Dr. Hope Elkins, Ph.D. 1. WHAT IS BIBLIOTHERAPY? Stated most simply, Bibliotherapy is the use of books for
healing (biblio=book; therapy=healing). The notion that the
reading of books can help people solve their problems is not
at all new; indeed, books have long been considered a kind
of "medicine" for the mind. The fundamental theory behind
this concept is that guided reading of carefully selected
literature can help readers gain insight into their own
problems and thereby modify their attitudes and
behaviors. 2. WHY SHOULD EDUCATORS, ESPECIALLY READING TEACHERS,
KNOW ABOUT BIBLIOTHERAPY? Bibliotherapy is emerging as a discipline in the reading
field, judging by the increasing numbers of educational
journal articles written about it and by the exponential
growth in children's and young adult books dealing with sp
jecific issues (AIDs, divorce, substance abuse, mental
illness, etc.) In Young Adult Literature (YAL), these types
of stories are called "realistic modern fiction" or "problem
novels." Recent surveys also indicate increased interest in
bibliotherapy on the part of clinicians and
educators. 2. WHO "INVENTED" BIBLIOTHERAPY? No one person or institution can be credited with the
concept of bibliotherapy. Although the term has been around for over 80 years, it
did not begin making its appearance in print until articles
by Samuel McChord Crothers and G.O. Ireland were published
in 1916 and 1930, respectively b. In this era, bibliotherapy
was also called "therapeutic reading," and it was later
called "bibliocounseling" as well. Systematic use of books to treat clinical problems,
including emotional ones, is relatively recent. The American Library Association (ALA) was one of the
first professional organizations to actively promote
bibliotherapy through its creation of hospital and other
institutional libraries in the early 20th Century. Drs. Karl
and William Menninger conducted clinical research studies on
the effectiveness of this "book healing" in their five-year
study in the 1930's (Menninger, 1937). The Menningers'
interest encouraged many similar studies over the next
several decades, most notably those of Shrodes (1949),
Russell (1970), Jalongo (1983) and Pardeck and Pardeck
(1987, 1993). Note: More will be said about bibliotherapy
research findings later in this article. 3. WHAT, EXACTLY, IS BIBLIOTHERAPY SUPPOSED TO
DO? In bibliotherapy, books are seen as powerful tools with
which to guide readers' thinking, particularly in the case
of children and young adults, but not excluding adults
themselves. Historically, literature was thought to help
"mold" the minds of the young and children's and young adult
stories routinely had a moral lesson behind them. The newer
emphasis in literature for children and teens is on using
books and stories to help young people think about, cope
with, and solve their own problems. In the Dictionary of Education, bibliotherapy's goal
is: "to influence total development, (through a) process
of interaction between the reader and literature which is
used for personality assessment, adjustment, growth,
clinical and mental or psychological ills of the
mind." That's a very ambitious list. How can reading a book
possibly begin to accomplish any or all of that? Read
on! 4. HOW CAN BIBLIOTHERAPY HELP THE READER SOLVE
PERSONAL PROBLEMS? Bibliotherapy is supported by psychology's theory of
personality development, which says, in part, that an
individual's perceptions are shaped by his/her
interpretations of life events. These subjective
interpretations influence the choices the individual makes.
Altering an individual's perceptions can alter or at least
influence behavior (Adler, 1930; Dinkmeyer, Pew, and
Dinkmeyer, 1979). This is called AFFECTIVE LEARNING. Self-development has three interdependent stages which
are associated with the interactive bibliotherapeutic
process (Shrodes, 1949). These stages can be viewed as
steps, all of which must occur in specific sequence during
effective bibliotherapy (Cornett, Cornett, 1980). 5. WHAT ARE THE STEPS, or STAGES, IN THE
BIBLIOTHERAPEUTIC PROCESS? Shrodes identifies these three steps as: * Identification IDENTIFICATION occurs when the reader associates
him or herself with a character and/or situation in a book.
Obviously, this points to the importance of the book itself,
it's themes and characters. Ideally, students are "matched"
with a book based on their needs. (A youngster whose parent
has just been diagnosed with cancer might be given a novel
featuring a young character in a similar situation.) It
isn't as simple as matching student and theme, however; the
book must also have literary merit. In other words, is the
story told realistically with believable characters and plot
development? A poorly written work is one that contains
stereotypical characters, inconsistent plots and is
unsatisfactory in other ways (ERIC Digest,
"Bibliotherapy."). Another consideration is the reading
level at which the book is written. Does the reader have the
decoding, comprehension and vocabulary skills to read the
book successfully? CATHARSIS, the second step of the
bibliotherapeutic p rocess, occurs when the reader
experiences an emotional release (expressed verbally or
nonverbally) just as the character he/she identifies with
does the same after working through the problem. Cianciolo
asserts that literature can have the effect of purging or
purifying readers' emotions after they are emotionally
involved (Cianciolo, 1965). INSIGHT is the ability of the reader to reach a
better understanding of his or her own situation following
identifiction and catharsis. The reader may be able to see
the motivations behind his or her actions, and/or to see new
ways he or she can address his or her own problems in order
to resolve them. This insight is a means of giving control
to a reader: control over situations and control over the
outcomes of these situations (Baruth and Phillips, 1976).
Cornett (1989) views this insight as "maturation from a
sense of helpless submission to that of hopeful
objectivity." 6. CAN YOUNG CHILDREN REALLY GO THROUGH ALL THESE
STEPS DURING THE READING OF A BOOK? The you nger the child, the more guidance may be
required on the bibliotherapist's part. One basic difference
is that the book may have to be read aloud to the child. On
the other hand, bibliotherapy can take place with older
students with a read-aloud format as well. Book
illustrations can greatly facilitate the bibliotherapeutic
process with young children (Whipple, 1969). Other book
criteria may be critical as well, such as surprise elements
to create suspense and sustain interest (Gillaspie, Connor,
1975). It is important that the reading process be an
interactive one, through which the reader responds to the
book and receives feedback from the teacher, counselor, or
clinician. Book responses can be solicited through
individual and group discussion and/or writing (as in
journal entries) and artwork. 7. DOES THIS MEAN THE "BIBLIOTHERAPIST" NEEDS TO BE A
MENTAL HEALTH PROFESSIONAL? While there are those who would argue that certain
professionals may have better training than others for
guiding students through the bibliotherapeutic process, the
key qualities for conducting bibliotherapy are certainly not
limited to mental health professionals. Generally speaking,
teachers who know their students well and are emotionally
stable themselves are in a good position to use books
bibliotherapeutically during whole-group classroom teaching
or one-on-one with o students. Naturally this person must
have read widely in children's and/or young adult literature
in order to make or recommend appropriate books. Additional
important qualities include good listening skills, the
ability to empathize without moralizing, and other
rapport-building abilities. Basically, the procedures involved in doing bibliotherapy
are to: introduce the book so as to motivate the reader(s);
provide reading time and support; allow for "thinking" time;
provide follow-up discussion time; and conduct evaluation of
the experience. Exactly WHO conducts bibliotherapy is
a function, in large part, of the r therapy's ultimate goal
or goals. 8. WHEN SHOULD BIBLIOTHERAPY BE USED? Bibliotherapy can have one or more than one
objective, from developing a reader's self-concept and
increasing his/her awareness and understanding of a problem
to actually changing or modifying the reader's attitudes
and/or behaviors. According to Russell and Shrodes (1950)
and Cianciolo (1965), there are two ways that literature can
be used for bibliotherapy. In PREVENTIVE
BIBLIOTHERAPY, the reader learns new strategies for
problem-solving as book characters seek solutions to their
problems. This gives the reader new approaches to dealing
with later problems h/she encounters. The more commonly
discussed purpose is when readers attempt to solve actual
problems when reading about characters with similar
ones. Research indicates that bibliotherapy is best used
adjunctively when a child or teen has serious psychological
problems; that is, as a "side" therapy to other therapies
administered by appropriately trained personnel,. These
therapies might include individual, family, or group
psychotherapy and/or pharmacological interventions.
Three types of bibliotherapy have been
distinguished by Lindeman and King (1969). These include
bibliotherapy for: 1) emotionally disturbed children; 2)
children with minor adjustment problems; and 3) children
with basic developmental needs. Generally speaking, the
classroom use of bibliotherapy involves mostly students in
the third group. 9. IS THE BIBLIOTHERAPY OFFERED IN THE CLASSROOM
DIFFERENT THAN CLINICAL BIBLIOTHERAPY? Schools have become obvious sites for bibliotherapy
because of today's educat ional goals involving teaching
students to develop the skills which will enable them to
function successfully in today's world. According to Johnson
A. Afolayan in his article "Documentary Perspective of
Bibliotherapy in Education," the use of "both imaginative
and instructive materials with groups of normal individuals"
is DEVELOPMENTAL BIBLIOTHERAPY. The goal of this
school-based process to promote "normal development and
self-actualization, as well as to maintain mental health in
stressful situations" (Rubin, 1979, as cited by Afolayan).
It should be pointed out here that most teachers using
bibliotherapy are teaching whole groups of students as they
do so. Research shows that reading literature affects
children's values (Lewis, 1968) and good literature has a
value in and of itself whether a specific reader shares a
character's problem. One of the goals of whole-group
bibliotherapy, therefore, is building awareness of and
empathy for characters and the issues with which they
struggle. On the other hand ª, good reading teachers are aware
that the correlation between self-concept and reading
achievement is very significant. Reluctant or struggling
readers are often more motivated to read materials that
relate to their own lives and situations. According to one study (Jalongo, 1983, as cited in
Ouzsts, "The Emergence of Bibliotherapy as a Discipline"),
"Caring, competent and knowledgeable educators fully
appreciate how authentic interactions with literature can
contribute to overall cognitive and affective growth." 10. DOES BIBLIOTHERAPY REALLY WORK TO HELP READERS
REACH A BETTER UNDERSTANDING OF THEMSELVES, OR, ULTIMATELY,
TO HELP THEM CHANGE THEIR BEHAVIOR? Bibliotherapy has its limita tions and as we have said is
not "the" answer to severe psychological problems. In fact,
it is not considered a "science" (Heitzman and Heitzman,
1975) but a "potentially powerful device to achieve
emotional and behavioral change." Research data on bibliotherapy are considered
inconclusive when a broad spectrum of applications is
examined. In cases where bibliotherapy was use along with
other interventions, for example, there was no clear
evidence that positive gains were due to book therapy and
not the other interventions. Other methodological deficits
in many research studies led to "mixed results" (Shank and
Engels, 1981). More recent studies have found considerable support for
the use of bibliotherapy in its positive impact on attitude
and self-dev elopment, according to Riordan and Wilson in
"Bibliotherapy: Does It Work?" Several studies concluded
bibliotherapy was helpful in changing teens' inappropriate
behavior and one psychiatric residential treatment facility
found that reading of classic young adult literature in
special discussion circles greatly decreased agressive acts
by teen patient participants. In recent years, there has been some blurring of the
lines between bibliotherapy and the "self-help" movement.
The past decade or so, according to Riodan and Wilson,
psychological research has focused more on bibliotherapeutic
use of "how-to" books and manuals instead of traditional
literature. Preliminary findings suggest greater success
with these non-fiction works than with fiction and poetry.

Department
of Language Education
Practicum in Language X425/L525
* Catharsis
* Insight
Comments: disted@indiana.edu
Copyright
1998, The Trustees of Indiana
University