Therapeutic Activities for Children and Teens Coping with Health Issues

ROBYN HART, MEd, CCLS, is Director of Child Life Services at Rush University Medical Center in Chicago. JUDY ROLLINS, PHD, RN, is Coordinator of the Studio G Artist in Residence Program at Georgetown University Hospital and Adjunct Professor at Georgetown University School of Medicine. The authors collaborated on the award-winning 1992 precursor to this work, Therapeutic Play Activities for Hospitalized Children.

Chart of Case Stories xiii

CHAPTER 1 The Case for a New Approach to Change 1

The Emerging Paradigm 9

The New Sciences 12

Thinking About Problems Using the New Paradigm 16

CHAPTER 2 Appreciative Inquiry: History, Theory, and Practice 21

Defining Appreciative Inquiry 22

A History of Appreciative Inquiry 23

AI and the Field of Organization Development 31

The Relevance of AI to Complex, Transformative Change 33

AI and the Challenge of Organization Transformation 34

Complex Change and the Two Gifts of Appreciative Inquiry 36

The Theoretical Basis for Appreciative Inquiry 38

Social Constructionism 38

The Power of Image 42

Social Constructionism + The Power of Image = Appreciative Inquiry in Organization Change 47

What Good Are Positive Emotions? 48

Case Story: Living Well with Dementia: Creating a Regional Strategy for the East Midlands, by Julie Barnes and Jill Guild 50

CHAPTER 3 Appreciative Inquiry as a Perspective for Organization Change 67

The “DNA” of Appreciative Inquiry 68

The Core Principles of AI 71

Are Principles Important? 71

The Five Original Principles Plus Wholeness 72

The Five Generic Core Processes for Guiding AI-Based Change 82

Multiple Models of the Five Generic Core Processes of AI 83

The Original Cooperrider/Srivastva Model 83

The GEM Initiative Four-D Model 85

A Fifth D 86

The Mohr/Jacobsgaard Four “I” Model 89

Skills and Knowledge Needed to Lead AI Processes 92

Case Story: Using the SOAR Framework at Aerospace Alliant International (AAI), by Jacqueline M. Stavros 99

Case Story: The Results of Appreciative Management by a Corporate Manager, by Daniel Saint 108

CHAPTER 4 Choose the Positive as the Focus of Inquiry (Define) 111

Define: Focusing on the Positive 111

Raising the Choice Point 113

Explaining and Demonstrating 116

Identifying the Focus for Inquiry 121

Case Story: AI Stories from a Training and Technical Assistance Center (T/TAC): New Possibilities for Improving Outcomes for Students with Disabilities, by Denyse Doerries, Donni Davis-Perry, and Lori Korinek 129

Case Story: From Deficits to Strengths: Six Sigma from the AI Perspective, by David Shaked 139

CHAPTER 5 Inquire into Stories of What Gives Life in the System (Discover) 145

Rationale for the Use of Stories 146

A Preparation Workshop to Develop the Customized Interview Protocol and Decide on an Inquiry Process 148

Step 1: Select a Core Group and Possibly a Steering Team 150

Step 2: Orient Participants to the Goals of the Workshop and to Their Role in Meeting the Goals 151

Step 3: Quickly Get Participants into an Experience of AI 154

Step 4: Debrief the Mini-AI Experience 157

Step 5: Share Highlights of the Interviews and Select Topics for Further Inquiry 157

Step 6: Create Questions to Be Added to the Four Generic Questions 160

Step 7: Develop the Inquiry Process 166

Interviewer Training 171

Conclusion 173

Case Story: Appreciative Living: Using AI in Daily Life, by Jacqueline Kelm 175

Case Story: Appreciative Life Coaching, by Bob Tschannen-Moran 184

CHAPTER 6 Locate Themes That Appear in the Stories (Discover) 191

Identifying Themes 193

Example of the Themes 193

A Process for Selecting Themes 198

Expanding the Dialogue 201

Case Story: Appreciative Inquiry at Los Angeles Universal Preschool (LAUP): The LAUP/UDEM Dream Team, by Terri Egan, Nancy Westrup Villarreal, and Daphne Deporres 203

CHAPTER 7 Create Shared Images for a Preferred Future (Dream) 213

Articulating the Dream of an Organization’s Future 214

Examples of Ways to Facilitate Creation of Shared Images 217

Provocative Propositions 218

Case Story: Advancing the Safety and Quality of Care in the Emergency Department Over Time: A Story with Three Acts, by Nancy Shendell-Falik, Amy Doran, and Bernard J. Mohr 223

Case Story: Appreciative Inquiry with a Search Committee, by Liz Workman 234

CHAPTER 8 Innovate Ways to Create That Preferred Future (Deliver) 237

Organization Design Processes 241

The Individual Action Approach 241

The Whole System Design Approach 242

A Design Framework: The ABC Model 242

Assumptions of the Organization Inquiry Model 244

How to Use the Organization Inquiry Model 247

Case Story: Building Momentum for Sustainable Changes in Education: Toronto District School Board, by Sue Derby, Maureen McKenna, Karen Leckie, and Nancy Nightingale 259

Case Story: Introducing Appreciative Inquiry into a Community Network Project in Liverpool, England, by Tim Slack and Phil Taylor 266

CHAPTER 9 Valuation 275

Classical Evaluation 275

Evaluation from Appreciative Inquiry Perspective 276

Learnings, Innovations, and Reaffi rmations from This Case 279

Evaluation as an Integral Part of Any AI Process 281

Case Story: Valuation of the Effectiveness of AI for the Zambia Police Services Victim Support Unit, by Mette Jacobsgaard 283

References and Bibliography 295

About the Authors 301

Index 307