Play Profile Constructions: An Empirical Assessment of Children’s Play in Psychodynamic Play Therapy

Play assessment can be used therapeutically to determine whether and how play would be an appropriate intervention mode for children with clinical diagnoses, and to track their therapeutic progress. However, detailed and standardized play protocols that can catalogue children’s play behaviors in psychodynamic therapy are not widely available. The aim of this study was to empirically construct profiles of play using items selected from the Children’s Play Therapy Instrument (CPTI), reflecting the complex play patterns of children with mental health difficulties. These constructed play profiles integrate quantitative items associated with cognitive, affective, social qualities of play, as well as children’s coping strategies. The initial session of 62 children in psychodynamic play therapy was recorded, transcribed and coded using the CPTI, and children’s play profiles were computed. The reliability of the play profiles, and their preliminary associations with children’s symptomatic and behavioral functioning were tested. Results showed that the play profiles showed good inter-rater reliability, internal consistency and their associations were in expected directions with the majority of the criterion measures. Given the limitations of the current empirical play measures in clinical settings, the preliminary validation provided in this study of the play profiles add a significant contribution to existing literature.     

Preschool Children’s Pretend and Physical Play and Sex of Play Partner: Connections to Peer Competence

This study was designed to examine associations between preschool childrens pretend and physical play with same-sex, other-sex, and mixed sex peers and childrens social competence with peers. Sixty predominately middle-class preschoolers (33 boys, 51 European-American) were observed on the playground at their school over a period of 4 months. Childrens same-sex, other-sex, and mixed-sex peer play was observed, and teachers and peers provided assessments of childrens social competence. Analyses revealed that children who engaged in more same-sex pretend play were better liked by peers and were viewed by teachers as being socially competent. In addition, girls who engaged in same-sex exercise play and boys who engaged in same-sex rough-and-tumble play were better liked by peers, whereas boys who engaged in rough-and-tumble play with other-sex peers were less liked by peers. The results suggest that child gender and gender of playmate are important factors in the association between pretend play and rough-and-tumble play and childrens social competence with peers.     

Let’s Play: Using Systemic and Experiential Techniques in the Play Therapy Instruction of MFT Masters’ Students

Marriage and family therapists are uniquely poised to work with entire families, including children. It is surprising then, that so few MFTs affiliate with play therapy. Many COAMFTE accredited masters’ programs offer some form of play therapy training, but therapists often report feeling uncomfortable with play therapy (Gil, 2015). In this paper, we offer a condensed refresher course on play therapy for MFTs, including suggested readings, materials, and instructions to expand training from a 2-day seminar to a 14-week course. We discuss the strengths and weaknesses of offering play therapy instruction as a semester long required course for masters’ students.     

Assessment of Pretend Play in Preschool-Aged Children: Validation and Factor Analysis of the Affect in Play Scale–Preschool Version

The Affect in Play Scale–Preschool (APS–P) and Affect in Play Scale–Preschool–Brief Rating (APS–P–BR) versions assess cognitive and affective play processes during a 5-min standardized play task. In this study, construct validity, external validity, and factor analyses for each scale were examined in 107 preschoolers. Reliability and validity were supported. Unlike results found with school-aged samples, positive affect loaded with the cognitive variables on factor analyses of the APS–P and APS–P–BR, suggesting that negative and undefined affect might represent a separate factor in preschool-aged children. Developmental significance and implications for use of the 2 scoring versions are discussed.     

Play Therapy – respecting the spirit of the child

Play Therapy is an appropriate form of counselling for children; it is based in a therapeutic relationship where communication is developmentally appropriate and easily expressed. Using a variety of methods from non-directional to co-operative play, the therapist acts to affirm, articulate and co-regulate emotional expressions and joins the child in finding meaning, and understanding of the environment. Play Therapy is presented in this paper as an expression of spiritual connection. The relationship of mutual respect and positive expectation between therapist and child allows new understanding to emerge. The interaction between these two areas of knowledge, Play Therapy and children’s spirituality is examined through case study notes and experience of Play Therapy as an early intervention response to children at a time of community disaster. The author is a Clinical Play Therapist as well as a lecturer in children’s spirituality, so this work emphasises the importance of the spiritual nature of the child and the use of a spiritual connection with the therapist for children recovering from psychological distress.     

Child’s Play: Anatomically Correct Dolls and Embodiment

Anatomically detailed dolls have been used to elicit testimony from children in sex abuse cases. However, studies have shown they often provide false accounts in young, preschool-age children. Typically this problem is seen as a cognitive one: with age, children can correctly map their bodies onto a doll due to greater intellectual ability to represent themselves. I argue, along with the work of Maurice Merleau-Ponty, that although cognitive developments aid in the ability to represent one’s own body, a discussion of embodiment is required in order to understand the use and abuse of anatomical dolls in forensic interviews. This paper examines these issues and maintains that a better understanding of embodied perception in both adults and children helps show how phenomenology can provide a more nuanced understanding to a troubling ethical and legal problem.

Child’s Play: The Creativity of Older Adults

In this article, I discuss Paul W. Pruyser's view presented in his article "An Essay on Creativity" (Pruyser in Bull Menninger Clin 43:294-353, 1979) that creative persons manifest early childhood qualities of playfulness, curiosity, and pleasure seeking and that adaptation is itself a form of creativity. I then discuss his article "Creativity in Aging Persons" (Pruyser in Bull Menninger Clin 51:425-435, 1987) in which he presents his view that aging itself is a potentially creative process, that creativity among older adults is not limited to the talented few, and that older adulthood has several specific features that are conducive to creativity. Significant among these features are object loss (especially involving human relationships) and functional loss (due to the vicissitudes of aging). Noting his particular emphasis on object loss and its role in late-life creativity, I focus on functional loss, and I emphasize the importance of adaptation in sustaining the creativity of older adults who experience such loss. I illustrate this adaptation by considering well-known painters who in late life suffered visual problems common to older adults. I suggest that in adapting to their visual problems these artists drew on the early childhood qualities (playfulness, curiosity and pleasure seeking) that all creative persons possess and that they are therefore illustrative for other older adults who are experiencing functional losses. I conclude with Erik H. Erikson's (Toys and reasons: stages in the ritualization of experience, W. W. Norton, New York, 1977) and Paul W. Pruyser's (Pastor Psychol 35:120-131, 1986) reflections on the relationship between seeing and hoping.     

Latino English Language Learners’ Writing During Literacy-Enriched Block Play

Although growing numbers of young English language learners (ELLs) from low-income homes enroll in U.S. schools, there remains a lack of research on how they respond to common school literacy practices including a literacy-enriched play. This exploratory study aims to examine the writing behaviors of six kindergarteners in their classroom's literacy-enriched block center. The results were varied since all children engaged in different types and frequencies of writing. However, most ELLs responded positively to the intervention and practiced their emergent writing skills. Therefore, literacy-enriched play centers can benefit early childhood classrooms serving culturally, linguistically, and socioeconomically diverse students.     

Gender Differences in Elaborative Parent–Child Emotion and Play Narratives

Reminiscing about the past is an everyday activity that has implications for children’s developing memory and socioemotional skills. However, little research has systematically examined how mothers and fathers may differentially elaborate and engage their daughters and sons in reminiscing. In this study, we asked 42 broadly middle-class, highly educated U.S., mostly Caucasian mothers and fathers from the same families, living in the southeastern U.S., to reminisce about a happy, sad, peer conflict, parental conflict, playground and special outing experience with their 4-year-old child. Narratives were coded for parental styles of cognitive elaboration and joint engagement. Results indicated that mothers are both more elaborative and engaged with children than fathers are, especially about negative emotional and positive play experiences. Thus, mothers appear to be helping children recount and understand their personal past more than fathers, and specifically, in working through difficult emotions that may facilitate emotion regulation skills.     

The Play’s the Thing: Improvisation in Group Psychotherapy

Study of improvisational theater suggests practices that can help us respond more fully in a therapeutic way. Improvisation is a powerful tool that emphasizes present-centered awareness and spontaneity. It helps us respond effectively to present moment processes, a key requirement for psychodynamic group psychotherapy. It enhances our ability to communicate with our patients when traditional interventions fail. Improvisation requires a readiness to play and a willingness to be open to the challenges of non-rational modes of relating. This article provides clinical examples of improvised group interventions.     

Are Children Attracted to Play Elements with an Open Function?

Abstract

The present study aimed to determine the degree to which play elements have an “open function”, and whether children are attracted to them. The architect van Eyck hypothesized that play elements with an open function attract playing children because such elements do not suggest a certain type of behavior and are, thus, likely to stimulate the children’s creativity. Children of three different age groups (5-6, 7-8, and 11-12?years of age) played freely in a Parkour playground that consists of play elements that were supposed to vary in the degree of having an open function. Based on the judgments of parents on what action children will mainly perform on each of the elements, we concluded that the play elements indeed differed in the degree of having an open function. The play behavior, however, revealed that the children were less attracted to elements with an open function. The implications of these findings are discussed.     

Miller on Dumézil: The Current State of Play

Robert A. Segal, Joseph Campbell: An introduction. New York and London, Garland Publishing, 1987, $22.00

Lawrence A. Hoffman, Beyond the text: A holistic approach to liturgy. Bloomington and Indianapolis, Indiana University Press, 1987, 213 pp

Wesley A. Kort, Modern Fiction and Human Time: A Study in Narrative and Belief. Tampa, University of South Florida Press, 1985, pp. x + 227. $20.00.

Bentley Layton (ed.), The Gnostic Scriptures. London, SCM Press, 1987, pp. xiii + 526, £25.

H. H. the Dalai Lama, Tenzin Gyatso, The Kālachakra Tantra : Rite of initiation for the stage of Generation, a commentary ; text edited, translated and introduced in Jeffrey Hopkins. London, Wisdom Publications, 1985, 511 pp. £11.95.     

It’s Child’s Play: Contemplative Anthropocosmic Creativity

The implicate or quantum connectivity of the coevolving phenomena of the cosmos, the ontohermeneutic complementarity relations between ourselves and the vast and minute systems we coconstitutingly participate, observe, prolong, and contextualize, and the eco-reciprocities among all forms of life afford us an understanding of ourselves as fractal or microcosmic embodiments and performances of what is irreducibly nondual anthropo-cosmogenesis. And if cosmogenesis is a self-referential process having nothing external to itself from which to obtain gain or satisfaction, we may analogously interpret our noninstrumentalizing contemplative experiences in complete attentiveness without regard to external payoffs as the fractal play of its creatively emergent self-delighting anthropocosmic self-awareness in the human dimensionality. Our attentive, noninstrumentalizing, and nonobjectifying contemplativity aconceptually presences connectivity and reciprocity in an aperspectivally transparent enactment of anthropocosmic ongoing-wholing whose meaning is the being of its own self-delighting. The sustainability of cocreative anthropocosmogenesis on Earth flourishes where our conduct and intrinsically rewarding contemplativity are consonant with and recreate the spontaneous coevolutionary play of intrinsically rewarding creatio continua unreduced, unobstructed, unfragmented, and uneclipsed by partial, excessively dualizing perspectives and related efforts for extrinsic gain.     

Child’s Play: The Role of Play in Mitigating the Fear of Death Among Pediatric Palliative Care Team Patients,Families, and Caregivers

Terror Management Theory (TMT), derived from Ernest Becker’s The Denial of Death (1974), maintains that humans are motivated by the desire to overcome our fear of death by constructing meaning and significance in our lives in various ways, including making light of our mortality. In this paper, we examine the role of play as seriously ill children involved with a hospital-based palliative care team live out what may be the remainder of their lives. We question the function that play has, if any, in mitigating the fear of death among dying children and their caregivers. We explore formal and informal manners of therapeutic play among children and adults occurring in moments of terrible stress, pain, and the looming threat of death. We draw on playful representations of death from popular culture and from extended field research conducted with a pediatric palliative care team in a large regional children’s hospital caring for seriously ill children and their families, as patients, families, and caretakers struggle to make sense of their suffering, fear and loss.     

Sphincter of Oddi dysfunction: Does Psychosocial Distress Play a Role?

Sphincter of Oddi dysfunction (SOD) is a functional gastrointestinal disorder characterized by pancreatobiliary-type of pain in the absence of organic abnormalities. The aim of this study was to investigate specific psychosocial predictors of functional outcome in a group of patients consecutively referred to a gastroenterological department for biliary-type of pain. Based on medical examination patients were divided into functional (SOD) and organic groups. Self-administered questionnaires regarding demographic characteristics, psychological distress (Symptom Check-List-90–R, [SCL-90-R]), severity of acute and chronic stress, level of subjective well-being and satisfaction with health were completed. The analyses were based on the logistic regression approach. In this sample, SOD patients were older than organic patients and more likely female. Logistic regression analysis showed that higher acute stress (i.e., main effect) was associated with a decreased likelihood of functional (SOD) outcome, whereas the combination of acute stress with chronic stress and the combination of acute stress with higher severity of psychopathology (i.e., interaction effect) was associated with an increased likelihood of functional (SOD) outcome. These findings suggest stressful life events in combination with certain psychological symptoms can play a role in the symptom presentation of patients with sphincter of Oddi dysfunction.