Healthy interactions, especially between parent and child, are vital to a child’s development. Structured play can be an important part of building this crucial intimacy, especially for children who are troubled by emotional or learning difficulties. Theraplay is a dynamic, proven approach to child therapy based on the closeness and physical intimacy that characterizes normal parent-child relationships. It addresses four serious problems facing many children and parents that prevent healthy development: inadequate structure in daily experience; too little personal engagement; insufficient empathetic, nurturing touch; and failure to provide the right kinds of challenges. Using structured play to convey a combination of love and authority, Theraplay promotes a child’s increased self-esteem, competence, and trust. The program has been used for a variety of child problems including withdrawn or depressed behavior, phobias, difficulty socializing and making friends, and various behavior and interpersonal problems resulting from learning disabilities, developmental delays, and pervasive developmental disorders. Theraplay has also been used successfully for many years with foster and adoptive families. Clinical best practices have evolved since the second edition was published in 1999. Many of these changes have made parts of the second edition obsolete and inconsistent with how Theraplay teaches people in their trainings. This revised third edition will crystallize Theraplay’s latest theoretical and practical work crucial for the trainings they do throughout the year. There have also been major developments and new research in the field of children’s mental health, including research on the neuroscience of attachment and trauma, that will update many of the chapters. New sections/chapters and techniques will be added on parental cooperation, parental mental health, dysfunctional families, family disruptions, and older adopted children.

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