An examination of the criteria governing the selection of role-playing techniques employed in a rehabilitation programme of adult psychiatric patients

Abstract

The purpose of this study is to examine the criteria which govern a role-play group leader’s decisions in the selection of techniques and to define and categorise the possible techniques available. It is not intended to measure outcome, although as the leader's evaluation of 'effect’ may influence the future selection of techniques, this feedback of response and consequent action is included in the analysis of factors determining decisions. The particular role-play sessions studied were held weekly, under the leadership of the writer of this thesis. They took place in the rehabilitation unit of a large psychiatric hospital where the groups of patients involved were in a transitional phase between hospital ward and discharge to independent living. Role-play was intended to aid that transition. This investigation into role-play direction takes account of factors arising from background sources, such as the theory and practice of role-play as therapy and psychiatric illness and treatment, and from more immediate influences such as the needs and wants of the group members. It is a consideration of the continual appraisal and re-appraisal of the face-to-face situations occurring in role-play sessions; of alternative strategies and leader's choices. The points raised in discussion are empirically supported by: (a) a case study, including the leader's written observations and comments made at the time of the patient's membership of the role-play group; and (b) tape recorded extracts of selected role-play sessions.