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< online book review

ONLINE BOOK REVIEW
Posted March 2002

Facilitation Techniques in Therapeutic Recreation.
John Dattilo, State College, PA: Venture Publishing, 2000.

Reviewed By
Colleen Deyell Hood, Ph.D., CTRS
Associate Professor,
School of Applied Health and Educational Psychology,
Oklahoma State University, Stillwater, OK

The book "Facilitation Techniques in Therapeutic Recreation" provides a thorough overview of a variety of primarily activity-based interventions that are commonly used in therapeutic recreation. The material included in the book provides students and practitioners with a strong theoretical understanding of each facilitation technique as well as some practical suggestions for application of the technique. The introductory chapter is particularly striking in that it challenges students and TR specialists to think, read, listen, and evaluate - all requirements of becoming enlightened. This introductory chapter certainly prepares the reader to be active consumers of the material included in the rest of the book.

In reviewing this book, I feel it is necessary to articulate my beliefs about the therapeutic nature of activities in order to frame the rest of my comments. In the delivery of TR services, I believe the desired outcome is client change. I also believe that in order for an experience to facilitate change, clients must "make meaning" of the experience in their own lives. As a result, I tend to see the activity as a tool to present the client with an opportunity to reflect on their own lives and to learn new skills or ideas to enhance the quality of their lives. This transfer of learning occurs through the use of activities, and most importantly, through the processing or debriefing of the experience with the client. This book is an excellent source of how to use and modify activities so that they produce therapeutic outcomes. The book is not as thorough in presenting ways in which therapists can help clients transfer their learning and make sense of the experiences.

The development of this book occurred in an interesting way. Each chapter was authored by a graduate student from the University of Georgia in close collaboration with the primary author. As such, the breadth of expertise from which the material is drawn is extensive. In addition, the close collaboration with the primary author resulted in a consistency in quality that is to be commended. The primary author of the book is very qualified in the field of therapeutic recreation; this is but one of several textbooks he has written for therapeutic recreation professional preparation. The book was used twice in his own facilitation techniques course and was revised based on the comments of students and practitioners. The book would be very useful in any upper level TR facilitation techniques class.

Each chapter in the book addresses a different facilitation technique and includes a variety of information related to that technique, including: introduction, definitions, description, history, theoretical foundations, effectiveness, case study, implementation exercises, conclusion, discussion questions, resources, and reference list. The author states that these sections were included based on the needs of the field and upon educational principles. The inclusion of such a wide range of both theoretical and practical information makes the book particularly useful. Students will be challenged to think about the theory underlying the techniques along with being provided with case study examples.

The facilitation techniques included in the book are: adventure therapy, aquatic therapy, assistive technology, anger management, expressive arts as therapeutic media, leisure education, moral-development discussions, stress management, therapeutic use of T'ai Chi Ch'uan, therapeutic horseback riding, therapeutic reminiscence, therapeutic use of animals, therapeutic use of exercise, therapeutic use of humor, therapeutic use of play, therapeutic use of sports, and values clarification. As the author stated, "The competencies generated by the 1996 task force became the basis for the identification of possible topics while individual expertise and interest guided the actual selection of the techniques presented in the book." The topics selected appear to represent a good cross section of the activity based interventions typically used in therapeutic recreation.

This reviewer notes the focus on the use of various activities in a therapeutic manner and while supporting the importance of this approach, is cautious in that support. It would seem that the book provides information about how to use the various activities and identifies the potential therapeutic outcomes but does not focus on the interpersonal and therapeutic skills required on the part of the TR specialist to make the activity truly effective in facilitating change. For example, in the chapter on adventure therapy, there is extensive information about what adventure therapy is, how theory and research supports the use of adventure therapy, and practical examples of activities that could be used in an adventure therapy context. However, there is minimal discussion of processing/debriefing the adventure experiences - an aspect of adventure therapy that is generally acknowledged as being one of the most important components of a therapeutic outcome.

The comprehensiveness of each chapter certainly provides students with enough background information, theoretical content and application opportunities to facilitate learning and familiarity with the various techniques. The author does acknowledge that some of the interventions described require further training and certification before they can safely be utilized by TR specialists. The sections on theoretical foundations and effectiveness in each chapter contribute greatly to the body of knowledge in our field and allow students the opportunity to understand the underpinnings of the various techniques. Moreover, the chapters incorporate literature from a variety of areas, thus expanding the foundation of TR service. The resource and reference information is comprehensive and current and will assist those students who wish to explore the various techniques in greater depth.

In terms of writing style and presentation, the book is very accessible to the reader and would be appropriate for the target audience of upper level undergraduates. The examples included throughout help the reader make sense of the material and keep the information interesting. The use of the twelve section chapter framework is excellent and provides a great deal of consistency throughout the book.

All in all, this book certainly fills a tremendous gap in the therapeutic recreation literature. It is comprehensive, well-written and covers a wide range of facilitation techniques. Students who use this book will learn how a variety of activities may be used in a therapeutic manner. However, students and practitioners still need training and information in how to facilitate transfer of learning and "meaning making" on the part of clients - without an emphasis on processing the experience, we can not be sure that our clients are taking the therapeutic outcomes of activities and incorporating them into their lives.

Reviewed By
Colleen Deyell Hood, Ph.D., CTRS
Associate Professor,
School of Applied Health and Educational Psychology,
Oklahoma State University, Stillwater, OK