Effects of Sand Tray Therapy on Mental Health Problems in Abused Children
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Abstract
This academic review aims to present the history of sand tray therapy, the therapeutic processes involved, and its application for addressing mental health issues in abused children. It provides examples of using sand tray therapy to alleviate mental health problems in children who have experienced abuse. The author has gathered information from relevant documents published between 2009 and 2024, utilizing electronic databases such as Thai Journal Online (ThaiJO) and Google Scholar. The data collection results indicate that reveal empirical evidence of the benefits of sand tray therapy in addressing mental health issues in abused children. These include reducing anxiety levels, helping children adapt to negative past memories, and improving emotional and cognitive development. Sand tray therapy is particularly suitable for children who struggle to express their thoughts and feelings verbally. It is a childcentered approach where the therapist encourages the child to reflect on their problems or situations, allowing them to freely express themselves through the sand tray. Thus, sand tray therapy serves as a
form of play therapy, enabling children to release inner feelings, overcome communication barriers, and explore and express their thoughts, emotions, and feelings more effectively than through verbal storytelling. This technique delves into the deeper levels of the psyche, fostering a new positive understanding of oneself. Additionally, it serves as a tool to support growth and enhance creative development. The process involves detailed explanations of the methods, techniques, and equipment used in sand tray therapy for children. Therapists practicing this method should possess specialized expertise and undergo proper training in sand tray therapy.
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เรื่องที่ลงตีพิมพ์ในวารสารจิตวิทยาคลินิกแล้วถือเป็นลิขสิทธิ์การเผยแพร่โดยวารสารจิตวิทยาคลินิกแต่เพียงผู้เดียว การตีพิมพ์หรือเผยแพร่ซ้ำในที่อื่นต้องได้รับอนุญาตจากกองบรรณาธิการวารสารฯ
References
Amatruda, K. (n.d.). Guidelines for setting up the sandtray. PsychCEU. https://www.psychceu.com/sandplay.html
Art Therapy Resources. (2022). Common toys to include in your sand tray therapy kit. https://arttherapyresources.com.au/toyssandtray/
Becker, S. (2024, November 5). Child maltreatment. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/childmaltreatment
Ben-Amitay, G., Lahav, R., and Toren, P. (2009). Psychiatric assessment of children with poor verbal capacities using a sandplay technique.
Primary Psychiatry, 16(12), 38-44. BrainFit Studio. (n.d.). Let’s understand children’s emotional development!.
https://www.brainfit.co.th/th/blog-th/ม า ท าความเข้าใจพัฒนาการด้านอารมณ์ของเด็กๆกันเถอะ (in Thai).
Chandarasiri, P. (2023, September 23). The effects of being child abuse and neglect. Child Impact. https://childimpact.co/learning/violenceattacked-child (in Thai).
Chanviboon, C. (2020, June 17). Sand tray therapy: Let your feelings out in a sand tray. HelloKhunmor. https://hellokhunmor.com/
สุขภาพจิต/ปัญหาสุขภาพจิตแบบอื่ น/ทรายบ าบัด/ (in Thai).
Department of Children and Youth. (2020, July 18). Recommendations on solving child abuse problems. Office of the National Economic
and Social Development Council. https://opendata.nesdc.go.th/dataset/recom mendations-on-solving-child-abuseproblems (in Thai).
Homeyer, L. E. (n.d.). The history of sand therapy. World Association of Sand Therapy Professionals. https://worldsandtherapy.org/
page/history
Jirawattanakul, P. (2021). The effect of sand tray therapy on self-esteem of high-school victims of bullying. [Doctoral dissertation,
Chulalongkorn University]. Chula Digital Collection. https://digital.car.chula.ac.th/cgi/viewcontent.cgi?article=6128&context=chula
etd (in Thai).
Maree, J. G., Ebersohn, L., and De Villiers, D. (2012). Combining Ericksonian and sandplay approaches to therapy with children who
manifest depression as a developmental barrier. Journal of Psychology in Africa, 22(2), 221-228.
Marie, S. (2022, September 7). Sand tray therapy: Evidence, benefits, and more. Healthline. https://www.healthline.com/health/mentalhealth/sand-tray-therapy
Kalff, D. M. (1980). Sandplay: A psychotherapeutic approach to the psyche. California State University, Northridge. https://www.csun.edu/~hcedp007/Kalff-1980.pdf
Khetjapok, P. (2022). Social development in middle childhood [Unpublished manuscript]. Faculty of Humanities, Surindra Rajabhat
University. https://e-learning.srru.ac.th/pluginfile.php/95981/mod_resource/content/1/พัฒนาการทางสังคมวัยเด็กตอนกลาง .pdf?forcedownload=1 (in Thai).
Likitparinya, K. (2021, March 28). Life on the sand tray: Using sand tray therapy to address loss and discuss death. Peaceful Death.
https://peacefuldeath.co/ชีวิตบนถาดทราย/(in Thai).
Mendoza, K., & Bradley, L. (2021). Using storytelling for counseling with children who have experienced trauma. Journal of Mental
Health Counseling, 43(1), 1-18. https://doi.org/10.17744/mehc.43.1.01
Morin, A. (2024, February 11). How sand tray therapy works. Playing in the sand is not just for kids. Verywell Mind. https://www.verywellmind.com/what-is-sand-tray-therapy-4589493
Na Manorom, N. (2022, June 16). Effects of children being exposed to violence. Thai Health Promotion Foundation. https://oscc.consulting/media/69 (in Thai).
PlukRak. (2020). Sand tray therapy. https://plukrak.co.th/therapy/satir-insandtray/ (in Thai).
Relationship Australia New South Wales. (2022,December 12). The impact of domestic and family violence on children.
https://www.relationshipsnsw.org.au/th/blog/impact-domestic-violence-on-children/ (in Thai).
Saeidmanesh, M., Demehri, F., & Anari Z. A. E. (2023). Effect of sand play therapy on aggression and emotional adjustment of
children with hearing impairment. Auditory and Vestibular Research, 32(3), 198-203. https://doi.org/10.18502/avr.v32i3.12935
Saritniran, P., & Kunthajun, N. (2558). The Satir model in sand tray therapy for children with psychiatric disorders. Sunpasitthiprasong
Medical Journal, 36(3), 151-158 (in Thai).
Sukawanich, N. (n.d.a) Trauma: Why do childhood traumas affect adulthood?. iSTRONG. https://www.istrong.co/single-post/whychildhood-trauma-affects-adulthood (in Thai).
Sukawanich, N. (n.d.b). Why do adults abuse children? Invite you to get to know child abuse to stop the cycle of violence. iSTRONG.
https://www.istrong.co/single-post/prevention-guidelines-child-abuse (in Thai).
Tanphet, T. (2019, July 4). Sand tray therapy: Unlock difficult-to-tell sad stories through sand tray therapy. The Potential.
https://thepotential.org/life/sand-traytherapy/ (in Thai).
Thanawatkulsiri, P. (2016, August 28). Middle childhood [Prezi presentation]. Prezi. https://prezi.com/hpd9di4dvrcj/middlechildhood/ (in Thai).
The Center for the Protection of Children’s Right Foundation. (2021, March 23). Child sexual abuse: A critical issue adults must prevent!.
https://www.thaichildrights.org/articles/child sexualabuse/ (in Thai).
Tee-Melegrito, R. A. (2022, April 26). Sand tray therapy: Definition, uses, and Techniques. Medical News Today. https://www.medicalnewstoday.com/articles/sand-tray-therapy-definition-uses-andtechniques
Tornero, M., & Capella, C. (2017). Change during Psychotherapy through sand play tray in children that have been sexually abused.
Frontiers in Psychology, 8(617), 1-12. https://doi.org/10.3389/fpsyg.2017.00617
Vallejo, M. (2024, October 11). What is sand tray therapy?. Mental Health Center Kids. https://mentalhealthcenterkids.com/blogs/ar
ticles/sand-tray-therapy