Indi Psychotherapy Mod 6
Indi Psychotherapy Mod 6
Indi Psychotherapy Mod 6
Structure
11.0 Objectives
11.1 Introduction
11.2 Play Therapy
11.2.1 How Play Therapy Works?
11.2.2 Application of Play Therapy
11.3 Indigenous Therapies
11.3.1 Yoga
11.3.1.1Types of Asanas and Pranayam
11.3.2 Meditation
11.3.2.1 Types of Meditation
11.3.3 Mindfulness
11.3.4 Effectiveness of Yoga, Meditation and Mindfulness
11.3.5 Application of Indigenous therapies
11.4 Lets Us Sum Up
11.5 References
11.6 Key Words
11.7 Answers to Check Your Progress
11.8 Unit End Questions
11.8 Web Resources
11.0 OBJECTIVES
After reading this unit, you will be able to:
●● discuss about play therapy; and
●● describe indigenous therapies like Yoga and meditation and
mindfulness
11.1 INTRODUCTION
The learners of BAPCH were having a session on BPCC113 with Dr. Mahima
(Academic Counsellor). Though before they started with the sessions they
were having a general discussion when Dr. Mahima entered the classroom.
Dr. Mahima: Oh! looks like the class is busy in discussion. What are you
discussing?
Salim (Learner): Maam, so far we have seen various therapies, therapies that
focus on unconscious (psychoanalysis and psychodynamic psychotherapy),
therapy that focus on behaviour and reinforcement (behaviour modification),
therapies that focus on thought and therapy that focuses on thoughts,
behaviour and emotions (REBT)……….
Dr. Kshipra Vora, Faculty, Abbé Faria Post Graduate Department of Psychology, St.
Xavier’s College, Mapusa, Goa
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Sonali (Learner): …………And Maam we also discussed about the therapies Other Therapies
that fous on the individuals and his/ her potential to understand and solve
his/ her own problems (Humanistic therapies).
Salim (Learner): Is there nothing that is probably based on play or art etc.
Dr. Mahima: So that is what you were discussing. Well, learner, if you
look at the unit 11 in BPCC113 course material, it mainly talks about play
therapy. And I think you all will be greately interested in learning about the
same. Also besides the play therapy, the unit will also focus on indigenous
therapies.
Navjyot (Learner): Maam, by play therapy, we can guess that the therapy is
implemented through play. But what are indigenous therapies?
Dr. Mahima: Well, counselling and psychotherapy though are western
concepts, but they are not new to India. In India, attempts were made to
understand and deal with various mental processed. In Indian context, there
are various indigenous approaches like Yoga, meditation and mindfulness
and these will be discussed under indigenous therapies.
From the above conversation between Dr. Mahima and the learners of
BAPCH, it must be clear that we will mainly focus on play therapy and
indigenous therapy in the present unit. We will first start with play therapy
and then go on to discuss about indigenous therapies.
1. Box 11.1 is adapted from Unit 1, Block 3 of BPCE017 and is authored by Dr. P. Swati
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3) The Pick-Up-Sticks Game: The Pick-Up-Sticks Game was designed
to facilitate affective expression in children. The technique is a fun way
for children to express their feelings and pair various affective states with
environmental events in a game context. In order for the Pick-Up- Sticks
Game to be successful, the children must already be familiar with color–
feeling pairs. One way to introduce them to this is by first playing Color-
Your-Life, described above. The adapted version of the Pick-Up-Sticks
Game is applicable for 6–12- year-old children. This technique can be
used in an individual or a small group format.
4) Balloons of Anger: It is crucial to help children understand what anger
is and how to release it appropriately. Balloons of Anger is an enjoyable,
effective technique that provides children with a visual picture of anger
and the impact that it can have upon them and their environment. It allows
the children to see how anger can build up inside of them and how, if it
is not released slowly and safely, anger can explode and hurt themselves
or others. Balloons of Anger is effective for aggressive children who
have difficulty controlling their anger and for withdrawn children who
internalise their anger instead of expressing it. This technique can be used
in an individual or a group format.
5) The Mad Game: The Mad Game was designed to show children that
anger is a common, acceptable feeling, and it allows children to verbally
and kinesthetically express their anger.
Applications
The Mad Game can be used in an individual or a group format. This
technique can be slightly altered to express feelings other than anger, such
as sadness or anxiety.
6) Beat the Clock: Beat the Clock was designed to increase children’s self
control and impulse control. The goal of this game is for the child to resist
distraction, remaining on task and focused for a specified period of time.
When the child successfully completes this task, she or he receives poker
chips, which can be cashed in for a prise. When the child is successful at the
game, the child is filled with a sense of competence and accomplishment.
Beat the Clock can be used in an individual or a small group format. This
technique is useful for any child who has impulse control problems (for
example, , children with ADHD).
7) The Slow Motion Game: It is well known that children learn best by
doing. The Slow Motion Game was designed to have children actively
practice self-control over their movements in a playful group context.
The Slow Motion Game is successful with any group of children that
has difficulty maintaining self-control. Also, common board games can be
effectively used to increase children’s self-control.
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8) Relaxation Training: Bubble Breaths: Bubble Breaths is an extremely
useful and concrete relaxation technique designed to teach children deep
and controlled breathing while helping them become aware of their own
mind–body connections. Bubble blowing is fun, inexpensive, and allows
nonthreatening interactions between the child and therapist. Bubble
Breaths can be used in an individual or a group format. It is a simple,
inexpensive technique that is extremely engaging and nonthreatening.
This technique is especially useful in reducing anger, anxiety, or tension
in children.
9) Worry Can: Children often worry about numerous things that they
keep bottled up inside. These worries may be the root of some of their
presenting problems, such as fears, peer conflict, temper tantrums, and
separation anxiety. Worry Can is an effective method for helping children
to identify and then discuss their worries with an adult and/or other
children. Worry Can may be used in an individual or a group format. It
can be adapted to be used as an Anger Can or as a Sad Can. A variation
of this technique is The Garbage Bag Technique Two brown sandwich
bags may be used as garbage bags one for garbage from home and one for
garbage from school. The child is instructed to decorate the garbage bags
and then place three strips of paper, each with a separate problem, in each
bag. The following session, the child picks out a piece of garbage to play
out in miniatures or in role-playing. Often children will develop their own
solutions to their problems. If this does not occur, the therapist should be
directive and intervene with suggestions in the context of the play. The
therapist needs to keep the play in the third person so as to allow the child
to maintain enough distance from the problem in order to solve it.
10) Party Hats on Monsters: Party Hats on Monsters is a drawing
strategy designed to enable children to gradually face their fears in a
nonthreatening, enjoyable manner. Most children find it more comfortable
to express their fears through drawing as opposed to verbalising them.
Furthermore, children find it reassuring when they are not required to
face their worst fear or anxiety immediately. By experiencing step by step
success facing the feared object, the children’s confidence and sense of
mastery are increased. This technique is appropriate for preschool and
school-age children. Although it is beneficial for helping children face
their common fears, it is especially effective for children who have anxiety
disorders. This technique can be slightly altered by providing children
with the option of sculpting their fears in clay.
11) Weights and Balloons: A common challenge in therapy is making
abstract therapeutic constructs understandable, meaningful, and concrete
to children. Techniques that are enjoyable and “hands-on” are an ideal
way to teach children these complex concepts. Weights and Balloons is an
easy, effective technique for teaching children the somewhat complicated
cognitive behavioural theory of depression. Weights and Balloons
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is an inexpensive technique that transforms a complex idea into something
concrete and understandable. This technique is particularly useful for
children who are depressed. However, it is useful with all children to
illustrate the effect that thoughts have on feelings.
12) The Power Animal Technique- Internalising a Positive Symbol
of Strength: Children who are referred for therapy often have low self-
esteem, ineffective problem solving skills, and difficult relationships
with peers and adults. Therefore, primary therapeutic goals often include
improving the child’s positive sense of self and increasing his or her
coping skills. However, it is often difficult for children to articulate what
strengths they wished they had or what attributes would help them cope
more effectively. The Power Animal Technique is useful with any child
who might profit from a positive introject.
13) Using a Puppet to Create a Symbolic Client: Puppets serve a crucial
role in play therapy. Frequently, children project their thoughts and feelings
onto puppets. In this way, puppets allow children the distance needed to
communicate their distress. Furthermore, the puppets serve as a medium
for the therapist to reflect understanding and provide corrective emotional
experiences in the context of the children’s play. Most children naturally
project their experiences onto the puppets. However, some children are
too fearful and withdrawn to become involved in any aspect of therapy. By
using the puppet as a symbolic client the therapist is able to engage these
children and overcome resistance. The creation of the symbolic client
removes the focus from the child, thereby increasing the child’s comfort
level and allowing him or her to remain at a safe emotional distance. This
technique is particularly effective for any child between 4 and 8 years of
age who is anxious or withdrawn in the beginning stages of therapy. A
variation of this technique would be to have the puppet present with the
same problem as the child and to enlist the child’s help in brainstorming
solutions to solve the puppet’s problem.
14) Broadcast News: It is much easier for children to play out their
problems than discuss them. Furthermore, children are better able to
solve their own problems when they can distance themselves from them.
Broadcast News is an enjoyable, nonthreatening technique that enhances
children’s verbalisation and problem-solving skills. Broadcast News is
an extremely useful technique for highly verbal children 6 years of age
and older. Children who are very outgoing will find this an easy activity,
whereas children who are withdrawn or anxious may have some difficulty.
Puppets can be used if the therapist thinks that the child needs more
distance from his or her problems.
A variation of this technique is to have a talk show where the child is the
host. The therapist is the guest and guides what “issues” she or he is going
to discuss.
15) The Spy and the Sneak: The Spy and the Sneak was designed to
transform negative family interactions into positive ones, which would
increase the family members’ enjoyment of each other and improve their
self-esteem. Parents begin to see many of their children’s positive qualities
and start to reward the good behaviour.
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Children realise that they get more attention by acting in a positive
manner than in a negative one. The Spy and the Sneak is a fun, engaging
technique that involves no cost but results in huge therapeutic gains. This
technique is excellent to use with any family that is experiencing negative
interactions. After the family has engaged in the technique for a few
weeks, the therapist may choose to instruct the parent and child to switch
roles, with the child becoming the spy and the parent becoming the sneak.
A variety of toys recommended as staples in the therapeutic playroom,
including a dollhouse with furniture and doll family, doll clothes, baby
doll with bottle, puppets, building blocks, toy cars and trucks, toy guns,
knives, and swords, stuffed animals, play telephones, crayons, paints,
scissors, glue and paper, play dough, and clothes for playing dress-up.
Toys should be available that allow children to be creative, to release
emotion, to develop insight, to test reality, and to express themes from real
life, such as anger and aggression, love and nurturing, and sadness when
children find it difficult to express their emotions directly. Puppets provide
effective stimuli for dramatised, symbolic acting out of emotions. Toy
guns, toy soldiers, play dough, doll families, and drawing and colouring
pictures can all be used to encourage expression of need for nurturance
and love. Several sources provide suggestions for play activities that may
be helpful when planning counselling sessions for children. Kaduson,
Cangelosi, and Schaefer (1997) provide suggestions for using play
therapy with children who have various internalising, externalising, or
stress-produced disorders.
Sand and water are natural media that fascinate children. The sand box
can symbolise the child’s environment, allowing the child to build the
world of his fantasy by using toy cars, building-block houses, and doll
figures. The child then plays out themes representative of the conflicts he
or she is experiencing. Use of dry and damp sand in separate waterproof
trays that are painted blue so that a lake is represented when the sand is
pushed aside provide stimuli for the changing themes of children’s play.
Chaos, struggle, and resolution are common stages that recur in children’s
sand play. Additionally, water play has been used for work with overly
active and constricted children, providing an outlet for aggression or for
relaxation.
Check Your Progress I
1) Briefly state the application of play therapy.
_______________________________________________________
_______________________________________________________
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11.3 INDIGENOUS THERAPIES
Indigenous therapies include interventions for human behaviour and
pathology from the individual’s native land. These approaches help in
alleviating stress and tension and also provide a means of integrating
ones experiences. It is a more holistic approach and also accounts for
looking at one’s own experiences in a different light. It accommodates
newer experiences and allows the individual to heal physically, mentally
and spiritually. For us in India, Yoga, meditation and mindfulness are
prominent interventions that can be termed as indigenous therapies. These
discover how the cultural views, theories, assumptions and classifications
coupled with overarching social institutions influence psychological topics.
Indigenous therapies are subjected to systematic influences of formal,
political and educational institutions and social factors. They are formed
of the basic, political, economic, religious, and social components of
each culture. Indigenous therapies use scientific and applied knowledge
reflected in scientific and professional psychology to help individuals
with psychological problems. Indigenous therapies are widely applied
to strengthening education, employment, health, population control and
religious conflict.
Every indigenous therapy understands and finds to rectify factors such as
affective, behavioural, and cognitive human systems that in turn impact
attitudes, behaviours, beliefs, expectations, and values of the members of
each unique culture”. Psychology has the fundamental issues at the heart
of its focus.
Kim, Yang and Hwang (2006) distinguish 10 characteristics of indigenous
therapies.
1. They emphasise on examining psychological phenomena in
ecological, historical and cultural context.
2. They need to be developed for all cultural, native and ethnic groups.
3. They advocate use of multiple methods.
4. They advocate the integration of “insiders”, “outsiders” and multiple
perspectives to obtain comprehensive and integrated understanding.
5. They acknowledge that people have a complex and sophisticated
understanding of themselves and it is necessary to translate their
practical and episodic understanding into analytical knowledge.
6. They are part of a scientific tradition that advocates multiple
perspectives, but not multiple psychologies or absolute relativism.
7. Although descriptive analysis is the starting point of research, its final
goal is to discover psychological universals that can be theoretically
and empirically verified.
8. They are a part of the cultural sciences tradition in which human
agency, meaning and context are incorporated into the research
design.
9. They advocate a linkage of humanities (which focus on human
experience and creativity) with social sciences (which focus empirical
analysis and verification).
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10. Two starting points of research in indigenous therapy can be identified: Other Therapies
indigenisation from without and indigenisation from within.
While indigenous therapies have existed for a long time, only recently
have they been studied in a global context. While international psychology
influences indigenous therapies, it is within each indigenous psychology
that the unique histories, social mores, needs and practicalities of a certain
culture can be addressed. For example, many Indian psychologists with
Western training have incorporated their instruction to include aspects of
Indian culture that aren’t necessarily relevant to Western psychology. They
have learned to place more emphasis on extended family and community
which is more suited to the societal norms of Indian culture than Western
culture. However due to resource issues, the scaling up of indigenous
therapies has not been that fast paced. The lack of trained professionals and
the demands of an impoverished population have left psychologists in India
struggling to meet the needs of its citizens. This has often taken priority
over scientific advancement. Furthermore blind faith and superstition
often come in way of the needy seeking treatment. Individuals do not seek
professional assistance be it with psychiatrists or main stream psychologists
and therapists willingly. Such a social mind frame also poses a challenge for
use and application of indigenous approaches.
Indigenous therapies connected to the Indian culture include yoga,
meditation and mindfulness.
11.3.1 Yoga
Yoga is a group of physical, mental and spiritual practices that are practiced
to control and strengthen the human mind. It helps to calm our psychomotor
agitation by calming our physiological processes. It helps to build attention
by helping the individual to gain control of the mind. It aids stillness and
helps one witness the surrounding with detached compassion. The individual
is a witness as the consciousness is untouched by thoughts and mundane
suffering. Yoga incorporates a broad variety of schools, practices and goals,
coming from Hinduism, Buddhism and Jainism philosophies. Yoga was
first mentioned in the Rig Veda and referenced in many Upanishads. These
were around 5th – 3rd century BC. The Yoga Sutras of Patanjali is the most
comprehensive text on Yoga.
In general and western world, yoga is represented by Hatha Yoga, a posture-
based physical fitness, and stress relief and relaxation technique. It focuses
on asanas. Yoga also constitutes meditation and deep breathing exercises.
It can be understood that Yoga is in itself an entire discipline that warrants
technical study and practice. Yoga is known to work beneficially for physical
and mental issues.
A set of specific exercises, called poses, combined with specific breathing
techniques and meditation principles are the building blocks of a yoga
class. If a pose causes pain or proves too difficult, there are variations and
modifications that can be made to help clients. Props like blocks, blankets
and straps — even chairs — can be used to help clients get the most benefit
from the poses. Yoga is not one-size-fits-all, the best yoga workout will
depend on individual needs and goals.
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Treatment of Mental Disorders Yoga is now introduced as a compulsory subject in most schools and
colleges owing to the physical and mental health benefits it entails. It is
form of mind-body conditioning, helping individuals to breathe better and
increase their focus. Yoga is also a part of sport training programs
Before yoga was a popular physical exercise, it was, for thousands of years,
mainly a meditation practice.
Yoga has different postures that serve a purpose for different illness and help
manage it. Yoga works best for bodily ailments exacerbating out of stress.
In combination with meditation and mindfulness yoga as an indigenous
therapy makes positive development.
During yoga as one does the poses, one is asked to observe one’s own breath
and body as it moves through the exercises. This is the foundation of a mind-
body connection and the underpinnings of mindfulness. A well-balanced
series of yoga exercises gives an opportunity to scan the entire body, noting
personal feelings as one move through the poses. One may begin to realise,
for example, that one side of the body feels different than the other during
a stretch, or that it’s easier to balance on the right leg or that certain poses
helps ease tension in neck. This is how yoga turns physical exercises into
tools to help individuals become more mindful and even learn to meditate.
Mindfulness begins at yoga classes and percolates beyond classes and to
every sphere of life.
11.3.1.1 Types of Asanas and Pranayama*
International Day of Yoga on 21st June every year. Such is the effectiveness
of Yoga that it is now promoted at International level in order to create
awareness and promote practice of Yoga amongst the individuals so as to
help them enhance their health and wellbeing. Yoga as a practice originated
in India and the term Yoga is derived from Sanskrit meaning ‘to unite’,
indicating a union of consciousness and body (https://www.un.org/en/
events/yogaday/). The main goal of Yoga is self realisation (Balaji, 2012).
Yoga find its mention in Bhagwad Gita, where a whole chapter is devoted to
it. Three main types of yoga have been mentioned in this regard.
Karma Yoga: That is yoga related to one’s actions.
Bhakti Yoga: Yoga related to devotion.
Jnana Yoga: That is Yoga related to knowledge.
There is also a fourth type that was put forth by Patanjali, who is also termed
as father of Yoga. He introduced Ashtang Yoga, that is, power yoga. This
yoga involves a movement or a flow from posture to posture (Balaji, 2012).
Fig 11.1 shows various dimensions of Yoga (based on information given by
Balaji, 2012).
*Section 11.3.1.1 is adapted from. BPCS 186 and is authored by Prof. Suhas Shetgovekar.
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Treatment of Mental Disorders described as a process of “quieting the mind in order to spend time in
thought for relaxation with a goal to attain inner state of awareness and
intensify personal and spiritual growth” (https://www.yogapedia.com/
definition/4949/meditation). Meditation also will relax your body and thus
the negative impact of stress on the body is reduced. Meditation leads to
not only relaxation of body but also helps in increasing self-awareness. And
regular practice of meditation will have long term benefits.
There are different types of meditation (Villines, 2017, Welch, 2019). Some
of these are briefly explained as follows:
●● Mindfulness meditation: This mainly includes becoming aware
about one’s thoughts. It mainly involves sitting in a place without
any distractions and non-judgmentally observing one’s thoughts and
emotions.
●● Transcendental Meditation: This involves chanting of a ‘mantra’/
chant or a word repeatedly in certain manner. This again can be done
in a quiet place. One can sit straight but comfortably and practice this
meditation for 15 to 20 minutes.
●● Guided meditation: As the name suggests in this meditation, there
is often a guide who will take you through the meditation process.
This meditation mainly involves visualisation of certain images that
you may find relaxing. It also involves utilising one’s senses. The
person may be asked to sit in a quiet and calm place with eye close
and visualise certain images that he/ she finds relaxing.
●● Vipassana meditation: The main aim of this meditation is self-
observation in order to transform oneself. It requires attention to be
paid to different bodily sensations in order to create a connection
between body and mind.
●● Loving kindness meditation (Metta meditation): This meditation
includes directing love and kindness towards others. The individual
is required to sit straight but in a comfortable position in a quiet
place. He/ she is then required to take a few deep breaths and repeat
to oneself words that express kindness to self, then to family, friends
and other significant people in his/ her life and then to everyone.
●● Chakra (means wheel) meditation: In our body there are different
energy centers and power that is spiritual in nature and they are referred
to as chakras or wheels. There are a total of seven such chakras that are
located in different parts of our body and are represented by a colour.
The main aim of this meditation is to bring about an equilibrium in
these chakras.
The benefits of meditation include not only reduction of stress but it can
also help in managing anxiety, promoting affective health, enhancing self-
awareness, increasing the span of attention and so on. Initially it can be
practiced once in a day for a few minutes and later on the duration can be
increased and it can also be practiced twice a day.
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Box 11.1: A simple way to meditate is given as follows:
●● You need to sit on a chair comfortably with your back straight. Let
your feet touch the floor and do not cross your legs or arms. You can
either rest you arms in your lap or keep them on the armrest.
●● Then you need to close your eyes.
●● Breath in deeply and breath out gently and try to relax your body.
●● Keep your eyes closed and you can either repeat a mantra, a word to
your self or can have a (prewritten) self dialogue to your self.
●● If you get distracted, repeat the mantra, word or continue with the
self dialogue.
●● You can do this for 15 to 20 minutes (initially it can be done
for smaller time period and later the duration can be gradually
increased).
●● As you complete the meditation, count backwards from ten to one.
●● Rub your palms together and put them on your eyes.
●● Slowly open your eyes.
11.3.3 Mindfulness
Mindfulness denotes awareness about ones thinking, the way one feels,
physical sensations and one’s surrounding in the present moment. It
mainly involves becoming non-judgmental in one’s awareness about one’s
thoughts and feelings. It mainly involves paying attention to things that
generally we do not notice as we are too occupied with our lives, thinking
about future and past and thus seldom focusing on present. It is often
termed as a contrast to automatic pilot mode (or a default mode) where we
do things without much thought or attention. Often, we are doing certain
activities like driving, household chores or even eating which we may
not do by paying our complete attention to the task and most often our
attention and thought process may be somewhere else rather than these
activities. Thus, we are in auto pilot mode. Whereas, mindfulness involves
becoming aware and focusing our attention on these activities. The main
characteristics of mindfulness according to Kabat-Zinn (1990) are being
nonjudgmental, cultivating patience, being open minded, having trust, non-
striving, acceptance and letting go. In fact Kabat-Zinn was also responsible
for starting a programme on Mindfulness- Based Stress Reduction in 1997
at University of Massachusetts Medical School. It is also important that
when mindfulness is practiced, one involves in observing one’s experiences
including thoughts, feelings and physiological sensations. Though when one
is focusing at varied experiences, this is to be done one at a time. Besides
observation, it also involves description of what is being observed but this
is to be done in non-judgmentally. Mindfulness also requires complete
participation, thus complete attention and focus needs to be provided to the
task at hand. While practicing mindfulness, it is possible that one’s attention
and focus may drift, in which case one needs to gently bring back the focus
and attention on observing that experience.
1. Section 11.3.3 is adapted from BPCS186 and is authored by Prof. Suhas Shetgovekar
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Treatment of Mental Disorders Practicing mindfulness can have a positive impact on an individual’s body
and mind. It not only helps in dealing with certain illness by strengthening
one’s immune system but it also helps deal with stress and promote positive
mental health. Even memory, attention, problem solving and decision
making can improve with the help of mindfulness. It can also enhance
one’s self esteem and can play a role in building and maintaining positive
relationships.
One of the most important activities that we often do mindlessly is eating.
We eat so that our body gets the necessary nourishment. But most often we
do this activity on an auto pilot mode while we either watch television or
browse our mobiles or engage in social networking. Next time you have
your lunch or dinner try to exercise mindfulness eating. Do this by switching
off the television, keeping aside the mobile and concentrate on your food.
Appreciate your food and pay attention to its taste, colour, sound, texture,
aroma and so on (sense it with all your senses) and be non- judgmental in
doing so. And even while carrying out other activities as well, try to carry
them out in a mindful manner.
11.3.4 Effectiveness of Yoga, Meditation and Mindfulness
Yoga can be effectively used not only to deal with stress but it can
contribute to maintaining positive health and wellbeing. It has long term
positive effects on both physical and mental health. The benefits of a regular
yoga practice are wide-ranging. In general, a complete yoga workout can
help keep back and joints healthy, improves overall posture, stretches and
strengthen muscles and improves balance. Yoga has a restorative side that
is deeply relaxing and rejuvenating, as relaxation is built into every yoga
session. In addition, yoga’s focus on the breath can calm and help one learn
to be more mindful of the body. In recent years, more and more research is
demonstrating the wide-ranging health benefits of yoga. Studies show that
yoga can help manage psychosomatic symptoms. They help reduce back
pain, improve balance, strengthen bones, stave off muscle decline, reduce
stress and relieve depression.
Meditation expands attention and enable insight of one’s own process,
etiology and symptoms. Individuals with a wider attention span can be
more insightful and help one be objective in emotionally laden situations.
Meditation is known to bring about some positive physiological changes in
the body. It works by impacting the autonomic/involuntary nervous system.
Some mediation activates the sympathetic nervous system while some,
the parasympathetic system. This is possible because of the relationship
between amygdala and pre frontal cortex. Meditation increases gray matter
and slows down deterioration. It was also noted that meditation improved
integrity and efficiency of cognitive functions.
Meditation also impact perception with short term and long term effects.
It temporarily or permanently alters top-down processing that is involved
in filtering out ‘noises’. Meditation is known to have biophysical and
physiological changes that lead to a relaxation response – changes in
metabolism, respiration, heart rate, blood pressure and blood chemistry.
While there is established evidence of Yoga and meditation having positive
effects on healthy individuals or with neurosis. Reports for psychotic
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individuals or those with movement disorders can get worse. Further Other Therapies
indigenous therapies require training and counselling knowledge incase
meditation stirs up emotions.
Mindfulness is specifically a psychological quality that involves bringing
one’s attention to moment to moment interactions; it is awareness of the
present. It involves paying attention in a non-judgmental way. Mindfulness
has two aspects: self-regulation of attention and adopting a particular
orientation towards ones experiences, curiosity, openness, and acceptance.
Mindfulness is the awareness of one’s surroundings and the way one
negotiates the same. It is the metacognition of how events and experiences
work. Mindfulness is associated with Buddhist processes that lead to stress
reduction and elevation of positive responses. It is a concept that can be
measured with self-report techniques like Attention Awareness scale,
Freiburg Mindfulness inventory, Kentucky Inventory of mindfulness skills,
and Cognitive and Affective Mindfulness scale. Mindfulness allows stress
reduction and positive state elevation. Distress is reduced by reducing
distractive and ruminating thoughts. Emotional regulation is also achieved
by focused breathing. Stress-induced mood disturbances and functional
impairments are also in check.
Mindfulness also promotes positive and enriching experiences. It enhances
the purpose of life, social support, and decreased illness symptoms. Brain
and immune functions get elevated, though more research is warranted.
Attention and awareness along with gratitude are promoted with mindfulness
based practices. Nonjudgmental awareness, self-regulation of attention,
openness to experiences is tenants of mindfulness. Mindfulness allows for
going with the flow of situations and inducing alternative conceptualisations
and cognitive reframing of events and experiences. It allows us to break
off from auto-pilot mode to embrace the moment to moment situations.
Mindfulness is use adjunct to many theories as dialectical behaviour therapy,
acceptance and commitment therapy, relapse prevention, cognitive change,
self-management, relaxation, acceptance and overall well-being.
Though India had its roots ingrained in these indigenous techniques, it has
not been able to tap these into professional therapy avenues. The scene is
gradually changing wherein Indians are adapting to these therapies. Therapy
is gaining popularity slowly among urban centers and so is the need to adopt
indigenous practices for effective metal health outcomes.
India is a land rooted with indigenous and alternative therapies like
Ayurveda, Unani, Siddha and these are interwoven with cultural and religious
practices, along with magic and shamanic rituals. Education or the lack of
it and blind faith come in way of analysing these practices scientifically
and adopting a more rigorous stand. This could also be a reason why many
shy away from indigenous therapy application. The stigma that lies in India
regarding mental illness and wellness practices translates to the adoption of
indigenous practices as well.
In India, the past few decades have been invested in promoting indigenous
therapies for use in mental health and wellness. Of course revisions and
adaptations regarding indigenous therapies are on line for India. There is an
orientation moving towards studying culture. There is a need for indigenous
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Treatment of Mental Disorders interventions to merge with the traditional systems of therapy and improve
the consumption of wellness interventions.
11.3.5 Application of Indigenous Therapy
Indigenous interventions as seen have cultural backgrounds and help instil
in individuals a higher order sense of well-being. They help one answer
questions relating to the purpose of life and in gaining a fresher insight
into the current experiences. These interventions allow for an enriched
perception towards oneself and others. Indigenous techniques help collate
different world views regarding concepts of mental and physical health
and have arrived at healing measures. These are holistic measures that
also incorporate spirituality. Indigenous therapies are culturally rooted and
imbibe the land’s ritualistic notions and practices in healing. Practices like
Yoga, meditation and mindfulness are amenable to scientific studies to
arrive at theoretical and empirical validation for the same.
Indigenous therapies can get challenging as they can either be misunderstood
as communal or take that turn. Also they may include processes that may
not be very amenable to scientific rigor. These include reiki healing, pranic
healing, crystal healing and the like. Client testimonials indicate these
alternative healing approaches as helpful but it remains a question as to
whether to include them in the technical list of indigenous approaches.
Yoga, meditation and mindfulness have been associated with improved
holistic health outcomes and have also a basis in understanding
neurochemistry and altering the same for better physiological functioning.
Each of these techniques requires a specialised certification and clinically
supervised exposure. It is imperative to understand the suitability of each
of these interventions as per client complaints and client vulnerabilities.
Each of these integrative therapies can also be initiated early n in education
syllabi to help train young minds to holistic healthy living.
In light of advancing eclectic incorporations in therapy, it is suggested to
include indigenous interventions as well. Essential training is required for
therapists in multicultural aspects of counselling and so also in the indigenous
approaches. Cultural competency is an active, ongoing process that the
therapists should be trained in. it is important that this starts with awareness
of therapists’ own values and beliefs and societal systems. Culturally
competency also involves understanding the diversity that the client brings
in therapy and lastly imbibing the relevant indigenous techniques that
would help their clients. There has to an emphasis on actively developing
and practicing appropriate sensitive interventions.
Check Your Progress II
1) Explain any one type of meditation.
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Other Therapies
11.4 LET US SUM UP
To summarise, in the present unit, we discussed about play therapy. Play
therapy can be explained as an interpersonal process wherein a trained
therapist systematically applies the curative powers of play (for example,
, relationship enhancement, role-playing, abreaction, communication,
mastery, catharsis, attachment formation, etc.) to help the clients resolve
their current psychological difficulties and help prevent future ones. Play
therapy techniques specify how to use the play materials so as to effectively
implement the therapeutic powers of play (Schaefer, 1993). Child cantered
play therapy was also briefly discussed. the unit also focused on how play
therapy works and the application of play therapy. The unit further discussed
about indigenous therapies, Indigenous therapies include interventions for
human behaviour and pathology from the individual’s native land. These
approaches help in alleviating stress and tension and also provide a means
of integrating ones experiences. Yoga, meditation and mindfulness were
discussed in this context.
11.5 REFERENCES
O’Connor, K. J., Schaefer, C. E., & Braverman, L. D. (2015). Handbook of
Play Therapy. John Wiley & Sons.
McMahon, L., & Mcmahon, L. (2003). The handbook of play therapy.
Routledge:
Landreth, G. L. (2012). Play therapy: The art of the relationship. Routledge.
Baer, R. A. (Ed.). (2015). Mindfulness-based treatment approaches:
Clinician’s guide to evidence base and applications. Elsevier.
Bratton, S. C., Ray, D., Rhine, T. & Jones, L. (2005). The efficacy of play
therapy with children: A meta-analytic review of treatment outcomes.
Professional Psychology: Research and Practice, 36(4), 376-390. Retrieved
from http://www.moplaytherapy.org/uploads/media/Research_The_
efficacy_of_play_therapy_with_children.pdf
British Association of Play Therapists. (2013). History of play therapy.
Retrieved from http://www.bapt.info/play-therapy/history-play-therapy
Eugster, K. (2007). Play therapy: How it helps children feel better and
improve behaviour. Retrieved from http://www.kathyeugster.com/articles/
article003.htm
Guerrero C. & Vega, C. (2014). Credentialing guide: Registered play
therapist (RPT) and Supervisor (RPT-S). Retrieved from http://c.ymcdn.
com/sites/www.a4pt.org/resource/resmgr/RPT_and_RPT-S_Credentials/
RPTS_Guide.pdf
Hewitt, J. (2012). The complete yoga book: the yoga of breathing, posture
and meditation. Random House.
Homeyer, L. E. & Morrison, M. O. (2008). Play therapy: Practice, issues
and trends. Retrieved from http://www.journalofplay.org/sites/www.
journalofplay.org/files/pdf-articles/1-2-article-play-therapy.pdf
Klammer, S. (n.d.). 100 Art Therapy Exercises - The Updated and Improved
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Treatment of Mental Disorders List. The Art of Emotional Healing by Shelley Klammer. Retrieved February
24, 2021, from https://www.expressiveartworkshops.com/expressive-art-
resources/100- art-therapy-exercises/
Kottman, T. (2014). Play therapy: Basics and beyond Landreth, G. L.
(2012). Play therapy: The art of the relationship. Routledge.
Landreth, G. L. (Ed.). (2013). Innovations in play therapy. Routledge.
NiaNia, W., Bush, A., & Epston, D. (2016). Collaborative and indigenous
mental health therapy: Tātaihono–stories of Māori healing and psychiatry.
Routledge.
Play Therapy United Kingdom. (n.d.). An introduction to play therapy.
Retrieved from http://www.playtherapy.org.uk/Resources/Articles/
ArticleMBIntro1.htm
Sprunk, T., Colwell, N. K., Mitchell, J. A., Smith, J., Carmichael, K. &
Frick-Helms, K. (2012). Play therapy best practices. Retrieved from
http://c.ymcdn.com/sites/www.a4pt.org/resource/resmgr/Publications/
Play_Therapy_Best_Practices.pdf
Sturgess, S. (2013). The Yoga Book: A Practical and Spiritual Guide to Self
Realization. Watkins Media Limited.
Teske, R. J. (1996). Book Review: Augustine the Reader: Meditation, Self-
Knowledge, and the Ethics of Interpretation.
West, M. A. (1987). The psychology of meditation. Clarendon Press/Oxford
University Press.
Ward-Wimmer, D. (2002). Introduction: The healing potential of adults at
play. Retrieved from http://www.psychceu.com/Schaefer/intro.pdf
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Other Therapies
11.7 ANSWERS TO CHECK YOUR PROGRESS
Check Your Progress I
1) Briefly state the application of play therapy.
Play therapy can be used to effectively treat (in children or adults) dementia,
grief and loss, post-traumatic stress, obsessions and compulsions, attention
deficit and hyperactivity, mood disorders, anxiety, developmental delays
and arrested emotional development
Check Your Progress II
1) Explain any one type of meditation.
Transcendental Meditation is one of the types of meditation andinvolves
chanting of a ‘mantra’/ chant or a word repeatedly in certain manner. This
again can be done in a quiet place. One can sit straight but comfortably and
practice this meditation for 15 to 20 minutes.
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