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Drawing on interpersonal neurobiology of attachment, it explains how play helps build new structure and fosters joy, interest, passion, and vitality over the life course. The article links play to creativity and shared meaning, showing how therapists use playful language, expressions, focus, and framing to guide patients toward new hope, healing, and growth.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-play-of-psychotherapy-clinical-intuition-and-the-creative-role-of-play/592430/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-play-of-psychotherapy-clinical-intuition-and-the-creative-role-of-play/592430.png","ImageObject",300,407,{"name":92,"@type":93},"McGucket","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-16","2026-10-15",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What role does play play in psychotherapy according to the article?","Question",{"text":112,"@type":113},"Play operates as a nonspecific, implicit factor in therapeutic effectiveness, cutting across modalities through informal, intuitive use during sessions.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does play relate to creativity in the therapist-patient relationship?",{"text":117,"@type":113},"Play is tied to creativity, especially in the intersubjective space where shared meaning is jointly created between therapist and patient.",{"name":119,"@type":110,"acceptedAnswer":120},"Why does the article discuss curiosity and evolution in relation to play?",{"text":121,"@type":113},"It frames curiosity as a major development after brain plasticity and argues that mammals became inquisitive through play, shifting views from play as aimless to play as purposeful and essential.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},592430,1792174891,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","The Play of Psychotherapy  \ns  \nTerry Marks-Tarlow  \nThe author reviews the role of play within psychotherapy. She does not discuss the formal play therapy especially popular for young children, nor play from the Jungian perspective that encourages the use of the sand tray with adults. Instead, she focuses on the informal use of play during psychotherapy as it is orchestrated intuitively. Because play—whether we use it consciously or not—is a major source for implicit learning within the social domain, the author considers it a nonspeciﬁc factor in therapeutic effectiveness that cuts across all modalities. She also suggests that play bears an important relationship to creativity, especially as it exists in the intersubjective space between therapist and patient, i.e., the fertile zone between two subjectivities in which shared making of meaning arises. Keywords: clinical intuition; hide-and-seek in therapy; imaginative play; neurobiology of play; play in psychotherapy; play’s purpose in animals  \nThe very existence of a journal devoted exclusively to the multidisciplinary examination of play suggests that there is a paradigm shift afoot, away from the thinking of scholars who dismissed play as aimless expenditure, toward the neurobiologists, psychologists, sociologists, anthropologists, and other researchers who now embrace and endorse play for its manifest beneﬁts. These beneﬁts all emerge from the most basic mammalian endowment—the playful curiosity that spurs the cutting edge of development in all mammals, knits together self and society, and provides seeds for the creative spirit in human culture. Given that play is a vital instinct hard wired into the mammalian brain (Panksepp 1998), one especially important for the extended childhood of human beings, no wonder play constitutes a hidden layer of psychotherapy. Within psychotherapy of all sorts, play often operates at nonconscious, implicit levels. This occurs through the play of clinical intuition as it manifests at a moment-to-moment level. How and why we psychotherapists play with patients sets the tone for sessions and determines the feel of the intersubjective process.  \nThis article draws on the interpersonal neurobiology of attachment to illustrate how the self grows, unfolds, and builds new structure through play. Freedom to play without inhibition or constriction is a key ingredient for joy,  \n352  \nExcerpted from Clinical Intuition in Psychotherapy, published by W. W. Norton & Company, Inc. and copyrighted by Terry Marks-Tarlow, 2012.  \nAmerican Journal of Play, volume 4, number 3. © The Strong [Contact Terry Marks-Tarlow at markstarlow@hotmail.com](Contact Terry Marks-Tarlow at markstarlow@hotmail.com)  \ninterest, passion, and vitality later in life. Just as children reveal their growing edge during play, so too do therapists. Because play is developmentally crucial to achieving cognitive, emotional, behavioral, and social ﬂexibility and complexity, it remains a central part of the repertoire of clinical intuition.  \nSometimes we therapists succumb to the instinct to play in order to lighten up the atmosphere. At other times, the intuitive urge to play marks an open, nondefensive attitude towards ourselves and others. Whether initiated by therapist or patient, the instinct to play encourages the experience of fun during experimentation with new possibilities. Whether initiated by therapist or patient, the invitation to play is a bid for connection that allows coordination and taking turns. Always, the capacity to play signals safety in the room, and safety is necessary for novel expression and new coping to emerge.  \nI demonstrate here, including clinical examples, how we therapists employ through play our clinical intuition to feel our way into the unique contours of each patient. Through the play of language, we ﬁnd special terms reserved for each person alone. Through the play of different expressions across our face, the idiosyncracies of special greetings, ","cbCaijKHK7kiAWjh","https://ap.wps.com/l/cbCaijKHK7kiAWjh","pdf",479073,26,"English","# The Play of Psychotherapy\n## Play as an implicit, intuitive therapeutic factor\n## Curiosity and the evolution of play\n## Capacities supported by children’s play\n## Therapeutic use of play to guide patients","[{\"question\":\"What role does play play in psychotherapy according to the article?\",\"answer\":\"Play operates as a nonspecific, implicit factor in therapeutic effectiveness, cutting across modalities through informal, intuitive use during sessions.\"},{\"question\":\"How does play relate to creativity in the therapist-patient relationship?\",\"answer\":\"Play is tied to creativity, especially in the intersubjective space where shared meaning is jointly created between therapist and patient.\"},{\"question\":\"Why does the article discuss curiosity and evolution in relation to play?\",\"answer\":\"It frames curiosity as a major development after brain plasticity and argues that mammals became inquisitive through play, shifting views from play as aimless to play as purposeful and essential.\"}]","The Play of Psychotherapy - clinical intuition and the creative role of play | PDF",1792074567,66]