Healing will be incomplete if it only focuses on one dimension. In addition to using food to heal through proper dieting, nature also gifted us with other therapeutic ways of wholesome healing. Our focus today will be on the healing power of sandplay or sand tray therapy and how it adds to the complete package of wellness in and out.
Sandplay (sometimes called Sand Tray) therapy is a unique and powerful therapeutic method that transcends age, language, and cultural barriers. While often associated with children, its profound benefits extend to adults, particularly in managing trauma, anxiety, post-traumatic stress disorder (PTSD), and emotional dysregulation.
Developed in the 1950s by Swiss therapist Dora Kalff, sandplay therapy draws on the theories of Carl Jung, using symbolic play to access the unconscious mind. This article delves into how sandplay therapy has been successfully used in documented cases to facilitate healing and emotional regulation.
The Origins of Sandplay Therapy

Dora Kalff, inspired by Margaret Lowenfeld’s “World Technique,” created sandplay therapy to allow clients to express their inner worlds through symbolic play. Kalff, a Jungian therapist, believed that the arrangement of miniature figures in a sand tray could reveal deeper layers of the unconscious mind, much like Jung’s concept of dreams and symbols.
This nonverbal form of therapy allows individuals to confront complex emotions and memories in a safe, controlled environment. Since its inception, sandplay therapy has been embraced as a powerful tool for emotional healing across various clinical settings.
How Sandplay Therapy Works
In a typical session, the client is presented with a tray of sand and a collection of miniatures, including figures of people, animals, buildings, and natural elements. The client is invited to create scenes in the sand, often without specific instructions.
These scenes reflect the client’s emotional state, allowing them to express feelings they may struggle to verbalize. The therapist observes, without immediate interpretation, letting the client explore the meaning of their creations over time.
This process taps into the unconscious mind, allowing clients to symbolically work through trauma, emotional pain, and unresolved conflicts. Sandplay therapy’s nonverbal nature makes it particularly effective for individuals who have difficulty expressing their emotions through words, such as children or trauma survivors.
Documented Benefits of Sandplay Therapy
Over the years, several studies and case reports have validated the effectiveness of sandplay therapy, showing its impact on reducing symptoms of trauma, anxiety, depression, and PTSD. Here are some notable examples.
1. Sandplay Therapy for Children with Trauma
A seminal study by Lorena Arrington (2004) examined the effects of sandplay therapy on children who had experienced trauma, including abuse and loss. The study found that children who participated in sandplay therapy showed significant improvements in emotional regulation, reduced anxiety, and fewer nightmares.
Through the symbolic representation of their inner fears and emotions, the children were able to process traumatic experiences safely, leading to emotional relief and recovery.
2. PTSD in War Refugees
In a case report by Susan Perkins (2013), sandplay therapy was used to help war refugees suffering from PTSD. Many of these individuals had witnessed or experienced extreme violence, leading to deep psychological scars. In sandplay therapy, these refugees were able to express trauma that was too painful to verbalize. Through their sand creations, they depicted scenes of war, fear, and loss, followed by representations of peace and healing. Over time, the therapy facilitated emotional release, reducing PTSD symptoms such as flashbacks, hypervigilance, and avoidance.
3. Emotional Regulation in Adults with Trauma
A study by Rie Rogers Mitchell and Harriet Friedman (1994) explored sandplay therapy in adults dealing with trauma, including victims of abuse and domestic violence. The therapy helped participants express feelings of anger, shame, and fear in a controlled environment.
Many individuals saw improvements in emotional regulation, gaining a sense of control over their emotional responses. This process led to a reduction in emotional reactivity and fostered better self-esteem and resilience.
4. Sandplay Therapy for Children with Autism
Dora Kalff herself documented the use of sandplay therapy with children on the autism spectrum. These children often struggled with social interactions and emotional expression. However, in the sandbox, they were able to create symbolic worlds that mirrored their internal experiences.
Over time, the therapy helped them improve emotional awareness and interact more meaningfully with their environment. While sandplay did not “cure” autism, it provided a safe space for emotional expression and self-exploration.
5. Healing from Grief and Loss in Children
Carol L. Norton and Peter Slater (2010) explored how sandplay therapy could help children navigate grief and loss. Children who had lost a parent or loved one often felt overwhelmed by their emotions, making it difficult to process their grief.
Sandplay provided them with a nonverbal outlet to express their feelings of sadness, anger, and confusion. The children created symbolic representations of healing and acceptance in the sand, which helped them come to terms with their loss. This led to fewer signs of depression and improved emotional expression.
6. Sandplay Therapy for Depression in Adolescents
In a case study by Barbara Turner (2005), an adolescent boy suffering from severe depression underwent sandplay therapy. Initially, his scenes reflected chaos and despair, but over time, they evolved into representations of hope and personal growth. By the end of his treatment, the boy experienced a marked reduction in depressive symptoms and improved relationships with family members.
This case demonstrates the power of sandplay in treating depression by fostering self-expression and emotional healing.
7. Meta-Analysis of Sandplay Therapy’s Effectiveness
A meta-analysis by Wang & Peng (2017) reviewed several studies on sandplay therapy’s effectiveness. The researchers found that sandplay therapy had a statistically significant effect in reducing anxiety, PTSD symptoms, and emotional distress in both children and adults. T
his meta-analysis confirmed sandplay as a valid therapeutic tool for emotional regulation and trauma recovery, especially for individuals who struggle with verbal communication.
Last words: – A Versatile Path to Healing
Sandplay therapy’s power lies in its ability to access the unconscious mind, allowing individuals to express their innermost thoughts and emotions symbolically. From trauma survivors and war refugees to children grappling with grief, sandplay therapy has proven to be a versatile and effective method of emotional healing.
Documented studies and case reports show that it provides a unique pathway to emotional wellness, offering clients a safe space to explore and resolve their inner conflicts.
For therapists, sandplay offers a profound tool for helping clients heal, especially those who may struggle to articulate their feelings. As a nonverbal and deeply symbolic therapy, it transcends cultural and linguistic barriers, making it a truly universal method for emotional and psychological recovery.
Do not hesitate to get in touch with us if you need any specific help with the contents of this website.
References:
- Arrington, L. (2004). Journal of Sandplay Therapy.
- Perkins, S. (2013). Case Report on PTSD in War Refugees.
- Mitchell, R. R., & Friedman, H. (1994). Sandplay Therapy for Trauma Survivors.
- Kalff, D. (1977). Sandplay Therapy for Children with Autism.
- Norton, C. L., & Slater, P. (2010). Journal of Child and Adolescent Trauma.
- Turner, B. (2005). Case Study on Depression in Adolescents.
- Wang, L., & Peng, Z. (2017). Meta-Analysis on Sandplay Therapy’s Effectiveness.
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