If more help is needed one might consider workshops that utilize psychodrama and psychotherapeutic techniques. Derek Elley of "Variety" called the film "a gripping psychodrama, marbled with blackly ironic humor". Until his death Stamp worked as a psychodrama therapist and addiction counsellor. He felt that the film was "an audacious if borderline risible psychodrama". The story narrates the first-person confession Jacob Horner in the form of a therapeutic psychodrama. Thus begins his journey down a bizarre rabbit hole of psychodrama, seduction, and violence. Another important practitioner in the field of psychodrama is Carl Hollander. A core tenet of psychodrama is Moreno's theory of "spontaneity-creativity". Moreno's theory of child development offers further insight into psychodrama and children. As with most forms of roleplay, its uses include play and psychodrama. Moreno continued to teach his method of psychodrama, leading sessions until his death in 1974. An earlier example of psychodrama was "The Pawnbroker" in 1964, starring Rod Steiger. Hollander was the 37th director certified by Moreno in psychodrama. The "activity" is the actual enactment of the psychodrama process. Moreno's term sociometry is often used in relation to psychodrama.