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Play therapy looks like playing

play therapyUsually I let my kid-clients decide whether or not they want their parents to come into their play therapy sessions with them. (Some situations require parents be an active participant but most don’t.) The littlest children always want a parent to sit in the room, which is absolutely fine.  The kids and I play together and the parents watch or read a book or play on their smart phones.

I know that sometimes parents are sitting there watching us have a tea party or race cars or build with blocks and thinking, “I drove all this way for this? Took time out of the day, got the other kids childcare, took time off of work, took my kid out of school for this?” Because play therapy looks an awful lot like playing.

I try to head this off by explaining how play therapy works at the intake session but it doesn’t always sink in. And then we’re all in the office together and their child is playing and I’m watching (because I don’t play unless I get invited to play — my job is facilitation and observation) and … well, I’m not surprised when the question comes up, “What exactly are you doing anyway? And how is it helping?”

What I tell parents is that talk therapy is facilitated exploration through discussion and play therapy is facilitated exploration through play. Play is how kids communicate.

What makes the play therapy space special are the same things that make the talk therapy space special:

  • Unconditional positive regard (I accept you, I appreciate you, I see the good in you no matter what you do or say);
  • Safety (with rare exception what you share is private and stays in that room);
  • Concentrated focus (I am paying sharp attention to what you do/say and trying to both understand you better and help you understand yourself better);
  • A commitment to helping you move forward (I am actively looking for ways to help you grow through your experience);
  • A particular kind of loaded environment (comfy chairs, quiet, tissues at the ready and specific toys that encourage sharing).

Unlike most adults and bigger kids who can learn through give and take discussion, young children lack the insight and the vocabulary that allows them to discuss their experiences and feelings. Through play they are able to share what is causing them concern and work through it.

Many of the children who come see me play the same game over and over, trying to make sense of something so they can move forward. Just as talking something out can help, playing something out can help, too.

A common example is a child who heads straight to doctor’s kit every session because she’s working out her feelings about her last well-child visit. Having an understanding witness who gives voice (through her unbiased observation) to the story helps the child take control of her narrative.

Truth vs. truth

conversation-insideOne reason we have so many disagreements with each other is that there is Big Truth and little truth and we get mixed up over which is which.

There is the Truth (I walked towards you) and the truth (I lunged at you aggressively, I simpered as I tiptoed to you, I drunkenly veered your way). We both may agree on the Truth (I did indeed move from one end of the room to the other end of the room where you were standing) but we may violently disagree on the truth. You might say I deliberately tracked mud onto your just shampooed carpet. I might say that I was in a hurry because the phone was ringing. We might both be right. We might both be wrong.

Clearly, truth telling can create a lot of conflict.

So much of our struggling in our relationships has to do with telling our truths and denying your truths. We get hung up on specifics and never get to what’s really wrong. We are so busy defending our truth (You did call. You did not call. You never call. Well, you’re never home.) and so we argue argue argue but we never make any resolution.

A long time ago there was a woman at the shelter where I worked who was a liar. She had a very complex, very disturbing story about abuse and it was clearly not true (nor was she delusional). One of the case managers got a little obsessed with trying to get this woman to admit that the story wasn’t true but the rest of us felt (and told the case manager this at the weekly staff meeting) that what was True was that this woman felt victimized and harmed and wanted/needed attention around that. Now mind you, we were an emergency shelter so it was not our job (or our expertise) to counsel but we felt that what was more important than forcing this woman to shed her truth was to figure out how to help her within that truth so that she could get to the next place — secure housing, real therapy, etc. This haggling over details wasn’t getting anyone anywhere.

So the truth is not always True and the Truth doesn’t always matter.

Sometimes counseling is mucking around in truth and listening hard and honestly? To me it can feel a lot like writing an essay. If you’ve done any writing then likely you know how you write into what you know that you didn’t know you knew. (My favorite quote about this is: “How will I know what I think until I see what I say?” That’s E. M. Forster.) That’s how counseling can be, too. Just as we write to understand ourselves and the editor helps the writer (myself or others) in the process, so in counseling there is that storytelling structure.

So you can show up at a counseling office without any idea of what you’re thinking because part of finding out what you think is seeing what comes out of your mouth.

The counselor is a lot like an editor helping you make sense of your story. You don’t have to understand your story when you come to the counselor because she’s not listening for The Truth, she’s listening for your truth and seeing the big structure so she can ask the questions that will help you understand your experience.

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