Beyond Words: Exploring School Counselors’ Experiences of Implementing Sandtray Therapy with Secondary School Students from Low-Income Families

Main Article Content

Nor Azita Buyong
Ku Suhaila Ku Johari
Mohd Izwan Mahmud

Abstract

School counselors increasingly encounter secondary school students from low-income families who experience complex emotional, behavioral, and psychosocial challenges. Although sandtray therapy is widely recognized as an expressive therapeutic approach, limited research has examined how school counselors implement it in authentic school settings. This study explored school counselors’ experiences of implementing sandtray therapy with secondary school students from low-income families in Malaysian secondary schools. A qualitative multiple case study design, underpinned by an interpretivist paradigm, was employed. Five full-time school counselors with formal training in sandtray therapy participated in the study. Data were collected through semi-structured interviews and multiple documentary sources, and analyzed using Braun and Clarke’s thematic analysis with support from NVivo. Four interrelated themes emerged: (1) therapeutic relationship as the foundation of intervention, (2) symbolic expression as a medium for emotional exploration, (3) professional adaptation in managing the therapeutic process, and (4) psychological growth through symbolic engagement. The findings indicate that effective implementation extends beyond symbolic play techniques and requires therapeutic relationships, professional flexibility, and responsive intervention strategies tailored to students’ individual needs. This study contributes to school counseling literature by providing an in-depth understanding of sandtray therapy implementation in educational settings and highlights its potential as a developmentally appropriate expressive intervention to strengthen comprehensive school mental health services.

Article Details

How to Cite
Buyong, N. A., Ku Johari, K. S., & Mahmud, M. I. (2026). Beyond Words: Exploring School Counselors’ Experiences of Implementing Sandtray Therapy with Secondary School Students from Low-Income Families. CINEFORUM, 66(S3), 501–512. https://doi.org/10.66669/cineforum.v66iS3.1315
Section
Original Articles

References

Adler, A. (1956). The individual psychology of Alfred Adler. Basic Books.

American School Counselor Association. (2022). ASCA national model: A framework for school counseling programs (4th ed.). American School Counselor Association.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Braun, V., & Clarke, V. (2021). Thematic analysis: A practical guide. SAGE.

Carey, L. J. (1999). Sandplay therapy with children and families. Jason Aronson.

Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE.

Erford, B. T. (2019). Transforming the school counseling profession (5th ed.). Pearson.

Evans, G. W., Li, D., & Whipple, S. S. (2013). Cumulative risk and child development. Psychological Bulletin, 139(6), 1342–1396. https://doi.org/10.1037/a0031808

Fazel, M., Hoagwood, K., Stephan, S., & Ford, T. (2014). Mental health interventions in schools in high-income countries. The Lancet Psychiatry, 1(5), 377–387. https://doi.org/10.1016/S2215-0366(14)70312-8

Gil, E. (2017). Post-traumatic play in children: What clinicians need to know. Guilford Press.

Gysbers, N. C., & Henderson, P. (2012). Developing and managing your school guidance and counseling program (5th ed.). American Counseling Association.

Hoagwood, K., Olin, S., Kerker, B., Kratochwill, T., Crowe, M., & Saka, N. (2007). Empirically based school interventions targeted at academic and mental health functioning. Journal of Emotional and Behavioral Disorders, 15(2), 66–92. https://doi.org/10.1177/10634266070150020301

Homeyer, L. E., & Sweeney, D. S. (2022). Sandtray therapy: A practical manual (3rd ed.). Routledge.

Landreth, G. L. (2012). Play therapy: The art of the relationship (3rd ed.). Routledge.

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE.

Malchiodi, C. A. (2020). Trauma and expressive arts therapy: Brain, body, and imagination in the healing process. Guilford Press.

McLaughlin, K. A., & Sheridan, M. A. (2016). Beyond cumulative risk: A dimensional approach to childhood adversity. Current Directions in Psychological Science, 25(4), 239–245. https://doi.org/10.1177/0963721416655883

Merriam, S. B., & Tisdell, E. J. (2016). Qualitative research: A guide to design and implementation (4th ed.). Jossey-Bass.

Ray, D. C. (2011). Advanced play therapy: Essential conditions, knowledge, and skills for child practice. Routledge.

Reiss, F. (2013). Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review. Social Science & Medicine, 90, 24–31. https://doi.org/10.1016/j.socscimed.2013.04.026

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069–1081. https://doi.org/10.1037/0022-3514.57.6.1069

Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719–727. https://doi.org/10.1037/0022-3514.69.4.719

Stake, R. E. (2006). Multiple case study analysis. Guilford Press.

UNICEF. (2021). The state of the world’s children 2021: On my mind—Promoting, protecting and caring for children’s mental health. United Nations Children’s Fund.

Weist, M. D., Garbacz, S. A., Lane, K. L., & Kincaid, D. (2017). Aligning and integrating family engagement in positive behavioral interventions and supports (PBIS): Concepts and strategies for families and schools in key contexts.

World Health Organization. (2021). Guidance on community mental health services: Promoting person-centred and rights-based approaches. World Health Organization.

Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). SAGE.

Yoshikawa, H., Aber, J. L., & Beardslee, W. R. (2012). The effects of poverty on the mental, emotional, and behavioral health of children and youth. American Psychologist, 67(4), 272–284. https://doi.org/10.1037/a0028015

Zhang, Y., Zhang, C., Yu, F., & Li, Y. (2021). Effects of sandplay therapy on children and adolescents: A systematic review. Children and Youth Services Review, 121, 105846. https://doi.org/10.1016/j.childyouth.2020.105846