Stay ConnectedBUNDLED: Facilitating Client Change Through Therapeutic Recreation: Handbook and Textbook Print
We, as therapeutic recreation professionals, have a moral and ethical responsibility to do our very best on behalf of clients and to support their efforts to move toward greater well-being. The provision of best TR interventions and services relies on several elements. First, we must identify a purpose that is meaningful to clients along with corresponding, salient goals. Second, we must identify and implement a model of service that guides the attainment of the desired goals. Finally, we must implement theoretically and scientifically grounded interventions that effectively support clients in the development of their strengths, capacities and most valued life.
Facilitating Client Change Through Therapeutic Recreation: Intervention Strategies to Support Well-Being provides TR students and practitioners with the knowledge and tools necessary to facilitate clients’ attainment of positive, meaningful, and empowering change. It articulates why the enhancement of well-being is a worthy and attainable goal of service, that the theoretical components of well-being that are highly amenable to change through therapeutic recreation psycho educational interventions and leisure engagement, and how TR professionals can help clients recognize and navigate roadblocks to change. This book discusses the importance of the therapeutic alliance in the facilitation of positive client change and the centrality of therapist self-care to their effectiveness with clients. Finally, this book provides in-depth discussion of the elements of human behavior that can be modified to support client attainment of meaningful goals—including a focus on actions/behaviors, feelings, and thoughts. In each of the chapters that explore these elements of human behavior, theory and detailed, practical strategies and therapeutic interventions are woven together to create a framework for TR professionals. The text concludes with a presentation of a new holistic and integrated therapeutic approach that is individualized, contextualized, and grounded in evidence-based strategies.
HANDBOOK:
Chapter 1: Introduction and Overview: Promoting Theory-Based Practice 9
Organization of the Handbook and Links to the FCC Book 10
Chapter 2: Supporting Client Change: Applications and Exercises 17
Motivational Interviewing 17
The Spirit of Motivational Interviewing—Communication Style 17
The Four Fundamental Processes of Motivational Interviewing 18
The First Goal of Motivational Interviewing: Resolving Ambivalence 19
The Second Goal of Motivational Interviewing: Eliciting Change Talk 19
Basic Motivational Interviewing Skills 21
Chapter 3: Applying the Principles of Strengths-Based Practice: Applications and Exercises 25
Strengths Identification 25
Assessing and Increasing Strengths Development and Use 31
Chapter 4: Increasing Engagement in Positive Action: Applications and Exercises 39
Increasing Engagement in Desired Actions: Applying Behavioral Activation Strategies 39
Chapter 5: Decreasing Engagement in Undesired Actions: Applications and Exercises 57
Reducing or Eliminating Engagement in Undesired Behaviors: Applying Reality Therapy Techniques 57
Chapter 6: Modifying Automatic Thoughts and Habits of Thinking: Applications and Exercises 73
Core Techniques for Working with Thoughts 74
Modifying Automatic Thoughts: Techniques Arising from Cognitive Therapy 80
Chapter 7: Working with Intermediate Assumptions and Irrational Beliefs: Applications and Exercises 95
Modifying Intermediate Assumptions: Overview of Rational Emotive Behavior Therapy 95
Chapter 8: Working with Core Beliefs and Schemas: Applications and Exercises 111
Working with Schemas: Overview of Narrative Therapy 113
Chapter 9: Using Mindfulness and Acceptance Approaches to Working with Thoughts: Applications and Exercises 125
Chapter 10: Downregulating Uncomfortable Emotion: Interoception and Bottom-Up (Body-Based)
Applications and Exercises 141
Overview of Dialectical Behavior Therapy 142
Downregulation Strategies for TR Interventions 144
Recognizing Signs of Hyperarousal: Increasing Interoception 144
Bottom-Up Strategies for Downregulation 148
Mindfulness-Based Bottom-Up Strategies 148
Bottom-Up Self-Soothing Strategies 154
Chapter 11: Downregulating Uncomfortable Emotion: Top-Down and Interpersonal Applications and Exercises 159
Top-Down Emotion Downregulation Strategies 159
Interpersonal Emotion Downregulation Strategies 165
Overview of Validation Therapy and Intervention Strategies 165
Chapter 12: Increasing Distress Tolerance: Applications and Exercises 171
Mindfulness-Based Approaches to Increasing Distress Tolerance 172
Acceptance-Based Approaches to Increasing Distress Tolerance 176
Chapter 13: Upregulating Positive Emotion Through Stimulating the Wanting System: Applications and Exercises 189
Mobilizing Motivation: Regulating the Wanting System 190
Chapter 14: Upregulating Positive Emotion Through Stimulating the Liking System: Applications and Exercises 199
Initiating Pleasure: Engaging the Senses 199
Enacting Positivity: Response Modulation 204
Attending to the Pleasures: Attentional Deployment 205
Adopting an Appreciative Stance 215
Chapter 15: Upregulating Positive Emotion Through Stimulating the Contentment System:
Applications and Exercises 221
Compassion-Focused Therapy 222
TR Interventions for Stimulating the Contentment System 228