Barns mentala ohälsa ökar kraftigt. Barnpsykoterapi med inslag av fri lek, här kallad lekterapi, har under många år varit den traditionella behandlingen av barn i behov av psykoterapi. För att ha en möjlighet att kunna jämföras vetenskapligt med andra dokumenterade behandlingsmetoder behöver evidensen för lekterapi som behandlingsmetod undersökas, stärkas liksom spridas.  Syftet med föreliggande uppsats är att undersöka kunskapsläget inom lekterapi som behandlingsmetod inom barnpsykoterapi.  Totalt 41 studier har granskats systematiskt enligt evidensbaserad medicinsk metod. Tjugoen av dem poängbedömdes medan övriga 20 delades upp i temagrupper för att visa ett ytterligare djup och bredd av de analyserade studierna. Tretton studier av de 21 poängbedömda fick minst 80% av totalpoängen, gradering I, och sju stycken graderingen II, d. v. s. 70-80% av max poängen. Enligt internationell praxis av gradering av evidensstyrka för slutsatser, visar två studier, eller fler, med ett högt bevisvärde eller god systematisk översikt på ett starkt vetenskapligt underlag som ger god evidens. Som ett bifynd visade sig 16 av de 41 studierna även ha en direkt anknytning till affektiv neurovetenskaplig forskning.  Rekommendationen är att använda barnpsykoterapi med fri lek för barn som ska behandlas vid mental ohälsa.

Text in Afrikaans / A significant percentage of adolescents in children's homes are depressive in consequence of multiple experiences of loss. There is a possibility that experiences of depression are maintained in a systems context. Group therapy using an ecosystemic approach was embarked upon in order to study and to alter within a systems context the phenomenon of depression, the accompanying negative experiential and meaning-assignment worlds of the depressive adolescent girl in a children's home and the interactional behavioural patterns. It was hypothesised that behavioural change brought about in the group therapy context would extend to systems beyond the therapy system. A group of five adolescent girls in a children's home, of whom two were severely depressive, were taken for eight group therapy sessions. The principles of ecosystemic epistemology as a paradigm for family therapy were applied in the sessions. These principles stress inter alia the use of metaphor. Circular questioning was employed in order to explore the relationships within the group. Moments of depression were observed and recorded directly and indirectly according to both linear and circular approaches, and the therapeutic process was described. The manner in which the therapeutic group changed metaphorically by the group itself. A decrease in girls' level of depression was observed during therapy. Their cognitive, affective and normative functioning also changed, and alterations affecting relationships, self-concept and self-realisation could be perceived in the therapeutic process. These changes in relationships and the decrease in the level of depression were confirmed quantitatively. The transfer of these attitudes and relationships to the children's home system was confirmed by interviewing the children's home "parents" of the adolescents involved. / Psychology of Education / D. Ed. (Sielkundige Opvoedkunde)

Thesis (Psy. D.)--Wheaton College, 2007. / Abstract. Includes bibliographical references (leaves 47-51).

Thesis (Ph. D.)--University of Missouri-Columbia, 2001. / Typescript. Vita. Includes bibliographical references (leaves [114]-129). Also available on the Internet.

Thesis (M.S.)--Ohio University, November, 2009. / Title from PDF t.p. Includes bibliographical references.

Not available / text

Thesis (Ph.D.)--University of Akron, 2001. / Includes bibliographical references (leaves 118-127).

Thesis (Ph. D.)--University of Missouri-Columbia, 2001. / Typescript. Vita. Includes bibliographical references (leaves [114]-129). Also available on the Internet.

Thesis (Psy. D.)--Wheaton College, 2007. / Abstract. Includes bibliographical references (leaves 47-51).

Text in Afrikaans / A significant percentage of adolescents in children's homes are depressive in consequence of multiple experiences of loss. There is a possibility that experiences of depression are maintained in a systems context. Group therapy using an ecosystemic approach was embarked upon in order to study and to alter within a systems context the phenomenon of depression, the accompanying negative experiential and meaning-assignment worlds of the depressive adolescent girl in a children's home and the interactional behavioural patterns. It was hypothesised that behavioural change brought about in the group therapy context would extend to systems beyond the therapy system. A group of five adolescent girls in a children's home, of whom two were severely depressive, were taken for eight group therapy sessions. The principles of ecosystemic epistemology as a paradigm for family therapy were applied in the sessions. These principles stress inter alia the use of metaphor. Circular questioning was employed in order to explore the relationships within the group. Moments of depression were observed and recorded directly and indirectly according to both linear and circular approaches, and the therapeutic process was described. The manner in which the therapeutic group changed metaphorically by the group itself. A decrease in girls' level of depression was observed during therapy. Their cognitive, affective and normative functioning also changed, and alterations affecting relationships, self-concept and self-realisation could be perceived in the therapeutic process. These changes in relationships and the decrease in the level of depression were confirmed quantitatively. The transfer of these attitudes and relationships to the children's home system was confirmed by interviewing the children's home "parents" of the adolescents involved. / Psychology of Education / D. Ed. (Sielkundige Opvoedkunde)