Play Therapy in Children with Autism Diagnosis: An Investigation into the Trainers’ Opinions

Year 2020, Volume: 22 Issue: 2, 318 - 326, 06.09.2020

Meliha Uzun Baki Yılmaz

Abstract

This study aims to investigate the situations related to the effect of play therapy as a therapeutic recreational activity on individuals with autism. Accordingly, the opinions of 15 therapist trainers working at the Special Education and Rehabilitation Centers in Şırnak province were received. The research is based on a "phenomenology" model, which is one of the qualitative research patterns, and sampling was selected by using the "criterion sampling". In the research, a semi-structured interview technique was used as a data collection method. A personal information form and a semi-structured interview form consisting of five questions were applied to determine the opinions of the trainers about the effect of play therapy. The Nvivo program was used to evaluate the data obtained. The data were analyzed by the inductive analysis method. As a result of analyzing the research data, it was determined that the effect of play therapies for children with autism was in five categories such as “applied activities, effects, acquisitions, problems, and suggestions”. According to the research findings, it was observed in practices that children experienced various tantrums, attention deficit and communication gap, had anxiety in a crowded environment as well as were socially and psychologically affected and failed to adapt. Through the play therapy was a crucial element in the process of integrating into life by providing children with autism many positive acquisitions such as improving attention and concentration, ensuring cognitive, physical, emotional and multiple developments, acquiring communication skills, reducing problematic behavior, increasing focus, and socializing through an increase in social interaction features such as contributing to establish eye contact. In addition, it is very important to cooperate with families ensuring that they also actively participate in the education process to continue education in a coordinated manner.

Keywords

Autism, Play Therapy, Therapeutic Recreation

References

• Alp H, Camliyer H. The Children Participated with Social Adjusment Disorders Fused Extracurricular Movement Education and Game Activities Monitoring of Children's Social Adaptation Process Next Two Years. International Journal of Social Sciences and Education Research, 2015; 1: 109-120.
• Altun K, Demir V, Unubol H. The effects of developmental play therapy on post traumatic emotıonal stress of the children 4-8 aged who have been undercared by government. International Journal of Social Science, 2019; 2(2): 35-46.
• American Psychiatric Association. DSM-V-R Tanı ölçütleri başvuru kitabı, Çeviren: Ertuğrul Köroğlu. Ankara: HYB Yayıncılık, 2013.
• Austin DR, Crawford ME. Therapeutic recreation: An introduction, eds, Allyn and Bacon pres, 2001.
• Ayan S, Memis UA. A Research Related to the Importance of Play in Early Childhood. Journal of physical education and sport science, 2012; 14(2): 143-149.
• Baio J. Prevalence of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network, 11 sites. United States, 2010, 2014.
• Bayam A. Examination of the change in social skills and language development of the game session applied to children with autism spectrum disorder between 2-6 years of age. Master’s thesis, Beykent University, İstanbul, 2017.
• Candan S. The examination of the effectiveness of child-centered play therapy on 3-10 years old children with developmental problems. Master’s thesis, Atatürk University, Erzurum, 2017.
• Chiang T. Effects Of A Therapeutic Recreation İntervention Within A TechnologyBased Physical Activity Context On The Social İnteraction Of Male Youth With, Autism Spectrum Disorders, Indiana University, 2003.
• Celik M. The influence of experimential play therapy on post-childhood trauma emotional levels of children 3 to 10 years old living in orphanages. Master’s thesis, Üsküdar University, İstanbul, 2017.
• Copuroglu YC, Mengi A. Social exclusion and autism. Electronic Turkish Studies, 2014; 9(5): 607-626.
• DeBolt LS, Clinton EA, Ball A. The effects of an adapted physical education program on children with autism: A case study. Kentucky Newsletter for Health, Physical Education, Recreation & Dance, 2010; 47(1): 24-27.
• DeJesus BM, Oliveira RC, de Carvalho FO, de Jesus Mari J, Arida RM, Teixeira-Machado L. Dance Promotes Positive Benefits for Negative Symptoms in Autism Spectrum Disorder (ASD): A Systematic Review. Complementary Therapies in Medicine, 2020; 49: 102299.
• Eristi SDB, Firat M, İzmirli S, Ceylan B. Design Based Instructional Game Development for Children with Autism Spectrum Disorder. Journal of Uludağ University Faculty of Education, 2017; 30(1): 73-99.
• Gozalan E. Effect of "game-based attention training program", prepared by the researcher, on attention and language skills of 5 and 6 year old children. Master’s thesis, Selçuk University, Konya, 2013.
• Harbin SG. The effects of physical activity on engagement in young children with autism. Master’s thesis, Available from ProOuest Dissertations and Theses database. (UMI No. 1516107), 2012.
• He H-G, Zhu L, Chan SW-C, Liam JLW, Li H.C.W, Ko SS,… Wang W. Therapeutic play intervention on children’s perioperative anxiety, negative emotional manifestation and postoperative pain: A randomized controlled trial. Journal of Advanced Nursing, 2015; 71(5): 1032– 1043.
• Karakucuk S. Terapatik Rekreasyon Bir Örnek Uygulama: OSEP (Otistik Bireyler Spor Eğitim Projesi). Ankara: Gazi Kitabevi, 2012.
• Kuguoglu S, Tanir MK. Therapeutic use of play according to developmental stage. Journal of Ege University Nursing Faculty, 2006; 22(1): 293-304.
• Namli S. Comparison of the behavioral and motoric performances of autistic individuals according to their involvement in sports. Master’s thesis, Sakarya University, Sakarya, 2012.
• Noor HAM, Shahbodin F, Pee NC. Serious game for autism children: review of literature. World Academy of Science, Engineering and Technology, 2012; 64(124): 647-652.
• Ogawa Y. Childhood trauma and play therapy intervention for traumatized children. Journal of Professional Counseling, 2004; 32(1): 19-29.
• Okcun-Akcamus MC. Social Communication Skills and Language Development of Children with Autism Spectrum Disorders. Ankara University Faculty of Educational Sciences Journal of Special Education, 2016; 17(02): 163-192.
• Ozturk Serter G. Psycho-education program based on structured play therapy effect on depression and adjustment level of divorced family children. Doctoral thesis, Ondokuz Mayıs University, Samsun, 2018.
• Salomon-Gimmon M, Elefant C. Development of vocal communication in children with autism spectrum disorder during improvisational music therapy. Nordic Journal of Music Therapy, 2019; 28(3): 174-192.
• Saltik N. An examination of the effects of the play therapy on social skills and problematic behaviours in children stayin in women shelter homes. Master’s thesis, Ankara Yıldırım Beyazıt University, Ankara, 2018.
• Schottelkorb AA, Doumas DM, Garcia R. Treatment of childhood refugee trauma: A randomized, controlled trial. International Journal of Play Therapy, 2012; 21(2): 57-73.
• Sezici E. The effect of play therapy on social competence and behavior management on preschool children. Doctoral thesis, Marmara University, İstanbul, 2013.
• Tan MY. Measles, mumps, rubella antibodies in autistic children. Dissertation, Cukurova University, Adana, 2007.
• Teber M. The effect of child centered play therapy on children's problematic behaviors. Master’s thesis, Hasan Kalyoncu University, Gaziantep, 2015.
• Tural E. Research on the effects of education and therapeutic play methods applied preoperationally on the anxiety, fear and pain levels of children. Doctoral thesis, Ege University, İzmir, 2012.
• World Health Organization. Autism spectrum disorders: Fact sheet, Retrieved from http://www.who.int/mediacentre/factsheets/autism-spectrum-disorders/en/, 2017.
• Yanardag M. Effects of the different exercise training on motor performance and stereotypical behaviors of children with autism. Doctoral thesis, Hacettepe University, Ankara, 2007.
• Yavuzer H. Çocuğu tanımak ve anlamak. İstanbul: Remzi Kitabevi, 2013.
• Yilmaz İ, Yanardag M, Birkan B, Bumin G. Effects of swimming training on physical fitness and water orientation in autism. Pediatrics International, 2004; 46: 624-626.