There are no rules or instructions. The client simply chooses whatever items appeal to him or her and places them in the sandtray, thereby creating a little world or scene. The therapist does not in any way interfere with this process, but sits some distance away. No interpretation is offered. When a sandworld is completed, it is not dismantled until the client has left and several photographs have been taken for later discussions and to preserve a record of the development.
Some people like to talk about things while building their world, others are silent.
The process allows the client to project a 3-dimensional picture of the psyche at the time. Conflicts, pain, anger, or any inner material can be worked through somewhat like a waking dream letting conscious and unconscious aspects interact. The result is often a feeling of release and liberation. Split-off parts of the personality get a chance to be integrated and people are often surprised to discover a richness in themselves that has a powerful healing effect with spiritual overtones. Interpretations or even intellectual understanding are not necessary.