This is a guide to how dramatic improvisation can be used in a therapeutic context to promote self-expression. Paul Newham demonstrates how voice, text and speech bring out aspects of character, personality, emotion and diversity of self image which facilitate self-understanding. He shows how vocal identity derives initially from the theatre of family interaction, and how self-transformation through dramatisation can clarify and deepen a person"s sense of connectedness to others. The book details the ways in which dramatic voicework can be used in therapeutic settings to help people with emotional difficulties, mental distress and behavioural problems. It is illustrated with case examples taken from the author"s direct experience of using the therapeutic techniques he describes. It should also inform the practice of non-clinical professionals working with groups to improve social interaction and communication.