Adolescent mothers experience many factors that affect their ability to securely attach to their infants and are therefore considered a high-risk population. In addition, infants of adolescent mothers are at an increased risk of developing insecure attachment. FirstPlay® Therapy Infant Storytelling-Massage is an attachment-based, parent–infant adjunctive play therapy model founded on the theoretical underpinning of attachment theory. The current study implemented a one-time intervention with an adolescent mother population in a group home setting. A pretest/posttest design was utilized to measure the impact of FirstPlay® Therapy on the variables of an adolescent mother’s levels of maternal attachment and comfort with physical touch. Participants in this study (N = 5) were adolescent mothers ages 18–21 years old, who were recruited from four maternity group homes in two counties in South Florida. Five adolescent mothers completed the FirstPlay® Therapy for pre and posttest data. No significant differences were found in the areas of maternal attachment and predisposition to touch before and 2 weeks after the intervention. There were some significant relationships found among the demographic variables specific to an adolescent mother’s history of employment status and her child welfare history as well as the age of the mother and the age of her infant. In addition, at posttest, a significant relationship was found between the sex of the infant and the total score on the PCAQ. Although no statistically significant findings were presented, recommendations for further research include extending this intervention to a broader population of adolescent mothers across a variety of settings to focus on early infant-attachment relationships. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2020. / FAU Electronic Theses and Dissertations Collection

Child-centered play therapy (CCPT) is an empirically endorsed approach for children facing specific clinical concerns and life circumstances alike. The majority of research to date has accrued data about clients from secondary sources, such as adult report and observation. The purpose of this study was to explore children's perceptions of participating in CCPT by implementing a developmentally accessible interview medium, allowing children to share their experiences directly. Ten children between the ages of 4 and 7 who had completed at least eight sessions of CCPT were invited to create a drawing and respond to an interview protocol with their counselor. Data sources included the picture produced, a transcript of the interview between the child and counselor, and observation notes of the interview process. Using a phenomenological approach, three themes were identified to describe children's awareness and experience of the intervention: expressions of relationship, experiences in the playroom, and reluctance to engage in counselor-directed activity. The first two themes reflect children's report of the intervention and the third represents reactions to the research activity. Findings from this study support conclusions that children are aware of relationship between themselves and their counselor and recognize the uniquely unstructured features of play therapy and the playroom, which are defining components of CCPT.

The purpose of this study was to explore how the therapist-provided conditions of congruence, unconditional positive regard, and empathic understanding were experienced and conveyed in child-centered play therapy (CCPT). Although the therapist-provided conditions are considered essential to the therapeutic process in CCPT, a gap exists between child-centered theory and empirical exploration of the process and dynamics of these relational variables in CCPT. Due to the limited research in this area, a grounded theory approach was utilized to explore how the three variables emerge in CCPT. Participants included four advanced doctoral students, all Caucasian females with extensive training in CCPT, and 12 children ranging from 4 to 8 years of age receiving weekly, individual CCPT. One individual CCPT session was observed and video-recorded for each therapist-child dyad (n = 12). Following each observation, play therapists were interviewed regarding the observed play session (n = 12). During each interview, the researcher and therapist watched the recorded play session in its entirety and discussed noteworthy interactions between the child and therapist. The video-recorded play therapy sessions and therapist interviews were analyzed using a multiphasic, constant comparative method. Results of the analysis included a process-model of the therapist-provided conditions in CCPT, examples of play therapists’ internal experiences and external behaviors associated with the presence and absence of the therapist-provided conditions, and a model of the process play therapists utilize to respond to breaks and barriers to congruence, unconditional positive regard, empathic understanding, and unconditional positive self-regard in CCPT. Implications for clinical practice, training, supervision, and research are discussed.

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This study aimed to gain insight into the clinical practices and attitudes of currently practicing play therapists working with children with a parent with a substance use disorder. Participants in the study were play therapists credentialed by the Association for Play Therapy, either as a Registered Play Therapist™ or Registered Play Therapist-Supervisor™. A total of 198 play therapists participated in the study. Results demonstrated that variables including prior education, caseload of children affected by parental substance use, and the number of years since obtaining a mental health licensure explained 16% of the variance in participant attitude scores on the Drug and Drug Problems Perceptions Questionnaire (DDPPQ). Specifically, education (β = -.335, rs2 = .884, p < .001) was found to be a significant predictor of play therapist attitudes towards substance users as it explained 88% of the variance accounted for in the effect. Additionally, although not found to be significant, caseload (β = -.134, rs2 = .325, p = .058) was found to explain 33% of the variance accounted for in the effect. This initial exploration of play therapists' attitudes towards substance users provides strong evidence towards the importance of education and training in substance use disorders. Further exploration of play therapists' educational backgrounds in substance use and clinical experiences of working with children affected by parental substance use.

Assessment is a core component of the counseling identity. While previous literature has explored child clinicians' attitudes and use of standardized assessment instruments, less is known about the assessment practices of counselors providing play therapy to young children. The purpose of this qualitative study was to explore the subjective experiences of counselors who regularly use standardized social, emotional, and behavioral tests in their play therapy practice. Eleven professional counselors in the United States who regularly used standardized tests in play therapy participated in this study. The primary researcher utilized a transcendental phenomenological approach within a social, constructivist paradigm, along with an adapted phenomenological data analysis method. Six major themes were identified: professional development journey, use of standardized tests to enhance play therapy process, considerations for implementation in play therapy, counselor theoretical orientation and standardized tests, challenges in using standardized tests in play therapy, and advocacy and social justice issues. Implications for counselor education, clinical practice, and social justice advocacy are provided, along with recommendations for future research.

Depression in childhood is a significant mental health concern, impacting cognitive, affective, social, behavioral, and physical domains. Children who experience depressive symptoms are at an increased risk for physical and mental health, social, and behavioral problems throughout adulthood. Children who are marginalized due to their socioeconomic status, racial and ethnic identities are at an increased risk to experience depression and limited access to mental health care. Further, previous research has demonstrated limited efficacy of depression treatments for young children. In this study, I examined the efficacy of child-centered play therapy [CCPT], a culturally and developmentally responsive treatment, on depression among young children. Participants were 71 children from five Title 1 elementary schools in the southwestern U.S. referred by school personnel for depressive symptoms (49 males, 22 females; ages 5-9, mean age M = 6.21). The sample consisted of 14 (19.7%) African American, 3 (4.2%) Asian American, 15 (21.1%) biracial, 19 (26.8%) Caucasian, and 20 (28.2%) Latino children. Participants were randomly assigned to eight weeks of twice-weekly CCPT treatment group (n = 34) or a waitlist control group (n = 37). Results of doubly multivariate repeated-measures MANOVA revealed statistically significant improvement in depressive symptoms for children who participated in CCPT on the Mood and Feelings Questionnaire Parent and DOF Sluggish Cognitive Tempo Scale. Repeated measures ANOVA on DOF Total Problems indicated that children in CCPT statistically significantly decreased their demonstration of overall problem behaviors as rated by blind observers. Results of this study support the effectiveness of CCPT with young children of diverse ethnocultural and socioeconomic background.

Children who have sensory integration disorders face many physical, social and emotional challenges. Unusual emotional and behavioural reactions to sensory stimuli are often displayed. These children are referred to professionals including Gestalt play therapists, although formal training in sensory integration is limited to the scope of occupational therapy. Gestalt play therapists routinely utilize sensory rich activities during therapy. This study sought to explore and describe how Gestalt play therapists establish sensory contact with children who have sensory integration disorders. A combined qualitative and quantitative approach was utilized. A questionnaire and semi-structured interviews were used to gain rich descriptive data. Participants felt that the therapeutic process with these children was markedly different than with other children. Participants who were aware of their own sensory difficulties demonstrated an increased ability to accommodate these children in therapy. A need for increased knowledge and/ or training in sensory integration was strongly expressed. / Social Work / M. Diac. (Play Therapy)

This study employed a pretest/posttest control group design to investigate the achievement of second grade Hispanic students from a predominantly low socio-economic school in a large metropolitan city. The thirty Hispanic students with the lowest scores on the Gates MacGinitie Reading Test were randomly assigned to the experimental group (n =15) or the control group (n=15). The treatment consisted of 16, 30-minute sessions of play intervention--2 times per week for 8 weeks. The providers of play therapy were school personnel trained in the principles of child-centered play therapy including tracking, reflecting feelings, and setting limits. Instruments were administered to all subjects prior to the 8 week treatment period and in the two-week period following treatment and included the GMRT, the Joseph Pre-School Primary Self-Concept Test (JPPSCST) and the Child Behavior Checklist Teacher Report Form (CBCTRF). Statistical analyses included a (t-test; 2 tail; p > .05), discriminant analysis, and cross validation. The results indicated that children who received play therapy did not achieve notably higher mean scores in reading. However, play therapy did improve the experimental group's self-concept scores and their internal behavior scores, though not significantly. All differences between the experimental and the control groups were within 1 point except the JPPSCST self-concept mean scores were 1.53 in favor of the experimental group. The CBCTRF Internal behavior mean scores were 1.20 in favor of the experimental group indicating a positive trend. The CBCTRF External behavior scores were 2.74 in favor of the control group. None of the differences was statistically significant and the 4 null hypotheses were accepted. The sample size (N =30) suggests the need to exercise caution in interpreting these findings.Further research utilizing a longer time period between pretesting and posttesting is recommended and may provide more definite information regarding the impact of play therapy on children's reading, self-concept, and internal and external behavioral characteristics.