302 b Carst presentation


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Expression without Holding Back

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302 b Carst presentation

  1. 1. Expression without holding back<br />Using sandplay and drumming in a children’s bereavement program<br />
  2. 2. Presentation at The National Alliance for Grieving Children Cleveland, Ohio June 24, 2010<br />Nancy Carst, LISW-S, CT<br />Akron Children’s Hospital<br />Haslinger Family Pediatric Palliative Care Center<br />Bereavement Coordinator<br />Sandplay Therapist<br />Carol Stanley, LPCC-S, RPT<br />
  3. 3. Good Mourning<br />Six week series for children age 5 to 18 years<br />Child has experienced the death of a loved one<br />A variety of expressive therapies used including storytelling, art, music, crafts, writing, games and SANDPLAY AND DRUMMING<br />Light dinner provided<br />Parent/caregiver support offered<br />
  4. 4. Children’s grief theory<br />Good Grief: Helping Groups of Children when a friend dies by Sandra Sutherland Fox<br />Understanding<br />Grieving<br />Commemorating<br />Reinvesting in life<br />
  5. 5. Good Mourning – Session 1<br />Getting to know each other<br />Setting of group guidelines<br />Introducing their loved one who died<br />My family – representation through art<br />Story: “Lifetimes” / Fire in My Heart, Ice in my Veins journal<br />Worry bags<br />
  6. 6. Good Mourning – Session 2<br />Discussing the funeral or memorial experience – burial or cremation<br />“the weather at the funeral service” drawing<br />Change activities – i.e. play doh<br />“When Dinosaurs Die”, “I Had a Friend Named Peter”<br />Words they don’t understand <br />
  7. 7. Good Mourning – Session 3<br />Exploration of the many feelings in grief<br />DVD: “Lessons of the Lions”<br />Craft: painting pillow cases, painting masks<br />Activity: puppetry, board game, Haiku<br />“The Tenth Good Thing about Barney”/ “Tear Soup”<br />SANDPLAY or DRUMMING<br />
  8. 8. Good Mourning – Session 4<br />Coping with difficult feelings like anger and ways to handle our behavior/reactions<br />“How to Get Rid of Bad Dreams”/Everett Anderson’s Good-bye”/ “Double Dip Feelings”/ “Mad Isn’t Bad”<br />Activities: physical release like stomping, tearing up phone books, bubbles, body tracing<br />Pain issues: school performance<br />SANDPLAY or DRUMMING<br />
  9. 9. Good Mourning – Session 5<br />Commemorating – preserving memories<br />Activities: collages, beading, Memory boxes, group card game (Creative Interventions book), writing – I Am …<br />“A Quilt for Elizabeth”<br />Coping with special days<br />Music: helpful songs<br />
  10. 10. Good Mourning – Session 6<br />It is okay to reinvest in life<br />You will have good and bad days – grief is unique for each of us<br />Your support system<br />Who am I? How do I care for myself?<br />Closing ritual: plant, balloon release, candle making – linking object<br />Evaluations<br />
  11. 11. Good Mourning – Parent Series<br />Telling their story<br />Children’s development stages and reactions to death<br />What Bereaved Children want Adults to Know by Alan Wolfelt, Ph.D.<br />Lessons Learned from Grieving Children by Geraldine L. Haggard<br />Healing Rituals<br />
  12. 12. Sand Play<br />Using symbols in a safe, comfortable environment<br />Less threatening than talking<br />Increases expression without having to depend upon words<br />Reveals each child’s unique story<br />
  13. 13. Drumming<br />Facilitating community connection<br />Rhythm promoting healing and self-expression<br />Circle provides a sense of connectiveness with others and interpersonal support<br />Creative and fun activity<br />Drums allow for the expression of emotions<br />
  14. 14. Sandplay<br />Equipment and Supplies<br />Tables/shelves for figures<br />Sand trays: wet and dry sand available, rectangular, blue or clear<br />Tools for sand: sculpting, digging and moving sand around – shovels, rakes, spoons, paint brushes<br />
  15. 15. Sandplay – The Handbook of Sandplay Therapy <br />The Collection<br />Deep symbolic connections – hope to have representation of all parts of life and fantasy<br />People<br />Deep symbolic connections – hope to have representation of all parts of life and fantasy<br />Babies, children, adults<br />Different ethnicity<br />Young and old<br />People in action, doing various tasks<br />Police, fire and rescue workers<br />
  16. 16. Sandplay<br />Household furnishings<br />Common household items<br />Food<br /><ul><li>Architecture
  17. 17. houses, towers, churches
  18. 18. temples, shops
  19. 19. old and new</li></li></ul><li>Sandplay<br />Vehicles<br />Land, air, water<br />Old and new<br />Rescue and helper<br />Military: soldiers, weapons<br /><ul><li>Animals
  20. 20. land, sea, air
  21. 21. wild, domestic</li></li></ul><li>Sandplay<br />Magical creatures<br />Magicians, fairies, wizards<br />Fairy tale, cartoon characters<br />Super heroes and villains<br />Ancient creatures<br />Archetypal figures<br />People: king, queen, prince, princess<br />Shapes: cube, sphere circle, square, triangle, pyramid, sun, moon, stars<br />Jewels: glass marbles, beads, gold chains, treasure gifts<br />
  22. 22. Sandplay<br />Shadow and death figures<br />Skeletons, gravestones, coffins<br />Bones, monsters, dark, scary figures<br />Religious and spiritual figures<br />People and artifacts from different traditions, eastern and western<br />Elements<br />fire, ice, windmill, well, balloon, flag, shovel<br />
  23. 23. Sandplay<br />Items from nature<br />Rocks, shells, wood, trees, shrubs, flowers, greenery, fruits and vegetables<br /><ul><li>Connectors and Dividers
  24. 24. Fencing, bridges, road and traffic signs, telephone, computer
  25. 25. Building and Craft Materials
  26. 26. Tiles, sticks, clay, paper, string</li></li></ul><li>Sandplay<br />Room preparation<br />A sacred place that is apart from ordinary time and space<br />“Let me show you how we do sandplay”<br />The tray<br />Moving the sand around<br />Go to the tables and pick out whatever grabs your attention and put in in the tray<br />You can have an idea about what you want to make, or not<br />This is a way of allowing what is inside of us, the stuff that doesn’t always have words, find expression<br />
  27. 27. Sandplay<br />Working with children<br />Frequently the children are playing in the sand before the facilitator tells them!<br />Play and images are natural to children<br />You can use any of the toys to make a picture in the sand – making your own world<br />
  28. 28. Sandplay<br />Working with adolescents<br />Primary concern is to overcome any suspicions they might have about it being infantile or child’s play<br />This is a good way to do our work without talking or having to understand what is going on<br />
  29. 29. Sandplay<br />During the SandplaySession<br />Must remain quiet<br />Facilitator to remain still in the presence of the unfolding process of the child’s work<br />After the Sandplay Session<br />Tell me a story about your world.<br />Tell me what is happening. Tell me what’s going to happen.<br />Are you anywhere? Where are you?<br />What happened before this scene?<br />If you could change anything about this scene, what would you change?<br />Take a picture of the child’s work<br />
  30. 30. Drumming<br />Drum circle principles<br />Everyone is a part of the musical experience<br />Music is improvised in the moment<br />There is no right or wrong<br />The facilitator helps build the musicality of the group while also building the sense of community and connection<br />There is no plan except the importance of supporting the music and community connection<br />
  31. 31. Drumming<br />The benefit of being a part of a drum circle<br />Fun<br />Self-expression<br />Stress reduction<br />Social interaction and community building<br />Exercise for mind, body and spirit<br />
  32. 32. Drumming<br />The instruments<br />The real instruments are the people<br />The drums become their voices<br />The acoustic landscape<br /> drums: bass, hand, and mallet<br /> shakers, wood sounds, maracas<br /> metal sounds: cowbell, tambourine<br /> body percussion: clap, snap, stamp<br /> ambient instruments: ocean drum, thunder tube, rain stick, chimes<br />We are born with our voice and rhythm within our hearts<br />
  33. 33. Drumming<br />Facilitator<br />Like a coach – serving to inspire, direct, conduct, and lead a group of people through the discovery of rhythm that has been waiting inside them all along<br />Cues: successful cues must be clear, consistent and cool<br />Be authentic. Show you care. When you offer your joy and your heart, it will come back to you magnified<br />
  34. 34. Drumming<br />Tips for working with children<br />Mallets up: teach kids the way to stop all together by curing “mallets up” to indicate putting their mallets or hands in the air<br />Pace the instruments: start with one instrument group and add on others<br />Consider separating boys and girls<br />
  35. 35. Drumming<br />“When I Drum” by 12 year old boy<br />When I drum I can hear my heart beat<br />I feel excitement from my head to my feet<br />It takes away my pain and worry<br />I don’t feel like I’m in such a hurry.<br />When I am drumming I feel free<br />My troubles fly away from me<br />And in comes all the peace and love<br />My spirit soars just like a dove.<br />When I am drumming with my friends<br />I feel like we are family<br />And when we drum we sound like one<br />One heart, one soul, one mind.<br />
  36. 36. Drumming<br />Closing the circle<br />At the end, ask people to think of one word to describe their experience<br />Music helps you get along with others<br />Music helps you listen carefully<br />Music is fun!<br />Music helps you tune into your heart<br />Music offers opportunities for communication without using words<br />