The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in sandplay therapy

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-03-07 DOI:10.1111/papt.12586

Judith Bredekamp, Linda Theron

{"title":"The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in sandplay therapy","authors":"Judith Bredekamp, Linda Theron","doi":"10.1111/papt.12586","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>The purpose of this study is to critically reflect on the value of the House-Tree-Fire-Water-Person (HTFWP) drawing as a tool to engage the parents of children aged 10–12 in sandplay therapy for Generalized Anxiety Disorder (GAD). To do so, we draw on empirical work that addressed gaps in the existing parent-psychologist alliance literature by exploring the usefulness of sharing the HTFWP drawing series with parents at feedback sessions.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We employed an instrumental, multiple case study design. The sample consisted of 7 cases, involving parents (<i>n</i> = 9) and child-clients referred for GAD (<i>n</i> = 7). Parent-generated data included the verbatim transcripts of initial semi-structured interviews, three HTFWP drawing elicitation conversations (i.e. HTFWP-facilitated feedback sessions) and a post-intervention semi-structured interview. Child-generated data included three HTFWP drawings and child-driven explanations of these drawings. Psychologist-generated data included journal-recorded reflections and process notes. Using reflexive thematic analysis, we identified patterns in these data.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Findings suggest that an alliance created between parent and psychologist through sharing the HTFWP drawing series with parents was a win for everyone (parents, child and psychologist). This ‘win-win’ situation included enhanced care for the child, bolstered parental support and heightened efficacy for the psychologist.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The HTFWP drawing has high potential to support the therapeutic process, with emphasis on its facilitation of a parent –psychologist alliance and spillover benefits for parents, the treating psychologist and the child-client.</p>\n </section>\n </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 3","pages":"701-725"},"PeriodicalIF":2.7000,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12586","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology and Psychotherapy-Theory Research and Practice","FirstCategoryId":"3","ListUrlMain":"https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/papt.12586","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

The purpose of this study is to critically reflect on the value of the House-Tree-Fire-Water-Person (HTFWP) drawing as a tool to engage the parents of children aged 10–12 in sandplay therapy for Generalized Anxiety Disorder (GAD). To do so, we draw on empirical work that addressed gaps in the existing parent-psychologist alliance literature by exploring the usefulness of sharing the HTFWP drawing series with parents at feedback sessions.

Methods

We employed an instrumental, multiple case study design. The sample consisted of 7 cases, involving parents (n = 9) and child-clients referred for GAD (n = 7). Parent-generated data included the verbatim transcripts of initial semi-structured interviews, three HTFWP drawing elicitation conversations (i.e. HTFWP-facilitated feedback sessions) and a post-intervention semi-structured interview. Child-generated data included three HTFWP drawings and child-driven explanations of these drawings. Psychologist-generated data included journal-recorded reflections and process notes. Using reflexive thematic analysis, we identified patterns in these data.

Results

Findings suggest that an alliance created between parent and psychologist through sharing the HTFWP drawing series with parents was a win for everyone (parents, child and psychologist). This ‘win-win’ situation included enhanced care for the child, bolstered parental support and heightened efficacy for the psychologist.

Conclusion

The HTFWP drawing has high potential to support the therapeutic process, with emphasis on its facilitation of a parent –psychologist alliance and spillover benefits for parents, the treating psychologist and the child-client.

Abstract Image

查看原文本刊更多论文

当焦虑的孩子在进行沙盘游戏治疗时，与父母分享房子、树、火、水、人的图画的好处。

摘要：本研究的目的是批判性地反思屋-树-火-水-人（HTFWP）绘画作为一种工具的价值，以参与10-12岁儿童的沙游戏治疗广泛性焦虑障碍（GAD）。为了做到这一点，我们借鉴了实证工作，通过探索在反馈会议上与父母分享http绘图系列的有用性，解决了现有父母-心理学家联盟文献中的空白。方法：我们采用了一个工具，多案例研究设计。样本包括7例，涉及父母（n = 9）和转介广泛性焦虑症的儿童客户（n = 7）。家长生成的数据包括最初半结构化访谈的逐字记录，三次http绘图启发对话（即http促进的反馈会议）和干预后半结构化访谈。孩子生成的数据包括三个http图和孩子对这些图的解释。心理学家生成的数据包括日记记录的反思和过程笔记。使用反身性主题分析，我们确定了这些数据中的模式。结果：研究结果表明，父母和心理学家之间通过与父母分享http绘画系列而建立的联盟对每个人（父母，孩子和心理学家）都是双赢的。这种“双赢”的局面包括加强对孩子的照顾，加强父母的支持，提高心理学家的效力。结论：HTFWP绘图具有支持治疗过程的高潜力，其重点是促进家长-心理医生联盟和对家长、治疗心理医生和儿童来访者的溢出效益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Psychology and Psychotherapy-Theory Research and Practice 医学-精神病学

CiteScore

6.10

自引率

5.90%

发文量

审稿时长

6 months

期刊介绍： Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.