Play therapy

Adolescent mothers experience many factors that affect their ability to securely attach to their infants and are therefore considered a high-risk population. In addition, infants of adolescent mothers are at an increased risk of developing insecure attachment. FirstPlay® Therapy Infant Storytelling-Massage is an attachment-based, parent–infant adjunctive play therapy model founded on the theoretical underpinning of attachment theory.
The current study implemented a one-time intervention with an adolescent mother population in a group home setting. A pretest/posttest design was utilized to measure the impact of FirstPlay® Therapy on the variables of an adolescent mother’s levels of maternal attachment and comfort with physical touch. Participants in this study (N = 5) were adolescent mothers ages 18–21 years old, who were recruited from four maternity group homes in two counties in South Florida. Five adolescent mothers completed the FirstPlay® Therapy for pre and posttest data. No significant differences were found in the areas of maternal attachment and predisposition to touch before and 2 weeks after the intervention. There were some significant relationships found among the demographic variables specific to an adolescent mother’s history of employment status and her child welfare history as well as the age of the mother and the age of her infant. In addition, at posttest, a significant relationship was found between the sex of the infant and the total score on the PCAQ. Although no statistically significant findings were presented, recommendations for further research include extending this intervention to a broader population of adolescent mothers across a variety of settings to focus on early infant-attachment relationships.

This qualitative case study investigated the impact of sand tray on individuals
diagnosed with Alzheimer’s and other forms of dementia. Four participants successfully
completed the creation of sand trays while the researcher observed, interviewed, and
documented the individual sand trays. The intervention established that sand tray allows
the dementia patient to kinesthetically connect to their inner cognitions through the
intentional symbolic expression offered by this unique therapeutic medium. Using a
series of eight sand trays of varying thematic concepts, the participants were offered a
modality to facilitate a synthesization of their continued individuation, presenting a
possible neural pathway to connect and express thoughts, feelings, emotions, concerns,
challenges, and fears. The findings of this study include the fact that all trays were
classified as “empty” and that the majority of the participants placed objects almost
exclusively on the right side of the tray, which is commonly associated with the concreteor conscious side. The use of sand tray allowed each individual the opportunity to create autobiographies in the sand and literally navigate through time – past, present, and future, confronting fears, expressing hope and possibilities. The results of the research study offer insight into the psychotherapeutic effects of using sand tray with dementia patients, as well as a better understanding of the cognitive and expressive abilities and limitations of an individual with impaired memory. The results also offer insight into the difficulties with short-term memory in this population and possibly indicate a potential means for monitoring cognitive decline. Keywords: Neurocognitive disorder, Alzheimer’s, dementia, sand tray, play therapy