Yetişkinler problemlerini, ihtiyaçlarını, düşünce ve duygularını “konuşarak” dile getirirken çocuklar da problemlerini, ihtiyaçlarını, düşünce ve duygularını “oyun oynayarak” ifade ederler.
Oyun terapisi ile amaçlanan çocuğun problemlerini, ihtiyaçlarını, düşünce ve duygularını, bilişsel ve sosyal becerilerini oyun aracılığıyla meydana çıkarmaktır.
Oyun terapisti, ilk aşamada çocuğun ebeveynleri ve bakım verenleri (dadı, büyükanne, dede vb.) ile görüşür. Bu görüşmelerde çocuğun hikayesine ve sorunlarına değinilir. Çocuğun yaşadığı probleme yönelik bir plan oluşturulur.
Oyun terapisti, çocuğu dinler, izler, anlar, bazen oyun oynar, duygularını ortaya çıkarır, çocukla duyguları hakkında konuşur. Oyun terapisi odası; oyun terapisine yönelik oyuncakların ve materyallerin bulunduğu, çocuğun kendini güvende hissedebileceği, kullanışlı bir odadır. Günlük hayatta kullanılan nesneler (bebekler, kuklalar, çamaşır ve bulaşık makinesi vb.) oyuncak haliyle oyun terapisi odasında bulunur. Böylece gerçeklik yansıtılmaya çalışılır. Saldırganlığı (agresyon) ortaya çıkarmaya yönelik oyuncaklar (askerler, dart oyunu, hacıyatmaz vb.) ile yaratıcı düşünce ve duygu salınımı sağlamaya yönelik oyuncaklar (kum, oyuncak hamur, kağıt, kalemler vb.) yer alır.
Çocuk 2 yaşına geldiğinde oyun oynamaya başlar. Bazı durumlarda 11 yaşından büyük çocuklarda da oyun terapisinin tercih edildiği görülür.
Seans sayısı; çocuğun problemine, problemin nasıl algılandığına, çocuk ve ailenin talep ve beklentilerine göre değişkenlik gösterir.
Çocukta herhangi bir problem yokken dahi oyun terapisi aracılığıyla hem bilişsel hem de sosyal gelişimine katkı sağlanabilir.
Bu durumlar aşağıda sıralanmıştır:
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