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Wednesday 16 July 2008

Therapy, education and therapeutic education

I have just reviewed a book on "therapeutic education" (http://escalate.ac.uk/4752) which raises issues. The authors mean positive pupil-centred education which is non-conflictual: since the book's educational focus is a special school, this is described as 'healing', hence therapeutic. It is defended through reference to therapists such as Maslow and Rogers. Of course, the authors are describing 'good', motivating and positive education per se and the work 'therapeutic' is a misnomer. A therapist will have had substantial education and training to develop a knowledge and expertise to contribute to health care and child development. A speech and language therapist for example helps children with communication difficulties. Teachers and educational professionals who are untrained in these fields cannot replicate their work. Equally a talking therapist (a psychologist, psycho-analyst or counsellor) work with particular insights and skills which the untrained cannot hope to match.
However, there are few therapists on the ground and their time and involvement is expensive. They therefore can only deal with acute cases. In practice, pupils are referred and join the waiting list. There are general things that teachers can do to help children with non-acute developmental delay or with emotional and behaviour difficulties which are not severe. Indeed this helps the therapist because some ground has been covered and acute cases better identified - there will be some pupils who make progress and don't need to be referred. Although we might call this 'good' education, based on positive relationships, teachers and others do need both training and consciousness raising to change practice.
For example, behaviourist rewards and punishments are often a school's only strategy to deal with challenging attitudes and behaviour. This aims at submission rather than personal growth and actually doesn't work. Punishments escalate to exclusion when the problem gets passed on to others and the pupil remains stuck. Education should be 'healing' in a broad sense, and promote personal growth. This is main focus for the training needed - a simple message to understand but more difficult to put into practice routinely.

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