ABSTRACT
Puppet play, in general, has been utilized in cognitive behavioral play therapy along with utilizing stuffed animals, bibliotherapy, and other toys with which cognitive strategies could be modeled. Puppets are most effective when used to enact scenarios common for the child, such as peer conflict, and being able to say "no" and be assertive, as well as those addressing defiance and other behavioral issues. By using puppets, the therapist is also helped to feel comfortable in directly addressing trauma while simultaneously being playful in order to be authentic and believable. Indeed, difficult and emotionally laden trauma material can be more easily digested, with the use of puppets and play-based techniques becoming a sort of "enzyme" that dissolves the painful connection to traumatic memories. Holding and handling puppets can also be soothing during treatment times when difficult subject matter needs to be addressed or spoken about.
