In this study the researcher explored and described the utilization of Gestalt play therapy concepts and techniques in order to strengthen the sense of self of the pediatric hematology/oncology patient. Literature studies were compiled to examine the concepts of the pediatric hematology/oncology patient, sense of self and Gestalt play therapy. These literature studies provided the theoretical frame in which the study was executed. During the empirical study qualitative data was gathered by means of unstructured interviews within an instrumental case study. Eight therapy sessions were conducted with the participant in order to explore how Gestalt play therapy concepts and techniques could be utilized to strengthen the sense of self of the pediatric hematology/oncology patient. Following the analysis of the data the researcher was able to describe how the Gestalt play therapy concepts and techniques were utilized to strengthen the sense of self of the pediatric hematology/oncology patient. / Social Work / M. Diac. (Play Therapy)

Play is one of the effective ways of assisting children to deal with their emotional problems in therapy. There are many methods and techniques that are scientifically proven that are used in play therapy. There are some indigenous types of play that have not yet been scientifically proven to be therapeutically effective. Mmaskitlane is one of these indigenous plays. The motivation of this study was firstly, to make a literature study against which Mmaskitlane was compared to commonly used play techniques. Then an empirical study was done to explore the therapeutic effects of the play. It was used in combination with the Children Apperception Test (CAT), Draw a Person (DAP) and the Rational Emotive Therapy (RET), during play therapy with learners experiencing emotional problems. The findings from this study indicate that the use of Mmaskitlane may be a valuable therapeutic tool in supporting learners with emotional problems. / Psychology / M. Ed. (Guidance and Counselling)

The purpose of this study was to investigate and describe the long-term effects of play therapy on social contacts, self-esteem, school-related behavior patterns, level of academic functioning, attitude toward school, and family relations. There were no significant differences between the group out of play therapy one to six years and the group out of play therapy six to ten years on social contact, self-esteem, school-related behavior patterns, or level of academic functioning. Statistically significant differences occurred at the .05 level of significance concerning the effects of time on home and family relations, with subjects in the six- to ten-year group perceiving more independence while parents in the one to six years group perceived more recreational activity occurring in the family. There were no significant differences between play therapy and non-play therapy children on social contact, self-esteem, school-related behavior patterns, or level of academic functioning. There were statistically significant differences at the .05 level of significance on home and family relations, with subjects one to six years out of play therapy perceiving more organization in their homes than their evaluation-only counterparts, while parents of the group one to six years out of play therapy perceived significantly more cohesion than did parents in the evaluation-only comparison group. In the opposite direction, parents of the group one to six years since evaluation valued more goal-oriented behavior than did their play therapy counterparts. There were also statistically significant differences in the six- to ten-year category on home and family relations. Subjects in the category six to ten years out of play therapy perceived more independence in their homes, while their non-play therapy counterparts perceived more family recreational activity occurring. Between-group differences occurred on cohesion, expressiveness, and moral-religious emphasis, with non-play therapy subjects and parents disagreeing on these values significantly more than their play therapy counterparts.

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This study was concerned with reducing children's anticipatory anxiety when entering mental health services for the first time. The purpose of this study was to determine whether combining two effective modalities, play therapy and animal-assisted therapy, would be effective in decreasing children's biobehavioral measurements of anxiety. Specifically, this study examined the effects of the presence of a trained therapy dog during one individual 30-minute play therapy session. The experimental group consisted of 26 children who received one individual 30-minute play therapy session with the presence of a trained therapy dog. The comparison group consisted of 25 children who received one individual 30-minute play therapy session without the presence of a trained therapy dog. The SenseWear® PRO 2 armband monitor measured children's biobehavioral measurements such as galvanic skin response, temperature, and activity level (BodyMedia, Inc., Pittsburgh , PA , www.bodymedia.com). The Tanita 6102 Cardio® digital heart rate monitor measured children's pre-treatment and post-treatment heart rates (Tanita Corporation of America, Inc., Arlington Heights , IL , www.tanita.com). Five hypotheses were tested using repeated measures ANOVA with mixed factors and eta squared. All five hypotheses in this study were retained based on statistical significance at the .05 level. The combination of child-centered play therapy (CCPT) and animal-assisted therapy was shown to have little practical significance in decreasing children's first 5-minute biobehavioral measurements, middle 5-minute biobehavioral measurements, last 5-minute biobehavioral measurements as measured by the SenseWear Pro 2 armband monitor. The combination of CCPT and animal-assisted therapy was shown to have little practical significance in decreasing children's pre-treatment and post-treatment heart rate. The results of the two factor repeated measures analysis of variance with mixed factors were not statistically significant. Although, research has shown that play therapy is an effective modality in reducing children's anxiety over time, children's anticipatory anxiety was increased in the first 30-minutes of play therapy with or without the presence of a trained therapy dog. Anticipatory anxiety may have been due to the children experiencing a novel and unfamiliar situation, entering the play therapy room with a stranger, the non-structured environment of the play therapy room, or a first interaction with the armband monitor.

Sandtray therapy, a modality of play therapy, has been used in a variety of ways as the treatment intervention with different theoretical approaches; however, there is a very limited amount of empirical research. The purpose of this research is to examine the effectiveness of group sandtray therapy at school with preadolescents identified with behavioral difficulties. This is a pretest-posttest control group design. Participants in the experimental group received sandtray therapy in group for ten weeks, and participants in the wait-list control group received no treatment intervention. The researcher compared two groups to examine the overall effectiveness of sandtray therapy as determined by the scores of the Child Behavior Checklist-Teacher Report Form (CBC-TRF), Parent Report Form (BASC-PRF), and Self Report of Personality (BASC-SRP). Based on teachers' reports, statistically significant difference existed between the two groups in terms of preadolescents' overall behaviors, externalizing behavior problems, and internalizing behavior problems after the ten week treatment intervention. The effect sizes were medium (d= .52-.59). According to parents' reports, a statistically significant difference was found regarding preadolescents' externalizing behavior problems, and the effect size was medium (d=.63). No statistically significant differences were found regarding preadolescents' total behaviors and internalizing behavior problems based on BASC-PRF. The effect sizes arranged from medium to small (d=.55 and .35, respectively). In terms of the total behavior on BASE-SRP, no statistical significant difference was found and the effect was small (d=.18). A case example was included to illustrate the process and effect of group sandtray therapy. Based on the results of this study, it is determined that group sandtray can be an effective treatment intervention for preadolescents identified with behavioral problems. The primary contribution of this study is to present empirical support for the effectiveness of using sandtray therapy.

This study used a single case design to explore the relationship between individual child-centered play therapy on children with developmental delays by examining its effectiveness in: 1) increasing measured developmental age; 2) reducing problematic behaviors related to developmental delays; and 3) increasing developmentally appropriate behaviors. Three participants were assessed weekly with both developmental and behavioral measures during the three phases of the study: baseline, intervention, and follow up. Additionally, parents of the participants completed behavioral measures at pretest, midpoint, and posttest administrations. The participant's weekly standard scores were graphed and results were examined separately using visual analyses. Changes between phases: non-intervention baseline, intervention, and non-intervention follow-up were examined; specifically, the level, trend, and variability of the data across the phases were examined. Each of the three participants served as their own control group in this single case analysis and their results, and all three of the participants demonstrated improvement on the developmental measures after receiving the play therapy intervention. Results from this single case analysis suggest the need for further replication, use and reporting of single case interventions and designs, to promote the efficacy of counseling interventions and to potentially enhance the literature and research base for evidence based interventions.

This study explored the use of child-centered play therapy (CCPT) as a culturally responsive intervention and a prevention treatment method for the psychosocial well-being of Japanese children in the United States. In light of the demand for the evidence-based therapeutic treatment for children as well as the need to conduct multicultural research without ignoring within-group differences, this study was composed of two research methodologies; quantitative research design and individual analysis. Single-group repeated measures ANOVA was utilized for the group analysis and linear regression was employed for individual analysis in addition to qualitative data obtained through parent feedback and the researcher's observation of play therapy sessions. The participating children received a total of eight CCPT sessions. The impact of CCPT was measured by a decrease in a child's behavioral problems perceived by a parent measured by scores of the Internalizing Problems, Externalizing Problems and Total Problems on the Child Behavioral Checklist and a reduction of parent-child relationship stress manifested in the Child Domain, Parent Domain and Total Stress Score of the Parenting Stress Index. Data from a total of the four assessment points; the baseline, pretest, second assessment, and third assessment, was gathered for use in the analysis. A total of 16 children were recruited from the Japanese School of Dallas for participation in this study. However, some children did not complete the entire set of 8 play therapy sessions, and as a consequence, neither were all assessments completed by their parents. Therefore, data from 10 children, age ranging from 4 to 9, were utilized for the statistical analysis. The results of the analysis did not reveal any statistical significance. However, large and medium effect sizes were obtained on all the six aforementioned subscales during the treatment period. Individual analysis provided further information on possible environmental, developmental, and cultural factors that are considered influential issues on the change of individual scores.

There is a dearth of research available on child services in the community mental health setting in the fields of psychology and counseling. The purpose of this study was to conduct an experimental evaluation of university-based play therapy clinical services with children aged 3 to 10 years old and to explore dimensions of the effectiveness of child-centered play therapy (CCPT) with children. This study examined real-life clinical services to the largest number of child participants in decades of mental health research, especially in the field of play therapy. Archival data from cases of 364 children served through a university-based play therapy clinic in the southwestern United States was examined. The effectiveness of child-centered play therapy (CCPT) was measures by a decrease in a child's behavioral problems perceived by a parent/guardian measured by scores of the Internalizing Problems, Externalizing Problems and Total Problems on the Child Behavioral Checklist (CBCL) and a reduction of parent-child relationship stress manifested in the Child Domain, Parent Domain and Total Stress Score on the Parenting Stress Index (PSI). Data from pretest and posttest was gathered for use in the analysis. Independent samples t-test, repeated measures analysis of variance, and ordinary least squares regression, including effect sizes, were utilized to detect the differences between groups and the treatment effects. After receiving individual CCPT, results of this study demonstrated statistically significant differences on overall CBCL and PSI measures, with the exception on Parent Domain. Additionally, findings highlighted the effectiveness of individual CCPT through demonstrated moderate to large effects over time (partial η2 = .097 to .201). Individual CCPT also revealed very large effects (η2 = .26 to .37) when specifically examined with participants who completed play therapy treatment. Further, statistically significant predictions were found on CBCL and PSI measures, with the exception on Total Problems. Termination and family relationship concern variables were found as strong contributors on predicting greater improvement. Based on the statistical, practical, and clinical significances, the primary contribution of this study is the fully exploration of child characteristics and effectiveness of play therapy for children who seek mental health services.

Challenges like adversity and traumatic experiences can be especially stressful for children since they may not have fully developed certain skills and are often dependent on the support and guidance of adults. The medium of play is a powerful tool and can be used to enhance children to meet challenges better. It is mostly their preferred medium of interaction and allows them to process experiences playfully.The aim of this systematic literature review was to examine existing play therapy interventions that promote intrinsic characteristics of resilience in children. A search for scholarly articles has been carried out in 7 databases, resulting in ten articles included in the analysis. Play therapy interventions explicitly targeting resilience could not be found, as well as play therapy interventions targeting problem-solving abilities and adaptability of children. Interventions that targeted intrinsic characteristics of resilience were Child-Centered-Play-Therapy, Sandplay therapy, and Theraplay. The play therapy interventions were mostly effective but varied in their effect sizes. Results indicate that children with disabilities need a more directed form of play therapy. The field of play therapy interventions supporting explicitly intrinsic characteristics of resilience is a multi-factorial, dynamic, and complex construct that stands in its beginnings of research. Limitations of the study and further research are discussed.