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Full-Text Articles in Developmental Psychology

Integrating Matrescence Into Birth Worker Practice: A Practice Improvement Project, Kelsey B. Green Aug 2026

Integrating Matrescence Into Birth Worker Practice: A Practice Improvement Project, Kelsey B. Green

Doctor of Nursing Practice (DNP) Projects

Background: Perinatal mood and anxiety disorders (PMADs) affect 20–25% of mothers worldwide and are a leading cause of maternal complications. Stigma, fragmented care, and limited provider training leave families vulnerable, while birth workers offer trusted, continuous support.

Problem: Birth workers' maternal mental health (MMH) training is minimal and often excludes matrescence, the developmental transition to motherhood, limiting their ability to distinguish normal adjustment from clinical PMADs and delaying intervention.

Methods: A single-group, pre-/post-test design evaluated a matrescence-informed workshop at Roots Community Health's 2nd Annual Symposium. Anonymous surveys measured knowledge, attitudes, and confidence, analyzed with Mann–Whitney U, Wilcoxon signed-rank tests, and …


A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson Aug 2026

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …


Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala Jul 2026

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …


Protecting Graduate Students From Burnout With Self-Compassion And Authenticity, Michael S. Leeman, Joshua J. Castleberry, Anna A. Ellenson, Morgan Wallbrown Jun 2026

Protecting Graduate Students From Burnout With Self-Compassion And Authenticity, Michael S. Leeman, Joshua J. Castleberry, Anna A. Ellenson, Morgan Wallbrown

Journal of Social, Behavioral, and Health Sciences

This study investigated whether practicing self-compassion and embracing one's authentic self could protect graduate students from burnout. Researchers also empirically examined the mediating effect of authenticity in the relationship between self-compassion and burnout. A total of 318 master's degree students in a helping profession completed surveys assessing their levels of self-compassion, authenticity, and burnout. Results found that graduate students with higher levels of self-compassion and authenticity tended to have lower levels of burnout. Additionally, authenticity mediated the relationship between self-compassion and burnout. The findings suggest that practicing self-compassion and embracing one's authentic self may lead to lower levels of burnout …


Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef Jun 2026

Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef

Theses and Dissertations

Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …


Influence Of The Discipline Of Authentic Movement Practice On Interpersonal Relationships, Joy Ruben Welts May 2026

Influence Of The Discipline Of Authentic Movement Practice On Interpersonal Relationships, Joy Ruben Welts

Educational Studies Dissertations

This mixed methods study explored how practicing the Discipline of Authentic Movement impacts relationships. This research was conducted to fill in the gaps around attunement and use of the Discipline of Authentic Movement as an intervention to support healthy relationships. Five self-selected adults met on Saturday afternoons for eight weeks to practice the Discipline of Authentic Movement. They completed a pre and post Revised Adult Attachment Scale and reflected weekly on their experience through journaling. Participants reported that it was the structure of the Discipline of Authentic Movement that allowed them to feel more comfortable being themselves with others. The …


An Equity-Based And Culturally Responsive Bill Of Rights For Early Childhood Students Of Color With Exceptionalities, Evette Simmons-Reed, Michelle Frazier Trotman Scott, Gloria Tardash, Mildred Boveda, Donna Y. Ford May 2026

An Equity-Based And Culturally Responsive Bill Of Rights For Early Childhood Students Of Color With Exceptionalities, Evette Simmons-Reed, Michelle Frazier Trotman Scott, Gloria Tardash, Mildred Boveda, Donna Y. Ford

Perspectives on Early Childhood Psychology and Education

The COVID-19 pandemic exacerbated existing disparities in early intervention (EI) and early childhood special education (ECSE) services for culturally and linguistically diverse (CLD) disabled children, exposing critical gaps in access, services and support. systemic inconsistencies in implementation, training, and funding, remain barriers limit opportunities for CLD students to benefit, despite the aims of the Individuals with Disabilities Improvement Act (IDEA). To address these inequities, this manuscript proposes an expanded and updated Culturally Responsive Equity-Based Bill of Rights for EI and ECSE. Building upon Ford and colleagues' (2018) work, this revised document extends protections to children aged zero to five, emphasizing …


Guest Editor's Introduction: Methodological Innovations For Advancing Early Childhood Educational And Psychological Research, Anthony Mangino Ph.D. May 2026

Guest Editor's Introduction: Methodological Innovations For Advancing Early Childhood Educational And Psychological Research, Anthony Mangino Ph.D.

Perspectives on Early Childhood Psychology and Education

The goal of this special issue is to provide you, the inquisitive reader and developmental scientist, with some of the methodological tools to aid in augmenting your analytic capacity.


Acculturation Pressures And Substance Use Among Latino Populations In The U.S., Julie Misiewicz, Dr. Desiree Crevecoeur-Macphail May 2026

Acculturation Pressures And Substance Use Among Latino Populations In The U.S., Julie Misiewicz, Dr. Desiree Crevecoeur-Macphail

Student Scholar Symposium Abstracts and Posters

In 2001, the Office of the Surgeon General classified Latinos with substance use disorders as a vulnerable population (Villalobos & Bridges, 2018). Although Guerrero et al. (2013) found that rates of substance use among Latinos were comparable to or exceeded those of other ethnic groups, disparities remain in access to and quality of treatment. Early adulthood is considered a high-risk period for substance use, yet Latino individuals may face additional pressures during this developmental stage while exploring identity and navigating acculturation (Unger et al., 2014). Despite documented links between acculturation pressures and substance use, little was understood about how these …


Relationships Between Therapists And Diverse Children's Populations And Their Effects, Brenda Sanchez Vega May 2026

Relationships Between Therapists And Diverse Children's Populations And Their Effects, Brenda Sanchez Vega

Undergraduate Honors Theses

Roughly around 13.8% of children and adolescents in the United States receive some sort of counseling or therapy; the main focus of the research is on racial/ethnic minoritized children. Because APA’s ethical codes don’t address all possible situations, positive client-therapist relationships are bound to develop, including dyads or dual relationships, improving treatment progress. With the United States continuing to grow in diversity, there’s still a big gap in the literature surrounding minority children in therapy. Speculating if therapy approaches are used effectively for all children, including minoritized children. Based on past research already conducted, developing a positive client-therapist dual relationship …


Starting With Story, Not Symptom: Narrative Collapse And Cultural Repair In Appalachia, Wayne Coombs Ph.D. Apr 2026

Starting With Story, Not Symptom: Narrative Collapse And Cultural Repair In Appalachia, Wayne Coombs Ph.D.

Journal of Appalachian Health

Appalachia’s opioid crisis reflects uneven burdens, especially in distressed coalfield counties, and it cannot be solved by symptom tracking alone. This commentary argues for a narrative shift, starting with story and cultural repair alongside clinical care. Narrative collapse is defined here as the loss of shared, dependable public meaning across groups, not the absence of storytelling in families, churches, and recovery circles. Trauma science suggests that chronic threat reshapes nervous systems across generations, making safety a prerequisite for renewed trust. Drawing on narrative identity research, the piece proposes peer story work as infrastructure that can reduce shame, support treatment engagement, …


Navigating Family, Culture, And Well-Being: A Qualitative Study Of First-Generation Adult Children Of Middle Eastern Immigrants In The United States, Ramona Amely Jan 2026

Navigating Family, Culture, And Well-Being: A Qualitative Study Of First-Generation Adult Children Of Middle Eastern Immigrants In The United States, Ramona Amely

Antioch University Dissertations & Theses

The purpose of this study is to explore the lived experiences of first-generation adult children of Middle Eastern immigrant parents/caregivers living in the United States. This was a phenomenological study with reflexive thematic analysis. Participants (N=10) were interviewed via Zoom, and transcripts were analyzed using Reflexive Thematic Analysis (RTA). The results included four themes: (1) Migration Contact and Cultural Formation, (2) Bicultural Identity Development, (3) Family System Adaptation, and (4) Emotional Socialization and Psychological Impact. This study highlights how first-generation adult children of Middle Eastern immigrants navigate complex, interwoven processes of bicultural identity development, family adaptation, and emotional socialization shaped …


Three Good Things And Family Process, Julia Prouty Oct 2025

Three Good Things And Family Process, Julia Prouty

Journal of Undergraduate Research at Minnesota State University, Mankato

There is a need for adaptive and affordable prevention/intervention strategies to promote happiness, health, and well-being in families. Three Good Things (3GT) is a free exercise from the field of positive psychology meant to shift an individual’s focus and perceptions towards gratitude. 3GT promotes focusing on gratitude by reflecting on what an individual is grateful for from the past day/week. Persons are encouraged to write down and share their 3GT with another individual. A mindset of gratitude is closely associated with improved happiness, health, and well-being. The exercise of reflecting on 3GT is adaptive to most individuals/families. To date, most …


9th Gsep Research Symposium - 2025 Oct 2025

9th Gsep Research Symposium - 2025

GSEP Research Symposium

The Ninth Annual GSEP Research Symposium, themed "Building Bridges to Elevate Humanity: Innovations and Insights in Education and Psychology", was hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP) on June 19–20, 2025, at the historic Château d’Hauteville in Switzerland and virtually via Zoom.

This hybrid symposium convened a vibrant global community of students, alumni, faculty, and scholars to share research that addresses real-world challenges, advances scholarly inquiry, and builds pathways for inclusive collaboration and leadership. Spanning a wide array of topics—from artificial intelligence and mental health to trauma-informed practices, educational equity, social justice, and cross-cultural leadership—the …


Who Cares For The Caregivers? How Dance And Movement Can Benefit Caregiving Parents Of Children With Intellectual/Developmental Disabilities: A Literature Review, Haley E. Gilbert May 2025

Who Cares For The Caregivers? How Dance And Movement Can Benefit Caregiving Parents Of Children With Intellectual/Developmental Disabilities: A Literature Review, Haley E. Gilbert

Expressive Therapies Theses

Caregiver parents of people with intellectual/developmental disabilities (IDD) are not able to care for themselves as often as they should be able to for their own mental and physical wellness due to their caregiving responsibilities that often carry into adulthood. These can lead to anxiety, depression, grief, and dysregulation for the parent. Dance and movement practices have been found to relieve the symptoms of these experiences while helping the child with IDD and the parent connect more, building stronger relationships. This thesis will include a comprehensive literature review of body-based theories such as the Polyvagal Theory (Polyvagal Institute, 2025), Bowlby’s …


Redefining Children’S Experience In Social Services Offices, Julia K. Bryant May 2025

Redefining Children’S Experience In Social Services Offices, Julia K. Bryant

Human Development and Family Sciences Undergraduate Honors Theses

The effects of childhood trauma are far-reaching and diverse, influencing physical, emotional, and mental health across a child’s entire lifetime. Research indicates that children who experience adverse childhood experiences (ACEs) such as abuse or neglect are at an increased risk for various consequences and that the environments they encounter post-trauma play a significant role in shaping their experiences. Social services offices, where many traumatized children are taken for interviews or assessments after being removed from their homes, can often become places of additional distress. This project seeks to address this issue by proposing redesigns for social services offices to create …


Unbridled Healing: Identifying The Barriers Of Equine-Assisted Therapy, Sally A. Hamm May 2025

Unbridled Healing: Identifying The Barriers Of Equine-Assisted Therapy, Sally A. Hamm

Human Development and Family Sciences Undergraduate Honors Theses

Despite the documented benefits of equine-assisted therapy (EAT) for mental health conditions, this complementary approach remains underutilized. This qualitative study investigated barriers preventing wider EAT implementation by examining challenges faced by clients, facilities, and volunteers. Data collected through open-ended surveys from 33 participants and the researcher's autoethnographic observations revealed eight common barriers: Accessibility (48 mentions), Money (43), Time (30), Awareness (23), Physical Factors (13), Relationships (13), Risk (13), and Weather (7). Clients identified financial constraints as their primary barrier, particularly insurance limitations. Facilitators struggled most with accessibility challenges, including lack of resources, trained staff, suitable horses, and appropriate facilities. Volunteers …


Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano Apr 2025

Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano

Psychology Division Scholarship

Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …


Lasting Impact Of Friendship: A Group Manual For Meaningful Connections In Adolescence, Kristen M. Hull Apr 2025

Lasting Impact Of Friendship: A Group Manual For Meaningful Connections In Adolescence, Kristen M. Hull

Dissertations, Theses, and Projects

Adolescence brings profound changes in physical growth, emotions, and social interactions. The friendships formed during this time of life play a crucial role in shaping a young person’s sense of self, emotional health, and ability to navigate social relationships well into the future. This group manual examines the importance of friendships in adolescence, offering a research-based approach to understanding how these relationships influence mental well-being, academic success, and personal development. Designed for school counselors and other trained professionals, it provides practical strategies to help students build and maintain meaningful, supportive friendships during this pivotal stage of life.

Keywords: adolescence, friendship, …


Adverse Childhood Experiences: Healing Through Storytelling And Mindful Narrative Therapy, Julie Kemp Jan 2025

Adverse Childhood Experiences: Healing Through Storytelling And Mindful Narrative Therapy, Julie Kemp

Mindfulness Studies Theses

This study presents research about the nature and prevalence of adverse childhood experiences (ACEs), the mental and physical impacts to individuals exposed to ACEs, and incorporating mindfulness practices into therapeutic approaches to treating them, particularly Mindfulness-Based Narrative Therapy (MBNT). It is important because ACEs have become a global crisis, with the potential for interfering with psychological and physical development, early mortality, and other harmful life outcomes. This thesis provides critical information for mindfulness teachers and practitioners, therapists, educators, regulators, parents, and individuals subjected to ACEs.

The methodology includes extensive literature searches for narrative therapy and mindfulness-based interventions (MBIs) in peer-reviewed …


Camp Research Forum Book Of Abstracts - 2025, American Camp Association Jan 2025

Camp Research Forum Book Of Abstracts - 2025, American Camp Association

ACA National Camp Research Forum Abstracts

This book includes 30 abstracts that will be presented at the 2025 American Camp Association (ACA) Research Forum to be held during the ACA annual conference from February 18-21 in Dallas, TX. Abstracts have been grouped into similar areas and will be presented across five verbal sessions and one poster session.


Scrupulosity: A Comprehensive Review Of The Research, Julie M. Painley Jan 2025

Scrupulosity: A Comprehensive Review Of The Research, Julie M. Painley

Antioch University Dissertations & Theses

This dissertation presents a comprehensive analysis of the current research on scrupulosity, a subtype of obsessive–compulsive disorder (OCD) characterized by intrusive thoughts and compulsive behaviors related to religious and moral concerns. The dissertation identifies key similarities and differences from OCD, and directs focus to thematically related yet unsubstantiated theoretical work in psychology that helps elucidate the core features and etiological factors of scrupulosity as differentiated from other OCD subtypes. The study addresses the critical dearth of research on scrupulosity, aiming to fill significant gaps in the literature regarding its historical context, varied presentation and prevalence in different cultural contexts, and …


Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann Jan 2025

Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann

Antioch University Dissertations & Theses

The purpose of this study was to explore the intersectional possibilities between the fields of drama therapy and mental health counseling through the lens of transformative learning theory. Specifically, the research sought to understand the lived experiences of professionals trained in both disciplines to identify how these fields might mutually inform, strengthen, and enhance one another through collaboration and/or dual training. Data were collected through a qualitative online survey and analyzed using thematic analysis. Five themes emerged: (a) Theoretical and Practical Overlaps and Distinctions; (b) Drama Therapy-Informed Counseling: Embodiment, Creativity, and Experiential Practice; (c) Counseling-Informed Drama Therapy: Frameworks for Practice, …


Cultivating Empathy: A Content Analysis Of Empathic Themes In Best-Selling Children's Books, Elnaz J. Afousi Jan 2025

Cultivating Empathy: A Content Analysis Of Empathic Themes In Best-Selling Children's Books, Elnaz J. Afousi

Antioch University Dissertations & Theses

This study examines the presence and nature of empathic content in best-selling children’s picture books, with a focus on developmental relevance for preschool-aged readers. Using a modified version of the iEPIC empathy coding system, 10 titles from the New York Times best-seller list were analyzed to assess the frequency and complexity of three empathy-related constructs: Emotion or State Description (ESD), Exploring Emotion or State (EES), and Empathic Understanding or Concern (EUC). Results indicate that while all books contained some empathy-related content, ESD3 (self-reflective emotional descriptions) and EUC2/EUC4 (understanding and helping others) were most prevalent, suggesting an emphasis on both intrapersonal …


Unraveling The Impact Of Cognitive Test Anxiety On Academic Performance Among Adolescents: The Case Of Minority And Majority Communities, Zulfiqar Ullah Siddiqui, Wael M. F. Abuhassan Nov 2024

Unraveling The Impact Of Cognitive Test Anxiety On Academic Performance Among Adolescents: The Case Of Minority And Majority Communities, Zulfiqar Ullah Siddiqui, Wael M. F. Abuhassan

An-Najah University Journal for Research - B (Humanities)

Background: Within the Indian society and its many communities, adolescents exhibit a wide range of individual differences, including cognitive abilities, learning styles, and personality traits. These differences can influence how students perceive and cope with test anxiety and related stress. Objective: The primary goal of this research study was to investigate the influence of cognitive test anxiety on academic performance in adolescents from both minority (Muslims) and majority (Hindus) communities in India. Method: Based on descriptive-inferential research design, a sample of 450 students was selected, with 223 students representing the majority community and the remaining 227 students representing the minority …


The Efficacy Of The G.R.A.C.E Matrix® In Ptsd Treatment”, Maria Grace G. Wolk, Lindsay Gietzen Oct 2024

The Efficacy Of The G.R.A.C.E Matrix® In Ptsd Treatment”, Maria Grace G. Wolk, Lindsay Gietzen

Pacific Journal of Health

The purpose of this study is to explore the efficacy of the G.R.A.C.E Matrix®, a step-by-step technique of treatment for post-traumatic stress disorder (PTSD). This study uses case studies that serve as portrayals of adults who struggle with PTSD. The three cases, referred to as "Jamal," "Isabel," and "Joel," are based on disguised aspects of real psychotherapy patients from a psychotherapy clinic. By detailing the treatment courses of these patients, the study highlights critical clinical issues in engaging patients with evidence-based therapy. The cases illustrate how the G.R.A.C.E Matrix® treatment, beginning with written assessments and culminating in trauma-informed interventions, has …


Gsep Research Symposium Proceedings - 2024 Sep 2024

Gsep Research Symposium Proceedings - 2024

GSEP Research Symposium

The 8th Annual GSEP Research Symposium, was themed "Dismantling Barriers between Research and Practice: Shining a Light on Global Interdisciplinary Solutions," took place on July 18-19, 2024, at the picturesque Château d'Hauteville in Saint-Légier-La Chiésaz, Switzerland.

The annual symposium is hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP). The symposium served as a dynamic platform for students, faculty, alums, and staff to come together and explore innovative ideas across multiple disciplines. Featuring 69 selected presentations under five distinct tracks, the proceedings showcase groundbreaking research, foster meaningful discussions, and promote professional development.

The symposium aimed to bridge …


A Laboratory Evaluation Of The Effects Of Empathy Training On Racial Bias, Victoria D. Suarez, Adel C. Najdowski, Angela Persicke, Jonathan Tarbox Sep 2024

A Laboratory Evaluation Of The Effects Of Empathy Training On Racial Bias, Victoria D. Suarez, Adel C. Najdowski, Angela Persicke, Jonathan Tarbox

Psychology Division Scholarship

The purpose of the current study was to evaluate the efects of behavioral procedures, including relational training and multiple exemplar training on empathic responding of individuals who display racial bias. In particular, this study used a multielement design with fve adult participants to evaluate whether the presentation of relational frames of coordination and distinction between the participants’ values and the values of a person belonging to a group for which a bias existed altered empathic responses toward people belonging to such groups. The results showed empathic responding was higher when relational frames of coordination were presented and lower when relational …


Policy, Practice, And Perceptions Of K-12 Social-Emotional Learning, Janice Filer, Ebony C. Cain, Della Thompson-Bell Aug 2024

Policy, Practice, And Perceptions Of K-12 Social-Emotional Learning, Janice Filer, Ebony C. Cain, Della Thompson-Bell

Education Division Scholarship

The purpose of this study was to investigate the perceptions of K-12 school staff who participate in social-emotional learning (SEL). Since the global pandemic, several school districts have included SEL as part of the school curriculum. Teachers, counselors, social workers, school psychologists, and school administrators participate in SEL instruction and/or practices. Classroom teachers instruct students in SEL instruction and other school staff practice the SEL components of self-awareness, self-management, decision-making, social awareness, and relationship skills through their daily interactions with students. This study was conducted in various schools throughout the Los Angeles area using open-ended interview questions that utilized focus …


Play Therapists Attitudes, Knowledge, And Skills In Identifying Disordered Eating In Children And Adolescents., Hailey Thomas Aug 2024

Play Therapists Attitudes, Knowledge, And Skills In Identifying Disordered Eating In Children And Adolescents., Hailey Thomas

Graduate Theses and Dissertations

The prevalence of disordered eating among children and adolescents has been steadily increasing, posing an increase in the need for treatment. Recognizing and addressing disordered eating in childhood and adolescence is critical to fostering a healthy relationship with food and body image and ensuring the overall well-being of youth. Play has long been considered an important factor in understanding children's lives and experiences and is the recommended counseling approach for children and adolescents (Landreth, 2012). Play therapy is grounded in the fundamental understanding that play is children's and adolescents' natural mode of expression, where toys are their words, and play …