Utilising sandplay therapy to support children with intellectual disabilities and complex mental health needs in China’s child welfare institutions: a case study

Sandplay therapy (SPT) has demonstrated significant effectiveness for children with intellectual disabilities, autism, and other challenges. This case study explores its impact on emotional regulation, sexual psychology, and behavior in orphaned children with significant functional limitations residing in Chinese welfare institutions. Utilizing Jungian psychology, the child's development was assessed through 26 SPT sessions and four interviews with simulated family members. The findings showed improvements in emotional functioning, self-care capabilities, and the management of sexual energy and emotions. Furthermore, interpersonal relationships within the simulated family improved, thereby achieving the counseling goals. SPT, with its focus on the unconscious and symbolic representation, offers unique advantages in addressing the emotional and behavioral challenges experienced by children with severe functional impairments in welfare environments.