A Case Study of Sandplay Therapy for a Boy with Tic

Abstract

Objectives: This study examined sandplay therapy in an elementary school boy with tic problems. The goal of the therapy was to reduce his tic problems by offering a free and protected space of sandplay therapy.Methods: The sandboxes were analyzed focusing on analytical psychology and theories of sandplay therapy using Turner (2005)’s content themes, which were the most comprehensive themes.Results: Seventy-seven therapy sessions were performed. The client showed a race car that was stuck in the sand and then rescued by forklifts in the initial phase of therapy (1-2, a race car stuck in the sand). In the intermediate phase of the therapy (3-70, struggle), he showed regression, meeting the opposites, victory of small animals, construction, and death. In the final phase of therapy (71-77, race, death II, adaptation to reality), he showed race, death, and adaptation to reality.Conclusion: The client who was entering adolescence saw life as a race. However, the race car that was moving toward masculinity was stuck in the sand. Therefore, the car was sent for repairs. In the middle of the therapy, the boy showed various fights, accidents, and construction. Lastly, there were deaths of an alligator and a bear. By showing a football match, the long journey of developing ego ended. During the therapy, archetypal patterns, such as regression to the primitive psyche, the journey of masculinity as a boy, and confrontation between good and bad, appeared. Sandplay therapy, in a free and protected space, relieved the client’s tic problems with improvement of his daily life. Thus, this study demonstrates the effectiveness of sandplay therapy.