Four Relational Experiences in Music Therapy with Adults with Severe and Profound Intellectual Disability

2019 ◽  
Author(s):  
Maybelle Swaney
Keyword(s):  
Intellectual Disability ◽  
Music Therapy ◽  
Good Life ◽  
Emotional Health ◽  
Therapeutic Process ◽  
Clinical Work ◽  
Carl Rogers ◽  
Relational Experiences ◽  
Client Population ◽  
Case Vignettes

Abstract This paper describes a conceptual framework in music therapy with adults with severe and profound levels of intellectual disability. Drawing from Carl Rogers’ person-centered work and his notion of the good life as a direction, the author presents four core relational experiences (curiosity, invitation, celebration, and recognition) that underpin the therapeutic process with this client population. Case vignettes from the author’s clinical work illustrate how core experiences are presented through improvisational musical experiences. Considerations are given to the clinical significance of good-life-oriented experiences on the emotional health of individuals with severe and profound intellectual disability, and to its implications beyond the music therapy space.

scholarly journals Significant Moments in Improvisational Music Therapy

2021 ◽  
Vol 21 (3) ◽  
Author(s):  
Katelyn Beebe
Keyword(s):  
Music Therapy ◽  
Emotional Expression ◽  
Emotional Processing ◽  
Therapeutic Process ◽  
Body Movement ◽  
Clinical Work ◽  
Case Examples ◽  
The Moment ◽  
Interactional Patterns ◽  
Musical Elements

Four composite case examples are presented and discussed as they relate to emotional expression, significant moments in the therapeutic process, and communication using a variety of modalities in music therapy with adults diagnosed with intellectual and developmental disabilities. Building on therapeutic awareness through discussing musical elements, body movement and posture, countertransference, and interactional patterns, the implications of deep emotional connection and processing are approached using primarily nonverbal methods. Composite vignettes from the author’s clinical work demonstrate awareness of these factors in the moment as they impacted the session, therapeutic relationship, and other professionals’ understanding of music therapy in this population. Implications for emotional processing in clinical practice are presented as they relate to the concepts presented in this paper.

scholarly journals The Therapeutic, Musical Relationship: a Two-Sided Affair?

2002 ◽  
Vol 2 (3) ◽  
Author(s):  
Simon Procter
Keyword(s):  
Music Therapy ◽  
Detailed Analysis ◽  
Therapeutic Process ◽  
Clinical Work ◽  
Musical Experience ◽  
Music Therapists ◽  
The Way

Many improvisational models of music therapy involve therapist and client improvising spontaneously together. This is widely described as a form of musical relationship. However whilst there is much discussion of the client's musical input in the literature, the therapist's music attracts less attention. The author considers reasons why this may be the case and seeks evidence, from the music therapy literature and beyond, as to whether the therapist's musical input is of significance for the therapeutic process. An example of detailed analysis of the author's own clinical work is presented, in order to establish whether the therapist's musical input has an observable impact on the shared musical experience and might thus be judged to be significant for the therapeutic musical relationship. Concluding that it is indeed significant, the author goes on to consider the implications for the way music therapists consider their work.

Therapeutic Songwriting: Developments in Theory, Methods, and Practice by Felicity A. Baker

2015 ◽  
Vol 7 (4) ◽  
pp. 76
Author(s):  
Robert E. Krout
Keyword(s):  
Music Therapy ◽  
Therapeutic Process ◽  
Music Technology ◽  
Community Music ◽  
The Past ◽  
Comprehensive Examination ◽  
Case Vignettes ◽  
Feminist Community ◽  
Pictorial Representations

Summary: Over the past ten years songwriting has emerged as a popular method for many clinicians working in a therapy context. This book provides the first comprehensive examination of the contemporary methods and models of songwriting involved and also discusses the environmental, sociocultural, individual and group factors which might support or constrain this therapeutic process. Methods that focus predominantly on lyric creation, music creation, or on both are described and illustrated by case vignettes and samples of song materials, and supported by pictorial representations of the methods. The role of music and music technology is highlighted as an important component of the therapy process. Finally this book also pays attention to comparing and contrasting models of songwriting according to the orientation of the therapist. Models outlined include those informed by behavioral, cognitive-behavioral, psychodynamic, humanistic, feminist, community music therapy, and resource- oriented music therapy approaches.

Music Therapy in Enhancing Learning Attention of Children with Intellectual Disability

2021 ◽  
Vol 9 (4) ◽  
pp. 363-367
Author(s):  
Akintunde Oluseyi Dada ◽  
Owoade Philip Adeleke ◽  
Samson Akinwumi Aderibigbe ◽  
Michael Adeife Adefemi ◽  
Martina Ayibeya Apie ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Music Therapy ◽  
Intellectual Disabilities ◽  
Rating Scale ◽  
Home School ◽  
Analysis Of Covariance ◽  
Moderator Variables ◽  
Treatment Package ◽  
Therapy Treatment ◽  
Children With Intellectual Disability

Inattention is one of the significant problems that inhibit learning among children with intellectual disabilities. However, several strategies and therapies have been developed to solve the problem. This study, therefore, investigates the effectiveness of music therapy in enhancing attention among children with intellectual disability. A pretest-posttest control experimental research design was adopted. The experiment was carried out for six weeks using Music Therapy Treatment Package on 24 children with intellectual disability that were randomly selected Modupe Cole Momerial Childcare and Treatment Home/School, Akoka, Yaba, Lagos. A validated Attention Observation Rating Scale (AORS) with a reliability coefficient of 0.88 was used for this study. Three hypotheses were tested in the study, and Analysis of Covariance (ANCOVA) was used for data analysis. This study revealed that music therapy is effective in enhancing attention among children with intellectual disabilities. Sex and level of severity of the disability were also tested as moderator variables, but they have no significant main or interaction effect with music therapy in enhancing attention for children with intellectual disability. The finding is that music therapy is significantly effective in enhancing attention for children with intellectual disability regardless of their sex or level of severity. It was concluded that attention deficit could be improved for children with intellectual disability. Therefore, Music therapy was recommended for use in the school with adequate teacher training.

Wounded by reality: emotional deprivation and unresolved trauma in psychoanalytical couple’s therapy

2021 ◽  
Vol 15 (2) ◽  
pp. 253-268
Author(s):  
Hélène Béïnoglou
Keyword(s):  
Romantic Relationships ◽  
Emotional Experience ◽  
Therapeutic Process ◽  
Clinical Work ◽  
The Other ◽  
The Matrix ◽  
Emotional Deprivation ◽  
Unresolved Trauma

In this article, I will focus on highly conflictual couples with extensive emotional deprivation and unresolved trauma, which prevents them from developing healthy romantic relationships and overcoming the challenges entailed in any intimate attachment. I will describe how everyday interactions are experienced as threatening or even lethal movements between the partners. The question which arises in the psychoanalytical therapeutic process is how to help the couple tolerate the sensory reminders of the unresolved trauma as a necessary precursor to any process of symbolisation. In order to provide a safe enough therapeutic attachment bond, extensive time is dedicated to the emotional experience of self and the other in the here-and-now of the session, which validates the emotional experience of the couple as well as contains it. The therapy focuses on the transferential and countertransferential movements inspired by the matrix of the victim, abuser, and uninvolved witness (Davies & Frawley, 1994) to elaborate the intertwining of the unresolved trauma with the couple’s form of attachment. In order to illustrate my argument, I present two examples: one from a fictional narration and another from my clinical work.

Baby steps: a report exploring the development of neonatal music therapy programmes in Estonia, Greece and Wales

2021 ◽  
Vol 13 (2) ◽  
pp. 132-137
Author(s):  
Elizabeth Coombes ◽  
Marion Musting ◽  
 Ivad Al-Muzzafar ◽  
Christina Kalliodi 
Keyword(s):  
Music Therapy ◽  
Family Members ◽  
European Countries ◽  
Treatment Goals ◽  
Stages Of Development ◽  
Early Stages ◽  
Client Population ◽  
Growing Body ◽  
Therapy Interventions ◽  
Future Growth

There is a growing body of music therapy work addressing the needs of infants born prematurely. This also includes work with parents and other family members during hospitalisation. A variety of music therapy interventions are utilised to support a range of treatment goals for this client population. This report describes and discusses such work that is in the early stages of development in 3 European countries: Estonia, Greece and Wales. The development and content of the interventions in each country is described, with recommendations as to the sustainability and future growth of each programme

scholarly journals Effectiveness of music therapy on reading skills of pupils with intellectual disability

2021 ◽  
Vol 16 (1) ◽  
pp. 251-265
Author(s):  
Udeme Samuel Jacob ◽  
Jace Pillay
Keyword(s):  
Intellectual Disability ◽  
Data Analysis ◽  
Music Therapy ◽  
Reading Skills ◽  
Economic Status ◽  
Analysis Of Covariance ◽  
Special Schools ◽  
Socio Economic Status ◽  
Before And After ◽  
Post Test

Objective: Reading is an indispensable skill. The study investigated the effects of music therapy on the reading skills of pupils with intellectual disability. Methods: An experimental research design was used. The sample was purposively selected from two special schools for pupils with intellectual disability in Ibadan, Nigeria. Seventeen pupils were randomly assigned to two groups (music therapy and control groups). Eighteen sessions of music therapy were conducted with the experimental group only. The Reading Skills Test was used before and after the intervention to collect data. Analysis of Covariance (ANCOVA) was used for data analysis. Results: The data indicated that there was a significant statistical difference between pre-test and post-test results. The interaction effect of treatment and parents’ socio-economic status was not significant for the participants’ reading. Conclusion: Music therapy enhanced the reading skills of pupils with intellectual disability and should be adopted in teaching pupils with intellectual disability.   Keywords:  Music therapy; parents’ socio-economic status; pupils with intellectual disability; reading skills

scholarly journals Clinical Practice Recommendations for Improving Life Participation for People With Aphasia in Long-Term Care

2020 ◽  
Vol 5 (2) ◽  
pp. 384-396
Author(s):  
Jamie H. Azios ◽  
Jack S. Damico
Keyword(s):  
Social Relationships ◽  
Long Term Care ◽  
Positive Impact ◽  
Emotional Health ◽  
Therapeutic Process ◽  
Term Care ◽  
Clinical Tools ◽  
Practical Recommendations

Purpose The purpose of this clinical focus article is to present an overview of the Life Participation Approach to Aphasia as it relates to issues in long-term care (LTC) and provide practical recommendations for implementing the approach in this setting. The Framework for Living With Aphasia is used as a guide to (a) highlight specific challenges to life participation for residents with aphasia in LTC and (b) propose clinical tools that might help clinicians move through the therapeutic process when implementing the Life Participation Approach to Aphasia. Recommendations Clinicians in LTC facilities have the responsibility of delivering services that have a positive impact on communication, social relationships, emotional health, and quality of life. Clinical tools and approaches most appropriate for LTC settings are identified that help to address these goals. Approaches are discussed across several stages representing the therapeutic process, which is ultimately aimed at moving a resident toward recovery and increased independence. Case demonstrations are provided to illustrate approaches.

Defining the Therapeutic Singing Voice: Further Examination of the Everyday Singing Practices of Music Therapists

2021 ◽  
Author(s):  
Martina C Bingham ◽  
Elizabeth K Schwartz ◽  
Anthony Meadows
Keyword(s):  
Music Therapy ◽  
Qualitative Content Analysis ◽  
Clinical Work ◽  
American Music ◽  
Singing Voice ◽  
Music Therapists ◽  
Vocal Health ◽  
Comprehensive Picture ◽  
Therapy Sessions ◽  
And Training

Abstract Twelve music therapists were observed working clinically in 3 to 5 of their music therapy sessions and subsequently interviewed about their clinical work in order to further examine and define the essential characteristics of therapeutic singing in music therapy clinical practice. Observational and interview data were analyzed separately using procedures consistent with qualitative content analysis and then integrated to provide a comprehensive picture of these singing practices. Analysis of these data revealed 3 interrelated dimensions of therapeutic singing that were integrated into the larger realization of therapeutic singing: (1) foundational vocal skills, (2) vocal engagement, and (3) authenticity. Implications for the education and training of music therapy students, vocal health, and a reevaluation of the American Music Therapy Association’s competencies contextualize these findings for the profession as a whole.

Phase 2

2021 ◽  
pp. 89-104
Author(s):  
Frederic N. Busch ◽  
Barbara L. Milrod ◽  
Cory K. Chen ◽  
Meriamne B. Singer
Keyword(s):  
Therapeutic Process ◽  
Phase 2 ◽  
Ptsd Symptoms ◽  
Middle Phase ◽  
Identification With The Aggressor ◽  
Working Through ◽  
Case Vignettes ◽  
Intrapsychic Conflicts

This chapter provides an overview of the central psychodynamic techniques of the middle phase of TFPP. Core intrapsychic conflicts that contribute to PTSD symptoms are identified and actively addressed. Interpretation of defenses aids in the elucidation of conflicts. A prominent defense in PTSD, identification with the aggressor, is described in more depth. Exploration of the transference is discussed with attention to the ways in which core conflicts emerge with the therapist. Patients with PTSD trigger particularly intense countertransference reactions, knowledge of which furthers the therapeutic process. The technique of working through is articulated, in which the therapist and patient elucidate how various conflicts and defenses emerge across a range of symptoms, contexts, and relationships. Case vignettes are used to illustrate these approaches.

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