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The improvement in the clinical subjects in the MCS was similar to that of subjects in the CLS, despite the fact that MCS was carried out by 14 therapists in nine institutions across Germany and Austria. This suggests that Theraplay is highly replicable across settings and therapists with proper training. Although starting out significantly different from normal controls, many of the symptom domains normalized during the course of therapy, suggesting a clinically significant improvement in addition to statistically significant change. The gains were sustained over time based on the 2-year follow-up from the CLS.
It is likely that improved social skills are self-maintaining given natural social contingencies. There was an improvement in the childrens receptive language abilities even though this was not the direct aim of the therapy. A possible explanation for language improvement is the intensive modeling and practice of social interaction.
A second explanation is that decreased social anxiety facilitates increased attempts at verbal communication with other adults and peers in daily life. A fifth point of relevance is the relatively short time required to achieve lasting therapeutic effects. An average of 18 sessions was needed to achieve improvements, although some children required longer courses of treatment.
Cost of any medical treatment and time involved can present barriers to treatment participation. Theraplay in the Chinese World: An Intervention Program for Hong Kong Children with Internalizing Problems Siu, The primary objective of this study was to evaluate the effectiveness of Theraplay on reducing internalizing problems among young children.
Penn Optimism Program and Coping Koala Program are some of the interventions used in reducing or preventing childhood internalizing problems. They are mostly Cognitive-behavioral in nature.
The power of play has been recognized as part of the intervention process and it can be an important way to enhance childrens socioemotional developments. It was hypothesized that: compared with a waitlist control group, this study reported that adolescents who received interpersonal psychotherapy have a significantly greater decrease in depressive symptoms and an improvement in social functioning.
Healthy interactions allow both to experience the compfort of intimacy and to develop selfconfidence. They help children meet their needs for physical contact and caring in a positive context. In an ideal situation, all children would experience appropriate nurturing, engaging, structing and challenging interactions in their relationships with their parents or other primary caregivers. Without the presence of these elements as healthy parent-child relationship, children are likely to encounter difficulty forming secure attachments with others and will frequently display aggressive, overly demanding, or socially withdrawn behavior.
Problem behaviors can be intensified by certain interaction patterns between a parents and a child. Compared with the Western culture, Chinese parents generally have higher academic expectations o their children and exert more pressure on them to work hard and to achieve. Second: given that the Chinese are generally less expressive twhen talking about their problems, an approach with more focus on activity than talk may suit their cultural characteristics.
Mothers of the children are also included in the study. Criterion for being in the group: they had reached at least a cutoff point for internalizing problems as measured using the Child Behavior Checklist. Measure: Child Behavior Checklist, because it is commonly used and well-validated behaviora; rating scale.
It was designed to quantify a broad range of clinically relevant behavioral and emotional problems. Fourth rule for adults: the adult is always in charge.
S - eight weekly sessions which lasted for 40 minutes. Scored indicates that the intervention group decreased significantly more form pre to post intervention than those of the control group, even with the effects of preintervention score controlled. They enjoyed most the cotton ball series, that consists of cotoon ball blow and the cotton ball fight.
There was a significant difference between the Theraplay group and the control group on CBCL internalizing scores, with the experimental group being lower than the latter groups score. The results of this study, together with previous studies indicate that Theraplay is an effective intervention for children. It can also enhance mother-child relationships, as it gives more oppotunitites for mother child dyads to interact and have fun through playful activities.
Children with internalizing problems tend to keep things to themselves and are less verbal in talking about their problems. The positive attention given to children through Theraplay could help to create a perception in children that they are lovable and valued. Results of this study also imply that Theraplay works well for Chinese children and their families. Interpersonal harmony is an important is an important characteristics of Chinese communications. As Theraplay is an action-based type of therapy and its focus is more on activities than talk, Chinese people may find this approach less intrusive.
Collectivist cultural values emphasizes togetherness of the Chinese coincides with Theraplays core focus on attachment and interdepence.
Research suggests that teachers are acapable of acting as therapeutic agents during play therapy sessions. All of these studies demonstrated that the ways teachers relate to children have a noteworthy effect on the childrens success in school.
Teachers who practice Group Theraplay in schools are able to work with children of varying abilities and help them engage and interact with their peers to create healthy relationships and enhance attachments between students and teachers. Development disabilities is a clinical term used to describe significant lag in the achievement of developmental milestones in two or more domains fine motor, cognition, speech, language, social skills GROUP THERAPLAY strives to increase the sense of connection and belonging among group member.
Group Theraplay is guided by a simple set of rules based on these actions. A leader is always in charge of the group. Lasts 30 minutes. Activities such as increasing the childrens comfort with eye contact, developing trust or enhancing self-control, and group cooperation. The purpose of this study is to expand Azoulays study from working with individual children with DD to working in these children in a group format. Mean age of The participants were reported by the teachers as being extremely poor at initiating interactions wth others, expressing themselves, working cooperatively with others and following rules in games and activities.
MEASURES: Social Resposiveness Scale SRS developed by Constantino and col in and notes from teachers, containing reflections on their understanding of the program, their roles in understanding and aiding the students social emotional development and their skills in conducting the program. Teachers who participated in the program had introductory training in both Theraplay and Group Theraplay.
Materials used include bubbles, lotion, cotton balls, stickers, newspapers, and a light snack. These joyful moments encourage the children to relate to each other and be part of the group.
Children whoo have a positive experience relating to others in the group are more likely to transfer their skills when interacting with people outside the session. Teachers completed the SRS. Two teachers serve as the leader and the facilitator.
Applications of Family and Group Theraplay is rich in content and practical ideas guided by current research in attachment and neurobiological research. This book on Theraplay® is rich in content and has practical ideas guided by current research in attachment and brain research. Most chapters are illustrated.
RESULTS: generally, the students were more aware of one anothers presence, but did not reach a point at which they cared for and worked cooperatively with one another. Feedback from teachers were analyzed in three stages. In general, four teachers found the program time-consuming and exhausting, partly because they had to change their mode of daily interaction with the students. They have to work particularly hard to be intentionally accepting and positive as well as being playful while taking the lead to run the group.
Once this teacher-student relationship was secured, student wrere a lot more willing to follow the teachers instructions and enjoy the fun times with the whole group. Through structuring, the children with DD were provided with safety and predictability.
This element could have enabled children to feel secure and relate to the environment. Only when they felt a sense of security and acceptance could they start exploring and getting to know others. Engagement activities facilitated positive interactions with their teachers and peers. Toward the progress at early, middle and end of the program, the children became more intentionally accepting and positive toward one another. They were also willing to follow instructions, to work cooperatively with their groupmates when playing games and enjoy themselves in the sessions.
Nurturing activities enabled the children to feel looked after anad accepted. Because of their limited abilities, children with DD may endure rejection by others. Challenging activities provided students the opportunity to experience success. The more positive experience children have in working with others and th more comfortable they are in attending to and caring for one another, the more successful they are in social relationships and interactions.
It provides a learning opportunity for children with diverse abilities and promots additional skills and idas for the teachers who are building caring and warm relationships in classroom to support healthy interactions. Multiple models of play therapy such as Filial Family Play Therapy, Dyadic Developmental Psychotherapy, and Theraplay have been shown to be effective with adoptive families.
The integration of theories of therapy treatments are call zeitgeist of our time. Lebow, The integration of family therapy and play therapy has wide practical applications for clinicians in the counseling, marriage and family therapy, psychology, and social work fields who specialize in working with adoptive families. Because adoptive families may disproportionately experience issues relating to attachment, non coercive attachment-based treatments logically offer promise for clinical efficacy.