Therapy drop-out: a descriptive case study of an imperfect sand-play therapy process with an aggressive 12 year old boy
- Authors: Fouche, Aimee Louise
- Date: 2022-04-07
- Subjects: Psychotherapy Failure , Psychotherapy Outcome assessment , Psychotherapy , Aggressiveness in children , Sandplay Therapeutic use , Play therapy , Conduct disorders in children , Boys Psychology
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/292704 , vital:57008
- Description: This case study sought to document an imperfect sandplay therapy process with an aggressive 12 year old male. Premature abscondment is a recognised issue in child and adolescent therapy. Extra-therapeutic factors like social support from family and friends have been found to be determinants of child psychotherapy outcomes. There is a significant gap in case study research documenting a failed child therapy process. This research aims to address the omission by using qualitative methods to elicit a nuanced account of such a process. The results of thematic analysis found that parents played a crucial role in the failure of the process. Not only were they instrumental in stopping therapy attendance but their disengaged attitudes infiltrated into the child’s process. Implications for clinical practice were discussed and recommendations were made for more documentation of failed therapy processes. This case study hopes to form part of the ground work for future investigations. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
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- Date Issued: 2022-04-07
- Authors: Fouche, Aimee Louise
- Date: 2022-04-07
- Subjects: Psychotherapy Failure , Psychotherapy Outcome assessment , Psychotherapy , Aggressiveness in children , Sandplay Therapeutic use , Play therapy , Conduct disorders in children , Boys Psychology
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/292704 , vital:57008
- Description: This case study sought to document an imperfect sandplay therapy process with an aggressive 12 year old male. Premature abscondment is a recognised issue in child and adolescent therapy. Extra-therapeutic factors like social support from family and friends have been found to be determinants of child psychotherapy outcomes. There is a significant gap in case study research documenting a failed child therapy process. This research aims to address the omission by using qualitative methods to elicit a nuanced account of such a process. The results of thematic analysis found that parents played a crucial role in the failure of the process. Not only were they instrumental in stopping therapy attendance but their disengaged attitudes infiltrated into the child’s process. Implications for clinical practice were discussed and recommendations were made for more documentation of failed therapy processes. This case study hopes to form part of the ground work for future investigations. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
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- Date Issued: 2022-04-07
A case study of child-centred play therapy with a child suffering from posttraumatic stress disorder
- Authors: Nyanga, Kanyisa
- Date: 2014
- Subjects: Play therapy , Post-traumatic stress disorder in children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/8802 , vital:26431
- Description: Child-centred play therapy is not the preferred treatment approach for Posttraumatic Stress Disorder (PTSD), because of the limited research demonstrating this treatment as a proper approach for childhood trauma. The purpose of this case study was to explore and describe the process of child-centred therapy with a four-year-old child with PTSD. An exploratory descriptive case study approach was utilised as it allowed for an in-depth description of a phenomenon in its therapeutic context. Data was collected through multiple sources to establish a comprehensive database. The data was analysed through Alexander’s content analysis and Guba’s model of trustworthiness. Findings included themes observed in the research participant dealing with PTSD of perfectionism, control, shame, mistrust, needing control, and perfectionism. The therapist’s application of Axline’s principles indicated these principles being enough for treating PTSD in a child. Some of those principles had immediate impact while others were cumulative in their effect.
- Full Text:
- Date Issued: 2014
A case study of child-centred play therapy with a child suffering from posttraumatic stress disorder
- Authors: Nyanga, Kanyisa
- Date: 2014
- Subjects: Play therapy , Post-traumatic stress disorder in children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/8802 , vital:26431
- Description: Child-centred play therapy is not the preferred treatment approach for Posttraumatic Stress Disorder (PTSD), because of the limited research demonstrating this treatment as a proper approach for childhood trauma. The purpose of this case study was to explore and describe the process of child-centred therapy with a four-year-old child with PTSD. An exploratory descriptive case study approach was utilised as it allowed for an in-depth description of a phenomenon in its therapeutic context. Data was collected through multiple sources to establish a comprehensive database. The data was analysed through Alexander’s content analysis and Guba’s model of trustworthiness. Findings included themes observed in the research participant dealing with PTSD of perfectionism, control, shame, mistrust, needing control, and perfectionism. The therapist’s application of Axline’s principles indicated these principles being enough for treating PTSD in a child. Some of those principles had immediate impact while others were cumulative in their effect.
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- Date Issued: 2014
The process of relational play therapy between a trainee therapist and a maltreated child : a case study
- Authors: Watkiss, Sheralyn Ann
- Date: 2014
- Subjects: Play therapy , Therapist and patient , Abused children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9970 , http://hdl.handle.net/10948/d1020977
- Description: Research in the field of attachment theory and object relations theory has indicated that early attachments between a child and his or her primary caregiver have significant implications for the development of that child. Early relationships begin to shape the child’s sense of self and other and healthy relationships lead to secure attachments. However, children who encounter early maltreatment or a disruption in caregivers are particularly vulnerable to developing insecure attachments and a disrupted sense of self and other, which has consequences for their subsequent psychological development. In the South African context, increasing numbers of children are being orphaned or placed in formal foster care with many children at risk for insecure attachments. This has implications for therapeutic work with an increased need to promote secure attachment relationships and a stable sense of self and other. The current case study aimed to describe the relational experience of play therapy that took place between a maltreated five year old female child and a female trainee therapist with this purpose in mind. The therapeutic process was embedded within a relational therapy framework which included object relations and attachment theory. The researcher made use of a qualitative descriptive dialogic research approach to conduct the research. The data were analysed using content analysis, where the play therapy sessions were analysed according to concepts relating to Fairbairn’s (1963) object relations theory as well as Winnicott’s (1965) object relations theory. Prominent themes that emerged included the role of the holding environment, splitting of good and bad objects and the presence of a false self versus a true self. In addition, the conflicting presence of two repressed ego structures, namely the libidinal and antilibidinal ego structure were noted throughout the therapeutic process.
- Full Text:
- Date Issued: 2014
- Authors: Watkiss, Sheralyn Ann
- Date: 2014
- Subjects: Play therapy , Therapist and patient , Abused children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9970 , http://hdl.handle.net/10948/d1020977
- Description: Research in the field of attachment theory and object relations theory has indicated that early attachments between a child and his or her primary caregiver have significant implications for the development of that child. Early relationships begin to shape the child’s sense of self and other and healthy relationships lead to secure attachments. However, children who encounter early maltreatment or a disruption in caregivers are particularly vulnerable to developing insecure attachments and a disrupted sense of self and other, which has consequences for their subsequent psychological development. In the South African context, increasing numbers of children are being orphaned or placed in formal foster care with many children at risk for insecure attachments. This has implications for therapeutic work with an increased need to promote secure attachment relationships and a stable sense of self and other. The current case study aimed to describe the relational experience of play therapy that took place between a maltreated five year old female child and a female trainee therapist with this purpose in mind. The therapeutic process was embedded within a relational therapy framework which included object relations and attachment theory. The researcher made use of a qualitative descriptive dialogic research approach to conduct the research. The data were analysed using content analysis, where the play therapy sessions were analysed according to concepts relating to Fairbairn’s (1963) object relations theory as well as Winnicott’s (1965) object relations theory. Prominent themes that emerged included the role of the holding environment, splitting of good and bad objects and the presence of a false self versus a true self. In addition, the conflicting presence of two repressed ego structures, namely the libidinal and antilibidinal ego structure were noted throughout the therapeutic process.
- Full Text:
- Date Issued: 2014
Raging in service of the self: exploring a five-year old boy's aggression within his play therapy
- Authors: Smith, Austin
- Date: 2006
- Subjects: Play therapy , Aggressiveness in children , Self-perception in children , Child development , Child psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3057 , http://hdl.handle.net/10962/d1002566 , Play therapy , Aggressiveness in children , Self-perception in children , Child development , Child psychology
- Description: This thesis takes the form of an in-depth case study within which the play therapy process of an aggressive 5-year-old boy was explored. The aim of the research was to examine the abundant expressions of aggression that were present within his therapy, and in so doing reflect their rich communicative content and their relevance and purpose in the development of his Self. Object relations theory formed the lens and theoretical context for this research with Winnicott’s contributions and Parens' model of aggression being considered in particular. A detailed data resource of the therapy process was compiled and transposed into narrative form. These narratives were reviewed with a reading guide as a means to facilitate a hermeneutic exploration of the data. The emergent themes were considered against the case data and the current theory, which allowed for their further analysis and development. From this the value of using Parens’ model was considered and deemed useful although limited in its contribution. The analysis and the themes which emerged conveyed how within this case the child’s aggression presented as: a significant feature of his ambivalence towards relationships; a powerful and pervasive protective fantasy of omnipotence; inherently linked to his sense of self and self expression; and as actively involved in his True Self’s hope-filled attempts for an alternative experience. This thesis provides a descriptive account of a challenging case, offering insights into the value and meaningful content of aggressive behaviours, with the intention being to reflect that which is often not easily appreciated or readily observable within such a therapy process, a trace of hope.
- Full Text:
- Date Issued: 2006
- Authors: Smith, Austin
- Date: 2006
- Subjects: Play therapy , Aggressiveness in children , Self-perception in children , Child development , Child psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3057 , http://hdl.handle.net/10962/d1002566 , Play therapy , Aggressiveness in children , Self-perception in children , Child development , Child psychology
- Description: This thesis takes the form of an in-depth case study within which the play therapy process of an aggressive 5-year-old boy was explored. The aim of the research was to examine the abundant expressions of aggression that were present within his therapy, and in so doing reflect their rich communicative content and their relevance and purpose in the development of his Self. Object relations theory formed the lens and theoretical context for this research with Winnicott’s contributions and Parens' model of aggression being considered in particular. A detailed data resource of the therapy process was compiled and transposed into narrative form. These narratives were reviewed with a reading guide as a means to facilitate a hermeneutic exploration of the data. The emergent themes were considered against the case data and the current theory, which allowed for their further analysis and development. From this the value of using Parens’ model was considered and deemed useful although limited in its contribution. The analysis and the themes which emerged conveyed how within this case the child’s aggression presented as: a significant feature of his ambivalence towards relationships; a powerful and pervasive protective fantasy of omnipotence; inherently linked to his sense of self and self expression; and as actively involved in his True Self’s hope-filled attempts for an alternative experience. This thesis provides a descriptive account of a challenging case, offering insights into the value and meaningful content of aggressive behaviours, with the intention being to reflect that which is often not easily appreciated or readily observable within such a therapy process, a trace of hope.
- Full Text:
- Date Issued: 2006
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