The present meta-analytic study examined the overall effectiveness of child-centered play therapy (CCPT) and child-parent relationship therapy (CPRT) for children experiencing internalizing problems. After conducting a comprehensive literature search and review, 25 studies published between 2000 and 2023 met the following inclusion criteria: (a) published and peer-reviewed; (b) used CCPT or CPRT as an intervention; (c) participants were ages 3 to 13 or parents of children ages 3 to 13; (d) study outcomes related to children's internalizing problems, such as anxiety, depression, or withdrawal; (e) used single group within study or between study design, including randomized controlled trials and non-randomized controlled trials; (f) published between January 2000 and April 2023; (g) published in English; (h) used standardized measurements; and (i) reported effect sizes, or means and standard deviations, or the author disclosed the means and standard deviations upon request. Final analysis included 28 individual effect sizes using a random effects model to determine the overall effect size for 6 analyses that included CCPT/CPRT combined between, CCPT/CPRT combined within, CCPT between, CCPT within, CPRT between, CPRT within. Moderating variables included gender, age, ethnicity, and number of CCPT sessions. CCPT and CPRT effect sizes were statistically significant and ranged from small to large effects. Results support the use of CCPT and CPRT with children for the reduction of internalizing problems. Procedures and results, including the coding process, limitations, and implications are discussed.

Play therapy and animal-assisted therapy are two specialized modalities within the field of counseling. Child-centered play therapy (CCPT) is a specific theoretical approach to play therapy that regards the therapeutic relationship as the primary healing factor. With much empirical support, CCPT is considered an effective mental health treatment option for working with children. Animal-assisted therapy in counseling (AAT-C) is acknowledged in the literature as a supplemental treatment modality to an existing counseling practice. Although past researchers have shown support for AAT-C as well as CCPT, there is a current dearth of literature examining the integration of these approaches. The present study sought to understand the approach of incorporating a therapy dog into child-centered play therapy while maintaining theoretical consistency. Using a constructivist grounded theory approach, I facilitated child-centered canine-assisted play therapy (C3APT) services for four children and reviewed the sessions with expert supervisors in AAT-C and CCPT. Three major themes emerged from the data: (a) principles of C3APT, (b) procedures of C3APT, and (c) relational dynamics. Implications for clinical practice and training of both therapy dogs and C3APT practitioners are also discussed.

High levels of quality father involvement in childhood are associated with children's socio-emotional, cognitive, and behavioral wellbeing. However, fathers can experience difficulty in building positive relationships with their kids due to work-life balance, lack of relational experience, and other life stressors. The purpose of this study was to assess the effectiveness of child-parent relationship therapy (CPRT) on fathers' parental empathy, parental stress, and child behavior problems. Though an abundance of literature exists to support the efficacy of CPRT, this was the first study to include a randomized controlled design with an all-male sample. This was also the first CPRT study to include both English and Spanish speaking fathers with intervention offered in both languages. Participants were 30 fathers (22 English, 8 Spanish; 53% Latino, 40% Caucasian, 7% Asian) with children between the ages of 3 and 10 (60% male, 40% female; 57% Latino/a, 37% Caucasian, 6% Asian). Fathers were randomly assigned to the experimental group (CPRT) (n = 14) or waitlist control group (n = 16). Results from 2 (Group) by 2 (Time) repeated measures ANOVAs did not yield statistically significant interaction effects on the dependent variables. However, results indicated a statistically significant main effect for time on each dependent variable with large effect sizes. Results of the paired samples t-test post hoc analyses indicated a statistically significant change over time for the experimental (CPRT) group and a non-statistically significant change over time for the control group on all dependent variables. Findings of this study support previous studies on the effectiveness of CPRT, but also indicate a need for future research to more accurately determine the effectiveness of CPRT for fathers compared to a waitlist control group.

This study examined the effectiveness of caregiver consultations in caregiver's child's play therapy process through a program evaluation lens. Archival data was used from a counseling clinic located in the central southwestern United States. Quantitative data was collected from caregiver who filled out assessments (PSI-4 and CBCL) about their child's progression through play therapy and both groups frequency of attendance. A regression analysis was used to determine if caregivers perceived changes from the initial session and up to 10 weeks later. Additionally, retention rates over a course of 60 weeks were analyzed. Key findings suggest there is a high dropout rate from play therapy between the initial session before 10 weeks. For those whose therapy extended up to 60 weeks, consultation attritions continued. Due to low attrition numbers the effect of caregiver filled out assessments was unable to be confirmed, but this study did show a need for an intervention focused on caregiver retention to reduce attrition rates. The body of this study shows how to thoroughly conduct a program evaluation based on a specific variable and provides suggestions for explaining evaluation findings to stakeholders.

Afrikaans text / Kreatiwiteit is die sentrale tema van hierdie navorsing. Die doel van die navorsing was om die relevansie en waarde van kreatiwiteit in spelterapie met seksueel-misbruikte kinders in die multi-kulturele konteks van Suid-Afrika, te ondersoek en te beskryf. Die navorsing is vanuit „n konstruktivistiese epistemologiese fundering en „n eksistensieel-fenomologiese paradigma gedoen, deur uitgebreide teoretiese en empiriese navorsing. Die teoretiese navorsingproses het eerstens op die holistiese impak van seksuele misbruik op kinders, te midde van hul spesifieke verhoudings- en omgewingskonteks gefokus. Dit het duidelik geword dat seksuele misbruik ernstige trauma by kinders veroorsaak, wat alle modaliteite van die kinders affekteer. Die voorkoms van komplekse posttraumtiese stresversteuring, vanweë langdurige seksuele misbruik, is teoreties beskryf en ook empiries bevestig. „n Sintese van gestalt-, persoonsgesentreerde en logoterapeutiese teorieë, is deur die navorser ontwikkel om die traumatiese nagevolge van die seksuele misbruik kreatief aan te spreek in spelterapie. Die verband tussen en vervlegting van kreatiwiteit en spelterapie is ondersoek en beskryf. Ook die bemagtigende waarde van kreatiwiteit om die kompleksiteit van hierdie kinders se trauma te hanteer is teoreties én empiries nagevors. Die oënskynlik teenstrydige prosesse van kreatiwiteit as „n intuïtiewe, artisitieke, én logiese, kognitiewe proses is ondersoek, om die waarde daarvan vir die navorsingsdoel te bepaal. Die aard en waarde van kreatiewe aktiwiteite en die uitdagings wat gestel word aan die terapeute om kreatief te werk te gaan om die komplekse proses van seksueel-misbruikte kinders aan te spreek, is verder teoreties en empiries nagevors en beskryf. Die noodsaaklikheid van die ondersteunende sisteme vir die kind en terapeut, in belang van „n suksesvolle afloop van terapie, is ook ondersoek, beskryf en beklemtoon.In die empiriese navorsingsproses is veelvuldige gevallestudies, met behulp van vyf deelnemende veldnavorsers gedoen, waar elkeen „n terapeutiese proses gevolg het, volgens riglyne en onder leiding van die navorser, met „n seksueel-misbruikte kind. Die benutting en waarde van kreatiwiteit is ondersoek, beskryf en geëvalueer in die samelopende proses van die navorser met elke deelnemende navorser en kind binne die diverse kulturele konteks in Suid-Afrika. Die teoretiese raamwerk van die navorser en die riglyn vir kreatiewe spelterapie met seksueel-misbruikte kinders is sodoende getoets, verfyn en afgerond as hulpmiddel in die breër Suid-Afrikaanse konteks. Die navorsingsbevinding was dat kreatiwiteit onontbeerlik is in spelterapie met kinders wat seksueel misbruik is in „n multi-kulturele konteks soos Suid-Afrika. / Creativity is the central concept of this research. The goal of the research was to explore the value of creativity in play therapy with sexually abused children in the multi-cultural South-African context. The research was done from a constructivistic epistemological foundation and existential-phenomological paradigms. Extensive theoretical research was supported and substantiated by empirical research. The theoretical research process focused on the holistic impact of sexual abuse on children in and as part of their specific context (field). It became clear that sexual abuse implies severe trauma for the child, and affects all of their modalities, and their functioning in their field. The impact of severe and ongoing sexual abuse on children, as complex post-traumatic stress disorder, was described to clarify their therapeutic needs. A synthesis of gestalt-, person-centred- and logotherapy to address the traumatic after-effects of sexually abused children creatively in play therapy, was developed and described and motivated in the research paper. The concept of creativity was defined and extensively explored an applied in the context of therapy with sexually abused children. Creativity as a cognitive process, a problem solving process, and an artistic process is explored and applied in this context. The value of creative activities, the challenges of being a creative therapist, the supportive role of the supervisor and the systems in society, was explored and described. The empirical research process was done in a participatory way in the form of a multiple case study. Five therapists followed a therapeutic process, according to the guideline, guidance and supervision of the researcher, with a child who had been severely sexually abused. The results from the research confirmed the value and necessity of creativity in dealing with the severe trauma of sexually abused children and bridging gaps in a multi-cultural setting. The theoretical framework of the researcher and a guideline for creative therapy with sexually abused children was tested in the empirical research process, and could be refined and finalised. It was concluded that the use of creativity is crucial in play therapy with sexually abused children in a multi-cultural context, such as South Africa. / Social Work / D. Diac. (Spelterapie)

Afrikaans text / Kreatiwiteit is die sentrale tema van hierdie navorsing. Die doel van die navorsing was om die relevansie en waarde van kreatiwiteit in spelterapie met seksueel-misbruikte kinders in die multi-kulturele konteks van Suid-Afrika, te ondersoek en te beskryf. Die navorsing is vanuit „n konstruktivistiese epistemologiese fundering en „n eksistensieel-fenomologiese paradigma gedoen, deur uitgebreide teoretiese en empiriese navorsing. Die teoretiese navorsingproses het eerstens op die holistiese impak van seksuele misbruik op kinders, te midde van hul spesifieke verhoudings- en omgewingskonteks gefokus. Dit het duidelik geword dat seksuele misbruik ernstige trauma by kinders veroorsaak, wat alle modaliteite van die kinders affekteer. Die voorkoms van komplekse posttraumtiese stresversteuring, vanweë langdurige seksuele misbruik, is teoreties beskryf en ook empiries bevestig. „n Sintese van gestalt-, persoonsgesentreerde en logoterapeutiese teorieë, is deur die navorser ontwikkel om die traumatiese nagevolge van die seksuele misbruik kreatief aan te spreek in spelterapie. Die verband tussen en vervlegting van kreatiwiteit en spelterapie is ondersoek en beskryf. Ook die bemagtigende waarde van kreatiwiteit om die kompleksiteit van hierdie kinders se trauma te hanteer is teoreties én empiries nagevors. Die oënskynlik teenstrydige prosesse van kreatiwiteit as „n intuïtiewe, artisitieke, én logiese, kognitiewe proses is ondersoek, om die waarde daarvan vir die navorsingsdoel te bepaal. Die aard en waarde van kreatiewe aktiwiteite en die uitdagings wat gestel word aan die terapeute om kreatief te werk te gaan om die komplekse proses van seksueel-misbruikte kinders aan te spreek, is verder teoreties en empiries nagevors en beskryf. Die noodsaaklikheid van die ondersteunende sisteme vir die kind en terapeut, in belang van „n suksesvolle afloop van terapie, is ook ondersoek, beskryf en beklemtoon.In die empiriese navorsingsproses is veelvuldige gevallestudies, met behulp van vyf deelnemende veldnavorsers gedoen, waar elkeen „n terapeutiese proses gevolg het, volgens riglyne en onder leiding van die navorser, met „n seksueel-misbruikte kind. Die benutting en waarde van kreatiwiteit is ondersoek, beskryf en geëvalueer in die samelopende proses van die navorser met elke deelnemende navorser en kind binne die diverse kulturele konteks in Suid-Afrika. Die teoretiese raamwerk van die navorser en die riglyn vir kreatiewe spelterapie met seksueel-misbruikte kinders is sodoende getoets, verfyn en afgerond as hulpmiddel in die breër Suid-Afrikaanse konteks. Die navorsingsbevinding was dat kreatiwiteit onontbeerlik is in spelterapie met kinders wat seksueel misbruik is in „n multi-kulturele konteks soos Suid-Afrika. / Creativity is the central concept of this research. The goal of the research was to explore the value of creativity in play therapy with sexually abused children in the multi-cultural South-African context. The research was done from a constructivistic epistemological foundation and existential-phenomological paradigms. Extensive theoretical research was supported and substantiated by empirical research. The theoretical research process focused on the holistic impact of sexual abuse on children in and as part of their specific context (field). It became clear that sexual abuse implies severe trauma for the child, and affects all of their modalities, and their functioning in their field. The impact of severe and ongoing sexual abuse on children, as complex post-traumatic stress disorder, was described to clarify their therapeutic needs. A synthesis of gestalt-, person-centred- and logotherapy to address the traumatic after-effects of sexually abused children creatively in play therapy, was developed and described and motivated in the research paper. The concept of creativity was defined and extensively explored an applied in the context of therapy with sexually abused children. Creativity as a cognitive process, a problem solving process, and an artistic process is explored and applied in this context. The value of creative activities, the challenges of being a creative therapist, the supportive role of the supervisor and the systems in society, was explored and described. The empirical research process was done in a participatory way in the form of a multiple case study. Five therapists followed a therapeutic process, according to the guideline, guidance and supervision of the researcher, with a child who had been severely sexually abused. The results from the research confirmed the value and necessity of creativity in dealing with the severe trauma of sexually abused children and bridging gaps in a multi-cultural setting. The theoretical framework of the researcher and a guideline for creative therapy with sexually abused children was tested in the empirical research process, and could be refined and finalised. It was concluded that the use of creativity is crucial in play therapy with sexually abused children in a multi-cultural context, such as South Africa. / Social Work / D. Diac. (Spelterapie)

Summaries in Afrikaans and English / Seksuele misbruik is 'n brutale vorm van kindermishandeling wat kommerwekkende afmetings in Suid-Afrika aanneem. Hierdie traumatiese gebeurtenis het emosioneel 'n geweldige negatiewe impak op die kinderslagoffer. Hierdie studie is gerig deur die uitgangspunt dat terapeute, deur middel van Gestaltspelterapie, hierdie kinderslagoffers moet lei in die hantering van hierdie trauma en die gevolge daarvan. Die gebrek aan riglyne vir die terapeut om die seksueel misbruikte kind in die middelkinderjare te hanteer is as navorsingsprobleem geformuleer. Die doel van die studie was dus om vanuit 'n Gestaltspelterapeutiese benadering riglyne vir terapeute daar te stel in die hantering van die seksueel misbruikte kind in die middelkinderjare ten einde die kind te bemagtig. Om hierdie doel te bereik, is die navorsingsproses deur kwalitatiewe navorsing gerig en individuele gevallestudies voltooi deur die terapeutiese proses met drie kinderslagoffers te deurloop. Die data wat bekom is kon deur middel van data-analise en literatuurkontrole aangewend word om riglyne saam te stel. Daar is dus in die doel van die ondersoek geslaag, naamlik die daarstelling van riglyne vir die hantering van die seksueel misbruikte kind in die middelkinderjare. / Sexual abuse is a brutal form of child abuse that has reached exasperating proportions in South Africa. This traumatic event has an enormously negative emotional impact on the child victim. This study is directed by the premise that therapists', by means of Gestalt play therapy, should guide these victimized children in dealing with this trauma and its consequences. The research problem for the study was formulated as the lack of guidelines for the therapist to deal with the sexually abused child in middle childhood. The aim of the study was to provide therapists' with guidelines designed from the approach of Gestalt play therapy for dealing with and empowering the sexually abused child in middle childhood. In order to achieve this goal, qualitative research was employed, while individual case studies were carried out by applying the therapeutic process to three victimized children. The data obtained was analyzed, checked against existing literature, and used to compile the guidelines. Thus, the goal of the research was achieved, namely to provide guidelines for dealing with the sexually abused child in middle childhood. / Social Work / M. Diac. (Play Therapy)

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)

In this research project the context of a playgroup is used in the exploration of the developing meanings of preschool children living in a community village. Therapeutic goals include the co-construction of a group context where alternative behavioural social skills, and the related meanings thereof, could evolve in relationship with the therapist / researcher and peers. The research process is based on an underlying ecosystemic epistemology, social constructionistic theory and a narrative approach to therapy. A naturalistic research design includes the use of qualitative methods of play as therapeutic tools in the exploration of meanings. Research findings show the emergence of co-constructed meaning categories between all the participants of the research to be those of respect, responsibility and hope. The therapeutic significance of these three themes for this age group of children is discussed, and linked to the further construction of meanings. / PSYCHOLOGY / MA

The difficulties experienced by children in their middle school age resemble problems with emotional intelligence. It is increased by cultural differences between the child, therapist and social environment. This research problem led to a culturally sensitive Gestalt play therapy intervention programme, to enhance primary school children's emotional intelligence. An intervention was developed, applied and the outcomes thereof studied. The outcomes relate to play therapy techniques, emotional intelligence and cultural sensitivity. The researcher made use of applied research, and thus focused on solving the social problem as stated above, and making a contribution to real life issues. A literature study, related to the concepts of the unit of analysis showed the following: The primary school child has high energy levels and presents concrete reasoning abilities. His self-esteem is based on good interpersonal relationships and achieving tasks. Emotions and other physical and cognitive systems are interdependent. Emotional intelligence is the awareness, management and control of emotions, relate to the functions of the frontal lobes and also to the requirements of a healthy individual according to Gestalt therapy. Culture is connected to the field in Gestalt theory. Cultural sensitivity in this research study meant an attitude of acceptance of cultural differences. Gestalt therapy is based on holism, which includes the environment or field. Gestalt play therapy in a group context was found to be an effective way to teach emotional intelligence skills in a culturally sensitive way to primary school children. The intervention programme was applied to pilot- and research groups, compiled from children who were assessed with the Das-Naglieri Cognitive Assessment System (Naglieri and Das, 1997a) and who presented weaker frontal lobe processes in relation to their other cognitive skills. The outcomes of the research study identified the most effective Gestalt play therapy techniques, which are: The healing therapeutic relationship The use of experiential learning The Gestalt principle of "biding one's time" The study also delivered some unsuspected outcomes namely a relation between right-hemisphere processes and emotional intelligence. This study is still open for further research relating to the concepts discussed above, the intervention programme as well as the unsuspected outcomes. / Social Work / D.Diac.