Self-Advocacy Through Drama for People with Developmental Disabilities

Suppose you were 35 years old and you still lived at home with your parents because they didn’t think you were capable of living by yourself? Or that you had to live in a group home with people you didn’t choose as your housemates and staff you didn’t hire to run the household? Suppose everyone talked down to you as if you were a little child? Or that you worked a 40 hours a week, and only got paid $45 for your entire week of work? What if you weren’t allowed to get married, even though you were in love with someone who wanted to marry you?

Sound impossible in this day and age? It’s not. There are many people in our country, close to 12.4 million, who experience one or a combination of these limiting life situations because they have a physical, mental or emotional condition causing difficulty in learning, remembering, or concentration (U.S. Census, 2000). Some of these citizens have physical or mental illnesses which affect cognition, and many have developmental disabilities, such as mental retardation, autism, cerebral palsy or another neurological condition. (The U.S. Census does not breakdown disability population figures by diagnosis, but by the following categories: sensory disability involving sight or hearing; condition limiting basic physical activities, such as walking, climbing stairs, etc.; physical, mental, or emotional condition causing difficulty in learning, remembering, or concentrating; physical, mental, or emotional condition causing difficulty in activities of daily living such as dressing, bathing, etc; condition that makes it difficult to go outside the home; and condition that affects the ability to work at a job.)

People who have developmental disabilities are not encouraged to live independent lives, even when many of them can. There are many reasons for this: overprotective families; an educational and social service industry that steers clients to be dependent and passive, rather than training them for independence; a social welfare system with built-in work disincentives for people with disabilities; a society that stigmatizes people who have disabilities as “less than equal” to those who don’t have disabilities (Mackelprang & Salsgiver, 1999; Olkin, 1999).

One of the hardest struggles is that last one — against stigmas held cross-culturally about developmental disabilities. Individuals who are “different,” be they of a different race, religion, physical look, or ability level, end up being stigmatized or seen as having a lower, discredited status, being “not quite human,” by the dominant cultural group in any society (Goffman, 1963; Hardaway, 1991). Developmental disabilities are repeatedly rated as one of the most stigmatized on the continuum of possible disabling and/or medical conditions across a wide range of world cultures (Olkin, 1999;Westbrook, Legge, & Pennay, 1993).

In order to address the prevalence of stigma towards disabilities and the necessity of future mental health and education professionals to become aware of and deal with their own stigmatizing attitudes, I have had students in my Drama Therapy with Special Populations class at Kansas State University rate Westbook, Legge, & Pennay’s list of 20 disabilities from least stigmatized to most stigmatized for the past twenty-four semesters (Fall 1999 to Spring 2011). Each semester mental retardation (the closest category on the list to “developmental disabilities”) is in the top three most stigmatized conditions as either number one, two, or three. The only conditions that are ever rated as more stigmatized are AIDS or mental illness. When they compare their class rating with the cultures surveyed in Westbook, Legge & Pennay’s study, my students discover that those cultures also rated those three conditions in their “top” three.

If attitude sampling is not proof enough of the stigma assigned to people with developmental disabilities in our culture, a simple statistic reported in the Kansas City Star says it all. Prenatal genetic tests can determine if a fetus has Down syndrome, a type of developmental disability caused by a chromosomal abnormality. People who have Down syndrome have three copies of Chromosome 21, rather than 2, giving them 47 total chromosomes instead of 46. Down syndrome is not a fatal or painful condition, although there are sometimes medical complications, such as heart conditions. Individuals who have Down syndrome can range in IQ from low to normal. When the prenatal test became common in 1989, 57 percent of fetuses discovered to have Down syndrome were aborted, and since then the percentage has risen (Bell & Stoneman, 2000; Stearns, 2004). Currently, it is estimated that ninety percent of the fetuses determined by prenatal test to have Down syndrome are terminated through abortion (Adler, 2005).

Not only are stigmatized people not accorded the same status as others, seen as inferior, evil, perhaps being punished for their sins or the sins of their fathers (Hardaway, 1991; Pelka, 1994), or as “defective” by medical model standards, many grow up to believe that those who have stigmatized them must be right and internalize a sense of shame and inferiority. Like many oppressed populations, they often become passive and helpless, because they don’t think they deserve better treatment than what they are currently receiving (Goffman, 1963; Mackelprang & Salsgiver, 1999).

Here are a few stories I collected in 1998 from members of STAND Together, a self-advocacy group for adults with developmental disabilities in the Washington, DC Metropolitan area, which illustrate common, every day examples of stigmatizing behavior they have received, in these cases from family members, care-givers, and helping professionals in their lives:

LG: When I was between the ages of 17 and 21, I went to live with my older brother and I was treated as a child and it was totally wrong to do that to me at that age. At that point, it wasn’t right, but I didn’t do anything about it. I didn’t like it, but just took it. I finally just moved away. It feels great to be treated like an adult instead of a child. It’s wrong to treat an adult with a disability like a child. An adult should be treated like an adult. A teenager should be treated like a teenager. A child should be treated like a child.

BH: Sometimes the counselor comes into my apartment to talk to me when I’m having dinner [and wants to meet about life skills and work issues]. I say, “Excuse me, I’m eating.” That’s ignoring my privacy.

MP: I want to tell you about staff who disrespected me at the place I worked, so you won’t ever treat anyone who you work with this way. [The workplace was a sheltered workshop/training center for people with disabilities.] At one point I was in Beginner’s Clerical. I was not feeling good one day and I called in like you would normally do when you’re not feeling good. They asked me to call back later. I did and I said that I still wasn’t feeling good. But my supervisor, she didn’t take no for an answer. She wanted me to come in to work. [MP went back to sleep after hanging up the phone.] I wake up and I’ve got the program specialist on one side of me and the supervisor on the other side of me wanting me to come to work! So to make a long story short on that one – that’s why I’m still afraid to get a job out in the community. I’m afraid someone’s going to come and drag me out of bed and take me back to work!

These three individuals, quoted above, have not remained passive and accepting of the stigmatized way they are treated. As members of STAND Together, one of the oldest self advocacy groups in the state of Maryland, they have learned how to speak up for themselves, protest ill-treatment, and work on changing attitudes and removing barriers to their full inclusion in their community. We’ll talk about their experiences with drama as a tool in their struggle later in the article.

Historically, nondisabled members of society have assumed that people who have disabilities are not able to care for or support themselves. Poorhouses were created in colonial America as a place to warehouse anyone from widows, orphans, or the elderly to people with mental illness, disability, or serious illness (Trattner, 1989). Until recent years people with disabilities, particularly those with developmental disabilities, were committed to institutions for the “mentally deficient.” Doctors would often recommend to families at the birth of a child with disabilities to not even take the child home, but to “send it away” (J. Glenner, personal communication, 1990; Makelprang & Salsgiver, 1999; Morton, 1983). For those who weren’t institutionalized, educational opportunities and jobs were not easy to get.

The terminology chosen to describe this group of citizens (as well as people with physical disabilities) suggests that they are incompetent. Hardaway says it is important to know that the word “handicapped” originated from the phrase “cap in hand,” indicating someone who is a beggar. Begging was one of the only ways that people not segregated in institutions who had disabilities were able to make a living when they couldn’t get a job (Hardaway, 1991). Employers assumed that people who had disabilities couldn’t do the work and often wouldn’t consider them as potential employees.

What does the word “disable” actually mean? According to Webster, disable means “1. to deprive of legal right or qualification: disqualify. 2. to make incapable or ineffective: to incapacitate, especially to deprive of physical, moral or intellectual strength. 3. a. to deprive of what gives value: impair in worth. b. to declare incompetent or invalid.” Impaired, another word sometimes used in place of disabled, means “to make worse, diminish in quality, value, excellence or strength: to do harm to.” (Webster’s Third New International Dictionary of the English Language Unabridged, 1993). None of these words sound very positive used as either a noun to categorize someone or an adjective to describe him. No one wants to be considered an ineffective, incapable, diminished, or invalid human being, especially when the disability condition one has usually only limits one small aspect of one’s life; however, that is what our language suggests happens.

The disability awareness movement which began in the 1960’s helped pass legislation, such as the Rehabilitation Act of 1973, the Equal Education for All Handicapped Children Act of 1975 and the Americans with Disabilities Act of 1990. These laws have helped create more opportunities in education, employment, housing, and access to the community at large for people with disabilities. In the late ‘60s and early 70’s disability advocates and social service workers brought suit in the courts to close state hospitals and release the residents to out-patient services in the community. This, plus spiraling medical costs, caused many institutions in which people had been warehoused to be closed, sending them back in the community to live and work (Anderson, Lakin, Manga, & Prouty, 1998; Mackelprang & Salsgiver, 1999).

However, just because opportunities for independence exist, doesn’t mean the people those opportunities were created for know how to access them or how to succeed once they get them. Statistics have shown that people with disabilities make responsible, hard working, reliable employees. However, statistics also show that a number of employees with disabilities lose their jobs, not because they can not do the tasks required, but because they do not have the social skills to fit into the workplace appropriately (Chadsey-Rusch, Linneman, & Rylance, 1997; J. Gingerich, personal communication, August 17, 1999; Park & Gaylord-Ross, 1989).

Others do not have the self-confidence to go after an educational or employment opportunity in the first place. There are a variety of reasons for this: they might not know how to be assertive; they might not have the support and encouragement they need from significant others; they might see barriers (legal or illegal) in the way that they do not know how to get around. In short, they have problems advocating for themselves.

Here is where drama comes into the picture: drama is the perfect vehicle for teaching assertiveness, problem-solving, and self-advocacy skills and for demonstrating and articulating one’s abilities, opinions, and desires to others. Through acting out a situation in role play, participants can learn how to identify problems, try out different solutions, and practice the solutions they think will work best. They can develop the self-esteem and confidence to believe they can be effective and succeed. Even more important, they can develop the social skills to get their questions answered, their needs met, and their day-to-day on-the-job or in-the-community conflicts worked through in appropriate ways. (Bailey, 1993, 1995; Sternberg & Garcia, 1994).

Why is drama so perfect? It is embodied, experiential, and active. Many people with developmental disabilities have difficulty learning abstract concepts through lecture and other abstract teaching techniques. Many learn better through hands-on, concrete, physical activities. In addition, drama incorporates narrative or story into instruction. Information is easier to remember when linked by narrative than when it is simply memorized by itself as individual facts (Cozolino, 2002; Herman, 2003).  Information is also easier to remember when it is paired with emotions, particularly positive emotions or emotions that are meaningfully appropriate to the material (Jensen, 1998). Drama contains all of those qualities: embodied, experiential, active, concrete, hands-on, narrative, connected to emotions, with the added attraction of being FUN, so that the learning process is interesting and easy to pay attention to! (Bailey, 1993, 1995, 2010).

Young people with developmental disabilities may not understand the subtleties of social situations. Nondisabled children usually pick up many of the social cues and cultural constructs around them through observing interactions of adults and older children, repeatedly seeing the consequences of certain actions (Hall, 1976). Some children with developmental disabilities miss out on these cues and constructs. They might not notice nonverbal behaviors for a variety reasons, including attention deficits, attention overloads, or aural or visual processing difficulties. They might have difficulty with sequencing and, therefore, do not understand the relationship between an action that causes a particular consequence. Having missed observing the behavior in the first place, chances are they probably will not understand theoretical presentations about it. They may not have been given the opportunities to practice appropriate ways to interact socially because no one thought they were capable of learning them and, therefore, never reinforced appropriate behavior.These children need active instruction and practice in order to see, understand, and learn (Bailey, 1993, 2010).

When is the best time to start using drama to train students in social skills and assertiveness? When children are young and in school! Cindy Bowen, a registered drama therapist and transition specialist at Ivymount School, an independent school for multiply handicapped students in Rockville, Maryland, began using drama as a behavior management tool while she was a support counselor in charge of handling discipline problems. She found that when students had negative behaviors in class or on the playground, it was usually because they did not have the words to express their feelings or alternative ways to solve the situation that was frustrating them. She would take them to her office and get them to cool down. Then she would talk to them about what happened and what other options they might have used for dealing with the situation. Once they were able to identify these, she would have them act out the appropriate behavior until they felt they understood it and could use it successfully. Last, she would take them back to the classroom and let them practice the new behavior with the teacher (out in the hallway, not in front of the rest of the class), so that the teacher knew what solutions had been developed and could help reinforce them when the student tried them out instead of reinforcing the old negative behavior.

Cindy realized that this was the beginning of self-advocacy for these children and that its development was crucial to their success, not just in school, but in life. Since her experience as support counselor had proven to her the efficacy of drama as the way to “get through” to students on issues of behavior, she incorporated drama into all her later transition planning work.

In the U.S. students in special education are allowed to stay in school until they are 21. Their educational needs are guided by an Individual Education Plan (IEP) which is devised jointly by their teachers, parents, and, ideally, themselves. The IEP is re-evaluated at least once a year and new goals incorporated into it. As they get older, an Individual Transition Plan (ITP) is included to help them make that major transition from school to work. Cindy saw the IEP/ITP meeting as a place where self-advocacy was needed – allowing both the parents and the student to speak up for their wishes for the future. Did they want to have a specific kind of job? Did they want to live at home, in a group home, or independently in their own apartment? What were the steps that needed to be taken in order to finally achieve those goals? She helped students develop and practice a script so that they could communicate their wishes and desires to their parents and teachers.

Sometimes parents needed skills to work with a child who had unrealistic dreams. For instance, many teenaged boys express a desire to be a professional basketball player.Needless to say, this is not a realistic goal for 99 percent of them, disabled or not! The key to working with this desire, however, is not to discourage the student from having dreams, but to get them to identify what interests they have, what skills they have, what skills they can develop, and from there to think realistically about what kind of job they could get.Cindy found she needed to teach the parents – and did so most effectively through role-play – how to interact with their children about this topic. They practiced how to ask questions to elicit useful information from their child instead of shutting him down by saying, “No, you can’t do that” or “You’ll never be able to do that.”

Job skills from interviewing to personal hygiene to interacting with co-workers could be practiced in Transition Class through drama. Many students not only had difficulty finding words to express themselves, but also in understanding non-verbal cues that others were giving them. To address this, Cindy would set up dramatic situations in which they would practice identifying these through role play. For instance, she might act out different kinds of bosses who might be interviewing students for a job; she might act formal and polite, condescending, or rushed and impatient. A student would interview with her for the job and then have to assess with the rest of the class what she wanted the worker to do in the job and what kind of nonverbal information she was expressing during the interview which might indicate what kind of a boss she might be to work for.

One transition group, called “Express Yourself,” showcased the older students in dramatic presentations as they demonstrated behavior options to the younger students in order to teach social skills through action. “Express Yourself” students would brainstorm different difficult aspects of relationship communication: friend with friend, child with parent, student with teacher, employer with boss. From these, improvisational scenes were created – with both negative and positive behavior choices – and acted out for other classrooms.Cindy would facilitate and lead a discussion. The students watching would respond to what they thought was going on in the scene. Were the actors using a positive way of handling the situation or a negative one? What were some other ways it could be done? Through drama the younger students were able to pick up on the correct behaviors and generalize them to other situations. They would often use some of the words and behaviors they saw enacted in the scenes in their real life situations. They would ask Cindy, “Did I handle this like so-and-so handled it in the play?”

Presenting “Express Yourself” skits served as a wonderful self-esteem builder for the student-actors. They were suddenly “teacher for the day” and were able to share what they had learned with others. Another outgrowth was the “Express Yourself” students became positive role models and mentors for the younger students. Many younger children had never been exposed to the idea of being able to grow up and get a job. Suddenly they realized that “Hey, this older kid has a transition plan. He’s getting a job. I can do that, too!” (C. Bowen, personal communication, January 22, 2005).

Much of my work with young adults with developmental disabilities also took place in suburban Maryland. In my role as Arts Access Director at the Bethesda Academy of Performing Arts (now Imagination Stage), I created programming for children, teens, and adults with a wide variety of disabilities. One acting class, called “Act For Yourself,” was geared along the same lines as the Ivymount “Express Yourself” class, providing practice for young adults with developmental disabilities in assertiveness and social skills. We acted out situations they found difficult in their lives and explored who they were, what they wanted, and how to get their needs met in active, appropriate ways. We also explored how to stay safe in situations in which others might harm them, how to handle anger, and how to behave appropriately in dating situations. “Act For Yourself” was so popular and useful that I was invited to teach it for Montgomery College’s Challenge Program, a division developed to give students with disabilities who had graduated from high school pre-college level experiences on a real college campus.

My favorite experience using drama for social action was with STAND Together in 1998. STAND Together was sponsored by The ARC of Montgomery County (ARC was formerly an acronym for Association for Retarded Citizens, but has formally changed its name to be simply The ARC). They had heard about my drama program from enthusiastic participants and saw a creative, dynamic, and active way to raise staff awareness on privacy issues and basic human rights of residents in their group homes. Twice a month an orientation training (Introduction to Developmental Disabilities) was held for new staff members to address basic information about The ARC’s group homes, developmental disabilities, emergency procedures, health and hygiene and human rights of residents. Trainings had always been done via lecture and handouts. The information was communicated, but most trainees did not really understand the priority The ARC wanted given to respecting the residents as adults with individual needs and preferences. Often in the interests of time and efficiency or out of ignorance, staff would ignore residents’ choices, break confidentiality, or invade their privacy. This problem was exacerbated by the issue of frequent turnover of staff which is a common problem in all areas of the direct support profession serving people with disabilities (Larson, S.A., Hewitt, A.S. & Lakin, K.C., 2004). STAND Together wanted to create a role-play presentation to illustrate ways to handle privacy issues, so that respect and appropriate boundaries could be demonstrated clearly to staff.

My first step in approaching this project was two-pronged. I wanted to let the STAND members train me in what they felt were the most important issues to address – they, after all, were the authorities – and we all needed to know what the law said about current legal standards of individual rights, the procedures for compliance, grievance rights, and what to do in case of violation. We began by looking at the Health-General Article 7-1001 and 7-1002 from the Annotated Code of Maryland COMAR 10.22.07. Then we brainstormed their list of personal and privacy rights.

Identification and articulation are the first steps in self-assertion. Creating an atmosphere of trust and acceptance in which participants can speak honestly and openly about their experience and their pain was paramount. As the group shouted out ideas, I wrote down all suggestions in magic marker on large pieces of paper taped to the wall. I knew all ideas would not end up in the final presentation, but all needed to be acknowledged as part of the pot of material we would pull from. Even though some members of the group could not read, my act of writing down their ideas validated them and communicated the clear message that I respected them and took them seriously. (This list of rights is included at the end of the article.)

The next step was to collect personal stories related to the violation of these rights and to generate ideas of how these negative situations could have been dealt with more kindly, respectfully, and effectively. These stories were then shaped into fictional dramatic situations which we improvised. None of the scenes that ended up in our repertoire for the training were historical re-enactments of anyone’s real-life experiences. On one level this preserved confidentiality, but on another it freed the actors to try out alternative solutions to the conflict instead of sidetracking them into a re-creation of the way events had actually transpired. We could also exaggerate a little to make a point without being untruthful. The purpose of the scenes was, after all, to help create systemic change in the attitude and behavior of employees of an organization, not for the personal therapy of STAND members.

For each scene, we came up with the “wrong” way and a “better” way to handle the situation. The scenes were kept improvisational at all times, so the parts could be taken on by different volunteers. Here’s what one of the situations might have looked like if scripted:

JULIENNE, a staff member at a group home for adults with developmental disabilities, enters the living room and sees a stack of mail on the dining room table. She walks over, leafs through the pile, picks up an envelope, opens it, and takes out a letter and form. Then she gets a pen from the desk, comes back to the table and begins filling out the form, leaving the opened envelope on the table.

EVA, one of the residents, enters the living room and looks through the stack of mail. She sees the opened envelope, which has her name and address on it. She turns to JULIENNE with the envelope in her hand and says, “Who opened my letter?”

JULIENNE: (nonchalantly) Oh, I did.

EVA: Why? My name is on the envelope! See, right here it says, “Eva Jones.”

JULIENNE: I could tell it was that form from the SSI office and I knew you’d need help filling it out, so I opened it for you.

EVA: But it belongs to me. You shouldn’t have opened it.

JULIENNE: It doesn’t matter.

EVA: Yes, it does! It was for me!

JULIENNE: I knew what was in it.

EVA: But what if you didn’t? What if it was something else?

JULIENNE: Well, it wasn’t something else. It was the re-application form.

EVA: It’s my private letter!

JULIENNE: I’m only trying to help!

EVA: But you shouldn’t have opened it! Even my mother knows not to open my mail!

JULIENNE: (throwing the letter at EVA): FINE! Do it yourself!

This scene illustrates behavior a group home staff person might consider “helpful,” but which residents would consider condescending and an invasion of privacy. It was, of course, followed by a replay in which Julienne let Eva open her own letter, asked if it was the form they had been waiting for from SSI, and allowed Eva to ask for help.

A step above and beyond using drama to advocate for yourself and for others is teaching others how to advocate for themselves. In essence, passing on the power. After all, as the old proverb says, “If you give a man a fish, he eats for a day. If you teach a man to fish, he eats for a lifetime.” Deborah J. Zuver, a registered drama therapist in North Carolina, is doing just that through self-advocacy projects she directs through the University of North Carolina Clinical Center for the Study of Development and Learning. The U.S. Administration for Children and Families has designated this site as the University Center for Excellence in Developmental Disabilities in North Carolina.

Deborah has developed a self advocacy training curriculum called Acting for Advocacy (A4A) which is part of Project STIR (Steps Toward Independence and Responsibility).This program explores topics such as Knowing Self, Communicating Effectively, Problem-Solving, Rights and Responsibilities, and Self Advocacy and Self Determination with young adults who have developmental disabilities in the state. Next Generation Acting for Advocacy, an outgrowth of A4A funded by the U.S. Administration on Developmental Disabilities (ADD), targets high school students who are making that important transition from school to work. Through workshops conducted in the schools, students learn those all-important social skills that will help them get a job and then keep it.

Shifting the Power is another program that has developed from A4A and has been funded through ADD. The whole point of Shifting the Power is passing on self-advocacy skills to others in nearby states. The North Carolina training team works with local participants who have developmental disabilities in weeklong training sessions to develop self-advocacy skills. By the end of the residency the North Carolina team has helped the newly trained advocates create a concrete, visual action plan to follow in order to incorporate more self-advocacy into their organization and begin addressing local, regional, and state disability issues.

The A4A advocacy training team consists of 4 trainers, half who have developmental disabilities themselves. They present their information primarily through dramatic enactments. First, they show planned improvised scenes (the lines are not memorized, but the actors have practiced the scenario and know where they are headed with the situation). Then Deborah, as the facilitator, will freeze the scene and engage the audience in a discussion about what happened. Sometimes the actors replay the scene based on audience suggestions. Sometimes audience members are invited up on stage to try out a new solution or re-enact one that they’ve just seen demonstrated.

Deborah says, “This kind of approach is different from trainings in which someone stands up and lectures about skills and then has the students passively listen or imitate.They can try out the skills themselves. Also, watching the enactments is like listening to a story. The information is put into context as well as action. The information is modeled by peers with developmental disabilities which makes it more real and more realistic.” (D.J. Zuver, personal communication, January 5, 2005).

In addition to using her trainers who have disabilities as actors, Deborah involves them in leading the group discussions. She has them present the power point slides which provide visual illustrations to concepts in the training. They also are able to share their personal successes, if they choose. One of the trainers is very proud of the fact that she is the first self-advocate she knows who has bought her own condo and drives her own car! This makes the trainers very viable role models and adds power and validity to the message they bring.

Deborah stresses the importance of including an emotional component in this kind of advocacy training. She says that it is often left out of many social skills and self advocacy trainings. “It’s almost like professionals think members of the DD population can’t handle their emotions, but many can. They just need practice and the opportunity and the support!” She goes on to say, “Brain research shows that emotion and memory are linked. And drama allows emotions to be expressed in a clear, contained manner.” When participants are allowed to explore their ideas and feelings in a safe environment, “They can have insights and come to new understandings.” In fact, Deborah says her favorite moments in workshops are when she “sees the ‘light bulbs’ going off over peoples’ heads when they are understanding a concept for the first time or realizing that they are capable of something that they didn’t think they could do before.” (D.J. Zuver, personal communication, January 5, 2005).

Each of these examples of drama cited above acknowledge Paolo Freire’s pedagogical philosophy of starting with the student, as well as the theatrical spirit, if not the specific methods of Augusto Boal who believed in incorporating the audience as “spectactors” into the exploration of ideas theatrically. As an oppressed minority, people with developmental disabilities lack confidence in themselves. They have been “domesticated” into being passive, dehumanized, and marginalized by the “non-disabled” members of the culture. Instead of lecturing at them and keeping them in the one-down position, through drama we can join them and dialogue with them, raising their awareness and self-esteem, providing them with the skills to break their chains of oppression, so they can see themselves as “normal,” equal, respected citizens in our community, and, as a result, take on those roles. This, then, becomes a real win-win situation. When they begin to have power over their lives, they can contribute to the diversity and strength of the community at large. The community can only be enriched when more of its members are active participants rather than passive “burdens.”

List of Privacy Rights Generated By STAND Together Members, 1998

I have a right to:

  • Choose my own activities.
  • Choose my own job.
  • Choose my own friends.
  • Make my own decisions about purchases.
  • Make my own decisions about life choices and personal style, such as hair cut, clothes and jewelry to wear.
  • Take appropriate medication that helps me function well, but doesn’t over-medicate me.
  • Ask for help and accommodations if I need them.
  • Be accepted for who I am/for myself.
  • Have my parents “let go” and allow me to grow up and become independent.
  • Speak for myself and not have other people speak for me.
  • Be talked to at my level so I can understand and to be able to ask questions without being treated impatiently or as if I’m “stupid.”
  • Be talked to as an adult, and not condescended to or talked to like I’m a baby.
  • Have people talk directly to me and not to a family member or staff person who is with me as if I wasn’t there!
  • Have my confidential information stay confidential.
  • Be disciplined by staff in private, not in front of everyone else.
  • Have privacy on the phone.
  • Not have my mail opened by staff or anyone else.
  • Have my personal space and personal living quarters respected.
  • No one should enter my room without knocking and asking permission.
  • No one should come into my room while I’m not there and rearrange things or change things without asking.
  • Have a private sex life.

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Play as a Staging Ground for Life

“To be one who plays is to be one who bravely adventures through life.”
— McKenna Hall (2009)

Introduction

Play has been seen by developmental psychologists as the work of childhood: the way children best learn, test reality, practice skills, and express themselves (Bodrova & Leong, 2007; Brown, 2009; Pelligrini & Smith, 2005; Piaget as cited in Flavel, 1963; Russ, 1993; Vygotsky, 1978; Weininger, 1979, 1988). However, once they enter formal schooling, with each passing year students are given less and less support for playing due to the accepted mainstream belief that play is not a valuable academic tool and will not be needed in their futures. The responsibilities of adulthood are not thought to require play much beyond the physical benefits that participation in sports provide. However, research shows how crucial play is as a developmental, educational, recreational, and therapeutic tool for people throughout the lifespan (Bodrova & Leong, 2007; Brown, 2009; Sawyer, 1997; Smilansky, 1968; Vygotsky, 1978; Weinninger, 1979, 1988).

As a theatre artist whose work includes playing in the rehearsal hall and on the stage, as a drama therapist who has used play to heal traumatized lives, and as a teacher of young adults who are developing social-emotional skills, I have found that dramatic play is essential for people of all ages. Play is at the root of imagination, creativity, and the ability to think and create metaphor, social connection, and healing (Brown, 2009). It is a stress-relieving activity par excellence, which regenerates and revives the weary body, mind, and spirit (Bailey, 2004, 2008; Brown, 2009). Moreover, dramatic play provides a safe haven in which players can rehearse skills and behaviors that transfer directly to performance on all of life’s stages (Bailey, 1993; Emunah & Johnson, 2009; Moreno in Fox, 1987; Sternberg & Garcia, 2000).

The Developmental Nature of Play from Infancy through Adulthood

We begin playing almost as soon as we are born, exploring our world through sensorimotor play (Piaget as cited in Flavel, 1963). Within hours of birth, babies initiate mirroring and imitating others. Between the ages of 1 ½ and 3 years all children begin to engage in dramatic play (Piaget as cited in Flavel, 1963; Weininger, 1979). This form of play becomes a major avenue through which we observe how society functions, reflect on the world around us, and practice doing what we see. Play is found in all human cultures (Pelligrini & Smith, 2005; Brown, 2009). It appears that humans are “biologically wired” to play, just as we are “biologically wired” to learn language. Dramatic play is one of our innate learning modalities (Brown, 2009; Vygotsky, 1978; Weininger 1988).

If we are lucky, we have parents and siblings who encourage our play by playing with us, scaffolding and encouraging our basic “hardwired skills.” Children who have missed opportunities to play – whether because of neglect, poverty, isolation, disabilities, or sickness – lack certain cognitive skills, socio-emotional understanding, and physical abilities (Bailey, 1993; Brown, 2009; Vygotsky, 1978). The richer a child’s play, the more connections are generated among the neurons in her brain, the more pathways are developed to connect brain regions, and the more problem-solving resources are available to her in school and in life (Brown, 2009).

In the 1930’s Russian psychologist Lev Vygotsky identified dramatic play as the leading educational tool for pre-school children (Bodrova & Leong, 2006). Vygotsky (1978) felt that dramatic play allowed children to develop crucial beginning cognitive structures that later mature into abstract reasoning. One of the outcomes of dramatic play is the creation of imagination – a symbolic state in which children can explore reality through a system of signs to learn about thinking, problem-solving, and functioning with others under the rules of society. In dramatic play these symbols are the imaginary characters and situations that are enacted. He sees dramatic play as the first move from external (sensorimotor) to internal (abstract reasoning) learning. Without dramatic play experiences, he believed, children would have difficulty coming to understand and develop social roles, the rules of behavior, cultural competence, impulse control, and the symbolic manipulation of ideas (Bodrova & Leong, 2006; Vygotsky, 1978).

Vygotsky was not the only psychologist who saw play as a central component of healthy learning and growth. Otto Weininger (1988) conceptualized imagination as the ability to pose questions and think about “what if?” (“What if I were one of King Arthur’s knights?”). He identified the ability to pretend as acting out a particular role in dramatic play: behaving “as if” one were someone else or using an object “as if” it were something else. In his model, imagination and pretend, while different processes, are intimately connected to and build on each other reciprocally.

The ability to use the “as if” does not go away with age; it continues to be a skill we can access at any time. Constantin Stanislavski taught actors using his method to develop their “as if” abilities to a fine degree (Stanislavski, 1961). Stanislavski’s acting method continues to be used by contemporary actors. “As if” can also be applied to the classroom and the workplace to assist the invention of new skills, ideas, solutions to problems, or ways of interacting with others. The “as if”(dramatic play) provides a staging ground on which “what ifs” (imagination, ideas, images, or hypotheses) can be explored.

The “as if” and “what if” involved in play do not exist in reality – they are imaginary constructs that are generated and shared between human minds in real space and time. This dynamic creates an interesting juxtaposition of real and non-real interacting simultaneously. D.W. Winnicott (1971) described play as happening in a liminal, symbolic space which he called potential space, a realm that is physical and real, but also imaginary and full of possibilities. Today Winnicott’s term potential space is referred to as transitional space (Johnson, 1999), the metaphorical place where reality transitions into imagination and both co-exist. In dramatic play, transitional space is where children can become medieval knights and slay fire-breathing dragons. In theatre it is where the actor makes the transition from himself to his character and the audience allows a “willing suspension of disbelief” to come over them in order to accept fiction as truth and enjoy the play as a temporary reflection of reality. In therapy it is where the client can heal and change by revisiting and transforming past experiences, trying on new roles, and practicing new ways of being.

The transitional space is co-created by all the participants and creates a safe space in which anything can happen. That safety is guaranteed by the good-enough mother, the good-enough teacher/director, or the good-enough therapist who facilitates the creation of the play space and ensures that whatever happens, even if it might be scary part of the time, is not ultimately traumatic and damaging. The ability to have one foot in reality and the other in an imaginary world is one of the unique abilities homo sapiens have that, so far as we know, no other living creatures with the capacity to engage in play also have (Brown, 2009).

While some forms of play are done alone, most forms of dramatic play are done in groups and, therefore, provide the opportunity to learn social skills and how to interact with others. Through the give and take of play – particularly through the complex symbolic replications of life made possible through dramatic play – we learn how to share, compromise, listen to, and respect each other. We can open up and honestly be ourselves, because we feel we will be accepted. As a result, we get to know ourselves better, we get to know our playmates deeply, and our playmates get to know us.

Dramatic Play in the College Classroom

Despite positive results identified by psychologists and educators who have researched the benefits of play in the classroom (Bodrova & Leong, 2006; Sawyer, 1997; Smilansky, 1968; Vygotsky, 1978; Weininger, 1988), dramatic play by and large has been neglected as a teaching resource in the vast majority of our elementary, secondary, and collegiate educational environments. I have always felt more comfortable presenting information in an interactive, dramatic manner, rather than in a lecture mode, and during the last ten years as I have focused on teaching college students, I have come to believe that it is not only more enjoyable for me to deliver and for students to receive instruction through dramatic play, it is also more effective. Students who learn through action and then reflect on that action are making their own discoveries, which they retain longer than facts which are presented to them already “packaged” by their professor. I have observed that students tend to learn in more depth and breadth as well: incorporating social and emotional information in addition to facts, theories, and other objective course content. This seems to me to be appropriate as the university educational mission at Kansas State University, where I teach, identifies knowledge, critical thinking, communication, diversity, academic and professional integrity, developing human potential, and enriching cultural expression as priorities for student learning outcomes (Kansas State University, 2009). One course that clearly demonstrates my observations on the value of play for preparing young adults for life is Creative Drama.

Creative Drama at Kansas State University

Each semester for the past ten years I have taught Creative Drama, a course which is open to undergraduate and graduate students across the university. The class meets twice a week for an hour and fifteen minutes. A typical class has 24 students enrolled: a combination of undergraduates in social work, biology, speech pathology, political science, psychology, business, agriculture, English, and theatre, along with graduate students in accounting, family studies, counseling, and drama therapy. Because this assortment of students is not the usual cohort of theatre and education students who take Creative Drama in order to learn how to teach it to young children, I focus the class on exploring play and creativity personally through actually engaging in play dramatically.

The course is organized into four units beginning with theatre games and improvisation, moving to storytelling, then to story drama, and ending with puppetry. The stated goals of the course include developing “students’ creative imaginations, self-expression, self-knowledge, and social relatedness” through working with others in a creative group enterprise focused on dramatic activities (Bailey, 2009a). This class has provided me with an environment in which to observe, assess, and reflect on what dramatic play has to offer young adults and to allow my students to do the same. I ask my students to focus on re-discovering how to use their imaginations, connecting with others, and collaborating to create effective improvisational dramatic experiences. While the class does not specifically focus on the potential of play to promote healing, the students report that it consistently generates personal as well as educational and aesthetic growth for them.

As the first assignment of each semester I ask students to write their definition of play. Most definitions are short and simple, ranging from “having fun” to “acting on a stage in a performance” to “playing games with friends.” They keep a daily journal about what we did in class and reflect on the activities and their experience of them critically. After spending fifteen weeks immersed in a variety of forms of dramatic play, I ask them to write a 6 to 8 page paper on what they have discovered about play through the semester. When they first receive the assignment, their reaction is usually, “How can anyone write 6 pages about play? There’s nothing to say!” But when they turn in their papers, I am always amazed at what they have discovered and articulated.

A pattern of responses has appeared over the years that mirror my own experiences in play as a child and as an adult. Students speak of common obstacles, constructed by cultural stereotypes, they had to face and overcome before they could join the play. They are able to point out which aspects of the class allowed them to do so. These structural components are safety, permission to take risks, and acceptance by the group. When these are in place, a transitional space can be created and students willingly and fully enter into the play process.

Students talk about experiencing growth in a number of areas of their lives once they have become deeply involved in play. They talk about learning more about themselves and developing relationships with others. They identify practical skills in problem solving and communication that they have learned and how they have integrated those skills into their performance in other classes, jobs, and personal relationships. They regularly report that they experience the natural healing power of play and leave class rejuvenated, refreshed, and renewed. Their insights validate for me that what I have observed is a common experience of play. Their responses, often eloquent and deep, resemble various observations made by psychologists and philosophers of play, even though my students have only been exposed to those ideas briefly. However, for these insights to be achieved, students need to be prepared in the beginning weeks of the semester to step out of their inhibited comfort zones, let go of their prejudices about play as being “childish” or “silly,” and allow their “creative juices” to flow as freely as when they were younger. Without time spent investing in the creation of an environment for play, no play will happen, or if it does, it will be half-hearted at best. In this chapter I will identify key elements that encourage the development of a play community and the impact of the class on the students. Because I have students do reflective writing via journals and papers, many students’ experiences are shared in their own words, quoted here through their permission.

Creating the Environment for Play

In order to play whole-heartedly students need to feel they are in a safe space where they can succeed, where they will be welcomed, accepted, and respected by the leader and the other participants, and where they will have the freedom to express themselves within clear boundaries so they can share their ideas without offending or being offended by others. When these criteria are achieved, a play community forms and co-creates a transitional space in which they are able to play.

The Transitional Space Must Be a Safe Space

Being college students – few of them drama majors – the types of play my students still engage in rarely incorporate dramatic play or make-believe. Recreational time tends to be devoted to partying, drinking, video games, watching entertainment, and participating in or watching sports. Motivating students to let go of their inhibitions enough so that they can play dramatically means creating a space in which they feel safe enough to trust me, and each other.

As the group leader I work hard at creating a fair and respectful framework in which students can interact with each other. I set clear parameters, laying out expectations so players know what the boundaries are for their own and for others’ behavior. For each activity I identify, not just the rules, but also the goals. For instance, if I introduce a game that relies on cooperation, I mention that as a goal that ideally should be an outcome of following the rules. This, I think, helps frame the experience for people from a culture where winning at any cost is often the unspoken value assumed for any team-based interaction.

My players acknowledge that this clear framework that supports their play creates the safety of the transitional space. Anna Beck expresses it this way:

We were given a framework, much like a picture frame, and asked to fill it in.  Sometimes, the picture frame was smaller than others (we were given more specific instructions), and other times the frame was quite large…But the fact that we were given a frame allowed the painting of a masterpiece inside. Without a frame, we would all have had different ideas of what to create and the very play itself would have become chaotic. (Bailey, 2008)

I want students to experience freedom for self-expression, but one of my basic class ground rules is to respect the others in the group and think through how your actions could affect them. Many contemporary professional improvisation groups push the boundaries of good taste and go for shock value, but these players have extensive training and have often worked as an ensemble for a long time. In my creative drama class, students are beginners learning to work together. Before we jump into improvisation, I like to say, “We can do wild and crazy things in class, but before you take a flying leap into the unknown, take a second to evaluate if you would feel comfortable doing this activity or telling this story in front of your mother or your younger sister. If they wouldn’t be offended, then you are probably not going to be embarrassed and you won’t embarrass another member of the group.”

While this request might appear to be censorship, I see it more as encouragement to take the tastes and sensitivities of others in the group into respectful consideration. On more than one occasion I have discovered from reading student journals that when really insensitive skits have been performed in class, the development process involved groupthink (Janis, 1982). One person suggested something really outrageous – like the time all the guys in a group dressed in drag and mocked homosexuals – and everyone else in the group agreed, because they did not want to appear “uncool.” Secretly they felt very uncomfortable about it, but each feared that if he or she spoke up about the discomfort, the other group members would laugh. The irony (which only I realize after the fact, because I am the only one who sees all the journals) is that only one of them – or sometimes none of them – really wanted to do it! In response, I have started explaining what groupthink is, sharing the story of the “drag episode,” and encouraging them to “say you don’t want to do this, if you really don’t want to do it.” On rare occasions when insensitivity occurs during a drama game and a student is put into an embarrassing position, I step in and gently, but firmly say, “That was inappropriate. Try something else,” or “Whoops, let’s rewind that and make a different choice.”

Without a framework held together by a trusted and trustworthy leader, players cannot feel safe and will tend to avoid crossing into the transitional space. As Anna Beck, one of my graduate students, said, “I believe there is a moment, right before we consciously decide to enter the world of play, and that moment is much like jumping off a cliff. However, a safe environment and basic structure provide a safety net, and that will allow you to jump without fear, and enjoy the feeling of flying” (Bailey, 2008).

Another student has pointed out the importance of the leader being aware of the emotional and imaginative states of the players. Derek Schneweis says, “The leader has to enter the minds of the actors and take them on a journey,” (Bailey, 2009b). If the players are not prepared to go with the leader, they will not follow; however, if the leader has prepared the players and has a good sense of the current state of their abilities, openness, and imagination, they will follow willingly. An effective leader plays along with the group of players, as opposed to controlling the group from a position as an outside manipulator.

Risking Becomes Possible in a Nonjudgmental Atmosphere

In order to feel free enough to take risks, students need to let go of their fears of others judging them negatively as well as fears of the voices of their own “inner critics.” Whenever feedback from one player to another or one group to another is necessary, I request comments to be framed constructively and supportively. I encourage the sharing first of “what works,” not only so that those on the receiving end can feel good about their performance, but also because when we are not aware of what succeeded, we often throw away what is most exciting, fresh, and valuable along with what was ineffective. Additionally, hearing positive comments first opens up the listener, so she can later take in the aspects of the scene or story that need to be worked on.

When someone is framing comments on what did not work, the use of objective observation skills and critical thinking go hand-in-hand. When a recipient of feedback is able to stand back and look at the work from a distance as a “transitional experience” that was “just pretend,” suggestions for improvement become easier to accept without defensiveness. Feedback can be offered in terms of what the character did in the scene as opposed to what the player did. Evaluations can be couched in terms of what could make the scene more effective, more expressive, or more exciting when replayed. Students can be reminded that, unlike many real life situations, in play there are many chances for “do-overs,” and because of that, players often become more open and relaxed about taking risks.

Participants need to develop an internal locus of evaluation, so they are not inhibited by external judgment from either the leader/adult/therapist/teacher or the other players. Darin Brunson says, “Ridicule is an enemy of creativity and play” (Bailey, 2008), whether it is real, imagined, or just anticipated from others. Trash-talking is not acceptable during game playing nor are put-downs or “laughter at” instead of “laughter with” the actors in response to improvisations.

Achieving an internal locus of evaluation for all the individuals in a group can be difficult in a class for which a grade must eventually be assigned. As the leader I try to put the emphasis and value on full and joyous participation, rather than on holding players to a specific level of aesthetic achievement. I find that when the pressure for “performance value” is taken off, the level of achievement often improves on its own because students feel free to take the necessary risks to excel. In short, they allow themselves to stop judging themselves and start playing. In my grading system more points go toward participation and reflection activities than on performance benchmarks.

I also ask them to list at least three personal goals to achieve during the semester, whether that be to make new friends, learn new games to use at summer camp, or simply get an A. Darin Brunson identified that maintaining a sense of individual control seems to make it possible for everyone to “hover outside their comfort zone” through their own choice (Bailey, 2008). Ironically, once players are focused on playing in the moment and not on judging themselves or others, they often effortlessly achieve artistic heights they never expected they could reach.

The Transitional Space Must Be a Place of Welcome

Players need to feel unconditional positive regard from others in the group and experience give-and-take in terms of empathic understanding (Rogers, 1954 cited in Russ, 1993). Each player must come to believe that when she joins the others, she will be accepted. “Come and play” is one of the most joyous invitations that can be extended. Unfortunately, all of us, at one time or another in our lives have experienced the isolation of being excluded from the play space or not being picked for the team. That is a lonely and sometimes traumatic experience – for anyone of any age. As Ryan Robinson (Bailey, 2008) puts it, “Those five words, ‘Do you want to play?’ can change your life….Those words represent a gift to an outsider…acceptance of their presence, a welcome gesture to be part of a group. Our life is all about making connections with others.”

The appreciation for each other quickly becomes an important aspect of the class. Comments like McKenna Hall’s “I wish I could convey to everyone how deeply I am affected by our time together this semester. I looked forward to class each and every day to hang out with our group and to learn together what it means to be an adult who truly embraces play,” are common (Bailey, 2009b).

We play different name games for at least three or four periods in the beginning of the semester until everyone has a good grasp of everyone else’s name. This is not a small thing for a class that ranges in size from 20 to 26, but it is crucial in order for individuals to feel as if they belong within the group. To be seen and accepted as a valuable, named contributor starts connections that grow. Many students have told me that Creative Drama is the only course they have had in four years of college where they knew the name of every person in the room and where, in turn, the professor knew their names.

In addition I make sure that everyone has worked with everyone else at least once during the first unit by randomly dividing into smaller working groups for each activity. This facilitates the learning of names and allows each person an opportunity to personally interact with as many of the others as possible. The more social connections that are made, the more known and the safer each person tends to feel. By the time we start the storytelling unit, students feel as if they are part of a community.

Avoiding competition with a group of players beginning to develop a playing relationship also creates a safer, more accepting play space. I start with co-operative team building games and improvisations whether I am working with a theatre class, therapy group, or theatrical troupe. If I introduce competition at all, it is in small doses and long after the group has become a cohesive whole. This, along with the emphasis on learning names early and the small group mixing method, ensures that by the time several weeks have passed, no one is a stranger; everyone has become each others’ playmates.

Student Learning Outcomes that Result from Play in the Classroom

Students’ participation in a semester of play teaches objective content, such as Aristotle’s six elements of drama, the theories of play as a sociological and psychological construct, how to prepare and tell a story, the theatrical skills required for improvisation, and a variety of methods for constructing puppets. These outcomes result in specific dramatic skills, which can be utilized in their professional and personal lives. Students also develop larger, more general outcomes targeted by the university, such as enhanced critical thinking, improved communication, wider awareness of diversity, expanded human potential, enriched cultural expression, and academic and professional integrity. These outcomes have been targeted as desirable for all university courses to address. In terms of the Creative Drama course, I believe the achievement of these wider outcomes ultimately focuses on the development of a deeper understanding and appreciation of self and a wider range of social and emotional skills for use when interacting within a community.

Learning about the self

Play helps the player learn about herself and develop her own identity. As one succeeds in a group and has contributions accepted and valued, confidence and self-esteem rise; fears abate. New ideas, roles, and abilities can be experimented with and extended. Darin Brunson says it is “ok to take chances and sometimes even completely flop” (Bailey, 2008). The group and the leader are there for support and encouragement.

Within the structure of a game, “winning” and “losing” is temporary. One game ends and the next begins. Rachel Massoth reported, “I never remembered who the winners and losers were, I just remembered different parts of the game, and the creativeness of the people involved” (Bailey, 2004). Your position can change from leader to follower or from loser to winner, even within successive rounds of the same game, providing the opportunity to experience a variety of roles and expand the repertoire of roles available for you to play in life. While making improvisational scenes, situations can be replayed in different ways or roles can be reversed in order to experience the other character’s point of view, extending and expanding point of view and empathy. When this is done, new insights result.

Developing problem-solving skills

Problem-solving skills are enhanced in play, in part because of the symbolic capacities of the form. Divergent thinking skills, which are typically not practiced frequently in traditional schooling, can be re-learned and with them intrinsic motivation for problem-solving can be re-ignited. Any object one plays with can be used metaphorically “as if” another and any situation can be explored through “what if.” Within the realm of the imagination, a variety of choices can be played with safely, and therefore, the potential consequences of those choices can be experienced and evaluated in the “laboratory setting” of the classroom before being tried out in the “real world” where those consequences might be harmful and irreversible. Ashley Gibbs expressed her insights into this process in this way:

Not only does play enable people to use their real life experiences to organize concepts of how the world really operates; through play one can see how new experiences are related to previous learning. Much of what we learn cannot be taught directly (as in many of the lectured college classes), but must be put together in our own way through our experiences. We all understand that feeling of “ah-ha!” when we finally understand something. By using play to learn new things, we are more likely to have that feeling…(Bailey, 2009b)

Play provides emotional and intellectual distance so that difficult issues can be experienced and experimented with. Much of play is done within a distancing structure of some kind. Rules of behavior that are followed within a game apply to everyone and create a level playing field in which skills can be tested without risking actual loss of status, money, or life. Fictional characters that are played out within dramatized scenes under the guise of “just pretend,” allow players to put themselves into the shoes of people very similar or very unlike themselves. Even improvising a situation one might actually experience is within a protected, distanced structure, because the improviser knows she is in a scene. When the scene is over, each improviser leaves the “transitional reality” of the scene and goes back to being herself within the larger group.

Developing self confidence

The confidence that develops through playing is a key element in the ability of players to become performers whether on the transitional space of the theatrical stage or in the real world. Playing with others in a group allows one to be seen as an active agent and valid contributor. At first some shy or unconfident students may feel shame or embarrassment at being “seen” in the group. In the beginning they experience stage fright and worry that they will not be “good enough,” but as they experience success through the play process, their ability to enjoy standing out in the group grows. Gretchen Hammes, a graduate accounting student, reported, “When we first started the class, I was afraid to even speak out in front of the class and by the time my group performed “The Three Billy Goats Gruff” [in the story drama unit], I was wearing faux horns and grazing on the stage” (Bailey, 2003).

Laura Taylor reported:

This class has let me discover ways to feel safe havens by completely opening up…not only being honest to myself, but with my classmates as well! My “secret space” in which I can be safely alone and give myself over to needed fantasies and adapt to the challenging world is right here in this very classroom where judgment, vulnerability, and self consciousness is left at the door when you walk in! It has allowed me to discover…a sense of trust and well being that would allow play to emerge….The ability to play is in all of us and transformative when it’s rediscovered! Free yourself of fear! (Bailey, 2009b)

Feeling free enough to be oneself with others because one feels accepted is an example of what Humanistic psychologist Carl Rogers called “unconditional positive regard” (Rogers as cited in Russ, 1993). Rogers felt it was necessary for each human to experience unconditional positive regard in order to feel loved and to be able to grow and thrive in relationships (Rogers, 1970). This leads us naturally to a discussion about the self in relationship with others, which requires the development of social and emotional skills.

Social and Emotional Skills

Developing relationships through play

Dramatic play is done in groups and, therefore, provides the opportunity to teach social skills and how to interact with others. In order to care about learning social skills, one has to care about developing a positive relationship with the others with whom one interacts. In a cohesive, trusting group we can open up and honestly be ourselves. As a result, we get to know our playmates deeply and they get to know us. Amanda Hoffman expressed her understanding of how play and relationships are connected through the following analysis:

Play is a process acted out through relationships. This process builds new ones and strengthens the ones already in place….I believe, if people took more time to play and build relationships, many of the problems and miscommunications we have within our world would not be so strained and serious. Playing would allow people to break down their fears and struggles and relax more. Playing would allow people to express their true personalities and not be so afraid of speaking out or taking a stand. Play would unite people together because we would not be so afraid of what people would think about us. This would improve society in so many ways – one of the most important, I believe, would be in respecting diversity. (Bailey, 2004)

Stuart Brown (2009), a psychiatrist and clinical researcher, sees this connection between play and relationships as well. He says, “Play modulates deep psychological fears and insecurities that threaten emotional closeness” (p. 163). He believes that long term friendships and romantic relationships develop from and are sustained through play. The flexibility, joy, and spontaneity that play creates keep interactions interesting and smoothes out conflicts that inevitably occur when two or more people are together.

Stress relief

Play helps release tension and promotes relaxation. Putting aside the everyday grind and pressures to focus on an intense, enjoyable, short-term goal with others gives players a break from the vicissitudes of daily life and allows them to think more clearly when they go back to work. Student players remark quite often that dramatic play is a welcome break from their academic burdens and learn that when they are stressed, taking a “play break” can actually help.

I used to not deal with stress very well.…Now when I have a huge project come up, I have learned that stressing and worrying about it will not get the project or paper written any sooner….I have also found out that the less time you stress about a situation, the more clear your mind, which in turn makes it easier to come up with ideas. Since I have learned how to de-stress myself [through play], it has cut the amount of time it takes me to do my school work. I no longer have to stay up until the wee hours of the morning. I am getting better nights of sleep, and I’m becoming more productive in my other classes…people ask me how I’m able to accomplish so much when I have a lot going on. I tell them that when I find I am starting to stress, I take a break or go play. (Bailey, 2004)

Adam Hamor concurs, “…play can help focus a person or group. When I stress over an assignment, taking a break to play or be creative helps a lot to re-focus my attention on what needs to be done”(Bailey, 2004). Functioning effectively or fully when stressed is difficult; play breaks or playful approaches to work and interactions allows ideas, communication, and energy to flow freely within an individual’s system as well as within a social system.

Social support

Even in the worst of times, approaching life with an attitude of playfulness can make a major difference in a person’s ability to handle the stresses and struggles of life. One fall, early in the semester, while driving home for the weekend, Amy Bosomworth was pushed off the road by another vehicle. Her car rolled four times and she broke the second vertebrae in her neck. As she says, “It was a miracle that let me walk away from that accident. Looking at pictures of the car now, I can’t believe how lucky I am to have survived” (Bailey, 2004). She was in a lot of pain and spent several weeks in bed. She says that even when she could not sit up longer than a half an hour, “I wanted to be in Creative Drama, I wanted to listen to the stories and remember how fun it was to be active.” She practiced her story for her dog and “played with him as a recovery tool.”

Returning to school was far more challenging than she had imagined due to pain, physical limitations, missed lessons, and fear of failure. “Some people were mean and others were exaggeratedly nice. I was the same person – why was I suddenly feeling like I would never fit in again? But I hadn’t been to Creative Drama yet….my classmates showed me that it is okay to make fun of myself. Laughing is really one of the best medicines, and laughing happens when you are playing” (Bailey, 2004).

Her story drama group always found something she could do in each story that would not hurt too much and frequently incorporated humor that played with her situation. For their scary Halloween story drama she decided that she would go Trick or Treating as a crash test dummy.  “Without the ability to make fun of myself and play, I would have been a wreck – a sad, lonely, cranky mess of a human being. The ability of playing gave me the opportunity to feel as if I could live again, even with a collar around my neck, cast around my hand, weeks of home-work to make up, and people who stare and ask too many personal questions. My opinion of play changed from “adults don’t have time for it,” to “adults better find time for it – everyday!” (Bailey, 2004)

Human beings are social animals. We crave the support and encouragement of our kind. There is no doubt in my mind, after reading about Amy’s experience, that the social support the other members of the class offered made all the difference in the world to her ability to heal emotionally and physically from her accident. Without it, she might not have made it out of her bed by the end of the semester and quite possibly may have fallen into a deep depression.

Play: The Perfect Rehearsal

As one student articulately put it, “Play is cross-training for adult life,” in terms of physical, mental, and emotional education (Bailey, 2004). What is learned in play at any age can be put into practice at school, at work, at home, and in the community. The skills learned through the process of play are then transformed into the product of performance outside of the transitional play space in the real world in real time.

Creative drama is an approved professional elective for Communication Science Disorders majors at Kansas State University because dramatic play skills can be directly applied to future speech therapy clients. Nothing is more motivating for a child – or for any of us – than play. Clients will practice a skill that is fun many more times than they will one that is boring. They will pay attention to information that is novel and presented in a way that appeals to their imagination. Quite a few Communication Science Disorders majors have echoed this CSD student when she reported, “Many children with speech impairments are not very confident or outgoing in their attempts to make friends or just in being themselves. This reminds me of myself at the beginning of the semester quite a bit and I think a little bit of play in their lives prior to the speech therapy could increase their confidence and give their personality a boost as well”(Bailey, 2008).

Creative drama is also an approved elective for graduate accounting students in the College of Business and for students in the Leadership Studies minor. Skills developed in playing are immediately applicable to brainstorming in a corporate environment and to developing teams that can work effectively, respectfully, and creatively together in the workplace. Students who have interviewed for summer internships in a number of accounting firms in Kansas City have told me that when they report to certain potential employers that they have taken Creative Drama at K-State, they are seen as having an advantage, because they have already developed into team players who can creatively think outside of the box and bring a positive attitude into the office.

Even the ability to get a job can be enhanced through the confidence and skills taught through play. Ryan Young, a graduate accounting student, was, by his own admission, shy and introverted. His first experience of interviewing for summer internships in the recruiting done on campus by CPA firms each October was not successful. He felt awkward meeting new people and portraying his personality in a favorable light. He believed that because he held back, he was not offered a position (Bailey, 2004). However, after taking Creative Drama, he reported that he had learned how to confidently and genuinely encounter other people. So when he went to the recruiting day the next year, he says, “After attending several social events that the CPA firms hosted, I knew that Creative Drama had made a difference. I actually enjoyed meeting the different people from the firms and felt that they were mutually interested in me. I was much more relaxed, less shy, and more out-going around all of these strangers. I was invited to four different CPA firms to have an office interview. By the end of the process, I had two offers to choose from….By being able to better understand play, I believe that I was able to obtain a full time position” (Bailey, 2004).  Ryan’s employment saga may or may not have related to his personal growth in the Creative Drama class, we have no way to know for certain; however, what is significant is that he was able to identify what was different about his approach to his job interviews pre- and post-class and where he learned those skills.

Conclusion

Just as preschoolers find dramatic play to be an emotionally supportive, natural vehicle for learning, college students also thrive when they are presented curricular material through play. Any educator, administrator, or non-playing individual of any age who suggests that play belongs only to childhood because it has been replaced by “higher, abstract thinking abilities” of the formal operations period is ignoring basic learning theory from developmental psychology. Gardner (1991) makes a strong case in The Unschooled Mind that learning modes from sensorimotor, pre-operational, and operational stages of cognitive growth are not extinguished as we age, but are merely overlaid and enhanced by newly developed cognitive abilities. Students never stop using earlier learning modes, even if teachers neglect to employ them.

Growing older does not negate the need to explore the world through dramatic play’s “as if” and “what if.” If anything, the creativity demanded by the workplace of the 21st century requires these abilities even more. Daniel Pink, author of A Whole New Mind (2006), identifies play, story, empathy, design, symphony (i.e., the ability to work harmoniously with others), and meaning as the six senses that all workers will need in order to succeed in business in the Conceptual Age we have entered. The brave new world of enterprise requires workers to incorporate high tech, high touch, and high concept in order to stand above the crowd.

Play encourages participants to connect pro-actively with others, engage in the team concept, and perform at a high level. In a play community all play their parts as effectively as they can for the enjoyment and betterment of themselves and the group. Shy, awkward individuals are challenged in a nurturing, supportive way to step beyond their self-limiting boundaries into new, freer, more powerful identities. Everyone wins.

Stuart Brown, founder of the National Institute for Play, says, “I sometimes compare play to oxygen – it’s all around us, yet goes mostly unnoticed or unappreciated until it is missing” (Brown, 2009, p. 6). People of all ages must be made aware of the need to incorporate play into their jobs and relationships daily. This will ensure their ability to continue to learn and grow, to make healthy connections with others, to release their stresses and worries, and to continue to be mentally and physically healthy adults.

Perhaps my favorite student quote about play and the doors it can open for everyone who participates in it comes from Ryan Robinson. He says, “Play is the freedom to live your dreams in consciousness…in play we can make our dreams come true” (Bailey, 2008). Play into performance; imagination into reality; all we have to do is trust in the process, believe in our innate creative abilities, and we can manifest the imaginative process into aesthetic and practical products.

References

Bailey, S. D. (1993). Wings to fly: Bringing theatre arts to students with special needs. Rockville, MD.

Bailey, S.D. (2009a). Creative Drama. Unpublished class syllabus, Department of Communication Studies, Theatre and Dance, Kansas State University, Manhattan, KS.

Bailey, S.D. (2009b). [Citations from course papers]. Unpublished raw data.

Bailey, S.D. (2008). [Citations from course papers]. Unpublished raw data.

Bailey, S.D. (2004). [Citations from course papers]. Unpublished raw data.

Bailey, S.D. (2003). [Citations from course papers]. Unpublished raw data.

Bodrova, E. & Leong, D.L. (2007). Tools of the mind: The Vygotskian approach to early childhood education, 2nd ed. New York, NY: Prentice Hall.

Brown, S. (2009). Play: How it shapes the brain, opens the imagination, and invigorates the soul. New York, NY: Penguin Group.

Cary, B. (2008, Sept. 15). Training young brains to behave. The New York Times.

Emunah, R., & Johnson, D. R. (Eds.). (2009). Current approaches in drama therapy, 2nd edSpringfield, IL: Charles C. Thomas Publisher.

Flavel, J.H. (1963). The developmental psychology of Jean Piaget. New York, NY: D. Van Nostrand Company.

Fox, J. (Ed.). (1987). The essential Moreno. New York, NY: Springer Publishing.

Gardner, H. (1991). The unschooled mind: How children think and how schools should teach. New York, NY: Basic Books.

Janis, I.L. (1982). Groupthink: Psychological studies of policy decisions and fiascos. Boston, MA: Cengage.

Johnson, D.R. (1999). Essays on the creative arts therapies: Imaging the birth of a profession. Springfield, IL: Charles C. Thomas Publisher.

Kansas State University, Manhattan, Kansas, About the university: Mission statementRetrieved December 31, 2009 from the Kansas State University Web site: http://catalog.k-state.edu/content.php?catoid=13&navoid=1403.

Pelligrini, A.D., & Smith, P.K. (2005). The nature of play: Great apes and humans. New York, NY: Guilford Press.

Pink, D.H. (2006). A whole new mind: Why right-brainers will rule the future. New York, NY: Riverhead Books.

Rogers, C. (1970). On encounter groups. New York, NY: Harper and Row, 1970.

Russ, S.W. (1993). Affect and creativity: The role of affect and play in the creative process. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.

Sawyer, R.K. (1997). Pretend play as improvisation. Mahway, NJ: Lawrence Erlbaum Associates, Inc.

Smilansky, S. (1968). The effects of sociodramatic play on disadvantaged preschool children. New York, NY: Wiley & Sons.

Stanislavski, C. (1961). Creating a role. New York, NY: Theatre Arts Books.

Sternberg, P., & Garcia, A. (2000). Sociodrama: Who’s in Your Shoes? 2nd ed., Westport, CT: Praeger.

Vygotsky, L. (1978). Mind in society: The development of higher psychological processes. Cambridge, MA: Harvard University Press.

Weininger, O. (1979). Play and education: The basic tool for early childhood learning. Springfield, IL: Charles C. Thomas Publisher.

Weininger, O. (1988). “What If” and “As If”: Imagination and pretend play in early childhood.

In K. Egan & D. Nadaner, (Eds.), Imagination and education. New York, NY: Teacher’s College Press, Columbia University, 141-52.

Winnicott, D.W. (1971). Playing and reality. London: Routledge.

What is Drama Therapy?

Drama therapy applies techniques from theatre to the process of psychotherapeutic healing. Beginning in the early 20th-century drama was used by occupational therapists in hospitals and by social workers in community programs to teach clients social and emotional skills through performing in plays.  Later in the 70s, these techniques were integrated with improvisation and process drama methods as the field emerged as a separate profession.

The focus in drama therapy is on helping individuals grow and heal by taking on and practicing new roles, creating new stories, and rehearsing new behaviors which can later be implemented in real life. Drama therapists have extended their applications beyond clinical contexts to enrich the lives of at-risk individuals, prevent problems, and enhance wellness of healthy people. 

Drama and therapy have been natural partners for at least the last 350 centuries. Archeological evidence suggests that early humans began to make art – paintings, sculpture, music, dance, and drama – between 45,000 and 35,000 years ago at the same time they became capable of symbolic, metaphoric thought. From those early times, drama was incorporated into healing, religion, and the communication of culture from one generation to the next. That the arts have been connected to healing and meaning-making since their origins, shows how vitally important they are to health and civilization. In fact, research by Gene Cohen et al. (2005), James Pennebaker (1995), Helga and Tony Noice et al. (1999, 2004, 2008), and others are proving that participation in drama and the other arts enhances physical and mental health.

Drama and psychology are both the study of human behavior: you could say they are two sides of the same coin. Psychologist Philip Zimbardo, author of The Lucifer Effect, acknowledges this when he says, “Drama, psychology, and therapy share a basic goal of trying to find what is essential about human nature and try to use that knowledge to improve the quality of individual and collective life.  When drama is good, it transmits knowledge about what is essential about people and between people” (Zimbardo, 1986).  Psychology studies thoughts, emotions, and behavior; drama actively analyzes and presents the thoughts, emotions and behavior of characters for an audience to see and understand. Much of dramatic literature addresses the psychological, social, and cultural conditions of humanity and, thus, serves as a natural vehicle for actually helping real people more consciously address their problems.

Just as psychotherapy uses talking to treat clients who have difficulties with their thoughts, emotions and behavior, drama therapy uses informal drama processes (games, improvisation, storytelling, role play) and products (puppets, masks, plays/performances) to help clients understand their thoughts and emotions better or to improve their behavior. However, unlike most types of therapy which rely purely on talking, drama therapy relies on taking action. This creates for the client an embodied, concrete experience of the issues being explored, making them easier to understand and change.

Because there are so many forms that drama, drama therapy is a very broad field, including many different approaches and techniques. This allows the drama therapist to intentionally adjust to the right emotional distance needed by the client, based on the client’s goals and needs in the moment. The metaphor I like to use is to say there is a big “Drama Therapy Pie,” which can be cut into many smaller slices. The slices of the pie below represent only a few of the more well-known drama therapy approaches in order to provide a general idea of the variety available; it is not exhaustive.

Within the pie are two different directional continuums. The up to down continuum ranges from fictional enactments to ones which are more true-to-life. Fictional work (drama games, improvisation, role play, Sociodrama, Developmental Transformations, rituals, masks, puppets, and some types of performance) allows clients to pretend to be characters different from themselves. This can expand their role repertoires (the number of types of roles that can be accessed for use in real life) or can allow clients to explore a similar role to those they usually play under the guise of “not-me-but-someone-like-me.” Non-fictional work (Psychodrama, Playback Theatre, Theatre of the Oppressed, ethnodrama, and autobiographical performance) allow clients to explore their lives directly. Clients need to have good ego strength to be able to do non-fiction work.

The left to right continuum ranges from presentational enactments (presented for an audience) to process-oriented ones (done just for the group). Methods like Playback Theatre, Theatre of the Oppressed, and the performance of plays are presentation, while methods like drama games, improvisation, role play, Developmental Transformations, Sociodrama, and Psychodrama are process-oriented. Other methods, such as puppets, masks, rituals, can be used as part of performance or as process techniques within a therapy session.

Imagine that underneath the pie is a plate. That plate represents Renee Emunah’s Five Phase Model of Drama Therapy (1994), which guides the growth and process of a drama group from the time they start as complete strangers to the time they end their work together. Different phases pull activities from different slices of the pie.

Drama therapy is primarily conducted in groups, although there are practitioners who use it in individual, couples, or family practice. Drama therapy can be found in a wide variety of settings, used with many kinds of clients. Most clients who benefit from talk therapy can benefit from drama therapy and some populations who have difficulty verbalizing, like individuals with autistic spectrum disorders or people recovering from trauma respond well to drama therapy, too.

For some populations, the action methods of drama therapy are more effective. Recovering substance abusers are notorious for being disconnected from their feelings, for making up endless excuses (called rationalizations) for their behavior, and for “being in denial” about their addiction and addictive behaviors. Drama therapy bypasses the excuses and denial, getting right to the maladaptive behavior. Other types of groups — for instance, nonverbal clients or children – who aren’t good candidates for verbal therapy – can often participate successfully in drama, because they can show, rather than tell, how they feel.

Depending on the goals and needs of the client, the drama therapist chooses a method (or several) that will achieve the desired combination of understanding, emotional release, and learning of new behavior. 

See Key Principles and Applications for more.

© Copyright Sally D. Bailey, Registered Drama Therapist. All Rights Reserved.

Social & Recreational Settings

Campers and Drama Therapy students play with a parachute at Super Summer Camp, Kansas State University.
Campers and Drama Therapy students play with a parachute at Super Summer Camp, Kansas State University.

One of my first drama therapy jobs was to create an arts access program for children with special needs at a non-profit community arts center in suburban Maryland. I integrated students with disabilities into regular drama classes and productions by helping teachers identify ways to make adaptations and accommodations that leveled the playing field. I created programming in special education classrooms for teaching social skills, self-expression, or an aspect of the curriculum. Theatre companies comprised of adolescent actors with and without disabilities created original plays dramatizing their own ideas. Some of this work could be categorized as educational drama, some as therapeutic drama, some as drama therapy, some mixed them all together.

The performing troupes were originally designed to be venues for disabled actors to explore issues of difference and to provide awareness education to non-disabled audiences. However, my actors had different ideas. They told me right off that they were sick of thinking about their disabilities because they had to deal with them “24-7.” They wanted to explore issues that were universal to adolescents like rebellion, responsibility, growing up, falling in love, being rejected, friendship and family. We created many plays together through improvisation. Each play became a metaphor for exploring their struggles, allowing them to fictionally explore and express their concerns, hopes, and dreams. Each rehearsal process became a laboratory for the development of better social skills, flexibility, responsibility, self-discipline, communication abilities, and the development of higher self-esteem.

Making Connections, a play about a video dating service, provided opportunities to explore appropriate dating behavior, first impressions, and unfair assumptions. During our improvisations, we explored all the WRONG ways to behave on a date and all the right ways. We practiced what information is appropriate to reveal to someone you just met and what is inappropriate. We role-played anxious, overprotective parents waiting for their daughter to come home from a date and laid-back, gentle ones. In the play that resulted, one couple arranges to go on a date based on viewing each other’s video interviews, but the girl doesn’t reveal that she uses a wheelchair until they meet outside the restaurant. She wants to be chosen for her personality, not rejected on the basis of her disability. Her date has to get past his expectations of what he thought she would be like. Another girl chooses a guy who, unbeknownst to her, turns out to be a foot shorter than she is. At first, she is horrified, but later learns that he’s a wonderful person, no matter what his height.

Making Connections was later turned into an educational video for the purpose of modeling social and dating behavior to young people with disabilities and their parents. It won Honorable Mention in several video/film competitions, was shown on WETA, the PBS station in Washington, DC, and for many years was marketed by Choices, Inc., a non-profit that sponsors educational videos for people with developmental disabilities. In the course of this adventure, the actors got to “film on location” and learned about acting “in the movies.” They had a chance to share their ideas and what they learned during our rehearsal process with a much larger audience. Self-esteem sky-rocketed when people who saw them on TV came up to tell them how wonderful their “movie” was and to ask for their autographs!

Parents report that the dramatic experiences their young people had in our performing companies helped them develop a greater level of independence, responsibility, and self-discipline than their peers who didn’t participate in drama. Most of my former actors are now middle-aged adults holding down full-time jobs and living independently in apartments. One job coach at a school-to-work transition program confided he could always tell which of his clients had been actors of mine: they had more self-confidence, better communication skills, and the self-discipline necessary for succeeding in the world of work.

© Copyright Sally D. Bailey, Registered Drama Therapist. All Rights Reserved.