Russ (2004) discussed the development of
adaptive abilities in children and the role of play as a means of getting
through emotions which are not express through words. She stated that a child
conveys feelings and say things which are not expressed through words and yet
manifest it through the means of free play. She further stated that a child can
learn to solve his issues, deals with emotional disturbance, stress and
loneliness through creativity and the use of fantasy. She also added that play
serves as a window to look into the child’s inner struggles and how they cope through
the emotional process.
GESTALT PLAY THERAPY
INTRODUCTION
Gestalt Play Therapy
was first introduced by Violet Oaklander in 1988. It focuses on the humanistic
approach to therapy by giving importance to the wholeness of the child through
the integration of creativity which involves the senses, emotions, body and the
child’s intellect which is why it is often referred to as creative therapy.
Accordingly, play takes a significant part on the child’s mental and physical
developmental processes. Through dramatization and taking various roles, a
child can become aware of himself, gain understanding of the outside world and
how he associates to his surrounding without harming himself. In contrary to
what adults think, play is not a mere tool for passing the time but rather it
is an expression of the child’s interpretation of himself of which cannot be
express through words. Gestalt play therapy is based on the understanding that
unlike adults, children often have a difficult time expressing themselves much
more on understanding themselves. Therefore, pretend act can be a helpful tool
to communicate with them and gain an understanding on how they feel and be
aware of what they are going through so problematic behavior and emotions can
be resolved. Gestalt Therapy also provides children a safe environment of which
they can express their emotions especially anger and frustrations. Carmichael
(2006) mentioned the basic principles of Gestalt Therapy which are;
figure-ground, organismic self-regulation, I/Thou relationship, and contract
and resistance.
Figure-ground are the
means of communication and representation. It also conveys two different aspects
of the child, the foreground of which are verbal emotions or issues that the
child and the therapist are aware of, and the background which relates to the
issues that the therapist and the child are not aware of. These could be
problems or matters that affect the child. The orgasmic-self regulation is the
constant urge to find satisfaction and in order to fulfill those needs,
children will strive to do whatever they are capable of in order to express and
satisfy those needs. However, since children have not yet fully reached the age
of maturation, certain developmental changes and alterations may confuse them.
The struggle to distinguish what is true of themselves, others and environment
are deliberately dealt with in Gestalt Therapy. Children who experienced abuse,
trauma and abandonment may experience anger and yet they may choose to suppress
it in fear of rejection. Therefore may take a non-directive approach to express
it such as; getting sick, being destructive, social withdrawal, or hurting
themselves. Gestalt Therapy views aggression as a means of maintaining a balance
and healthy development in children. Gestalt Therapy believes that children
should be able to learn to communicate their emotions and their needs in order
for them to become a better individual.
Contact and resistance
are two most important principles being considered in Gestalt Therapy. If there
is willingness and a positive behavior between the therapists and the child, a
healthy relationship is being developed. Gestalt Therapy believes that a
healthy contact is when the intellect, the body and the mind is fully aware of
the relationship being build up between the child and the therapist. However,
contact diminishes if there is a resistance and the child blocks his emotions
and channel it inwards.
A healthy contact is
pursued in order to help the child attains a feeling of security. However, a
therapist must also respect resistance and considers the limits. Constant
resistance from the child may convey an important aspect that matters to the
child. He may change the subject, ignore the therapist or become distracted a
sign of which he refuse to deal with a certain issue. Gestalt Therapy then
encourages the child to express their feeling and emotions through representation.
By directing the subject to an object or interpretation of the self, the child
gains a better understanding of himself. By creating scenarios and asking
question, the therapist can also gain insight on the child’s altered behavior.
It is important that the child becomes aware of his emotions how his body
reacts to his emotions and how he can use it to relate to others.
TOY SELECTION
Toy selection is very
important in the use of Gestalt Therapy. The toys must provide the child and the
therapist with inspirations which encourage creativity, motivation and
direction. It must assist the child in a creative expression of their fantasy
and imagination. It should be properly selected so that it will appear to the
child’s senses such as smelling, hearing, taste, seeing and touch. Gestalt
Therapists’ chooses toys or materials that help children’s sensory
interpretation and encourage self expression.
Carmichael (2006) also
includes the following of what Oaklander would include as appropriate toys for
Gestalt Play Therapy:
·
Art Materials: paper in all sizes, felt
tip pens, crayons, pastels, colored pencils, finger paints, and similar art
supplies. Various gadgets can also be added such as: kitchen timer, stop watch,
egg hourglass type timer, counters and beads.
·
Creative play projects: books, writing
materials, tape recorder, pictures, projective test, puppets, flannel board,
sand tray, drawing, open-ended fantasies, video tape, walkie-talkie, toy
microphone, imaginary television set.
·
Self expression through music: guitar,
autoharp, keyboard, recorded music, folksongs and guided fantasies.
·
Collage materials: many types of paper,
paints, strings and yarns, fabric scraps, colored sand, beads, shell, or
anything appealing in texture or color.
·
A basin of water and various pouring
materials which can be use in sand play or water play. Carmichael (2006) also
added plaster, wax, soap, wood, wire, metal, paper, pipe cleaners, straws,
boxes, plastic foam, or items that can be sculpt and construct. Depending on the age of the children, Gestalt
Therapist may also include nails, hammers, glue, staples, screws, nuts, bolts,
hand drill, screw driver and coping saw.
·
Clay is also an essential tool to
include in the playroom. Clay can be a good tool to engage children in self
expression since clay appeals to the sense of touch making children express
their emotion through handling the clay. They may hit, pound and punch the clay
in anger. And since clay can take different shapes thus making it virtually
mistake proof, it is suitable for children who often fears to make mistakes.
ROLE OF THE THERAPIST
Since Gestalt Play
therapists’ use play interpretation as a means for intervention, it is very
important that they create a setting of which the children can be able to work
through the issues which they are facing. The therapist must display an
interest in the play process and should focus on the “what” and “how” of
behavior rather than the why. In examining a child’s drawing of his family,
McConaughy (2005) suggested to ask questions such as; “who are the people in
your picture?”, “what are they doing?”, “tell me about the people in your
picture”, “what kind of person is___?”, “how does __ feel in that picture?”,
“what is __thinking?”, “what is going to happen next in your picture?”. The
therapist must also maintain an appropriate attitude towards the child. It must
be taken into account that the therapist displays genuine and authentic
attitude towards the relationship without conveying judgments or being
patronizing. The therapist must focus the issue being resolve and must not be
distracted regardless how the child may behave. It also important that the
child must understand that the therapist doesn’t take the role of the parents
and that personal issue must be guarded so that the therapist may avoid
responses which may harm the child. The therapist must display integrity,
courage to resolve personal feelings as well as acknowledge personal
limitations. The therapist must also provide a specific exercise and use guided
fantasies which will then be interpreted through the child’s drawings,
storytelling, sand-tray simulation, or through drama. A Gestalt therapist may
use experiments or activities to promote the use of imagination to help
children explore their inner feelings and help them become aware of themselves
and be able to understand his relationship to the outside world. It is
important to remember that the child leads the play and the therapist does not
direct but follows the child and what direction the child leads.
The following are
activities that a Gestalt Therapist can use:
Use visual exercise to help children
express their feelings and problematic issues.
Children may draw themselves to express
how they see themselves.
Children can draw an emotional response
to music, drama, fantasy, poem or dream.
Children can also draw opposites such
as; sad/happy, angry/calm, good/bad, love/hate and others.
Children also draw a roadmap of their
life and encourage them to include bumps, mountains, or anything that relates
to them. They can then show where the road leads and what will it be like. They
may include and draw themselves where they are on the road.
The therapist must also
focus on the play process and observe how the child connects with the toys and
how he approaches it. It is also important to observe what toys the child
chooses and avoid. That way the therapist can gain an understanding on how the
child views his world as well as focus on the content of play especially the
manifestation of loneliness, anger and aggression, nurturance and tragedy.
STRUCTURING THE SESSION
The therapist will
start the session by asking the child to take part in an activity. Then the
child will be ask to describe, share and talk about his drawings or take part
in a role play. The therapist will look into a child’s drawing and ask him to
elaborate on the figures and the color he chooses. The child will be asked how
he relates himself to his drawing as well as how he sees others and the world
around him. The therapist will also encourage and guide the child to create a
dialogue between two figures, colors or objects in his drawing. For example the
therapist will ask, “What will the triangle say to the circle?” “What would the
circle say back to the triangle?”
The therapist will also
take into account the colors that are used in the drawing. The following are
examples of questions the therapist can ask the child:
·
What do bright colors mean to you? What
colors are those?
·
What do dark colors mean to you? What
colors are those?
·
What do dull colors mean to you? What
colors are those?
·
What exciting colors mean to you? What
colors are those?
·
Which color will you use on this
drawing? Will you use the bright colors or the dark colors?
In Gestalt Therapy the
therapist will also consider how much pressure the child makes in applying the
colors or how often a child uses a certain color. In every session the
therapist must consider every element used and she must be able to build an
awareness how those elements relate to the child’s emotions. It is also
important that the child is aware of when the therapy starts and ends.
Oaklander suggested that cleaning up is a good signal for the child so he knows
that the session is over. It is also important that the child is aware that
play has a purpose and there is a time limit to the activity. The child will
not be allowed to stay longer and must be taught that the toys and other
materials should be respected and toys in the playroom should not be abused or
the therapist.
PARENTS INVOLVEMENT
Parents’ involvement is
also important in Gestalt therapy. It is suggested that the parents themselves
will take the child to the therapy and include him in every conversation they
have with the therapist. That way the child is aware of the problems and issues
being put to awareness. It is also significant that the therapist get
acquainted with the family dynamics as well as how the child behaves in school.
Parents are also given task and experiment however it is important to respect
the parents and must not coerce them to do an experiment which they are not
comfortable doing. When the parents agreed to an activity or experiment they
are comfortable with. The therapist will then allow the child to choose an
activity he can do at home. The termination of the therapy will also be
discussed with the parents as well as the progress of the child.
TERMINATION OF THE
THERAPY
Carmichael (2006)
quoted Oaklander that a child must not be in a therapy for a long time. The
therapist must consider whether therapy is making the child better or making
him worst. When the therapy reached to a certain point where progress is not
possible the therapist must consider it a termination phase. Furthermore termination
must be considered if the child becomes stable and is showing an interest in other
activities and social interactions. The therapist must also talk to the school
and the parents in order to monitor the progress of the child so necessary
measure for termination or continuance can be made. The therapist must also
talk openly with the child especially saying goodbye. It could be difficult for
the child to separate from the therapist however he must be aware that ending
the therapy is a good sign which shows that he is capable of self awareness and
is ready to deal with other social interactions.
ASSESSMENTS AND
TECHNIQUE
Techniques and
assessment in Gestalt therapy includes the use of “expressive-aids”. Oaklander (1997)
suggested the use fantasy drawings and imagination. She added that through the
use of these techniques the child is able to make physical and emotional
contact. She also suggest to use techniques that stimulate the senses. The
therapy also uses the empty chair technique to help the child channel his
feelings towards others. The child is also asked to talk about their dreams and
address them through the use of puppets and other tools that would aid them
express their feelings of which the therapist will guide the child and go
through the different characters in their dreams. The goal of Gestalt therapy
is to let the child become aware of the abstract feelings and encourage them to
express it through refining their senses which will help them cope with issues
and problems.
Children who have been
traumatized become disconnected with their body and their senses. It is the
goal of Gestalt therapy to draw awareness to the self and get to know their
feelings and unlock those emotions through the help of expressive play. Moreover,
children should be able to gain control over their lives and learn to express
their feelings towards the outside world in a healthy and safe manner. Therefore,
it the goal of Gestalt Therapy helps children develop a strong self awareness
and the use of play and exaggerated movement will serve as a tool to help them express
those emotions.
Reference: Carmicheal K.D. (2006) Play Therapy An Introduction