CBPT and Group Play Therapy

Question 1

What is CBPT?

Answer 1

incorporates cognitive and behavioral interventions within a play therapy paradigm, usually periods of unstructured and structured play

• for kids 3 - 8
• mutism, separation anxiety, sexual abuse histories, sleep problems and acting out behaviors

Question 2

How is it different from other play therapies?

Answer 2

• It’s not all about the rlx
• established goals
• both child and tx choose the toys
• play is used to teach
• therapist verbalizes conflict / logic directly to child
• praise is cruicial
• therapist is directive

Question 3

Behavioral Techniques in CBPT

Answer 3

systematic desensitization ( inc. relaxation)
role playing
contingency management (positive reinforcement, shaping)
modeling (self, dolls, action figures)
habit reversal training (good for compulsive behavior – find competing response)
work with parents

Question 4

Cognitive Techniques in CBPT

Answer 4

countering irrational beliefs / cognitive restructuring
positive self-statements
bibliotherapy
problem solving (through role plays)

Question 5

Group Play Therapy

Answer 5

emphasize age appropriate activities aimed at enhancing skill development, socialization with peers, and opportunities for tension discharge in a structured setting.

Question 6

Issues with Group Play Therapy

Answer 6

• who goes in the group; size of group; rituals for group to establish stability;

Question 7

Contraindications for Group Play Therapy

Answer 7

• Rivalous siblings
• aggressive children
• sexually acting out children
• attachment difficulties
• sociopathic children
• children with very low self-esteem

Question 8

Rational for choosing group play therapy

Answer 8

• promotes spontaneity
• intrapsychic and interpersonal issues can be addressed
• vicarious learning is possible
• peer feedback
• reality test and set limits with peers and therapist
• gain insight - microcosm of child’s larger world
• opportunity to practice everyday skills
• trust may be more easily developed when other children are seen as models

Question 9

Bibliotherapy

Answer 9

expressive therapy that uses an individual’s relationship to the content of books and poetry and other written words as therapy; using books to aid people in solving the issues that they may be facing at a particular time