Psychiatry - October 2008 - (Page 28)

soon. It gives them a chance to finish anything they feel is important.20 Psychiatrist: Mike, our time together is over for today. Mike: Just a few more minutes. I’m almost done. Psychiatrist: I know you don’t want to leave, but our time is finished. When you come next week you can finish your buildings. Practice point. The limit of time is given to Mike. His feeling of not wanting to leave is empathized with and he is given an alternative. 3. 4. 5. 6. DISCUSSION The case described in this article is an example of nondirective play therapy. There are variations under the larger heading of play therapy that may look more or less similar to the interaction presented. For example, Trombini and Trombini detail the use of focal play therapy following Gestalt theory in children with eating and evacuation psychosomatic protest behaviors.21 Wettig, et al., present two research projects using another style of directive play therapy trademarked as Theraplay.22 Also, as described by Ryan, filial therapy, a variant of nondirective play therapy, can be used with children being placed with new caregivers.23 The Masterson Approach is described by Mulherin in a case report following a mother and child for six years and relates to Masterson’s conceptual framework of “abandonment depression.” An indepth discussion of these various theoretical outlooks and styles is beyond the scope of this paper. With play therapy, the psychiatrist responds to the child in the language of play, by both verbal and nonverbal means.24 This requires the psychiatrist to relearn what is often the lost language of play, which brings therapy to the level of the child within the child’s own realm. Play therapy can be a viable and engaging way to approach the treatment of the younger patient. 7. 8. 9. 10. 11. 12. 13. REFERENCES 1. 2. 28 Axline VM. Play Therapy. New York: Ballantine Books, 1969. Homeyer LE. Play therapy: Psychiatry 2008 [ O C T O B E R ] counseling young children. Marriage & Family: A Christian Journal. 2003:2;163–169. Danger S, Landreth G. Childcentered group play therapy with children with speech difficulties. Int J Play Therapy. 2005:1;81–102. Josefi O, Ryan V. Non-directive play therapy for young children with autism: a case study. Clin Child Psychol Psychiatry 2004:4;533–551. Legoff DB, Sherman M. Long-term outcome of social skills intervention based on interactive LEGO play. Autism. 2006:4;317–329. Robinson J, Landreth G, Packman J. Fifth-grade students as emotional helpers with kindergartners: using play therapy procedures and skills. Int J Play Therapy. 2007:1;20–35. Gold-Steinberg S, Logan D. Integrating play therapy in the treatment of children with obsessivecompulsive disorder. Am J Orthopsychiatry. 1999:4;495–503. Ryan V. Adapting non-directive play therapy for children with attachment disorder. Clin Child Psychol Psychiatry. 2004:1;75–87. Carey L. Sandplay, art, and play therapy to promote anxiety reduction. In: Webb NB (ed). Mass Trauma and Violence: Helping Families and Children Cope. New York, NY: Guilford Press, 2004. Erreich A. The anatomy of a symptom: concept development and symptom formation in a four-year-old boy. J Am Psychoanal Assoc. 2007:3;899–922. Snow MS, Hudspeth EF, Gore B, Seale HA. A comparison of behaviors and play themes over a six-week period: Two case studies in play therapy. Int J Play Therapy. 2007:2;147–159. Scott TA, Burlingame G, Starling M, Porter C, Lilly JP. Effects of individual client-centered play therapy on sexually abused children’s mood, self-concept, and social competence. Int J Ther. 2003:1;7–30. Baggerly J. “I’m rich:” play therapy with children who are homeless. In: Schaefer CE, Kaduson HG (Eds). Contemporary Play Therapy, Research, and Practice. New York, 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. NY: Guilford Press, 2006. Mullen JA, Gruman DH, Holcomb MR. “But all my friends are here!”: minimizing and managing the effects of relocation. In: Dugger SM, Carlson L (Eds). Critical Incidents in Counseling Children. Alexandria, VA: American Counseling Association, 2007. William-Li HC, Lopez V, Lee TL. Effects of preoperative therapeutic play on the outcomes of school-age children undergoing day surgery. Res Nurs Health. 2007:3;320–332. William-Li HC, Lopez V, Lee TL. Effects of preoperative therapeutic play on the outcomes of school-age children undergoing day surgery. Res Nurs Health. 2007:3;320–332. Bratton S, Ray D. What the research shows about play therapy. Int J Play Ther. 2000:1;47–88. Bratton SC, Ray D, Rhine T, Jones L. The efficacy of play therapy with children: a meta-analytic review of treatment outcomes. Profess Psychol Res Prac. 2005:4;376–390. Rogers-Nicastro J. A meta-analytic review of play therapy outcomes and the role of age: implications for school psychologists. St. John’s U (New York) Dissertation Abstracts record 2006:3–B;1714. Schaefer, CE. Foundations of Play Therapy. Hoboken, NJ: John Wiley & Sons, Inc., 2003. Trombini E, Trombini G. Focal playtherapy in the extended childparents context: a clinical case. Gestalt Theory. 2006:4;375–388. Wettig HH, Franke U, Fjordbak BS. Evaluating the effectiveness of theraplay. In: Schafer CE, Kaduson HG (Eds). Contemporary Play Therapy: Theory, Research, and Practice. New York, NY: Guilford Press, 2006. Ryan V. Filial therapy: helping children and new careers to form secure attachment. Br J Soc Work. 2007:4;643–657. Behr M. Interactive resonance in work with children and adolescents: A theory-based concept of interpersonal relationship through play and the use of toys. PersonCentered and Experiential Psychotherapies. 2003:2;89–103.

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Psychiatry - October 2008 Editor’s Message Editorial Advisory Board Contents Psych Rx Treatment of Migraine and the Role of Psychiatric Medications Play Therapy: A Case-based Example of a Nondirective Approach Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options Severely Mood-disordered Youth Respond Less Well to Treatment in a Community Clinic than Youth with Bipolar Disorder Beyond Informed Consent: The Ethics of Informing, Anticipating, and Warning Asthma: Wheezing, Woes, and Worries Classified Advertising Journal Watch Information for Authors

Psychiatry - October 2008

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