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KMID : 1094520160190040335
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Korean Journal of Play Therapy
2016 Volume.19 No. 4 p.335 ~ p.362
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An analysis of posttraumatic play characteristics of an abused child in play therapy
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Lee Young-Ae
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Abstract
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The purpose of this study was to examine the characteristics of posttraumatic play of an abused child engaged in the play therapy process. The subject, who was a 7 years old boy, had suffered mistreatment by his biological mother since birth. He exhibited signs of PTSD including anxiety, anger and difficulties in interpersonal relationships. The play therapy consisted of an intake session and a total of 31 play therapy sessions over 10 months. To verify the characteristics of posttraumatic play, we analyzed the play using the Trauma Play Scale(TPS) as suggested by Finding, Bratton, and Henson(2006). Next, to verify the repetitive play domain and avoidant play behavior domain more specifically, we analyzed the play using the BPTAS(Benedict Play Therapy Analysis System) as suggested by Benedict et al.(1998), and analyzed the images of father, mother and child. The results were as follows: it was observed that the play of the child who was a subject exhibited posttraumatic characteristics in terms of intense play, repetitive play, and negative affect. Initially and medium term by stages, play themes of the subject, as an abused child, included `Death by Aggression, Natural Causes`, `Failed Nurturance with Abuse, Neglect`, `Broken`. These themes were observed intensively and repetitively. Additionally, due to the trauma of the abuse, the mother image which he expressed in hjs storytelling play was very negative during all the processes. From the end of the middle stages, the images of the child were very abusive, but after those stages passed, the images of the child became more positive. Finally, in the avoidant play domain, it appears that the ability to trust adults was significantly degraded in the child. However, every theme and characteristic was seen to change from negative to positive after the end of the middle stages. Verifying the characteristics of posttraumatic play of a child having PTSD and the effects of play therapy can be seen to be of considerable significance.
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KEYWORD
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physical abuse, psychological abuse, neglect, PTSD, trauma, posttraumatic play, play therapy, play themes, characteristics of posttraumatic play
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