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Sand Tray Therapy with Young Children

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1.  What is another rationale for the use of sand in child therapy, not including the use of miniatures?
  1. Sand can be a tool for regulation.
  2. Children need to learn the value of nature.
  3. Sand can remind children to play outside.
  4. Sand is not a valuable therapeutic tool for children.
2.  Which of the following is NOT a quality of activities that promote regulation at the level of the brainstem, as identified by Dr. Bruce Perry?
  1. Rhymthmic
  2. Repetitive
  3. Relational
  4. Robotic
3.  Which of the following is a common difference in how young children and older clients utilize sand tray therapy?
  1. Children tend to create more static worlds than moving worlds.
  2. Children tend to create more moving words than static worlds.
  3. Children tend to be drawn more towards abstract objects.
  4. Children do not enjoy engaging in sand tray therapy as much as adults do.
4.  Which of the following is NOT true about the use of metaphor in therapy?
  1. Metaphor allows for safe therapeutic distance for emotional processing.
  2. Metaphor can be a tool for accessing unconscious, implicit memories.
  3. Metaphor should only be used with older clients who have the ability to describe the metaphorical meaning.
  4. It is not necessary that the therapist understand the objective meaning of metaphor in order for metaphor to still be a useful therapeutic tool.
5.  Which of the following would be the least likely to be clinically effective for responding to a child’s verbalized metaphor of “The bee is stinging the cat, and the cat is running all around to chase the bee!”
  1. Are you the cat and your sister is the bee?
  2. Ouch! The cat seems scared and is running all around.
  3. I wonder what the cat is feeling as it is running around to chase the bee?
  4. The bee is stinging the cat and now the cat is running to chase the bee.
6.  What is the whisper technique in child therapy?
  1. The therapist whispers to the caregiver when they do not want the child to hear what they said.
  2. The therapist whispers to make the child pay attention by straining to listen.
  3. The therapist whispers to pretend to be quiet in the context of the play scene.
  4. The therapist whispers to ask the child how the child would like them to respond in the play to what the child/child’s character said or did.
7.  Which of the following is NOT a component of child-centered play therapy?
  1. Reflecting the child's statements
  2. Tracking the child's play behaviors
  3. Directing the play of the child
  4. Identifying the emotions expressed in the play
8.  Which of the following is NOT a common theme in children’s play in play therapy?
  1. External approval
  2. Moral development
  3. Helping
  4. Writing
9.  Which of the following is a statement more likely to be utilized in child-centered play therapy than in therapist directed play therapy?
  1. Make a story about friends.
  2. You can play with anything in most any way you like.
  3. Create a story that includes anger with a beginning, middle, and end.
  4. Divide the sand tray in two and make a picture on one side about how it feels to be at home and the other side about how it feels to be at school.
10.  Which of the following would be the purpose of inviting a parent/caregiver to be present in the room while the child is creating a sand tray?
  1. To build empathy in the parent for the child’s experience.
  2. To have the parent learn to not be so serious.
  3. To convince the parent to have more toys at home.
  4. d.There is never a purpose of having a parent present while the child is creating a sandtray scene.

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