This article applies attachment theory and relevant research to therapeutic limit setting and focuses particularly on child-centred, non-directive play therapy (NDPT) practice. We review the role of limits in therapeutic change and examine whether therapeutic limit setting exhibits properties similar to those evident in typical adult—child relationships, a topic not previously considered in the literature. The first section identifies properties considered inherent in optimal attachment relationships from a limit setting perspective, drawing particularly on Heard and Lake's (1997) extension of Bowlby's attachment theory. The next section discusses therapists' use of limit setting from an attachment standpoint, distinguishing features of therapeutic limit setting which reflect properties evident in sensitive adult—child attachments. Finally, implications for further research and practice in child therapy are explored.
Ainsworth, M., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.
2.
Axline, V. (1947). Play therapy. London: Churchill Livingstone.
3.
Bakermans-Kranenburg, M., Van Ijsendoorn, M., & Juffer, F. (2003). Less is more: Meta-analysis of sensitivity and attachment interventions in early childhood. Psychological Bulletin, 129(2), 195-215.
4.
Bates, J., Maslin, C., & Frankel, K. (1985). Attachment security, mother/child interaction and temperament as predictors of behaviour problem ratings at age 3 years . Monographs of the Society for Research in Child Development , 50, 167-191.
5.
Belsky, J., & Cassidy, J. (1994). Attachment theory and evidence. In M. Rutter, & D. Hay (Eds.), A handbook for clinicians (pp. 373-397). London: Blackwell.
6.
Belsky, J., Kung-Hua, H., & Crnic, K. (1998). Mothering, fathering and infant negativity as antecedents of boys externalising problems and inhibitions at age 3 years: Differential susceptibility to rearing experience? Development & Psychopathology, 10, 301-319.
7.
Belsky, J., & Pasco Fearon, R. (2002). Early attachment security, subsequent maternal sensitivity and later child development. Does Continuity in development depend upon continuity of care-giving?Attachment and Human Development, 4(3), 361-387.
8.
Bixler, R. (1949). Limits are therapy. Journal of Consulting Psychology, 13(1), 1-11.
9.
Bolhorst, C.L., Bakermans-Kranenburg, M.J., Pasco Fearon, R.N., Van Ijzendoorn, M.H., Fonagy, P., & Schuengel, C. (2003). The role of shared environment in mother-infant attachment security: A behavioral genetic study. Child Development , 74, 1769-1782.
10.
Bowlby, J. (1982). Attachment and loss, Vol. 1: Attachment (2nd ed.). New York: Basic Books.
11.
Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. London: Routledge.
12.
Boyd Webb, N. (1991). Play therapy with children in crisis: A case book for practitioners. New York: The Guilford Press.
13.
Bratton, S., Ray, D., & Rhine, T. (2005). The efficacy of play therapy with children: A meta-analytic review of treatment outcomes. Professional Psychology: Research and Practice, 36(4), 376-390.
14.
Bretherton, I. (2000). Emotional availability: An attachment perspective . Attachment and Human Development, 2(2), 233-241.
15.
Buchsbaum, H., Toth, S., Clyman, R., Cichetti, D., & Emde, R. (1992). The use of narrative story stem technique with maltreated children: Implications for theory and practice. Development and Psychopathology, 4, 603-625.
16.
Cairns, K. (2002). Attachment trauma and resilience: Therapeutic caring for children. London: B.A.A.F .
17.
Campbell, S. (1995). Behavioral problems in preschool children: A review of recent research. Journal of Child Psychology and Psychiatry , 36(1), 113-149.
18.
Campbell, S.B., Shaw, D.S., & Gilliom, M. (2000). Early externalizing behavior problems: Toddlers and preschoolers at risk of maladjustment. Development and Psychopathology, 12, 467-488.
19.
Carr, A. (1999). The handbook of child and adolescent clinical psychology: A contextual approach. London: Routledge.
20.
Cassidy, J. (1994). Emotion regulation: Influences of attachment relationships . Monographs of the Society for Research in Child Development , 59, 228-249.
21.
Clarke, L., Ungerer, J., Chahoud, K., Johnson, S., & Stiefel, I. (2002). Attention deficit and hyperactivity is associated with attachment insecurity disorder. Clinical Child Psychology and Psychiatry, 7(2), 179-198.
22.
Cole, P., Michel, M., & O'Donnell Teti, L. (1994). The development of emotion regulation and dysregulation: A clinical perspective. Monographs of the Society for Research in Child Development, 59, 73-92.
23.
Craig, W. (2000). Childhood social development: The essential readings . London: Blackwell.
24.
Crittenden, P. (1995). Attachment and psychopathology. In R.M.S. Goldberg, & J. Kerr (Eds.), John Bowlby's attachment theory: Historical, clinical and social significance (pp. 367-406). New York: The Analytic Press.
25.
De Rosnay, M., & Harris, P. (2002). Individual differences in children's understanding of emotion: The rules of attachment and language. Attachment and Human Development, 4, 39-54.
26.
De Vito, C., & Hopkins, J. (2001). Attachment, parenting and marital dissatisfaction as predictors of disruptive behaviour in preschoolers. Development and Psychopathology, 13, 215-231.
27.
Dorfman, E. (1951). Play therapy. In C. Rogers (Ed.), Client centered therapy (pp. 235-278). London: Constable.
28.
Dozier, M., Albus, K., Fisher, P., & Sepulveda, S. (2002). Interventions for foster parents: Implications for developmental theory. Development and Psychopathology , 14, 843-860.
29.
Eme, R.F., & Kavanaugh, L. (1995). Sex differences in conduct disorder. Journal of Clinical Child Psychology, 24, 406-426.
30.
Evans, I., Heriot, S., & Friedman, A. (2002). A behavioural pattern of irritability, hostility and inhibited empathy in children. Clinical Child Psychology and Psychiatry, 7(2), 211-224.
31.
Farrell Erikson, M., Sroufe, A., & Egeland, B. (1985). The relationship between quality of attachment and behaviour problems in preschool in a high risk example. Monographs for the Society for Research in Child Development, 50, 147-166.
32.
Fei-Yin Ng, F., Kenny Benson, G., & Pomerantz, E. (2004). Children's achievement moderates the effects of mother's use of control and autonomy support. Child Development , 75(3), 764-780.
33.
Fonagy, P., Steele, M., Steele, H., Leigh, T., Kennedy, R., & Mattoon, G. (1995). Attachment and the reflective self and borderline states: The predictive specificity of the adult attachment interview and pathological emotional development. In R. Muir, J. Kerr, & S. Goldberg (Eds.), Attachment theory: Social, developmental and clinical perspectives (pp. 233-278). Hillsdale, NJ: The Analytic Press.
34.
Fox, N.A. (1994). Dynamic cerebral processes underlying emotion regulation. In N.A. Fox (Ed.), Emotion regulation: Behavioural and biological considerations. Monographs of the Society for Research in Child Development, 56, 52-166.
35.
George, C., & Solomon, J. (1999). Attachment and care giving: The care giving behavioural system. In J. Cassidy, & P. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 649-670). New York: Guilford Press.
36.
Ginott, H. (1976). Therapeutic intervention in child treatment. In C. Schaefer (Ed.), The therapeutic use of children's play (pp. 279-290). New York: Jason Aronson Inc.
37.
Ginott, H., & Lebo, D. (1961). Play therapy limits and theoretical orientation . Journal of Consulting Psychology, 25(4), 337-340.
38.
Ginott, H., & Lebo, D. (1963). Most and least used play therapy limits. Journal of Genetic Psychology, 103, 153-159.
39.
Gomez, R., Gomez, A., DeMello, L., & Tallent, R. (2001). Perceived maternal control and support: Effects on hostile biased social information processing and aggression among clinic referred children with high aggression. Journal of Child Psychology and Psychiatry, 42(4), 513-522.
40.
Green, J., & Goldwyn, R. (2002). Annotation: Attachment, disorganisation and psychopathology, new findings in attachment research and their potential implications for developmental psychopathology in childhood. Journal of Child Psychology and Psychiatry, 43(7), 835-846.
41.
Guerney, L. (2001). Child centered play therapy. International Journal of Play Therapy, 10(2), 13-31.
42.
Hartup, W. (1989). Social relationships and their developmental significance . American Psychologist, 44(2), 120-126.
43.
Haworth, M. (1982). Limits and the handling of aggression. In G. Landreth (Ed.), Play therapy: Dynamics of the process of counselling with children (pp. 157-159). London: Charles C. Thomas.
44.
Heard, D. (1982). Family systems and the attachment dynamic. Journal of Family Therapy, 4(4), 99-116.
45.
Heard, D. (2001). Extending attachment theory by introducing the concept of the attachment dynamic. Paper presented at the IAN Introductory Course.
46.
Heard, D., & Lake, B. (1997). The challenge of attachment for care-giving. London: Routledge.
47.
Hodges, J., Steele, M., Hillman, M., Henderson, K., & Kaniuk, J. (2003). Changes in attachment representations over the first year of adoptive placement: Narratives of maltreated children. Clinical Child Psychology and Psychiatry, 8(3), 351-367.
48.
Holmes, J. (1993). Attachment theory, a biological theory for psychotherapy ? British Journal of Psychiatry, 16(3), 430-438.
49.
Holmes, J. (2001). The search for the secure base: Attachment theory and psychotherapy. Sussex: Brunner Routledge.
50.
Hopkins, J. (1999). Some contributions to attachment theory. In M. Lanyado, & A. Horne (Eds.), The handbook of child and adolescent psychotherapy (pp. 43-49). London: Routledge.
51.
Howe, D., & Fearnley, S. (2003). Disorders of attachment in adopted and fostered children: Recognition and treatment. Clinical Child Psychology and Psychiatry, 8(3), 369-387.
52.
Izard, C., Fine, S., Mostow, A., Trentacosta, C., & Campbell, J. (2002). Emotion processes in normal and abnormal development and preventative intervention. Development & Psychopathology , 14, 761-787.
53.
Josefi, O., & Ryan, V. (2004). Non-directive play therapy for young children with autism: A case study. Clinical Child Psychology and Psychiatry , 9(4), 533-551.
54.
Kirschenbaum, H., & Land Henderson, V. (1989). The Carl Rogers reader . New York: Houghton Mifflin Company .
55.
Landreth, G. (1991). Play therapy: The art of the relationship. Kentucky: Accelerated Development.
56.
Landreth, G. (2002). Therapeutic limit setting in the play therapy relationship. Professional Psychology Research and Practice , 33(6), 529-535.
57.
Landreth, G., & Wright, C. (1997). Limit setting practices of play therapists in training and experienced play therapists. International Journal of Play Therapy, 6(1), 41-62.
58.
Landy, S., & Mena, R. (2001). Play between aggressive young children and their mothers. Clinical Child Psychology and Psychiatry, 6(2), 223-239.
59.
Lieberman, A., & Pawl, J. (1995). Disorders of attachment and secure base behaviour in the second year of Life. In M. Greenberg , D. Cicchetti, & M. Cummings (Eds.), Conceptual issues and clinical intervention (pp. 375-399). Chicago, IL: University of Chicago Press.
60.
Lloyd, J., & Marzollo, J. (1972). Learning through play. New York: Harper & Row.
61.
Maccoby, E. (1980). Social development: Psychological growth and the parent-child relationship. New York: Harcourt Brace Jovanovich Inc.
62.
Magai, C. (1999). Affect imagery and attachment: Working models of interpersonal affect and the socialisation of emotion. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment theory, research and clinical applications (pp. 787-802). New York: Guilford Press.
63.
Maslin-Cole, C., & Spieker, S. (1990). Attachment as a basis for independent motivation: A view from risk and non risk samples. In M. Greenberg, D. Cicchetti, & M. Cummings (Eds.), Attachment in the pre school years: Theory, research and Intervention (pp. 245-272). Chicago, IL: University of Chicago Press.
64.
McCluskey, U. (2005). To be met as a person: The dynamics of attachment in professional encounters. London: Karnac Books.
65.
Meins, E. (1999). Sensitivity, security and internal working models: Bridging the transmission gap. Attachment and Human Development , 1(3), 325-342.
66.
Meins, E., Ferryhough, C., Fradley, E., & Tuckey, M. (2001). Rethinking maternal sensitivity: Mother's comments on infant's mental processes predict security of attachment at 12 months. Journal of Child Psychology and Psychiatry, 42(5), 637-648.
67.
Moustakas, C. (1959). Psychotherapy with children: The living relationship . New York: Ballantine.
68.
Moustakas, C. (1997). Relationship play therapy. Northvale, NJ: Jason Aronson Inc.
69.
Munson, J.A., & McMahon, R.J. (2001). Structure and variability in the developmental trajectory of children's externalizing problems: Impact of infant attachment, maternal depressive symptomatology and child sex. Development and Psychopathology, 13, 277-296.
70.
Norton, C., & Norton, B. (2002). Reaching children through play therapy: An experiential approach (2nd ed.). London: White Apple Press.
71.
O'Connor, T., & Zeanah, C. (2003). Attachment disorders: Assessment strategies and treatment approaches. Attachment and Human Development, 5(3), 223-244.
72.
Patterson, G. (2002). The early development of coercive family process . In J. Reid, G. Patterson, & J. Snyder (Eds.), Antisocial behaviour in children and adolescents: A developmental analysis and model for intervention (pp. 25-44). Washington: The American Psychological Association.
73.
Patterson, G., De Baryshe, B., & Ramsey, E. (2000). A developmental perspective of antisocial behaviour . In W. Craig (Ed.), Childhood social development: The essential readings (pp. 333-348). Oxford: Blackwell.
74.
Rhoden, B., Kranz, P., & Lund, N. (1981). Current trends in use of limits in play therapy . Journal of Psychology, 107, 191-198.
75.
Ryan, V. (1999). Developmental delay, symbolic play and non-directive play therapy. Clinical Child Psychology and Psychiatry, 4(2), 167-185.
76.
Ryan, V. (2004a). Adapting non-directive play therapy for children with attachment disorders. Clinical Child Psychology and Psychiatry , 9(1), 75-87.
77.
Ryan, V. (2004b). `My New Mum': How drawing can help children rework their internal models of attachment relationships in non-directive play therapy . British Journal of Play Therapy, 1(1), 35-46.
78.
Ryan, V. (2007a). Non-directive play therapy with abused children and adolescents. In K. Wilson, & A. James (Eds.), The child protection handbook (3rd ed., pp. 414-432). London: Bailliere Tindall.
79.
Ryan, V. (2007b). Filial therapy: Helping children and new carers to form secure attachment relationships. British Journal of Social Work, 37, 643-657.
80.
Ryan, V., & Bratton, S. (2008). Child-centred/non-directive play therapy for very young children. In C.E. Schaefer, S. Kelly-Zion, J. McCormick , & A. Ohnogi (Eds.), Play therapy for very young children. Plymouth, UK: Jason Aronson.
81.
Ryan, V., & Wilson, K. (1995). Non-directive play therapy as a means of recreating optimal infant socialisation patterns. Early Development and Parenting, 4(1), 29-38.
82.
Ryan, V., & Wilson, K. (1996). Case studies in non-directive play therapy. London: Jessica Kingsley Publishers.
83.
Sable, P. (2004). Attachment ethology and adult psychotherapy. Attachment and Human Development, 6(1), 3-19.
84.
Schneider, W., Cavell,T., & Hughes, J. (2003). A sense of containment: Potential moderator of the relation between parenting practices and children's externalising behaviours . Development & Psychopathology, 15, 95-117.
85.
Schore, A. (1994). Affect regulation and the origin of the self. Hillsdale, NJ: Lawrence Erlbaum.
86.
Schore, A. (2000). Attachment and the regulation of the right brain . Attachment and Human Development, 2(1), 23-47.
87.
Schore, A. (2003). Affect regulation and the repair of the self. New York: W.W. Norton and Company.
88.
Smith, A., & Herman, J. (1994). Setting limits while enabling self expression: Play therapy with an aggressive controlling child. International Journal of Play Therapy, 3(1), 23-36.
89.
Speltz, M. (1990). The treatment of pre-school conduct problems: An integration of behavioural and attachment concepts. In M. Greenberg, D. Cicchetti , & M. Cummings (Eds.), Attachment in the pre-school years (pp. 399-427). Chicago, IL : University of Chicago Press.
90.
Stern, D. (1985). The interpersonal world of the infant: A view from psychoanalysis and developmental psychology. New York : Basic Books.
91.
Sugarmann, D. (2004). Dimensions of the child analyst's role as a developmental object: Affect regulation and limit setting. In S. Abrams, S. Dowling, R. King, & P. Neubauer (Eds.), The Psychoanalytic study of the child (pp. 189-213). New Haven, CT: Yale University Press.
92.
Thompson, R. (1994). Emotion regulation: A theme in search of a definition . Monographs of the Society for Research in Child Development , 59, 25-52.
93.
Trotter, K., Eshelman, D., & Landreth, G. (2003). A place for Bobo in play therapy. International Journal of Play Therapy, 12(1), 117-159.
94.
Van Ijzendoorn, M.H., & Sagi, A. (1999). Cross cultural patterns of attachment: Universal and contextual dimensions. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment theory, research and clinical applications (pp. 713-734). New York: Guilford Press.
95.
Vaughan, B., & Bost, K. (1999). Attachment and temperament: Independent, interactive or redundant bases for interpersonal adaptation and personality development . In J. Cassidy, & P. Shaver (Eds.), Handbook of attachment theory, research and clinical applications (pp. 198-226). New York: Guilford Press.
96.
Vondra, J., Shaw, D., Swearingen, L., Cohen, M., & Owens, E. (2001). Attachment, stability, emotional and behavioural regulation from infancy to pre-school age. Development & Psychopathology, 13, 13-33.
97.
Waters, E., Crowell, J., Elliott, M., Corcoran, D., & Treboux, D. (2002). Bowlby's secure base theory and the social/personality psychology of attachment styles. Work(s) in progress. Attachment and Human Development, 4(2), 230-242.
98.
Webster Stratton, C., & Hancock, L. (1998). Training for parents of young children with conduct problems: Content method and therapeutic processes. In J. Briesmeister, & C. Schaefer (Eds.), Handbook of parent training (2nd ed., pp. 98-152). New York: John Wiley & Sons.
99.
West, J. (1992). Child centered play therapy (2nd ed.). London: Arnold.
100.
Wilson, K., & Ryan, V. (2005). Play therapy: A non-directive approach for children and adolescents (2nd ed.). London : Elsevier Science.
101.
Wolfe, D.A. (1999). Child Abuse: Implications for child development and psychopathology (2nd ed.). London: SAGE.
