Family interventions and resources of Sandplay therapy with adolescents victims of trauma / Intervenções familiares e recursos da terapia Sandplay com adolescentes vítimas de trauma

Authors

  • Juliana Kessar Cordoni Brazilian Journals Publicações de Periódicos, São José dos Pinhais, Paraná
  • Leonardo de Freitas Seri
  • Fernanda Benetti
  • Laercio da Silva Paiva
  • Bianca Alves Vieira Bianco
  • Lígia de Fátima Nóbrega Reato

DOI:

https://doi.org/10.34119/bjhrv5n3-220

Keywords:

adolescence, trauma, psychotherapy, family.

Abstract

Introduction: Trauma can be understood as a stressful experience or continuous exposure to an event that can cause harm to the healthy development of adolescents. Situations of physical, psychological, and sexual violence interrupt the natural flow of biopsychosocial development, presenting psychopathologies that often prevent adolescents from adapting to society. Objective: To investigate how psychological interventions, through an individual psychotherapeutic process, using resources such as Sandplay therapy along with meetings with parents, may allow improvement of traumatic symptoms in adolescents and therefore be better conducted by psychology specialists. Methods: Descriptive research with a qualitative and exploratory approach, based on the pre-experimental method, including 10 adolescents who were victims of trauma. The Posttraumatic Stress Symptom Screening Instrument (PSSSI), the Perception Inventory of Family Support (PIFS), weekly psychotherapeutic follow-up with Sandplay Therapy, and meetings with parents of the adolescents were used. Results: In the comparison of PIFS before and after treatment, the results showed significant improvement (p <0.05). In the comparison of the trauma scale (PSSSI) before and after treatment, although all variables showed improvement, only avoidance was statistically significant. After the meetings, parents and caregivers subjected to a sensitization approach could become more receptive and welcoming. Conclusions: The combination of individual and family interventions could trigger significant changes in the re-signification of the trauma, providing not only the adolescent but also his/her family with magnification and fortification of a healthier development, causing those involved to reposition themselves to the experienced contexts.

References

American Psychiatry Association. (2014) Manual diagnóstico e estatístico de transtornos mentais. (DSM-V). 5 ed. Porto Alegre: Artmed.

Baptista, M. N. (2008). Inventário de Percepção de Suporte Familiar – IPSF. São Paulo: Vetor.

Besset, V. L. (2006). Trauma e sintoma: da generalização à singularidade. Revista Mal-Estar Subjetividade, 6, 311–331.

Briggs-Gowan, M., Estabrook, R., Henry, D., Grasso, D., Burns, J., McCarthy, K., Pollak, S., & Wakschkag, L. (2019). Parsing dimensions of family violence exposure in early childhood: Shared and specific contributions to emergent psychopatology and impairment. Child Abuse &Neglect, 87, 100–111.

Calvete, E., Fernández-González, L., Orue, I., & Little, T. D. (2018). Exposure to family violence and dating violence perpetration in adolescents: potential cognitive and emotional mechanisms. Psychology of Violence, 8, 67–75.

Crespin, J. (2007). Ética no Atendimento a Adolescentes. In: Crespin, J., & Reato, L. F. N. Hebiatria Medicina da Adolescência. São Paulo: Roca.

Creswell, J. W. (2010). Projeto de pesquisa – Métodos qualitativo, quantitativo e misto. 3 ed. Porto Alegre: Artmed.

Freedle, L. R., Altschul, D. B., & Freedle, A. (2015). The role of Sandplay Therapy in the treatment of adolescents and young adults with co-occurring substance use disorders and trauma. Journal of Sandplay Therapy, 24, 127–145.

Friedman, H. (1997). Bridging Analytical Psychology and Research: A Sandplay View. In: Mattoon, M.A. (Org.). Zurich 95: Open Questions in Analytical Psychology. Switzerland: DaimonVerlag.

Howe, D. (2005). Child Abuse and Neglect – Attachment, Development and Intervention. UK: Palgrave MacMillan.

Kalff, D. (1980). Sandplay: A psychotherapeutic approach to the psyche. California: Temenos press.

Kristensen, C. H. (2005). Estresse Pós-traumático: Sintomatologia e funcionamento cognitivo (Tese de Doutorado não publicada). Curso de Pós-Graduação em Psicologia do Desenvolvimento. Universidade Federal de Rio Grande do Sul. Porto Alegre.

Mitchell, R. R., & Friedman, H. (1994). Sandplay: Past, Present & Future. New York: Routledge.

Morina, N., Koerssen, R., & Pollet, T. (2016). Interventions for children and adolescents with posttraumatic stress disorder: A meta-analysis of comparative outcome studies. Clinical Psychology Review, 47, 41–54.

Schestastky, S., Shansis, F., Ceitlin, L. H., Abreu, P., & Hauck, S. (2003) A evolução histórica do conceito de estressepós-traumático. Revista Brasileira de Psiquiatria, 25, 8–11.

Schwartz, O. S., Simmons, J. G., Whittle, S., Byrne, M. L., Yap, M. B. H., Sheeber, L. B., & Allen, N. B. (2017). Affective parenting behaviors, adolescent depression, and brain development: a review of findings from the Orygen Adolescent Development Study. Child Development Perspectives, 11, 90–96.

Terr, L. (1991). Childhood Traumas: An Outline and Overview. American Journal Psychiatry, 148, 10–20.

Van Der Kolk, B., McFarlane, A., & Van Der Hart, O. (1996). History of Trauma in Psychiatry. In: Van Der Kolk, B., McFarlane, A., & Van Der Hart, O. (orgs.). Traumatic Stress. New York: Guildford Press.

Van Der Kolk, B. (2005). Developmental trauma disorder: Towards a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 35, 401–408.

Von Gontard, A. (2010). Sandplay therapy study: A prospective outcome study of sandplay therapy with children and adolescents. Journal of Sandplay Therapy, 19, 131–140.

World Health Organization. (2014). Health for the World’s Adolescents. Geneva: WHO, 1986.

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Published

2022-05-31

How to Cite

CORDONI, J. K.; SERI, L. de F.; BENETTI, F.; PAIVA, L. da S.; BIANCO, B. A. V.; REATO, L. de F. N. Family interventions and resources of Sandplay therapy with adolescents victims of trauma / Intervenções familiares e recursos da terapia Sandplay com adolescentes vítimas de trauma. Brazilian Journal of Health Review, [S. l.], v. 5, n. 3, p. 10585–10601, 2022. DOI: 10.34119/bjhrv5n3-220. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/48764. Acesso em: 28 mar. 2024.

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Section

Original Papers