Sandplay Therapy Performed by Telepsychotherapy: Going Beyond the Limits of Face-to-Face Psychotherapy in the COVID-19 Pandemic

As COVID-19 spreads internationally for an extended period of time, millions of people around the world are suffering from psychological symptoms such as anxiety, depression, PTSD, and loss, and the role of psychotherapy is growing more than ever. However, in the current situation where anxiety about infection is widespread, the form of face-to-face psychotherapy has become another factor that induces infection anxiety. The limitation of this existing psychotherapy leads us to think of alternatives that can reflect the rapidly changing clinical situation in different ways during the ongoing coronavirus period. Telepsychotherapy is a form of psychotherapy that has been practiced for distant clients for a long time and can be a safe alternative psychotherapy method for both clients and analysts in the pandemic era. Although some analytic psychotherapists have negative views on telepsychotherapy, the change in the psychological treatment environment caused by COVID-19 leads to a new perspective on telepsychotherapy. The subjects of anxiety, depression, and death that people are experiencing because of the coronavirus pandemic come to us as archetypal shadow. The symbols unfolded in sandplay therapy direct our gaze to the inner world of human beings during this pandemic period and make us look at the unintegrated archetypal figure in the deep conscious. This paper aims to examine the therapeutic meaning and value of sandplay therapy that is performed according to the method of telepsychotherapy by analyzing the case of changed clinical situation due to the pandemic.

An Arts-based research on group sandplay therapy for children in local children's centers who are overly dependent on internet and smartphones experiencing the COVID-19 pandemic era

The purpose of this study is to find a clue of psychological intervention in group sandplay therapy for children in local children's centers who are overly dependent on internet and smartphones experiencing the COVID-19 pandemic era. Art is a process of expressing imagination, and it is in line with the fact that play is a symbolic and creative activity. Therefore, it can be said that children's imaginary play scenes and imaginary stories appearing in sandplay therapy are a form of art. Sandplay enables non-verbal expression, and the unconscious contents expressed by children are useful in understanding children's emotions. In this process, the researcher understands the client through imagination which is the intersubjective method and experiences an accepting relationship where healing and change occur. However, previous studies have limitations in that they approached children's dependence on the Internet and smartphones based on language. Therefore, these researchers conducted an arts-based study from an analytical psychology perspective to understand the experiences of children in local children's centers who are overly dependent on the Internet and smartphones through the group sandplay therapy process. To this end, co-researchers attending the doctoral program in child counseling and psychotherapy have categorized and discussed four themes: ‘wanting to be loved’, ‘suffering from anxiety’, ‘tolerating being alone/not communicating’, ‘trying to protect oneself’. Finally, it was intended to alleviate the psychological difficulties of children in local children's centers who are overly dependent on internet and smartphones, and to provide an open method for resolving the Internet and smartphone dependence phenomenon.

The Effects of Group Sand play on the Psychological Health and Resilience of Street Children and Adolescents in Uganda

The authors analysed the effects of group Sandplay therapy on adolescents' psychological health and resilience in a mixed-method research. They explored and categorized the themes these adolescents expressed during therapy. Fifteen children (n=15) were recruited for the study; (Boarding school children = 5; Day school children = 5; Street children = 5). The selection process was conducted in cooperation with an orphanage in Kabale, Uganda. The children who participated in the study underwent a forty-five-minute sand play therapy every week for nine weeks. The SDQ and RCADS were administered to the groups both pre- and post-intervention, with the data entered and analysed using SPSS. Group sandplay was found to significantly decrease the adolescents' internalizing problems such as anxiety and depression, while their resilience had also significantly improved. The narrative analysis, in turn, yielded seven themes: basic needs; community-love-celebration; giving help-leadership-empowerment; security-danger, recreation-self-development-self-nurturance, education, and seeking help-faith.

A Study on the Symbols and Themes of Sandplay Therapy for Children of Myanmar Refugees living in Malaysia

This study categorized and analyzed the themes and symbols that appeared in the sandplay therapy of Myanmar Chin children living as refugees in Malaysia. The researcher provided individual sandplay therapy to five children attending a UN refugee school in Malaysia for four weeks in July 2018. There were five sessions for each child and 50 minutes per session. The researcher used a Kalffian sandplay approach to provide a free and protected space for the children. They used Creswell’s (2007) qualitative case study method to understand the themes and symbols and, through a comprehensive analysis of all cases, they found five common themes and symbols. These themes were ‘fear/threat and the resistance from the heart to it’, ‘protection and care’, ‘the existence of god and guilt feelings’, ‘the effort to recover normal life’, and ‘do not give up hope for a normal life’. The refugee children expressed their emotional pain in the sand tray so that the traumas they had experienced while escaping and the chaos in their present lives appeared prominently and repeatedly there. As the sessions progressed, however, they expressed a hope to return to their normal lives as they recovered some sense of stability. They could more easily express their inner pain in sandplay than in language, and project themselves safely and express their emotions. It is a fact that, like all other children, the innate and archetypal healing power of these refugee children’s psyche allowed them to respond strongly to sandplay, despite the short-term therapeutic intervention, the horrors of their experiences and the unstable situations they face. Future research should evaluate the effectiveness of a psychotherapeutic approach that considers the social and cultural specificity of refugee children and their various emotional problems and secure economic aid and legal status for them.

Rock: Symbol of Self in the Process of Individualization - Alchemy Transformation in Sandplay Therapy -

This study investigated the process leading to individuation by examining the symbolism of rocks that emerged from sandplay therapy for a middle-aged woman from the perspective of analytical psychology and alchemy. The rock symbolizes an unchangeable life force, nurturing, recovery, source of living water, grave, and place in contact with spiritual energy. The alchemical process of creating new substances using existing substances proceeds in the order of calcification, dissolution, solidification, sublimation, decay, separation, and unity. In this study, the client expressed her unconscious through the rocks in the sand tray, which corresponded to the calcification of alchemy. Afterwards, the client expressed feelings such as despair and sadness that existed deeply within her, which were linked to the process of dissolution and coagulation of alchemy. Finally, the client could proceed with the process of individuation through self-integration with her shadow by accepting the suppression and wounds of her heart that were suppressed for a long time in consciousness, which is connected with the process of sublimation, corruption, separation, and unity in alchemy. The process of individuation involves completing the true Self by integrating the Self that exists inside the individual. We can integrate these processes through a confrontational dialogue between consciousness and the unconscious through symbols.

Face the waves of emotion in the sea of the unconscious: Focusing on the symbolism of the sea and the waves

The purpose of this study was to examine the symbolism of the sea and waves, focusing on these symbols in the dreams and sand trays during the female client’s sandplay therapy. The client had dreamt about the sea repeatedly since childhood, so her repetitive dreams about the sea were analyzed during the sandplay sessions. She realized that the deep abyss of the sea was linked to her unconsciousness. Through the dynamic fluctuation of the waves, the emotions that she had suppressed became shaken, and it brought out her anger. As becoming aware of her suppressed emotions, she was able to heal herself. The repeated appearance of the sea in the sand trays connected her to the unconscious and led her to integration and wholeness. She made the choice of recharging her energy for love in the sea and returning to her life. The researcher could understand that it was the message of the sea to love herself and her life and live an authentic life of self-care proudly.