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The effectiveness of play therapy: Responding to the critics

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Abstract

Notes that play therapy has long been criticized for a lack of adequate research base to prove its efficacy. For 6 decades, while play therapists conducted small research studies, critics challenged the utility and efficacy of play therapy as a viable psychotherapy intervention. The purpose of this study was to conduct a meta-analysis of 94 research studies focusing on the efficacy of play therapy, filial therapy, and combined play therapy and filial therapy. The following electronic databases were used in the authors 3-yr search for studies on play therapy: PsycLit, PsycINFO, ERIC, FirstSearch, and Dissertation Abstracts. Meta-analysis revealed a large positive effect on treatment outcomes with children. Play therapy appeared effective across modality, age, gender, clinical vs nonclinical populations, setting, and theoretical schools of thought. Additionally, positive play therapy effects were found to be greatest when there was parent involvement in treatment and an optimal number of sessions provided. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
International Journal
of
Play Therapy, 10
(1),
pp. 85 -108 Copyright
2001,
APT, Inc.
THE EFFECTIVENESS OF PLAY
THERAPY: RESPONDING TO THE
CRITICS
Dee
Ray
Texas A&M University-Commerce
Sue Bratton
Tammy Rhine
Leslie Jones
University of North Texas
Abstract: Play therapy has long been criticized
for a
lack
of
adequate research
base
to
prove
its
efficacy. For
6
decades,
while play therapists conducted small
research
studies, critics challenged
the
utility
and
efficacy
of
play therapy
as a
viable psychotherapy intervention.
The
purpose
of
this study
was to
conduct
a
meta-analysis
of
94 research studies focusing
on the
efficacy
of
play therapy,
filial therapy,
and
combined play therapy
and
filial therapy. Meta-analysis
revealed
a
large positive effect
on
treatment outcomes with children. Play
therapy appeared effective across modality, age, gender, clinical
vs.
nonclinical
populations, setting,
and
theoretical schools
of
thought. Additionally, positive
play therapy effects were found
to be
greatest when there
was
parent
involvement
in
treatment and an optimal number of sessions
provided.
Proving
the
effectiveness
of any
therapeutic intervention
is
essential
to the
acceptance
of
that intervention
as a
potential treatment
Dee Ray, Ph.D., LPC, NCC, RPT-S, Assistant Professor
in
the Department
of
Counseling
at
Texas
A&M
University-Commerce, Commerce,
TX. Sue
Bratton, Ph.D.,
LPC,
RPT-S,
Associate Professor
and
Clinical Director
in the
Department
of
Counseling, Development,
and Higher Education
at
the University
of
North Texas, Denton,
TX.
Tammy Rhine, Ph.D.,
Graduate Assistant
in the
Department
of
Counseling
at the
University
of
North Texas.
Leslie Jones, Ph.D., Graduate Assistant
in the
Department
of
Counseling
at the
University
of North Texas.
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... Comparisons of other fields of study that have struggled for recognition include sport and exercise psychology (Danish & Hale, 1981) and play therapy (Ray et al., 2001). In 1986, the APA formally recognized exercise and sport psychology by adding Division 47 (Becker, 2015). ...
... The field of social work culminates professionally with the conferring of a master's degree in social work (MSW). These Play therapy struggled for more than 60 years to establish itself as a valid intervention and provide research to prove evidence-based efficacy (Ray et al., 2001). ...
... Adventure therapy also involves the kinesthetic act of participation in adventure programming with therapeutic intent and may involve participant groups beyond those focused on the treatment of children (Gass et al., 2012). Through multiple meta-analyses on the efficacy of play therapy, research has finally paved the way to the practice's acceptance into mainstream psychology (Ray et al., 2001). Play therapists now work in hospitals, schools, and court settings providing insight into a child's mental wellbeing through interpreting their acts of play (Kottman, 2014). ...
Thesis
Full-text available
Adventure therapy as a therapeutic model for the treatment of mental health has been a growing area of psychology for more than 50 years. This quantitative study was conducted to explore the theoretical orientation beliefs to clarify the theoretical framework of this therapeutic approach using Coleman’s theoretical evaluation self-test (TEST) to gather data on self-identified adventure therapy practitioners’ theoretical beliefs. Data were collected from 150 participants recruited through their membership or affiliation with adventure therapy professional organizations or social media groups. Data were analyzed using a paired t-test to determine if adventure therapy professionals have higher scores on the cognitive, ecosystems, and humanistic domains of the TEST than the domains of psychodynamic, family, biological, and pragmatic as suggested in previous research. Data were analyzed using chi-square goodness-of-fit test to determine if theoretical orientation beliefs differ depending on degree emphasis and depending on licensure among adventure therapy professionals. Analysis confirmed that adventure therapy professionals had higher scores on the cognitive, ecosystems, and humanistic domains of the TEST. However, the chi-square results indicated no difference in theoretical orientation beliefs among adventure therapy professionals regardless of degree emphasis or licensure. The findings of this research have potential implications for positive social change by being the first to identify the theoretical orientation beliefs among adventure therapy professionals, that can influence the practices and development of this field, which could lead to greater uniformity in treatment with this modality and improved patient outcomes.
... these two specific intervention programs, general meta-analyses on child therapy outcomes have demonstrated that child therapy with parent engagement is a more effective treatment option than child therapy without parent engagement (Bratton et al., 2005;Corcoran & Pillai, 2008;Dowell & Ogles, 2010;LeBlanc & Ritchie, 1999;Phillips & Landreth, 1998;D. Ray et al., 2001). After reviewing studies on parent engagement in child and family mental health treatment, Haine-Schlagel and Walsh (2015) found considerable evidence of ties between parent engagement and positive child and family therapy outcomes, suggesting that parent engagement is an important and efficacious element of successful therapy with chil ...
... For example, when play therapy was delivered by parents who were trained in enhancing the parent-child relationship, the result was a very large effect size, whereas the effect size was medium-to-large when a professional therapist offered the service. D. Ray et al. (2001) studied the efficacy of play therapy over a 3-year period and found that treatment groups conducted with filial therapy (using parents trained to be therapists) outperformed the nontreatment groups with a large effect size. Another meta-analysis done by LeBlanc and Ritchie (1999) presented a similar conclusion that therapy modalities involving parent training yielded the most robust outcomes. ...
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Parent engagement in play therapy has been linked to successful therapy outcomes. Despite substantive empirical data demonstrating a positive relationship between parent engagement and child outcomes (Haine-Schlagel & Walsh, 2015; Halbur et al., 2020), parent engagement, particularly strategies encouraging parent involvement, has been understudied. This article presents research findings from interviews with experienced play therapists where they shared their approach to facilitating parent engagement. The findings strongly suggest that the first step in working with the parents of child clients should be building a relationship with parents through a humanistic and empathetic approach. Specific strategies to elicit parent engagement are shared in the findings. Discussions about findings and limitations of this study are included.
... [16,17] The Association for Play Therapy (APT) offers the following definition for play therapy: "The systematic use of a theoretical model to establish an interpersonal process wherein trained play therapists use the therapeutic powers of play to help clients prevent or resolve psychosocial difficulties and achieve optimal growth and development." [18] Play therapy is a popular psychotherapy technique used by play therapists to treat children with a wide range of difficulties from psychosocial disorders, traumatic experiences to dealing with parent's divorce, school bullies to anger management, sexual abuse, etc. [18,19] Directive play therapy was the inspiration for our study. The fundamental of directive play therapy is to establish a rapport with the child. ...
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Thesis (Ph. D.)--Pennsylvania State University, 1977. Includes bibliographical references (leaves 99-103). Microfiche of typescript. Ann Arbor : University Microfilms International, 1978.-- 2 sheets ; 11 x 15 cm. Order no. 78-8432.