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E-raamat: What to Do When Children Clam Up in Psychotherapy: Interventions to Facilitate Communication

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Therapists who work with children and adolescents are frequently faced with nonresponsive, reticent, or completely nonverbal clients. This volume brings together expert clinicians who explore why 4- to 16-year-olds may have difficulty talking and provide creative ways to facilitate communication. A variety of play, art, movement, and animal-assisted therapies, as well as trauma-focused therapy with adolescents, are illustrated with vivid clinical material. Contributors give particular attention to the neurobiological effects of trauma, how they manifest in the body when children "clam up," and how to help children self-regulate and feel safe. Most chapters conclude with succinct lists of recommended practices that therapists can immediately try out in  their own work with hard-to-reach children. 
 


Therapists who work with children and adolescents are frequently faced with nonresponsive, reticent, or completely nonverbal clients. This volume brings together expert clinicians who explore why 4- to 16-year-olds may have difficulty talking and provide creative ways to facilitate communication. A variety of play, art, movement, and animal-assisted therapies, as well as trauma-focused therapy with adolescents, are illustrated with vivid clinical material. Contributors give particular attention to the neurobiological effects of trauma, how they manifest in the body when children "clam up," and how to help children self-regulate and feel safe. Most chapters conclude with succinct lists of recommended practices for engaging hard-to-reach children that therapists can immediately try out in their own work.

Arvustused

"This is one of those rare clinical books that not only will occupy a prominent place on the therapist's bookshelf, but also will be reached for time and time again between sessions. It is destined to be a cherished resource for child and adolescent therapists. Like having a cadre of expert supervisors at one's side, the volume successfully guides readers through one of the most common yet challenging types of treatment impasse, while expanding ideas of what therapy can look like. Innovators in the field offer sure-fire ways of engaging even the most reticent young people."--Craig Haen, PhD, private practice, White Plains, New York

"Psychotherapy with children can be an arduous and challenging process. Malchiodi and Crenshaw have provided an important, informative resource for child therapists. Regardless of the reader's therapeutic orientation, this book offers a wealth of cutting-edge ideas and strategies. Whether you are an experienced clinician or still in training, this unique volume is a valuable guide."--Sam Goldstein, PhD, Department of Psychiatry, University of Utah School of Medicine; Clinical Director, Neurology, Learning, and Behavior Center, Salt Lake City

"This is the best current book on a familiar treatment issue in child therapy. Honest, clear, and informative, the chapters offer multiple perspectives on how to facilitate children's communication in creative and insightful ways. Each chapter contains detailed hands-on applications. As a graduate educator in play therapy and expressive art therapy for more than 36 years, I am refreshed to find a book that provides even the neophyte therapist with such usable, inviting intervention strategies."--Julia Byers, EdD, Division of Expressive Therapies (Emerita), Lesley University

"The title immediately lets the reader know that this is a practical, accessible book. Malchiodi and Crenshaw have assembled leading experts to take us on a journey of discovering the impact of maturation, brain development, trauma, and culture on childrens communication styles. The volume presents models that highlight the primacy of creativity and relationship when counseling children. I recommend this book to counselors and therapists who wish to enter the world of children in the most effective ways, and as a complementary text for any course on child and adolescent counseling."--Dee C. Ray, PhD, LPC-S, NCC, RPT-S, Director, Center for Play Therapy, and Professor, Counseling Program, University of North Texas -Each chapter concludes with a list of best practices to guide the therapist through implementing the recommended approaches. Clinical educators and supervisors will find this book to be a valuable text to introduce trainees and supervisees to the principles and processes of child psychotherapy. Therapists new to working with children will appreciate the blend of theory and specific suggestions illustrated by engaging clinical examples to promote their understanding of both the content and process of dealing with silence in sessions. The book will also provide experienced therapists with the opportunity to update their knowledge of current best practices in assessing and treating silenced child clients.--American Journal of Play, 1/26/2018

PART I GENERAL PRINCIPLES TO GUIDE PRACTICE
1 Why Children Clam Up in Therapy
3(15)
Cathy A. Malchiodi
David A. Crenshaw
Why Children Clam Up
4(3)
Playing and Creating: Expressing the Unspeakable
7(1)
Play Therapy
8(1)
Creative Arts Therapies
9(2)
Play Therapy and Creative Arts Therapy: Powerful Partners in Helping Children Communicate
11(2)
The Importance of Relationship with Children Who Clam Up
13(2)
Conclusion
15(1)
References
15(3)
2 Resistance in Child Psychotherapy: Playing Hide-and-Seek
18(20)
David A. Crenshaw
A Subtle Version of Hide-and-Seek
19(1)
Resistance to the Concept of Resistance in Child Psychotherapy
20(2)
A Notable Exception: Mandated Clients
22(2)
Could Resistance Be an Iatrogenic Effect of Child Psychotherapy?
24(5)
When Words Are Unable to Tell the Story
29(2)
Playing through the Unspeakable
31(1)
Trauma Narratives Told through Symbolic Play
32(1)
Therapeutic Presence, Relational Healing, and Resistance
33(1)
Conclusion
34(1)
Five Recommended Practices
35(1)
References
35(3)
3 A Neurosequential Therapeutics Approach to Guided Play, Play Therapy, and Activities for Children Who Won't Talk
38(31)
Richard L. Gaskill
Bruce D. Perry
Early Play Therapy Adaptations
39(2)
Normal Brain Development
41(1)
Neurobiological Implications of Maltreatment
42(3)
Play, Play Therapy, and Play Activities Guided by the Neurosequential Model of Therapeutics
45(8)
Case Example
53(7)
Conclusion
60(1)
Five Recommended Practices
61(1)
References
62(7)
PART II MASTER CLINICIAN APPROACHES
4 The Sound of Silence in Play Therapy
69(18)
Anne L. Stewart
Lennis G. Echterling
General Approach
70(4)
Specific Techniques
74(6)
Case Example: Tishelle---The Power of Water, the Power of Resilience
80(3)
Silence Is Golden
83(1)
Five Recommended Practices
84(1)
References
85(2)
5 Play Therapy with Children Who Don't Want to Talk: "Sometimes We Talk, and Sometimes We Play"
87(15)
Nancy Boyd Webb
Therapeutic Approaches
89(1)
Case Examples
90(5)
Case of Sergio
95(2)
Specific Techniques/Interventions
97(2)
Five Recommended Practices
99(1)
References
100(2)
6 Polyvagal-Informed Dance/Movement Therapy with Children Who Shut Down: Restoring Core Rhythmicity
102(35)
Amber Elizabeth L. Gray
Stephen W. Porges
Overview of Polyvagal-Informed DMT
103(7)
The Framework for Polyvagal DMT
110(2)
The DMT Bridge to the Polyvagal Theory
112(12)
Case Example: Alphonse---From Shut Down and Clammed Up to Socially Engaged
124(8)
Conclusion
132(1)
Five Recommended Practices
133(1)
References
134(3)
7 Play Therapy through the Lens of Interpersonal Neurobiology: Up and Over the Mountain
137(20)
Theresa Kestly
Our Nervous System Protects Us
139(2)
The Traffic Light Analogy
141(2)
The Optimal Arousal of Play
143(4)
The Brain Circuitry of Play
147(2)
Therapeutic Presence
149(2)
"I Knew I Could, I Knew I Could"
151(2)
Play Co-Opting the Sympathetic System in the Absence of Fear
153(2)
Five Recommended Practices
155(1)
References
155(2)
8 Treating Adolescent Attachment Trauma: Ten Ways to Co-Regulate and Stay Connected
157(19)
Martha B. Straus
Time In, Not Time Out
160(1)
Goals of Treatment
161(1)
Isolation and Connection
162(1)
Ten Strategies
163(10)
Concluding Thoughts
173(1)
Five Recommended Practices
174(1)
References
175(1)
9 Silencing and the Culture of Sexual Violence: The "Shadow Abuser"
176(21)
Sarah Caprioli
David A. Crenshaw
Social and Cultural Toxicity
178(1)
The Silent Scream
178(2)
Why Do Only 10% of Sexually Abused Children Disclose during Childhood?
180(1)
Rape Culture
180(3)
Sexual Violence Myths
183(1)
Hypersexualization of Young Girls
184(1)
Toxic Masculinity
185(1)
The Impact of Toxic Masculinity on Children and Families
185(1)
Interaction between Cultural and Intrapsychic Dynamics
186(1)
Treatment Considerations
187(6)
Five Recommended Practices
193(2)
References
195(2)
10 Art Therapy Approaches to Facilitate Verbal Expression: Getting Past the Impasse
197(20)
Cathy A. Malchiodi
Art Therapy and Children
198(1)
Can Children's Stories Be Interpreted from Art Expressions?
199(1)
Setting the Stage for Talking: Self-Regulation, Connection, and Confidence
200(3)
Encouraging Talk through Questions
203(1)
Encouraging Talk through Props
204(1)
Starting a Conversation about the "Unusual"
205(2)
Redirecting the Conversation
207(3)
Separating the Child from the Problem
210(3)
Conclusion
213(1)
Five Recommended Practices
214(1)
References
214(3)
11 Animal Assisted Play Therapy with Reticent Children: With a Little Help from Friends
217(22)
Rise VanFleet
Tracie Faa-Thompson
Description of AAPT
219(1)
Competencies Required for the Ethical Use of AAPT
219(5)
AAPT Interventions
224(1)
Case Examples
225(9)
Conclusion
234(1)
Five Recommended Practices
235(1)
References
236(3)
Index 239
Cathy A. Malchiodi, PhD, ATR-BC, LPCC, LPAT, REAT, is a psychologist andexpressive arts therapistspecializing in trauma recovery. Since the 1990s, Dr. Malchiodi has worked with traumatized children, adolescents, adults, and families, expanding the range of understanding of nonverbal, sensory-based concepts and methods. Founder and executive director of the Trauma-Informed Practices and Expressive Arts Therapy Institute, Dr. Malchiodi has given over 700 invited keynotes, lectures, and workshops around the world, and has assisted more than 500 organizations and institutions in developing trauma-informed, expressive arts, and disaster relief programming. Her books include Trauma and Expressive Arts Therapy, Understanding Childrens Drawings, and Creative Interventions with Traumatized Children, Second Edition. Dr. Malchiodi is a contributing writer forPsychology Today, an active visual artist, and an aspiring musician.

David A. Crenshaw, PhD, ABPP, RPT-S, is Clinical Director of the Childrens Home of Poughkeepsie, New York, and Adjunct Faculty at Marist College. He has taught graduate courses in play therapy at Johns Hopkins University and Columbia University and has published widely on child and adolescent therapy, child abuse and trauma, and resilience in children. A Fellow of the American Psychological Association and of its Division of Child and Adolescent Psychology, Dr. Crenshaw has received lifetime achievement awards from the New York Association for Play Therapy and the Hudson Valley Psychological Association. He is a past chair of the board of directors of the Coalition against Sexual and Domestic Abuse and a member of the professional advisory board of the Courthouse Dogs Foundation and of the Dutchess County Task Force against Human Trafficking.