黃世琤教授 Professor Shih-Tseng Tina Huang

200603 19-2 The Process Study of the Sandplay Therapy on Oppositional Defiant Disorder.

Yu-Li Shih	Shu-Chen Kao	Wen-Hsiu Wang
National Chiayi University	National Changhua University of Education	National Hsin-Chu University of Education

The major purpose of this study was to investigate one 5th grade elementary school boy with oppositional defiant disorder. For the purposes of this study, sand miniatures were used as a tool to facilitate expression of internal experiences and changes in behavior problem and life adjustment by the boy in the four stages of the pre-therapy, mid-therapy, post-therapy and 5 months follow-up. This study adopted case study and participant observation method. The Sandplay therapy consisted of 24 sessions with 40 minutes per session. Each session was videotaped, and the 20 sandpictures the child made were taken for Consensual Qualitative Analysis. The conclusions of this study were as following:
The changes of the boy’s internal experiences in terms of the sandpictures analysis were various:
1) the positive themes were more than the negative themes;
2) the child expressed the “creation” theme to decrease the “isolation” theme's impact;
The changes of the boy's behavior problems kept on improving according to the Children Behavior Inventory in the stages of the post-therapy and follow-up.
The changes of the boy’s life adjustment were:
1) in the stage of the pre-therapy, the child showed a poor life adjustment in the Landscape Montages Life Adjustment Indicators (LMI);
2) in the stage of mid-therapy and post-therapy, he has shown signs of progressed;
3) in the stage of the follow-up, he regressed to the pre-therapy level due to many influential factors.
Recommendations for future therapy and research were made.

Keywords
sandplay, oppositional defiant disorder, child therapy

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