The Healing Power of Play: Working with Abused ChildrenThis book describes how therapists can both facilitate constructive play therapy and intervene in posttraumatic play to help children who have been traumatized by abuse or neglect achieve a positive resolution. Traditional techniques of play therapy are reviewed for their application to this population. Throughout, numerous therapeutic aids are described to enhance the child's capacity to communicate verbally or symbolically. To help clinicians translate theory into daily practice, the book presents six detailed clinical vignettes of trauma from among different types of abuse or neglect, including severe parental neglect, sexual abuse, neglect compounded by hospitalization, and one case features a child suffering from multiple personality disorder. Presenting step-by-step guidelines for assessment and intervention, these cases clearly illustrate treatment planning and how to tailor responses to the particular child. |
Contents
Treatment Issues | 1 |
MEDIATORS IN THE EFFECTS OF CHILD ABUSE | 3 |
THE IMPACT OF CHILD ABUSE | 7 |
CLINICAL OBSERVATIONS | 12 |
THE IMPACT OF TRAUMA | 19 |
Application in Work with Abused Children | 26 |
THE HISTORICAL DEVELOPMENT OF PLAY THERAPY | 28 |
THE TECHNIQUES OF CHILD THERAPY | 34 |
A Child with Multiple Traumas | 127 |
CLINICAL IMPRESSIONS | 129 |
THE BEGINNING PHASE OF TREATMENT | 130 |
THE MIDDLE PHASE OF TREATMENT | 134 |
DISCUSSION | 142 |
A Child Traumatized by a Single Episode of Sexual Abuse | 144 |
CLINICAL IMPRESSIONS | 147 |
THE BEGINNING PHASE OF TREATMENT | 149 |
DIRECTIVE VERSUS NONDIRECTIVE PLAY THERAPY | 35 |
The Treatment of Abused Children | 37 |
APPLICATION OF ESTABLISHED CHILD THERAPIES TO WORK WITH ABUSED CHILDREN | 51 |
THE TREATMENT PLAN | 52 |
Clinical Examples | 83 |
A Child Traumatized by Severe Parental Neglect | 85 |
PRESENTING PROBLEMS | 87 |
TREATMENT PLANNING | 90 |
BEGINNING PHASE OF TREATMENT | 91 |
MIDDLE PHASE OF TREATMENT | 96 |
TERMINATION | 102 |
DISCUSSION | 104 |
A Child Traumatized by Sexual Abuse | 106 |
CLINICAL IMPRESSIONS | 108 |
MIDDLE PHASE OF TREATMENT | 118 |
DISCUSSION | 124 |
THE MIDDLE PHASE OF TREATMENT | 152 |
DISCUSSION | 156 |
A Neglected Child Traumatized by a Hospitalization | 158 |
CLINICAL IMPRESSIONS | 163 |
THE BEGINNING PHASE OF TREATMENT | 164 |
THE MIDDLE PHASE OF TREATMENT | 167 |
DISCUSSION | 174 |
A Child Traumatized by Severe Sexual Abuse | 177 |
THE BEGINNING PHASE OF TREATMENT | 179 |
DISCUSSION | 190 |
Special Issues | 192 |
CLINICIAN SELFCARE | 193 |
CLINICIAN SAFETY | 194 |
References | 197 |
205 | |
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Common terms and phrases
abuse and neglect abused child activity Anna Freud Antony anxiety asked bottle boys caretakers child abuse child sexual abuse child therapy Chinese checkers clinical clinician countertransference defense Denise developed discuss dissociation doll draw drug emotional environment experience family therapy fear feelings foster home foster mother foster parents Gabby Gabby's girl Glennis Gustavo he/she helplessness his/her hospital hurt hypervigilant impact incest interactions intervention Johnny Johnny's kids Larry Laurie Laurie's learned Leroy Leroy's looked Masturbation multiple personality disorder nondirective PHASE OF TREATMENT physical abuse picture play therapy playroom posttraumatic play problems reenactment relationship reporting law response Sand Tray Therapy seemed sessions sexual behavior sexually abused children Sgroi Sharlene Sharlene's social worker SOCIAL/FAMILY HISTORY sometimes talk techniques tell therapeutic therapist things tion told toys trauma traumatic event treatment plan verbal victims week worried Yeah York