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Case Study

Vol. 1 No. 6 (2023): World Journal for Sand Therapy Practice

Coping with Pregnancy Loss through Sandtray Therapy

March 7, 2023


This case study explores the use of sandtray therapy interventions with an adult that experienced pregnancy loss. A description of the case will discuss how the use of the sand tray facilitated a client's processing of trauma and grief in the aftermath of an early pregnancy loss, becoming pregnant again, and coping with a new pregnancy after loss. Illustrations of the sand tray setup, prompts, themes, and processing questions will be provided. 


  1. Badenhorst W., & Hughes P. (2007, April). Psychological aspects of perinatal loss. Best Practice & Research Clinical Obstetrics & Gynaecology, 21(2), 249-59. DOI:
  2. Eberts, S., & Homeyer, L. (2015). Processing sand trays from two theoretical perspectives: Gstalt and Adlerian. International Journal of Play Therapy, 24(3), 134-150. DOI:
  3. Garrett, M. (2015). Bridging the gap: Using sandtray for non-secular counseling issues in secular settings. American International Journal of Contemporary Research, 5, 16-23.
  4. Garrett, M. (2013). Beyond play therapy: using the sandtray as an expressive arts intervention in counselling adult clients. Asia Pacific Journal of Counselling and Psychotherapy, 5, 99-105. DOI:
  5. Gervon, K., & Zamudio, A. (Directors). (2018). Don't Talk About the Baby [Film]. Clever Gretel Productions.
  6. Gil, E. (2006). Helping abused and traumatized children: Integrated directive and nondirective approaches. Guilford Press.
  7. Gil, E. (2008). Treatment of adult survivors of childhood abuse: A practitioner's manual. Starbright Training Institute.
  8. Homeyer, L. E., & Lyles, M. N. (2022). Advanced sandtray therapy: Digging deeper into clinical practice. Routledge. DOI:
  9. Homeyer, L. E., & Sweeney, D. S. (2023). Sandtray therapy: A practical manual (4th ed.). Routledge. DOI:
  10. Kottman, T. (2023). Adlerian applications of sandtray play therapy. World Journal for Sand Therapy Practice, 1(3), 1-13. DOI:
  11. Kottman, T., & Meany-Walen, K. K. (2018). Doing play therapy: From building the relationship to facilitating change. Guilford Press. DOI:
  12. Kottman, T., & Meany-Walen, K. (2016). Partners in play: An Adlerian approach to play therapy (3rd ed.). American Counseling Association. DOI:
  13. Shannon, E., & Wilkinson, B.D. (2020). The ambiguity of perinatal loss: A dual-purpose approach to grief counseling. Journal of Mental Health Counseling, 42(2), 140-154. DOI:
  14. Webber, J. M., & Mascari, J. B. (2008, March). Sand tray therapy and the healing process in trauma and grief counseling. Based on a program presented at the ACA Annual Conference & Exhibition, Honolulu, HI. Retrieved June 27, 2008, from