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Using Modifi ed Sandplay Therapy as an Adjuvant Therapy in a Patient with Depression

Chun-Lin Chen, M.D., M.A., Ching-Hui Chen, B.S., Jung Feng, M.D.

Objective: Sandplay therapy, founded by Dora Kalff, is a kind of psychotherapy
using miniatures for clients to arrange on sand trays. Sandplay therapy which
is based on Jungian psychology, Lowenfeld’s “World Technique,” and Oriental
philosophies, has previously been used mainly in children and victims in Taiwan.
We report the use of modifi ed sandplay as an adjuvant therapy for an adult patient
with depression. Case Report: A 34-year-old lesbian patient with depression received
modifi ed sandplay therapy in addition to antidepressants. During the sandplay
therapy process, we observed the phenomena like “ritual,” “centering,” and
“synchronicity,” which are corresponding to Jungian theory. Eventually our patient
developed new perspectives, her identity was strengthened, and her condition
was improved after the treatment. Conclusion: Our case experiences suggest that
sandplay therapy may also be helpful when being used in conjunction with concomitent
psychiatric treatment for depression.
Key Word sandplay, psychotherapy, Jungian psychology, depression
Editorial Committe, Taiwanese Journal of Psychiatry
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