Facets -Central Coast Local Health District, NSWThis paper describes an application of Narrative Therapy to working with pre-school aged children in the family setting. Techniques have been specifically tailored and adapted to meet the developmental needs of this age group and assist with therapeutic engagement through all phases of therapy. We focus on three components: themedevelopment, externalising the problem or helper, and multi-sensory communication. Two cases are presented, which illustrate the therapeutic work with 4 year old children.
Key Points1 Narrative therapy approaches can be tailored for working with preschool children in family settings. 2 Three components for narrative work with a preschool age group are theme-development, externalising the problem or helper, and multi-sensory communication. 3 Therapeutic tools for young children include engaging and exploring the child's interests, use of play, puppets, art and storytelling, developing themes, externalising, multi-sensory communication, using visual aids, physical activities, and demonstration. 4 Narrative therapy with young children can be applied for whole or part families.
Creativity and playfulnessThat 'Therapy is an Art' cannot be overstated. Therapy with pre-schoolers invites creativity and allows therapists to unfold their true creative potential. The scope and range of creativity and uncommon (but ethically approved) ideas is unlimited. Re-naming the problem, to move away from the accurate label (fear, worry, anger) to a creative new version such as the Wobblies, the Shivers, Mr Growl, Miss Scary accompanied with parallel voice is more likely to engage young children in therapy.
Physical activity, demonstrations, and actionThe work with young children encourages the utilisation of all sensory modalities and communication pathways, visual, movement, action, voice, sound, words, touch, music, rhythms, etc. Most young children are physically active and will move around the room in the session. Physical activity, demonstrations, gestures, and hand movements can all help the child to actively engage and, as a result, gain more control over Narrative Therapy and Pre-schoolers ª 2017 Australian Association of Family Therapy