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PLAY THERAPY WITH CHILDREN By: Cathi Spooner, LCSW Presented at: NACSW Convention 2010 November, 2010 Raleigh-Durham, NC

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PLAY THERAPY WITH CHILDREN

By: Cathi Spooner, LCSW

Presented at: NACSW Convention 2010

November, 2010 Raleigh-Durham, NC

Play

The

rapy

with

Chi

ldre

nU

nder

stan

ding

the

Pow

er o

f Pla

y an

d Sp

iritu

ality

in

Clin

ical

Pra

ctic

e w

ith C

hild

ren

Pres

ente

d by C

athi

Spo

oner

, LC

SW

, RPT

/SVA

PT N

OVA

Cha

pter

Cha

ir

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Wha

t is

Pla

y The

rapy

?A

ssoc

iatio

n of

Pla

y The

rapy

(19

97) d

efin

es p

lay

ther

apy

as:

“…th

e sy

stem

atic

use

of a

the

oret

ical

mod

el t

o es

tabl

ish

an in

terp

erso

nal p

roce

ss w

here

in t

rain

ed p

lay

ther

apis

ts

use

the

ther

apeu

tic p

ower

s of

pla

y to

hel

p cl

ient

s pr

even

t or

res

olve

psy

chos

ocia

l diff

icul

ties

and

achi

eve

optim

al g

row

th a

nd d

evel

opm

ent.”

Key

ele

men

t: t

heor

etic

al o

rien

tati

on a

nd t

rain

ing

to

impl

emen

t th

e st

rate

gies

of t

he t

heor

y

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Pow

er a

nd B

enef

it of

Pla

y w

ith

Chi

ldre

n in

Tre

atm

ent

The

Am

eric

an A

cade

my

of P

edia

tric

s st

ates

:

“Pla

y al

low

s ch

ildre

n to

cre

ate

and

expl

ore

a w

orld

th

ey c

an m

aste

r, co

nque

ring

the

ir fe

ars

whi

le

prac

ticin

g ad

ult

role

s, so

met

imes

in c

onju

nctio

n w

ith o

ther

chi

ldre

n or

adu

lt ca

regi

vers

. As

they

m

aste

r th

eir

wor

ld, p

lay

help

s ch

ildre

n de

velo

p ne

w c

ompe

tenc

ies

that

lead

to

enha

nced

co

nfid

ence

and

res

ilien

cy t

hey

need

to

face

futu

re

chal

leng

es.”

Pedi

atri

cs, V

olum

e 11

9, N

umbe

r 1,

Janu

ary

2007

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�O

verc

omin

g re

sist

ance

Pl

ay is

nat

ural

and

fun

beha

vior

for

child

ren

whi

ch

help

s to

est

ablis

h a

wor

king

the

rape

utic

alli

ance

. �

Com

mun

icat

ion

Chi

ldre

n of

ten

have

diff

icul

ty e

xpre

ssin

g th

emse

lves

ver

bally

to

com

mun

icat

e fe

elin

gs,

thou

ghts

and

nee

ds.

Play

offe

rs t

hem

a “

natu

ral”

m

eans

of c

omm

unic

atio

n. S

chae

fer

stat

es, “

Play

is

to t

he c

hild

wha

t ve

rbal

izat

ion

is t

o th

e ad

ult-

the

mos

t na

tura

l med

ium

for

self-

expr

essi

on.”

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�C

ompe

tenc

eC

hild

ren

enjo

y pl

ayin

g w

hich

mea

ns t

hey

will

sp

end

muc

h tim

e in

volv

ed in

pla

ying

. Pl

ayin

g al

low

s op

port

unity

to

enha

nce

self-

este

em b

y sa

tisfy

ing

the

child

’s in

tern

al m

otiv

atio

n to

exp

lore

an

d m

aste

r th

e en

viro

nmen

t.�

Cre

ativ

e T

hink

ing

Play

enc

oura

ges

crea

tivity

and

flex

ibili

ty w

ithou

t fe

ar o

f neg

ativ

e co

nseq

uenc

es s

o ch

ildre

n ca

n tr

y ou

t di

ffere

nt p

robl

em s

olvi

ng s

trat

egie

s.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�C

atha

rsis

Chi

ldre

n of

ten

have

diff

icul

ty v

entil

atin

g in

tens

e fe

elin

gs a

nd p

lay

allo

ws

an o

ppor

tuni

ty t

o re

leas

e th

ese

pent

up

feel

ings

with

som

e em

otio

nal

dist

ance

. R

elea

sing

the

se fe

elin

gs c

an o

ften

faci

litat

e a

inne

r pe

ace.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�A

brea

ctio

nSc

haef

er s

tate

s th

at, “

Abr

eact

ion

is t

he r

eliv

ing

of

past

str

essf

ul e

vent

s an

d th

e em

otio

ns a

ssoc

iate

d w

ith t

hem

. In

pla

y, ch

ildre

n ca

n sl

owly

men

tally

di

gest

and

ass

imila

te t

raum

atic

exp

erie

nces

by

reliv

ing

them

with

a a

ppro

pria

te r

elea

se o

f affe

ct.”

T

he p

lay

ther

apis

t ca

n he

lp t

he c

hild

to

re-

expe

rien

ce th

e ev

ent

in a

diff

eren

t w

ay a

nd g

ain

a se

nse

of m

aste

ry a

nd e

mpo

wer

men

t.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�R

ole-

play

ing

Play

allo

ws

child

ren

to t

ry o

ut d

iffer

ent

role

s an

d be

havi

ors

to e

xper

ienc

e th

ings

from

a d

iffer

ent

pers

pect

ive

and

deve

lop

a se

nse

of s

elf a

s se

para

te

from

oth

ers.

Fant

asy/

Vis

ualiz

atio

nIm

agin

atio

n is

enh

ance

d th

roug

h pl

ay.

Scha

efer

sta

tes,

“Pre

tend

ing

give

s a

child

pow

er o

ver

the

wor

ld, e

ven

whe

n he

doe

s no

t ha

ve m

uch

cont

rol i

n re

al li

fe…

Thi

s po

wer

and

con

trol

is e

go-b

oost

ing

and

augm

ents

an

inne

r lo

cus

of c

ontr

ol.”

The

pos

sibi

litie

s w

ith

imag

inat

ion

are

endl

ess

with

a c

hild

in w

hat

he c

an

achi

eve

and

over

com

e.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�M

etap

hori

c Te

achi

ngPl

ay a

llow

s th

e op

port

unity

to

deve

lop

new

myt

hs

or m

etap

hors

to

addr

ess

issu

es r

elat

ed t

o un

cons

ciou

s co

nten

t. T

he t

hera

pist

can

obs

erve

a

child

’s fa

ntas

y pl

ay a

nd g

ain

unde

rsta

ndin

g in

to t

he

conc

erns

of t

he c

hild

.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�A

ttac

hmen

t Fo

rmat

ion

Play

ful i

nter

actio

ns w

ith s

mili

ng a

nd p

ositi

ve t

ouch

ar

e na

tura

l and

enj

oyab

le w

ays

for

child

ren

to c

onne

ct

with

adu

lts.

�R

elat

ions

hip

Enh

ance

men

tSc

haef

er s

tate

s, “T

hrou

gh p

lay,

a pl

easu

re b

ond

is

form

ed t

hat

mak

es e

ach

part

y m

ore

attr

activ

e to

the

ot

her.

Onc

e fo

rmed

, mut

ual f

eelin

gs o

f war

mth

and

cl

osen

ess

betw

een

ther

apis

t an

d ch

ild c

ontr

ibut

e to

th

e ch

ild’s

sens

e of

wel

lbei

ng.”

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�Po

siti

ve E

mot

ion

Play

ing

is fu

n an

d ch

ildre

n en

joy

it w

hich

can

be

uplif

ting

for

the

child

and

rel

ieve

str

ess.

�M

aste

ring

Dev

elop

men

tal F

ears

Chi

ldre

n ca

n ov

erco

me

thei

r fe

ars

by r

epea

tedl

y pl

ayin

g ou

t th

reat

enin

g st

imul

i and

find

ing

way

s to

m

aste

r an

d ov

erco

me

thei

r fe

ars.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

The

rape

utic

Pow

ers

of P

lay

by C

harl

es S

chae

fer

(Ada

pted

)

�G

ame

Pla

yPl

ayin

g ga

mes

invo

lves

adh

erin

g to

a

pred

eter

min

ed s

et o

f rul

es w

hich

pro

vide

s op

port

uniti

es fo

r ch

ildre

n to

lear

n so

cial

izat

ion

skill

s. R

ules

invo

lve

play

ing

fair,

tak

ing

turn

s, an

d le

arni

ng t

o lo

se a

nd w

in g

raci

ously

. Eg

o co

ntro

l an

d fo

cus

mus

t ov

erri

de im

puls

ive

beha

vior

.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Type

s of

Pla

y The

rapy

Chi

ld C

ente

red

�C

hild

Led

�R

elat

ions

hip

Focu

sed

�Sa

fe a

nd S

ecur

e Sp

ace

�U

ncon

ditio

nal P

ositi

ve

Reg

ard

�Be

lief i

n C

hild

’s In

tern

al

Dri

ve fo

r H

ealin

g

Dire

cted

App

roac

h�

The

rapi

st L

ed�

Sym

ptom

Foc

used

�Sa

fe a

nd S

ecur

e Sp

ace

�U

ncon

ditio

nal P

ositi

ve

Reg

ard

�A

pply

Spe

cific

The

ory

Mod

el t

o C

hang

e Sy

mpt

om

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

An

Inte

grat

ed A

ppro

ach

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Play

The

rapy

Non

–D

irect

Chi

ld C

ente

red

Play

The

rapy

Dire

ctSk

ills

focu

sed

Expr

essi

ve A

rts

Sand

tray

Art

Non

D

irect

Dire

ct

Non

Dire

ctD

irect

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

How

Can

Pla

y The

rapy

Ben

efit

Chi

ldre

n?

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Wha

t Doe

s Sc

ript

ure

Say?

�“T

hen

little

chi

ldre

n w

ere

brou

ght

to Je

sus

for

Him

to

plac

e H

is h

ands

on

them

and

pra

y fo

r th

em.

But

the

disc

iple

s re

buke

d th

ose

who

bro

ught

the

m.

Jesu

s sa

id,

“Let

the

litt

le c

hild

ren

com

e to

me,

and

do

not

hind

er

them

, for

the

kin

gdom

of h

eave

n be

long

s to

suc

h as

th

ese.

M

atth

ew 1

9:13

-14

�“H

e to

ok a

litt

le c

hild

and

had

him

sta

nd a

mon

g th

em

[dis

cipl

es].

Tak

ing

him

in H

is a

rms,

He

said

to

them

, ‘W

hoev

er w

elco

mes

the

se li

ttle

chi

ldre

n in

my

nam

e w

elco

mes

Me;

and

who

ever

wel

com

es M

e do

es n

ot

wel

com

e M

e bu

t th

e O

ne w

ho s

ent

Me.

‘ ”

M

ark

9: 3

6-37

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Wha

t Doe

s Sc

ript

ure

Say?

�“A

nd t

he w

olf w

ill d

wel

l with

the

lam

b, a

nd t

he

leop

ard

will

lie

dow

n w

ith t

he k

id, a

nd t

he c

alf

and

the

youn

g lio

n an

d th

e fa

tling

tog

ethe

r; an

d a

little

chi

ld w

ill le

ad t

hem

.”

I

saia

h 11

:6

�“W

hen

I was

a c

hild

, I u

sed

to s

peak

as

a ch

ild,

thin

k as

a c

hild

, rea

son

as a

chi

ld; w

hen

I be

cam

e a

man

, I d

id a

way

with

chi

ldis

h th

ings

.”1C

or. 1

3:11

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Wha

t Doe

s It

All

Mea

n?

�Je

sus

alw

ays

enga

ged

with

peo

ple

in a

m

anne

r th

at w

as m

eani

ngfu

l to

them

-at

thei

r de

velo

pmen

tal l

evel

and

cul

tura

l re

leva

nce.

�Je

sus

high

ly r

egar

ded

child

ren

and

His

pe

ople

are

reg

ular

ly r

efer

red

to a

s “c

hild

ren.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Wha

t Doe

s It

All

Mea

n?�

God

’s pu

rpos

e fo

r H

is “

child

ren”

is t

o re

flect

Jesu

s-H

is li

ght

into

a d

ark

wor

ld.

�A

key

ele

men

t us

ed b

y Je

sus

is r

elat

ions

hip

and

mee

ting

peop

le “

whe

re t

hey

are”

-de

velo

pmen

tally

, em

otio

nally

, cog

nitiv

ely

and

spir

itual

ly.�

Earl

y in

terv

entio

n in

chi

ldho

od in

crea

ses

the

likel

ihoo

d of

livi

ng a

n “a

bund

ant

life”

re

flect

ing

the

pow

er a

nd lo

ve o

f Jes

us-w

hich

st

arts

with

a h

ealth

y ch

ildho

od a

nd

unde

rsta

ndin

g ou

r va

lue

and

wor

th d

urin

g ch

ildho

od.

Phoe

nix F

amily

Cou

nseli

ng &

Play

The

rapy

Cen

ter, P

LLC

Stra

tegi

es fo

r C

linic

al P

ract

ice

�R

oseb

ush

Dra

win

g-(V

iole

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