an orientation to play therapy
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An Orientation to Play Therapy. Stephanie Pratola, Ph.D. January 11, 2012 KidS Group. Characteristics of play. Action oriented (real or imagined). Characteristics of play. Spontaneous, self generated – intrinsically motivated. Characteristics of play. Not too serious: - PowerPoint PPT PresentationTRANSCRIPT
An Orientation to Play Therapy
Stephanie Pratola, Ph.D.January 11, 2012
KidS Group
Characteristics of play Action
oriented (real or imagined)
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Characteristics of play Spontaneou
s, self generated – intrinsically motivated
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Characteristics of play Not too serious: Not goal oriented
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Characteristics of play Not good or bad: it just is
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Characteristics of play No rules - flexible
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Characteristics of play Non-literal:
uses fantasy or imagination
Use of symbolic objects
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Characteristics of play Don’t have to be “good” at it
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Characteristics of play Fun
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Characteristics of play Involves loss
of self consciousness
(induces the state of “flow”)
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Characteristics of play Play is the “medium” of children
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Characteristics of play Play is intrinsically therapeutic
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Characteristics of play Functions of play beyond to have fun are unconscious 13
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Association For Play Therapy Multidisciplinary professional
organization Promotes play therapy Has developed a credentialing
system Promotes and sponsors training ,
now including university level Promotes research of treatment
efficacy and development of best practices.
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Rationale for Play therapy-
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Children naturally use play to Develop basic kinesthetic skills
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Children naturally use play to: Learn to relax and release energy
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Children naturally use play to: Explore their environment
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Children naturally use play to: Master unfamiliar situations
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Children naturally use play to: Develop an
understanding of their world
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Children naturally use play to: Master Conflicts
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Children naturally use play to: Soothe and Distract Themselves
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Children naturally use play to: Develop a sense of self separate from others
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Children naturally use play to: Understand societal roles
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Children naturally use play to: Learn to cooperate with others
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Play Therapy There is no one school of play
therapy
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All play therapy has in common Emphasis on
a relationship that honors play
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All play therapy has in common:Use of
techniques designed to harness the natural therapeutic power of play
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Other “Common features” of Play Therapy: Use of “play” interactions and
activitiesCharacterized by
Action- real or imagined Imagination Use of symbolic objects Creative productions Value on process rather than content
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Other “Common features” of Play Therapy: Communication in the play
interaction that is Developmentally appropriate Metaphorical/symbolic
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Developmental considerations: (for example)
3 year olds begin symbolic play; 4 year olds can draw representational
pictures Importance of how trauma is encoded Capacity for fantasy Defensive vulnerability as related to
cognitive development
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History of Play Therapy There is no one school of play
therapyAnalytic: Anna FreudJungian: Sand tray therapyRogerian: Axline – non-directive
Gureney – FilialCognitive Behavioral – Integrative/Prescriptive/Multimodal
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Schools of Play Therapy differ on several dimensionsDirective vs. Non-DirectiveStructured vs. UnstructuredLevel of verbalizationChoice and use of toys and materialsWho is present in the session: parents, family, peers, individual
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Directive vs. Non-Directive
How active is the therapist in directing the play in the session.
Non-Directive play therapists typically deal with individual children or teach filial therapy to parents.
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Structured vs. Non StructuredA dimension of Non-directive therapyTherapists from a cognitive behavioral orientation, for example, are highly structured.Theraplay is another highly structured type of play therapy intervention where the therapist plans the session following an assessment of the client needs. 38
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Level of VerbalizationAnd ….interpretation…..Non-directive play therapists will use words to reflect what they observe in the play.
Most play therapists deal with conflicts, etc. in the play relationship
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Choice and use of toys Psychoanalytic play therapy: each child has a
small collection of toys kept for their entire course of therapy
Non-directive therapy: a variety of items consistently available
Sandtray therapy: a large collection of objects and sand trays
Cognitive behavioral/PCIT/ Eco-systemic/Integrative/Prescriptive: Therapist choses games and toys specifically brought in for each session.
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School of Play Therapy
Associated with….. Therapist stance Use of Interpretation? Toys
(Client Centered)Axline
Axline, Non-directive/Unstructured
No A wide variety
Psychoanalytic
Freud, James Non-directive/Unstructured
Yes A limited number
Existential Moustakis Non-directive/Unstructured
Yes A wide variety
Theraplay Jernberg Directive/Structured No Selected by therapist
Adlerian Adler, Kottman Directive/Structured Yes Selected by therapist
Cognitive-Behavioral Schaefer Directive/Structured No Games/ therapeutic activities
Eco-systemic O’Connor Directive/Structured Yes Selected by the therapist
Gestalt Oaklander Directive/Unstructured No Selected by the therapist
Jungian Lowenfield Non-Directive/Structured
Yes Sandtray and objects provided 41
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Clinically Play can be used to:
1. form a relationship2. assess child’s thoughts, feelings, beliefs,
expectations, skills, reactions3. communicate important ideas: 4. challenge and teach new skills5. provide opportunity for something different to happen
in an interaction6. help child make connections, understand self and
motivations of others. 7. dissipate energy and cope with overwhelming
feelings.
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A word about PiZZaZz Pizzazz is a dramatic, energetic and
playful response to your child.
Pizzazz is an attitude that clearly communicates “we are playing now” …it is sort of an induction into the playful mode.
Pizzazz energizes both the pizzazzer and the pizzazzee.
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Beginning a Play Therapy
Relationship
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What the therapist does: The goal of the therapist is to create a
trusting relationship by giving close attention to the child’s sharing of his thoughts and feelings through play. The attitude of the therapist is intensely interested, open ad accepting of the child. In child centered play interactions the therapist relates to child in a way that is different from how people usually relate to children. Here the child determines the direction of the interaction. The therapist follows and reflects the actions, thoughts and feelings that the child shares. 45
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Talking “ to a child in play1. Avoid direct, intrusive questions2. Child takes the lead, directs the action.3. Describe what you see out loud (explained below)4. Accept creations without judgment5. Use “I wonder” statements6. Be animated, energetic, dramatic – show PIZZAZZ7. Don’t take play personally or literally.8. Communicate “in role”9. React to the child’s feeling level:
a. “That monster sure is scary”
b. “I’m so sorry your dolly is sick”
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Description Involves following the child’s actions with
descriptive statements. This is particularly useful when a child is non-verbal and/or very tentative in their play.
Example: “You’re getting all the dolls together” “You’re being very careful with all those toys.”
Avoid judgmental comments: “What a good job.”
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Role Play Practice Activity Divide into threes: child, RPT and RPT-S
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Registered Play Therapist Must be a licensed Mental Health Practitioner Master’s degree or Higher APT designated core graduate coursework 2 years and 2,000 hours of supervised clinical
experience 150 hours of play therapy specific instructions 500 hours of play therapy experience ; 50
hours of play therapy supervision Renewal: 18 hours CEU every 36 months.
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Registered Play Therapist-Supervisor RPT requirements plus” Additional 3 years and 3,000 hours of
supervised clinical experience 3 years of post licensure practice Additional 500 hours of play therapy
experience 24 additional hours of supervision
training or be a state approved supervisor
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