Through the eyes of the child: Children's experiences of family therapy in Malta

Abstract

This study explored children's experiences of family therapy. A mosaic approach with reflexive thematic analysis was used as the guiding methodology. The participants comprised seven children between the ages of six and 11 years. Rich data was gathered through child-led tours, photographs of the therapy space, interviews and creative sessions with children plus interviews with five parents and four therapists. The findings indicate that the children considered family therapy to be an overall positive experience, thanks to the therapists, creative play-based approaches and a therapy space that catered for them. Prior to starting therapy, children require more information about therapy to feel at ease. Creative approaches, together with caregivers' involvement, were identified as essential therapeutic tools with which to engage children in talk and play. Children's increased agency throughout the termination process is also essential. Suggestions for practice include a pre-therapy booklet, using creative techniques as a primary tool when working with children, and ensuring an adequate therapy space. Suggestions for training include therapeutic skill development relating to working with children.  Suggestions for future research are also made. This study's strength is that it highlights and spotlights children's perspectives.