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Sand Trays in Grief Work: An Introduction (Echtenkamp)

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304 b Echtenkamp presentation

  1. 1. Sandtrays In Grief Work: An Introduction Teri Echtenkamp, MS, PLMHP Ted E. Bear Hollow Omaha, NE [email_address] June 24, 2010
  2. 2. Objectives <ul><li>Explore the vital components of sandtray expression </li></ul><ul><li>Identify clinical strategies that best serve the grieving population </li></ul><ul><li>Engage in experiential sandtray exercises designed to practice key didactic elements </li></ul>
  3. 3. Your Sandtray Expression <ul><li>“ The core of sandtray work with the grieving is the quiet presence of another person who is fully present and attentive: a sacred witness ….to be with another in such a sacred manner is to listen with one’s heart, suspending judgment, beliefs, and assumptions…open, authentic, caring, accepting, understanding, and compassionate” </li></ul><ul><li>Rogers (2007, p.78) </li></ul>
  4. 4. Blessing to Start An Activity <ul><li>Candle Fairy burning bright, </li></ul><ul><li>Come and share with us your light. </li></ul><ul><li>May we always learn to share </li></ul><ul><li>With the children everywhere. </li></ul><ul><li>Candle Fairy burning bright, </li></ul><ul><li>Come and share with us your light. </li></ul><ul><li>-Dearborn, 1999 </li></ul>
  5. 5. Holding the Space for Others (Rogers, 2007) <ul><li>Don’t interpret, evaluate, or diagnose </li></ul><ul><ul><li>In the context of grief, sandtray is designed as a tool to allow expression of grief, healing the wounds of loss. </li></ul></ul><ul><ul><li>The primary work is done in the sandtray nonverbal expression not in the verbal processing </li></ul></ul><ul><ul><li>IT’S OKAY TO PASS!! </li></ul></ul><ul><li>Listen and observe </li></ul><ul><li>Non directive </li></ul><ul><ul><li>Tell me your title. </li></ul></ul><ul><ul><li>“ I wonder”, “Tell me more about”, “I’m curious about” </li></ul></ul><ul><ul><li>“ What might it be like to live in this world?” </li></ul></ul><ul><ul><li>“ Are you in there?” </li></ul></ul><ul><ul><li>“ What happened next…?” “What happened before this?” </li></ul></ul><ul><ul><li>“ What might be the most important thing about this world?” </li></ul></ul><ul><ul><li>“ I wonder what this…would say to this…?” </li></ul></ul><ul><ul><li>“ Is there anything else you would like to share?” </li></ul></ul>
  6. 6. Meta-Sharing Your Experience <ul><li>What was the experience like for you? </li></ul><ul><li>What did you learn about yourself, others? </li></ul><ul><li>What was helpful, not helpful? </li></ul><ul><li>How could you use sandtray expression in your own practice? </li></ul>
  7. 7. Blessing to End An Activity <ul><li>May the Circle be open, </li></ul><ul><li>But unbroken. </li></ul><ul><li>May the love of the Goddess </li></ul><ul><li>Be ever in our hearts. </li></ul><ul><li>Merry meet and merry part </li></ul><ul><li>And merry meet again. </li></ul><ul><li>-Dearborn, 1999 </li></ul>
  8. 8. Sandtray Expression <ul><li>Rogers (2007) </li></ul><ul><li>Use of miniature objects, archetypal figures, toys, nature and man made items to create a world in the sand. </li></ul><ul><li>Nonverbal picture of emotions that may not otherwise be expressed. </li></ul><ul><li>Reconnection to forgotten or repressed aspects of the psyche. Allows for expression of that which is beyond words. </li></ul>
  9. 9. Basic Elements of Sandtray <ul><li>Trays </li></ul><ul><li>Standard size-30x20x3 </li></ul><ul><ul><li>Viewed in a single glance without having to move head or eyes </li></ul></ul><ul><ul><li>Painted blue on inside/bottom to represent water and sky </li></ul></ul><ul><ul><li>Options </li></ul></ul><ul><ul><ul><li>Plastic containers-stock up on blue, hard to find </li></ul></ul></ul><ul><ul><ul><li>Cardboard “flats” from grocery store, paint the inside </li></ul></ul></ul><ul><ul><ul><li>Be creative, just remember borders-”containment” is cruical </li></ul></ul></ul><ul><ul><ul><ul><li>i.e.-dowels, cookie sheets, string </li></ul></ul></ul></ul>
  10. 10. Basic Elements of Sandtray <ul><li>Sand </li></ul><ul><li>Playground sand </li></ul><ul><li>Jurassic sand </li></ul><ul><ul><li>http://www.jurassicsand.com/ </li></ul></ul><ul><li>Sandtastic sand </li></ul><ul><ul><li>http://www.sandtastik.com/ </li></ul></ul><ul><li>Rice </li></ul><ul><li>Cornmeal </li></ul><ul><li>Greatest “Tool” for Sandtrays </li></ul><ul><ul><li>Feline Pooper Scooper to collect mini’s, sift sand for quick dismantling! </li></ul></ul>
  11. 11. Basic Elements of Sandtray (Homeyer & Sweeney, 1998) <ul><li>Miniatures </li></ul><ul><li>Listen to your own inner voice </li></ul><ul><ul><li>What “speaks” to you </li></ul></ul><ul><ul><li>What attracts and repels you </li></ul></ul><ul><ul><li>Useful, balanced amounts in each category </li></ul></ul><ul><li>Miniature but not uniform, need varied sizes </li></ul><ul><li>Representative of the world </li></ul><ul><ul><li>Multicultural people, vegetation/objects reflecting your region (tractors-rural, palm trees-southwest) </li></ul></ul><ul><li>Mini’s of varied materials </li></ul><ul><ul><li>Natural materials therapeutically important due to tendency to be separated from nature </li></ul></ul>
  12. 12. Basic Elements of Sandtray (Homeyer & Sweeney, 1998) <ul><li>Miniatures (con’t) </li></ul><ul><li>Categories </li></ul><ul><ul><ul><li>People </li></ul></ul></ul><ul><ul><ul><li>Animals </li></ul></ul></ul><ul><ul><ul><li>Vegetation </li></ul></ul></ul><ul><ul><ul><li>Buildings </li></ul></ul></ul><ul><ul><ul><li>Vehicles </li></ul></ul></ul><ul><ul><ul><li>Fences, Signs </li></ul></ul></ul><ul><ul><ul><li>Natural Items </li></ul></ul></ul><ul><ul><ul><li>Fantasy </li></ul></ul></ul><ul><ul><ul><li>Cartoon-Movie </li></ul></ul></ul><ul><ul><ul><li>Spiritual-Mystical </li></ul></ul></ul><ul><ul><ul><li>Landscaping and Accessories </li></ul></ul></ul><ul><ul><ul><li>Household Items </li></ul></ul></ul>
  13. 13. Basic Elements of Sandtray (Homeyer & Sweeney, 1998) <ul><li>Arrangement </li></ul><ul><li>Organized by categories </li></ul><ul><li>Always placed in same place </li></ul><ul><li>Arranged by thematic use continuum </li></ul><ul><ul><li>“ good”, positive, nurturing </li></ul></ul><ul><ul><li>Neutral </li></ul></ul><ul><ul><li>“ evil”, negative, aggressive </li></ul></ul><ul><ul><li>Vegetation-spring to winter </li></ul></ul><ul><ul><li>Domestic/tame animals to aggressive </li></ul></ul>
  14. 14. Basic Elements of Sandtray (Homeyer & Sweeney, 1998) <ul><li>Sources </li></ul><ul><li>Craft/hobby stores </li></ul><ul><li>Toy stores </li></ul><ul><li>Thrift/garage sales </li></ul><ul><li>Friends who are simplifying </li></ul><ul><li>Dollar stores </li></ul><ul><li>Sandtray companies </li></ul><ul><ul><li>http://stores.toysofthetrade.com/StoreFront.bok </li></ul></ul><ul><ul><li>http://www.childtherapytoys.com/store/sandtoys.html </li></ul></ul><ul><li>Unique gift shops </li></ul><ul><li>Cake decorating suppliers </li></ul>
  15. 15. Adolescent Grief <ul><li>Worden’s (1996) four tasks </li></ul><ul><ul><li>Accepting reality of the loss </li></ul></ul><ul><ul><li>Experiencing the pain of grief </li></ul></ul><ul><ul><li>Adjusting to an environment without the deceased </li></ul></ul><ul><ul><li>Emotionally repositioning the deceased in order to move ahead with life </li></ul></ul>
  16. 16. Adolescent Grief (con’t) <ul><li>Wolfelt’s (2001) six tasks </li></ul><ul><ul><li>Acknowledge the reality of the death </li></ul></ul><ul><ul><li>Move toward the pain </li></ul></ul><ul><ul><li>Remember the deceased </li></ul></ul><ul><ul><li>Develop a new self-identity </li></ul></ul><ul><ul><li>Search for meaning </li></ul></ul><ul><ul><li>Let others support you now and in the future </li></ul></ul>
  17. 17. Adolescent Group Work <ul><li>Group Healing Attributes (Malekoff,1997; Murthy & Smith, 2005) </li></ul><ul><ul><li>Providing a supportive and cohesive environment </li></ul></ul><ul><ul><li>Creating a sense of community </li></ul></ul><ul><ul><li>Encouraging development of in-depth relationships </li></ul></ul><ul><ul><li>Reducing isolation </li></ul></ul><ul><ul><li>Rediscovering feelings of hope </li></ul></ul><ul><ul><li>Encouraging peer support </li></ul></ul><ul><ul><li>Educating on healthy coping skills </li></ul></ul><ul><ul><li>Providing a safe environment for discussion and release of unexpressed emotions </li></ul></ul><ul><ul><li>Offering structure, limits, and consistency </li></ul></ul><ul><ul><li>Opportunity to practice new roles and responsibilities </li></ul></ul>
  18. 18. Creative Expression <ul><li>Play, art, activity, music, ritual </li></ul><ul><li>Malchiodi (2005) affirms the talking cure can be enhanced by utilizing “expressive action that engages emotions in a direct and physical way-an ability to generate creative energy as a healing force for mind, body, and spirit” (p. ix) </li></ul><ul><li>Veach and Gladding (2007) purport creative group expression “centers on stimulating affect within the adolescents while simultaneously offering them cognitive insight and behavioral observation” (p. 72) </li></ul>
  19. 19. Guidelines for Doing Good Grief Work Kevin Henry http://www.wpahs.org/frh/donor/documents/GuidelinesforDoingGoodGrief_000.pdf <ul><li>Be faithful to your healing task – don’t run away or arrange too many distractions; trust yourself to be able to do your grief work well. </li></ul><ul><li>Allow and honor your feelings – your healing will be found at the heart of the whole huge unspeakably intense and disorderly jumble of them all. </li></ul><ul><li>Be willing to give expression to your feelings – recall that as Mr. Rogers said, “Anything human is mentionable, and anything mentionable is manageable.” </li></ul><ul><li>Take particularly good care of yourself – grief is messy, confusing, and exhausting, and you need and deserve your own best comfort, support and patience as you move through it. </li></ul><ul><li>Seek the help of other people – the support of a few, trusted others can add energy, strength and insight. </li></ul><ul><li>Be forgiving of those who don’t understand – others may need your help to understand what you’re experiencing and what you need, and may themselves be paralyzed by their powerlessness to diminish your pain. </li></ul><ul><li>Stay in touch with your strengths and your integrity – look to your deep and subtle gifts as you redefine yourself, and be sensitive to the fact that an attitude of victimization will just compound and complicate your distress. </li></ul>
  20. 20. Guidelines for Doing Good Grief Work (con’t) Kevin Henry http://www.wpahs.org/frh/donor/documents/GuidelinesforDoingGoodGrief_000.pdf <ul><li>Understand that your grief will have its own unique timing, rhythms and cycles – working as best you can with “just right now,” rather than “what it should be” will help you reclaim your grounding and wholeness. </li></ul><ul><li>Realize your own power in the face of trauma – an “I can” attitude to compliment your flexibility can alert you to your real and invaluable internal resources and deepen your sense of resilience, helping you to remember your power and personal choice can never be taken from you. </li></ul><ul><li>Recall with compassion that grief is a universal human experience – while honoring your own unique process. Know that loss is part of the shared mystery of all of our lives, and that you are not now, or ever alone. </li></ul><ul><li>Be curious about what can be learned – facing the seemingly impossible can be a source of deep healing and transformation; be prepared, in fact, to discover some remarkably good things about yourself. </li></ul><ul><li>Look for opportunities to carry forth a fitting legacy – realize that death does not end a relationship, and that what you treasure in your loved one can be supported, nurtured, and celebrated such that your bond is continued in countless creative ways. </li></ul><ul><li>Be willing to experience the reconciliation that is your healing – be mindful that, though you don’t control life, you can work through this unimaginably tremendous challenge and continue to learn, and to flourish, and to love living again. </li></ul>
  21. 21. Peace of Mind, Joy and Fulfillment Barbara Karnes http://www.gonefrommysight.com/about.html <ul><li>Know self, then can help others (Kuebler-Ross) </li></ul><ul><li>Recognize own fears, preconceptions, culture, childhood. Examine the patterns we’ve created, so we can clean house periodically. Change or release what we have outgrown. </li></ul><ul><li>Everyone has hurts, fears, secrets, wounds, scars-that is life. Deal with it instead of burying. </li></ul><ul><li>Keep own house as tidy as possible so have energy to help others. Balance. </li></ul><ul><li>Know how to say no. Don’t overextend. </li></ul><ul><li>Can’t carry people’s physical or emotional pain. </li></ul><ul><li>Laugh and play in life, find joy. </li></ul><ul><li>Avoid the “gerbil wheel of living”. What is life about? What do you want from living? </li></ul><ul><li>Gratitude and Purpose. What was good about today? What have I traded a day of my life for? </li></ul>
  22. 22. References <ul><li>Anderson, Ian. (1995). Divinities: Twelve Dances with God (CD). </li></ul><ul><li>Boik, B.L. & Goodwin, E.A. (2000). Sandplay therapy: A step-by-step manual for psychotherapists of diverse orientations . New York: W.W. Norton. </li></ul><ul><li>Dearborn, S. (1999). A child’s book of blessings . New York: Scholastic. </li></ul><ul><li>Elias, Jonathan. (1999). The Prayer Cycle (CD). </li></ul><ul><li>Fitzsimmons, Michael (2006). Water flows over me (CD). http://www.dancingmanmusic.com/ </li></ul><ul><li>Homeyer, L.E. & Sweeney, D.S. (1998). Sandtray: A practical manual . Royal Oak, MI: Self-Esteem Shop. </li></ul><ul><li>Kymissis, P., Christenson, E., Swanson, A. J., Orlowski, B. (1996). Group treatment of adolescent inpatients: A pilot study using a structured therapy approach. Journal of Child and Adolescent Group Therapy , 6, 45-52. </li></ul><ul><li>Malchiodi, C. A. (2005). Expressive therapies: history, theory, and practice. In Malchiodi, C. A. (Ed.), Expressive therapies (pp. 1-15). New York: Guilford Press </li></ul><ul><li>Malekoff, A. (1997 ). Group work with adolescents: Principles and practice . New York: Guildford Press. </li></ul><ul><li>Murthy, R. & Smith, L. (2005). Grieving, sharing and healing: A Guide for facilitating early adolescent bereavement groups . Champaign, IL: Research Press. </li></ul><ul><li>Oaklander, V. (1978). Windows to our children: a gestalt therapy approach to children and adolescents . Highland, NY: The Gestalt Journal Press. </li></ul><ul><li>Rogers, J.E. (2007). The art of grief: The use of expressive arts in a grief support group . NY: Routledge. </li></ul><ul><li>Samite. (1999). Stars to Share (CD). </li></ul><ul><li>Veach, L. J., & Gladding, S. T. (2007). Using creative group techniques in high schools. J ournal for Specialists in Group Work , 32, 71-81. </li></ul><ul><li>Wolfelt, A. D. (2001). Healing your grieving heart for teens . Fort Collins, CO: Companion Press. </li></ul><ul><li>Worden, J. W. (1996). Children and grief . New York: Guilford Press. </li></ul>