Introduction Types of Trays Logistics Phases of Application Phase 1 Phase 2 Phase 3 Phase 4 Summary References

Adlerian Applications of Sandtray Play Therapy

Terry Kottman
Founder, Encouragement Zone

Sandtray play therapy is one of the 6 strategies used in Adlerian play therapy. Adlerian play therapy is a counseling approach that integrates Adlerian psychological concepts and techniques into the practice of play therapy (Kottman & Meany-Walen, 2016). In addition to non-directive skills (e.g., tracking, restating content, returning responsibility to the client, limiting), Adlerian play therapists use 6 different broad strategies in their work with clients: adventure therapy activities; dance, movement, and music experiences; art techniques; metaphors and storytelling; structured play activities, and sandtray play therapy experiences (Kottman & Meany-Walen, 2018). There are 4 phases of Adlerian play therapy: (a) building an egalitarian relationship, (b) exploring the client's lifestyle, (c) helping the client gain insight into his/her/their lifestyle patterns, and (d) reorienting and re-educating the client. Adlerian applications of sandtray play therapy follow these same 4 phases, using the modality of sandtray as a tool for (a) building a democratic relationship with the client; (b) exploring the client's patterns of thinking, feeling, and behaving based on how the client sees self, others, and the world; (c) helping the client gain insight and make new, more adaptive decisions about self, the world, and others; (d) teaching the client new skills for relating to and interacting with others and helping the client practice new skills for solving problems, resolving conflicts, appropriately expressing feelings, and getting his/her/their needs met (Kottman & Meany-Walen, 2016, 2018). If the client is a child, the play therapist consults with parents and teachers, often using sandtray play therapy as a tool for working with them to gain insight into their relationship with the child, develop more positive perspectives on the child, and learn encouraging tools for interacting with and supporting the child. Adlerian play therapists who work in schools do a similar process with teachers.

Types of Trays Used in Adlerian Applications of Sandtray Play Therapy

Adlerian play therapists use many different types of trays in the sand tray process: spontaneous trays, non-directed trays, semi-directed trays, directed trays, quasi-directed trays, therapist-created trays, and co-created trays.

One more important distinction in types of trays is the difference between static and dynamic trays. A static tray is a tray in which the client places the items and then verbally discusses the contents and the process of doing the tray; a dynamic tray is a tray in which the client moves figures around in the tray and tells a story that goes with the movement in the tray. The steps described in the next section are more focused on static trays and less on dynamic trays. With dynamic trays, the therapist does not usually need to invite the client to verbally process the tray or rearrange the figures because the client is already talking about the tray and moving the figures in the sand tray.

Logistics for Creating Sand Trays in Adlerian Applications of Sandtray Play Therapy

Adlerian play therapists can use many different configurations of sand trays in their work—different shapes, different sizes, and different materials—there are no rigid rules about the style of tray that can be used. The list of figures for sandtray work from an Adlerian perspective includes the generic figures that most people who use sandtray as a play modality use (Homeyer & Sweeney, 2023), plus figures that the sand tray therapist (or their clients) might find evocative. Many Adlerians include miniatures representing comic book characters, superheroes, video game characters, and characters from popular movies or television shows. Because Adlerians do not assign a one-to-one correspondence of symbolism to figures, the client always gets to make his/her/their own individual interpretation of the meaning of each of the figures selected to go in the tray.

There are 7 "standard" steps for creating sand trays in Adlerian play therapy. They are similar to the steps outlined in Homeyer and Sweeney (2023) and Homeyer and Lyles (2022). Although an Adlerian play therapist usually follows these 7 steps in order, it is essential to remember that this is a guideline rather than a rule. For an Adlerian play therapist, flexibility is the prime directive—adapting to the needs of the client in a customized process is one of the hallmarks of the Adlerian approach. This distinction becomes important when working with clients who do dynamic trays, which seldom unfold in this linear fashion.

  1. Preparing the room/preparing yourself for the session--in this step, it is important for play therapists to check out the sand tray collection, making sure that the figures are in their usual, predictable placement. To prepare themselves, therapists should be sure they are grounded, regulated, and present in preparation for the sandtray process.
  2. Introducing the current sand tray to the client--Adlerian therapists should have already considered what kind of tray they want to facilitate during this particular session. If the plan is to be non-directive or semi-directive, the invitation to create the tray is deliberately vague… "Pick whatever you want to put in the tray." (non-directive) or "Choose the figures that attract and/or repels you." (semi-directive). If therapists have therapeutic objectives that would be better suited by a directive prompt, they would usually give the client a choice of several different very specific instructions on the topic of the tray. For instance, they could suggest that clients pick figures and make a sand tray about what's going on in school or work, choose a figure for each person in their family doing something, or pick figures to represent a problem they are having with another family member.
  3. Creating the sand tray--this is the part of the process where play therapists usually serve as a witness by quietly holding space for clients to choose the figures and place them in the sand tray. However, it is important during this process for play therapists to "match" the energy of their clients and follows clients' lead for how this part unfolds. For instance, if the client wants to talk during the process of choosing or placing the figures, the therapist can engage verbally with the client. Some clients like to narrate what they are picking and why they are picking those figures or verbally process the symbolism of specific figures while putting them in the tray. When this happens, therapists' primary job is to simply witness, do some limited tracking, restate content, and metacommunication without asking a lot of questions. If the client is silent while making choices of figures and placing them in the tray, therapists should join in that silence.
  4. Experiencing and offering the possibility of rearrangement--the purpose of the "experiencing" part of this process is to invite the client to consider all of the aspects of the tray and experience a variety of perspectives on the tray. Sometimes looking at a tray from a particular side can give the client a different way of thinking about a problem, situation, or relationship. In this step of the process, therapists invite the client to experience the tray from all sides. This can be accomplished by asking the client to walk around the tray, pausing on each side, or spinning the entire tray on the surface where it is resting, pausing so the client can experience each viewpoint. The second part of this step is the "rearranging," accomplished by therapists asking the client, "Is there anything that you would like to add, take out, or move around?" If it is possible that a client might take this invitation as a criticism of what he/she/they put in the tray (like pleasers are wont to do), it can be helpful to use a slightly more abstract way by saying something like, "Sometimes at this point, people decide they want to add something to the tray, take something out, or move something around in the tray." It is essential to be sure clients do not feel pressured to make any changes--it needs to be clear this is just an opportunity, not a criticism.
  5. "Touring"—this part of the process involves extending an invitation for the client to describe what is in the tray. There are innumerable ways to set this up. Play therapists can say something like, "Tell me what's in here…" or "What have you put in your tray?" or even "Give me a tour of your tray." Many clients will begin to talk about what the figures and their placement means (processing) during this section, blending the "touring" step with the processing step.
  6. Processing and offering possibility of rearranging--the processing step is the formal step in which Adlerian play therapists collaborate with the client exploring the meaning of the figures and their placement. In many cases, they may also explore the process of creating the tray as well. Some clients just dive right into this without even needing to be prompted. Others often need therapists to scaffold the talking about the tray contents and the process of creating it. With clients who need more structuring for talking about the tray and the process of creating it, therapists can point to objects in the tray (without touching them) and use the phrase "I notice that…" and describe what they notice (e.g., "I notice that all the figures except this one are very small." or "I notice that the figure you chose to represent your mother is in the exact opposite corner as the figure that you chose to represent your father." or "I notice there is a bridge in between the soldier and the scary looking guy.”) After therapists tell the client what they have noticed, it is time for quiet, leaving room for the client to respond. If the client responds to the "noticing," therapists can use the client's response as a springboard for further exploration and deepening. If the client does not respond to their initial "noticing," they can move on to the next noticing. If the client consistently doesn't respond to "noticing," therapists might want to consider using some other strategy, like making some guesses about what figures or placement might mean based on additional information they have about the client and his/her/their patterns. All of this processing can stay in the metaphor if the client consistently uses an indirect approach to the figures and does not identify them as people or situations in the "real" world to be respectful to the client's need to stay metaphoric rather than direct. With a client who weaves in and out of metaphor (e.g., "the witch is really my mother" or "I put the bridge in there because I feel like I am the soldier and my boss is the scary guy"), therapists can follow the client's lead, coming in and out of the metaphor, making connections from the tray to the client's life. This conversation is then followed by the second round of invitations to rearrange when therapists say something like, "Is there anything that you would like to add, take out, or move around?" This can also be a chance to ask the client what would happen if specific figures were added, removed, or moved to another place in the tray.
  7. Documenting—this usually involves taking digital photographs of the tray for documentation and taking notes on the process of creating the tray, the contents and placement of the figures in the tray, and the verbal processing of the process and the contents and placement. In Adlerian play therapy, therapists will emphasize lifestyle themes such as the client's mistaken beliefs or patterns of having difficulty making friends or negative feelings about self that might be evident in the tray.
  8. Dismantling the tray—the Adlerian sandtray play therapist gives clients a choice for the dismantling process. The therapist asks whether clients want to (a) take the figures out of the tray and put them away themselves, (b) leave the figures and have the therapist take the figures out of the tray and put them away after clients leave the session, (c) the therapist takes the figures out of the tray and put them away while the client watches, or (d) collaborate with the therapist taking the figures out of the tray and putting them away together as a cooperative venture. [This procedure is pretty radically different than what most sand tray therapists do, which is to take the figures out of the tray and put them away after the client leaves.] This gives clients the power to decide how this process unfolds. Sometimes the therapist will get a sense that there is one method of dismantling that will work better for this particular tray--the therapist can still outline the choices and suggest one or just outline the choices and give clients the power to decide.

Phases of Adlerian Applications of Sandtray Play Therapy

Just as in other therapeutic modalities based on Adlerian theory (Adler, 1958; Ansbacher & Ansbacher, 1956; Sweeney, 2019), there are 4 phases in Adlerian play therapy (Kottman & Meany-Walen, 2016) and in Adlerian applications of sandtray play therapy: building an egalitarian relationship, helping the client explore his/her/their lifestyle, helping the client gain insight into his/her/their lifestyle, and reorienting/re-educating the client by facilitating changes in thinking, feeling, and behaving. Therapists can use sandtray play therapy in all 4 of these phases.

Phase 1: Building an Egalitarian Relationship with Clients

In Phase 1, Adlerian therapists usually employ non-directed trays and semi-directed trays to begin to make a connection with the client. This involves asking the client if he/she/they wanted to choose some figures and put them in the tray and/or suggesting the client choose figures that attract and/or repel him/her/them. Because the first phase is dedicated to building the egalitarian relationship, therapists may also create trays to introduce themselves and/or the sand tray process to the client or co-create a tray with the client. They may even use a directed prompt to help support the evolution of the relationship with the client. In Adlerian play therapy, therapists have explicit permission to "make up" new techniques and new sand tray prompts based on their understanding of each individual client. The following are some examples of trays that can be conducted in Phase 1:

Because Adlerian play therapists also use sandtray in their work with parents during Phase 1, here are some examples of sand trays conducted with parents during Phase 1:

Phase 2: Helping Clients Explore Their Lifestyle

During Phase 2, the goal is to explore the lifestyle of the client. Adlerians define lifestyle as the individual's characteristic way of understanding situations and interacting with others. As play therapists discover the client's lifestyle, they begin understanding how the client views self, others, and the world (Kottman & Meany-Walen, 2016). There are many elements that contribute to a client's lifestyle: (a) culture, (b) family constellation, (c) family atmosphere, (d) goals of misbehavior, (e) Crucial Cs, (f) personality priorities, (g) assets, (h) mistaken beliefs, and (g) private logic. These elements are all ingredients that form and influence the client's behaviors, cognitions, emotions, and attitudes. The sand trays described in this section can be done with adult, adolescent, child clients, and parents, depending on the therapeutic objectives for the session.

Culture (which consists of the intersection of ethnicity, heritage, race, religion, age, socioeconomic status, sexual orientation, gender, education, nationality, generation, ability/disability) shapes beliefs, experiences, and worldviews and is an important element of lifestyle. The following are examples of trays Adlerian therapists can use to explore the impact of culture on clients' lifestyles:

The purpose in gathering information about family constellation and birth order is to help therapists understand the client's perception of her/his/their place in the family and the methods he/she/they have chosen for gaining a sense of belonging and significance (Kottman & Meany-Walen, 2016). Because each birth order position has certain typical assets and challenges, Adlerian play therapists gather information about psychological birth order position to find ways of encouraging the client by building on assets. Therapists can also use this knowledge as the basis for helping the client with challenges inherent in each of the birth order positions. Several examples of trays Adlerian therapists can use to investigate birth order are:

Family atmosphere is the general affective tone of the family. It is influenced by several different factors, including (a) parental attitudes toward the children, (b) parental discipline philosophies, (c) parents' lifestyles, (d) family values, (e) the stability of the spousal relationship, (g) the parenting skills of parents, and (f) any personal problems that might interfere with parents' ability to provide warmth, respect, and structure for the children (Kottman & Meany-Walen, 2016). Family atmosphere is an important component of the formation of lifestyle because it impacts how every family member views self, others, and the world. Some examples of trays that could be used to explore the atmosphere of clients' family-of-origin and the impact of the family atmosphere on clients' lifestyles:

Adlerians believe that all behavior is purposive, including misbehavior, and that misbehaving children are discouraged children. According to Nelson, Tamborski, and Ainge (2016), discouraged children's misbehavior is their way to trying to get their needs met and to find a way to belong and gain significance. The goals of discouraged children fall into four primary categories of striving: attention, power, revenge, and proving inadequacy (Dreikurs & Soltz, 1964). To help discern the specific goal of child's misbehavior using sandtray play therapy, therapists can use directed sand trays to gather information about the child's feelings and behaviors, the feelings and reactions of adults who interact with the child when he/she/they are misbehaving, and the child's responses when corrected or given constructive feedback (Kottman & Meany-Walen, 2016). Here are some examples of sand trays that would help explore goals of misbehavior:

The Crucial Cs were developed by Amy Lew and Betty Lou Bettner (1996, 2000), who synthesized the research on resilient children, which suggested that children who are successful in life have strong relationships with others, feel valued by others, and have a perception that they have control over some of the facets of their lives. The Crucial Cs are Courage, Connect, Capable, and Count. In Adlerian play therapy, therapists explore how well clients have incorporated the following beliefs into their self-perceptions and worldview: they are connected to others, they are capable of taking care of themselves, they are valued by others and they know that they count and can make positive contributions to others, and they have the courage to try things without a guarantee of success. Therapists can use the sandtray process to explore which of the Crucial Cs are a strength for a particular client and which of the Crucial Cs might be a struggle for that client so that they can work with the client (and in the case of a child or adolescent client, the parents/caregivers) to help the client better develop any weak Cs. The following are some examples of directed trays therapists can use to assess a client's incorporation of the Crucial Cs in his/her/their lifestyle:

Many Adlerians use personality priorities as another element of lifestyle. Kefir (1981) described personality priorities as a person's usual mode of thinking about situations and conducting relationships with others based on the individual's desire to avoid specific stressful situations. The personality priorities are Control, Pleasing, Superiority, and Comfort. By using a sandtray experience to explore the particular situations a client is wanting to avoid and the positive purpose toward which he/she/they is striving, therapists can gather useful information about lifestyle. Here are several examples of sand trays therapists could use for this goal:

Because Adlerian theory has a particularly strong slant toward encouragement, therapists will often use sand trays to explore clients' assets and positive personality traits. It can be particularly helpful to explore which of the clients' assets they "own" and which ones need to be bolstered through the therapeutic process. The following are examples of trays designed to explore assets:

Young children constantly observe what happens in their worlds, but they are frequently inaccurate in their interpretations of events and interactions (Adler, 1958; Ansbacher & Ansbacher, 1956; Sweeney, 2019). As their lifestyles emerge, they may incorporate some of these faulty interpretations into their basic convictions about themselves, others, and the world and their ideas about behaviors that will help them gain a sense of belonging and significance (Kottman & Meany-Walen, 2016). Some of these conclusions become "mistaken" beliefs—ideas about self, others, and the world that can be self-defeating and discouraging. Because they "act as if" these mistaken beliefs are true, individuals develop a kind of "private logic" that frequently remains out of their awareness but is the foundation for discouraged reasoning and for many of their negative or self-defeating assumptions, decisions, attitudes, and behaviors (Ansbacher & Ansbacher, 1956). One way play therapists can help clients explore their mistaken beliefs and private logic (and perhaps bring them into clients' awareness) is by inviting them to do sand trays focused on what they tell themselves about themselves, others, and the world when they are feeling discouraged.

Based on the information gathered during the second phase of therapy, Adlerian therapists develop a conceptualization and treatment plan designed to guide their interventions in Phases 3 and 4. The focus in Phase 3 is on helping clients gain insight into their patterns of thinking, feeling, and behaving. The focus in Phase 4 is on facilitating clients to substitute more positive, self-affirming patterns of thinking, feeling, and behaving for the self-defeating patterns they want to change.

Phase 3: Helping Clients Gain Insight

There are several tools Adlerian therapists regularly use in play therapy to help clients gain insight: metacommunication, spitting in the soup, therapeutic metaphors, directed sand trays, therapist-created sand trays, and co-created sand trays (Kottman & Meany-Walen, 2016, 2018).

Metacommunication is an umbrella skill that often involves reflection of feelings, questions, speculation about underlying messages, interpretation of the meaning of reactions or behaviors, and so forth (Kottman & Meany-Walen, 2016, 2018). When therapists metacommunicate, they share information about what they have noticed about patterns of client cognitions, behaviors, and/or emotions. One form of metacommunication is spitting in the client's soup. Adler (1958) used the metaphor of a person finding a bowl of soup less appealing if someone else spits in it to explain that a client will be less likely to fall into a self-defeating pattern if someone else has pointed out that the pattern is self-defeating. When therapists "spit in the client's soup," they point out (often with gentle humor) that the client is "acting as if" mistaken beliefs and/or private logic are actually true (and they aren't). They can also do this by targeting self-defeating behaviors or other patterns that are no longer working for the client. When working with sand trays, quite often Adlerian play therapists will use metacommunication or spitting in the client's soup to underline some pattern that is evident in the tray and may be out of the client's awareness. By addressing these patterns, play therapists can move clients from being stuck in their own mistaken beliefs and private logic toward healthier ways of seeing self, others, and the world.

Adlerian play therapists also design therapeutic metaphors for clients who naturally express themselves through stories—using storytelling to communicate indirectly about patterns that are not working for the client or about assets the client is not fully embracing (Kottman & Meany-Walen, 2016, 2018). Clients telling stories (using puppets, art, music, costumes, and/or sand trays) can help them gain an awareness of their own patterns without evoking a defensive response. Therapist-created and co-created trays that revolve around telling a story can serve the same purpose. The following are examples of some trays where therapists could use a metaphoric approach designed to help clients gain insight:

Therapists can also create trays for clients that are designed to show them more directly a self-defeating pattern or offer an alternative (more functional) way to think about themselves, others, and the world or solve a problem. Here are some examples of these trays:

Phase 4: Reorienting/Re-educating Clients

As clients begin to gain insight into their own patterns, it is time to move into Phase 4, where therapists can use many strategies to help clients learn and practice (with either direct teaching or indirect teaching) (Schaefer & Drewes, 2014) new ways of seeing self, others, and the world; new ways of solving problems and communicating with others; alternative methods of building and maintaining friendships; and so forth. Sandtray play therapy can be a valuable tool in the process of teaching new skills, such as anger management skills, friendship skills, anxiety management, time management, and negotiation skills. Therapists can create trays for clients to model more appropriate ways to gain a sense of belonging and significance or solve problems, they can invite clients to co-create sand trays designed to give them a chance to practice newly acquired skills, and/or they can use directed trays to allow clients to explore additional ways to deal with behavioral or emotional issues. The following are sand trays designed to facilitate changes in clients' behavior, emotions, attitudes, and cognitions:

In Adlerian play therapy, therapists can also use sand trays in the termination process. They can ask clients to do a tray summarizing the therapeutic journey they have been on together. They can ask clients to do a tray summarizing the tools they have learned during therapy and ways they are going to apply those skills in a ongoing way. Clients can do a tray on the assets they now "own" and will use in their everyday lives. The variety of trays Adlerian play therapists can use for client closure is only limited by their imaginations. As in all Adlerian play therapy processes, creativity and an understanding of the specific needs of individual clients combined with therapeutic intentionality allow for custom-designed sand tray prompts and sand tray play therapy procedures.

Summary

Sandtray play therapy is one strategy frequently employed in Adlerian play therapy. Because Adlerian play therapists value flexibility and imagination in their efforts to individualize their interventions based on clients' interests, aptitudes, and modality of expression, they can choose from a wide range of sand trays: spontaneous, non-directed, semi-directed, directed, quasi-directed, therapist-created, and co-created. Sand trays are a tool Adlerian play therapists use with child, adolescent, and adult clients, as well as with families and in parent (and teacher) consultation. While there are 7 steps in most Adlerian sand tray play therapy sessions, therapists can use their discretion in adapting the process to the needs of clients and the therapeutic objective(s) for the session and the long-term therapeutic process. Adlerian play therapists make use of sandtray therapy in all four phases of therapy: building the relationship, exploring clients' lifestyles, helping clients gain insight into their lifestyles, and reorienting/re-educating clients by facilitating changes in behavior, emotions, and cognitions.

References

Adler, A. (1958). What life should mean to you. Capricorn. (Original work published 1931)

Ansbacher, H., & Ansbacher, R. (Eds.). (1956). The individual psychology of Alfred Adler: A systematic presentation in selections from his writings. Harper & Row.

Dreikurs, R., & Soltz, V. (1964). Children: The challenge. Hawthorn.

Homeyer, L. E., & Lyles, M. (2022). Advanced sandtray therapy. Routledge.

Homeyer, L. E., & Sweeney, D. S. (2023). Sandtray: A practical manual (4th ed.). Routledge.

Kefir, N. (1981). Impasse/priority therapy. In R. Corsini (Ed.), Handbook of innovative psychotherapies (pp. 400–415). Wiley.

Kottman, T., & Meany-Walen, K. (2016). Partners in play: An Adlerian approach to play therapy (3rd ed.). American Counseling Association.

Kottman, T., & Meany-Walen, K. (2018). Doing play therapy: From building the relationship to facilitating change. Guilford.

Lew, A., & Bettner, B. L. (1996). Responsibility in the classroom. Connexions Press.

Lew, A., & Bettner, B. L. (2000). A parent's guide to motivating children. Connexions Press.

Nelson, J., Tamborski, M.N., & Ainge, B. (2016). Positive discipline parenting tools: The 49 most effective methods to stop power struggles, build communication, and raise empowered, capable kids. Harmony Books.

Schaefer, C., & Drewes, A. (Eds.). (2014). The therapeutic powers of play (2nd ed.). Wiley.

Sweeney, T. (2019). Adlerian counseling and psychotherapy: A practitioner's approach (5th ed.). Routledge.





© World Association of Sand Therapy Professionals, Volume 1, Number 3, 2023