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The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in therapy

Thesis (PhD (Educational Psychology))--University of Pretoria, 2024.

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Other Authors: Theron, Linda
Format: Thesis
Language:English
Published: University of Pretoria 2025
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access_status_str Open Access
author2 Theron, Linda
author_browse Theron, Linda
author_facet Theron, Linda
collection Thesis
dc_rights_str_mv © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Thesis (PhD (Educational Psychology))--University of Pretoria, 2024.
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:36:55.449Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/100533 The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in therapy Theron, Linda judith@sandplaytherapy.co.za Bredekamp, Judith UCTD Sustainable Development Goals (SDGs) Anxiety in children House-tree-fire-water-person drawings Parent-psychologist alliance Resilience to anxiety Sandplay therapy Thesis (PhD (Educational Psychology))--University of Pretoria, 2024. While the literature is clear that children's mental health resilience can be bolstered by effective parenting, child psychotherapy, and enabling psychologist-parent alliances, it is less clear how psychologists might facilitate all these processes simultaneously. In response, I investigated the benefits of sharing the House-Tree-Fire-Water-Person (HTFWP) drawing with parents when their children, aged 10 to 12, diagnosed with generalized anxiety disorder (GAD), were in sandplay therapy. I drew on the Multisystemic Theory of Resilience that explains resilience as the child's capacity to thrive in the face/aftermath of significant stress as being dependent on resources within themselves and their social and physical ecology. I employed a qualitative approach with an exploratory, instrumental, multiple case study design. My sample consisted of seven purposefully selected cases, involving nine primary (parents) and seven secondary informants (child-clients). I used reflexive thematic analysis (RTA) to identify patterns and themes in the data. The findings of my study demonstrated the benefits for the parent, psychologist and child. The parent(s) acquired heightened insight into their child’s anxiety and felt supported and effective in their caregiving role. The psychologist benefitted from the facilitation of an alliance with the parent and the drawings provided feedback regarding therapy progress. For the child, there was increased potential for therapy gains to be sustained and understanding and connection was fostered. Supporting children’s mental health resilience requires input into multiple systems (the child and their parents). The contribution my study makes helps establish evidence-based practices that not only enhance the parent-psychologist alliance but also optimizes the therapeutic process for children experiencing anxiety. In addition, the findings of my study are distilled into insights for other mental health professionals wanting to use the HTFWP drawing to bolster the resilience of children diagnosed with GAD. Educational Psychology PhD (Educational Psychology) Unrestricted Faculty of Education SDG-03: Good health and well-being 2025-02-05T08:11:38Z 2025-02-05T08:11:38Z 2025-04 2024-10 Thesis * A2025 http://hdl.handle.net/2263/100533 https://doi.org/10.25403/UPresearchdata.28347149 en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Sustainable Development Goals (SDGs)
Anxiety in children
House-tree-fire-water-person drawings
Parent-psychologist alliance
Resilience to anxiety
Sandplay therapy
The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in therapy
title The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in therapy
title_full The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in therapy
title_fullStr The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in therapy
title_full_unstemmed The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in therapy
title_short The benefits of sharing house-tree-fire-water-person drawings with parents when their anxious child is in therapy
title_sort benefits of sharing house tree fire water person drawings with parents when their anxious child is in therapy
topic UCTD
Sustainable Development Goals (SDGs)
Anxiety in children
House-tree-fire-water-person drawings
Parent-psychologist alliance
Resilience to anxiety
Sandplay therapy
url http://hdl.handle.net/2263/100533
https://doi.org/10.25403/UPresearchdata.28347149