapy setting, along with the sensory work, as a means of emotional expression. / Social Work / M. Diac. (Play Therapy)

This study was directed to explore the practicability of play therapy as a support system to primary schools in order to offer the child an optimal learning opportunity. A need exists to support primary schools, to establish therapeutic services which will be available to all children with emotional, behaviour and social problems. Gestalt play therapy can be used as a source of support within the context of the primary school. It is important that the therapist and teacher have sufficient knowledge around the different developmental phases of the child. In this study the focus was on the general characteristics, cognitive, social- and moral development of the primary school child. A qualitative approach and by utilizing semi-structured interviews, were used in order to collect the data concerning the study. Results from the empirical research indicated that there is a definite necessity for therapeutic services, as support systems at primary schools, in order to assist the child to reach his/her maximum potential. / Social Work / M.Diac. (Spelterapie)

The aim of the qualitative study was to explore and describe the utilisation of Gestalt Play Therapy in Occupational Therapy intervention with traumatised children. An applied study was conducted and the case study strategy was used with a flexible design. Objectives for the study included conducting literature reviews regarding the profile of the traumatised child and Occupational Therapy and Gestalt Play Therapy intervention with the traumatised child. The empirical study included data collection and analysis, with data gathered through semi-structured interviews. The gathered data was analysed with the use of Creswell's Data Analysis Spiral. The empirical data showed that Occupational Therapists do utilise Gestalt Play Therapy in their intervention with traumatised children by drawing on their combined knowledge base of Gestalt Play Therapy and Occupational Therapy. Occupational Therapists then conduct a holistic assessment and treatment aims are set according to the assessment with a focus on providing holistic intervention. / Social Work / M.Diac. (Play Therapy)

This study was aimed at exploring and describing the role of music as a medium in the Gestalt play therapy process with children who experience emotional distress and therefore suffer loss of healthy contact. The case study method was used as research strategy. A literature study of the Gestalt approach and Gestalt play therapy was carried out as well as a study of the child in middle childhood, the child experiencing emotional distress in the form of loss, and music as a medium. In implementing of this research study three case studies were described. The sampling method was based on a non-probability purposive sampling technique. The criteria for inclusion in this study were children who experience emotional distress in the form of loss and who, subsequently, do not make effective contact. Between seven and eight therapeutic sessions per child were conducted. The role of music was evident in all three cases. / SOCIAL WORK / MDIAC (PLAY THERAPY)

The researcher embarked on this study, as the need was identified to investigate whether girls in primary schools have a realistic body image. The hypothesis was made that pressure from society, the media and parents might have a negative influence on a girl’s body image. The goal of this qualitative study was thus to determine how the primary school girl views her body and the influence this view has on her sense-of-self. It was anticipated that the outcome of the study would equip the researcher and social work colleagues with information that can be used in order to make parents and teachers aware of the pressures children experience and the effect this has on their sense-of-self. The exploratory study endeavoured to answer the following research questions: How does the primary school girl view her body, and how does this influence her sense-of-self? The objectives for this study were the following: <ul> <li>To provide a knowledge base on body image, sense-of-self and the perceptions primary school girls have regarding their bodies, based on a literature review.</li> <li>To use gestalt play therapy techniques to investigate the influence of perceptions regarding body image on the sense-of-self.</li> <li>To investigate primary school girls’ body image by means of an empirical study.</li> <li>To draw conclusions and make recommendations regarding the primary school girl’s perception of body image and the influence thereof on her sense-of-self.</li></ul> The study was feasible and consent was gained from the parents, respondents and organization where the study was done. The researcher studied with a bursary and costs were therefore covered by this. Eight respondents were selected at the researcher’s discretion by using certain criteria for selection. Care was given in selecting respondents who were representative of girls in the middle childhood phase. Five themes emerged from the study, namely sensory awareness, body image, the development of body image, the sense-of-self and the link between the sense-of-self and body image. Sub-themes were also identified from these five themes. Two consecutive play therapy sessions were used as data collection methods. From the empirical findings it is evident that the primary school girl’s perception of body image is largely based on the opinions and feedback from significant others. Self talk and self-statements play an important role in the formation of body image in the primary school girl. The study further indicates that body image has a direct influence on all aspects of the primary school girl’s sense-of-self and that a preoccupation with body size and shape amongst primary school girls is common. All of the respondents had hang-ups with regards to some aspect of their physical bodies, wished that they weighed less and indicated that they would want to change something about their bodies. It thus seems that girls in their middle childhood are particularly vulnerable to having a negative body image. From the research findings several conclusions and recommendations were made such as professionals needing to be aware of the potential negative impact that the media, peers and parents have on a child’s body image and sense-of-self. The recommendation was further made that professionals should encourage teachers, parents and child care workers to realize that in order for a child to develop a healthy sense-of-self and accept the way she looks, she has to receive positive feedback from significant others in her life. This study indicates that the primary school girl’s body image is fragile, and that significant others, the media and peers play an important role in the formation of a positive body image in children. / Dissertation (MSD)--University of Pretoria, 2008. / Social Work and Criminology / unrestricted

The researcher found little information in literature reviewed about how Gestalt Play Therapy is being used in the treatment of visually impaired children. The aim of the study was to expand knowledge regarding this issue. A basic qualitative research study of an exploratory and descriptive nature was undertaken to describe how this therapy may be used in the treatment of such children. A representative sample was drawn from the population, consisting of gestalt play therapists who previously provided assistance to these children, using a purposive non-probability method. Data collection took place through the execution of semi-structured telephone interviews. Collected data was analysed using the Thematic Content Analysis to search for related themes (in line with the objectives of the study) in transcribed interviews. The general conclusion drawn from the empirical data was that gestalt play therapy can be used to good effect in the treatment of visually impaired children. / Die navorser het gevind dat daar weinig inligting in die literatuur beskikbaar is oor hoe gestaltspelterapie in die hulpverlening aan visueel gestremde kinders benut kan word. Die doel van die navorsingstudie was dus om kennis uit te brei rakende die benutting van gestaltspelterapie in die hulpverlening aan visueel gestremde kinders. 'n Basiese kwalitatiewe navorsingstudie met 'n verkennende en beskrywende aard is onderneem om te beskryf hoe gestaltspelterapie benut word met betrekking tot visueel gestremde kinders. 'n Verteenwoordigende steekproef is getrek, volgens 'n doelgerigte nie-waarskynlikheidsmetode, vanuit die populasie bestaande uit gestaltspelterapeute wat al van tevore hulp aan visueel gestremde kinders verleen het. Data-insameling het plaasgevind deur middel van semi-gestruktureerde telefoniese onderhoude. Die versamelde data is volgens die Tematiese Inhoudsanalise ontleed deur verbandhoudende temas (ooreenkomstig die doel van die studie) in getranskribeerde onderhoude te soek. Die algemene gevolgtrekking wat vanuit die empiriese bevindinge gemaak kan word, is dat gestaltspelterapie wel in die hulpverlening aan visueel gestremde kinders benut kan word. / Social Work / M.Diac. (Play Therapy)

The subject of Attention Deficit Hyperactivity Disorder (ADHD), and Ritalin as a method of treatment, has received a lot of media attention in recent years as it appears to be the most “popular” diagnosis for children who are difficult, who struggle to pay attention and who are impulsive and hyperactive. Some medical professionals are of the opinion that incidences of the disorder are increasing, while others believe that the disorder is being misdiagnosed. There is a significant overlap in the symptoms of ADHD and those of Post-traumatic Stress Disorder (PTSD). In South Africa, where many children are exposed to traumatic stimuli on a regular and ongoing basis, health care professionals cannot afford to overlook the possibility that children exhibiting symptoms of ADHD may, in fact, be traumatised. However, when examining the criteria for PTSD we find that the DSM-IV (Diagnostic and Statistical Manual IV) does not adequately describe the differences between adult and childhood PTSD and also does not adequately account for children who may be in an almost continuous state of traumatic stress. Since there is increasing evidence of the interaction between mind/emotions and body, it is plausible that the emotions of children with ADHD play an important role in their condition, particularly if the child has suffered traumatic stress. The researcher believes that children who experience continuous traumatic stress may develop maladaptive responses which may eventually become traits, and that ADHD may be one such response. The goal of this exploratory study was to gain insight into the thoughts and feelings of a few children (case studies) who have been diagnosed with ADHD and who are in the middle childhood phase of development. The first objective was to gather knowledge regarding ADHD, traumatic stress, biological responses to trauma and to describe middle childhood and gestalt play therapy. In the empirical study, gestalt play therapy techniques were used to assess whether children with ADHD had suffered traumatic stress (particularly the loss of safety and security) prior to the diagnosis and whether they are able to express their thoughts and emotions appropriately. Since the study was qualitative, the researcher made use of observation and unstructured interviews (including play therapy sessions) to obtain background information from the parents and to explore the thoughts, feelings and behaviours of children with ADHD from their perspective. This study falls under applied research, undertaken with a view to creating preventative measures and improving interventions for children with ADHD and children who have suffered traumatic stress. The final objective of the study was to draw conclusions and make recommendations in order to promote awareness of the likelihood of traumatic stress in children with ADHD in South Africa. The researcher concluded that the respondents in this study have indeed suffered traumatic stress in the form of loss of safety and security, related to an inadequate bond with a responsive, nurturing caregiver. In addition, they have difficulty expressing their thoughts and emotions. / Dissertation (Magister Socialis Diligentiae (Play Therapy))--University of Pretoria, 2007. / Social Work and Criminology / unrestricted

Traditional remedial intervention programmes address academic and perceptual deficits but not emotional needs. Existing literature suggests that most children with learning disabilities have concomitant emotional, behavioural and social difficulties; however an apparent lack of consensus regarding the types of emotional and behavioural difficulties faced by these children exists especially amongst teachers, parents and professionals in the field of learning disabilities. The aim of this study was to discover which emotions might emerge during Gestalt play therapy sessions with children receiving remedial intervention. Three respondents from three different remedial programmes participated in the study. Data was gathered from the therapeutic sessions as well as from unstructured interviews with parents, teachers and professionals in the field of learning disabilities. Recommendations are made as to how Gestalt play therapy could be implemented as an additional support for children receiving remedial intervention. / Tradisionele remediërings-programme spreek slegs akademiese en perseptuele tekortkominge aan en nie emosionele behoeftes nie. Bestaande literatuur dui daarop dat die meeste kinders met leerprobleme gepaardgaande emosionele, gedrags- en sosiale probleme ervaar. Daar is egter 'n gebrek aan konsensus tussen onderwysers, ouers en professionele persone op die gebied van leerprobleme, oor die tipe emosionele en gedragsprobleme waarmee hierdie leerders te kampe het. Die doel van hierdie studie was om vas te stel watter emosies tevoorskyn mag kom, tydens Gestalt-speel-terapie-sessies met leerders wat remediëringsonderrig ontvang. Drie respondente van drie verskillende remediërende programme het aan die studie deelgeneem. Data is ingesamel van terapeutiese sessies, sowel as van ongestruktureerde onderhoude met ouers, onderwysers en professionele persone in die veld van leerprobleme. Die bevindings van die studie blyk in ooreenstemming te wees met bestaande literatuur, naamlik dat kinders met leerprobleme bykomende emosionele en sosiale probleme ondervind. Aanbevelings is gemaak oor hoe Gestalt spelterapie geïmplementeer kan word as 'n addisionele ondersteuning vir kinders wat remediërende intervensie ontvang. / Social Work / M. Diac. (Play Therapy)

Text in Afrikaans / The Gestalt Play Therapeutic approach is used as contextual frame in this research where-in music is applied as an aid for the aggressive emotions of the primary learner. Emotional and behavioral problems in children in primary and secondary schools and even in pre-primary schools, are assuming alarming proportions. From the holistic approach of the Gestalt theory, it has an influence on the development of areas such as the emotional, physical, cognitive and social in the phase of middle childhood. There is a lack of research findings on the effect of music during support to the aggressive primary learner within a Gestalt Play Therapeutic frame. The experimental single system design was used as research method as part of the quantitative investigation. The conclusion is that music was used successfully in the handling of rage and aggressive emotions in the group of child respondents within the context of the Gestalt approach. / Social Work / M.Diac. (Play Therapy)