INTEGRATING COGNITIVE AND STRUCTURED

TECHNIQUES

REBT

Ask client to make a sandtray for each of the steps of ABCDE

A activating event “can you make a sandtray about a situation that made you angry?

B belief “can you make a sandtray about what you told yourself about the situation

C Consequences- Can you make a sandtray about what this anger was like

D Dispute- “I wonder if there is a different way of responding. Can you question your own angry thoughts? Can you make a tray of another way to look at the situation

E Effect- “What would your preferred way respond?”

PAIN GETTING BETTER TECHNIQUE

Make tray of pain

Make tray of pain all better

Make tray of what will change the first tray to the second tray

SOLUTION FOCUSED “MIRACLE QUESTION”

See page 59 for Solution Focused questions

ROLE PLAYING

“Empty chair” technique can be adapted to sandtray by using miniatures to stand for empty chair. Miniatures can take on roles.

Clients can make up story to illustrate issues or feelings

IDENTIFY COGNITIVE DISTORTIONS

See pp. 61 for ways sandtrays can illustrate cognitive distortions.