2015년 12월 7일 월요일

On My Observation on Music Therapy Sessions and Bruscia's Fundamentals

             


               I went to the music therapy center at Eastern Michigan University few weeks ago. I had the privilege to observe a group music therapy session by Emily and Dr. Stark. This group therapy group consists of Eastern Michigan students with developmental disabilities who study in the special education classrooms. These therapy sessions are made possible with contributions of parents and guardians. Eastern uses a system called sliding scale which means that the parents and guardians pay how much ever they can pay- which I think is very thoughtful and generous of the facility!
              The therapist has been working with this particular group for three weeks. So, she said her main goal at the moment is to assess on their cognitive, motor, and social skills. After the understanding of their ability, she will be able to have more specific goals. The session began with the hello song which is kind of an improvisation because they had to put in different people’s names to say hello to them. I believe this hello song does not only unite them but also help them feel welcomed. Feeling belonged to something really helps them with their social skills.
Then they went onto their composing project which is called SWAG project. This composition work seems to focus on their goal in life and help them express and learn how to achieve those goals. Then the third experience was to have them identify chords with arpeggios. This experience really helps with cognitive and motor abilities of the client because I could see that they were getting better at figuring out what chord sounds are compared to arpeggios. After that, Dr. Stark initiated an experience named rhythmic name. The group was divided into three groups by number of syllables in their name. People with one syllable got a bass drum; people with two got a drum and three a tambourine. This is a receptive experience because clients play to the signals of syllables. Next activity was a fun one involving movement. Two or more people danced to the song Cupid’s Shuffle while everyone else was moving around the stretchers. Finally, there was a re-creative experience in which the group played “lean on me” on hand chimes.
A lot of aspects of this session followed the Bruscia Fundamentals which are a set of “fundamentals” regarding music therapy. They are a handbook that current and future music therapist should always look at and follow. The typical music therapy sessions include use of improvising, recreating, composing, and listening to music. Improvising is spontaneously creating music by creating a melody or a rhythm. This kind of experience is for clients who need developing in creativity, expression and sense of identity such as- OCD patients, narcissistic personality patients, or patients who suffer from depression. Re-creating of music involves learning how to reproduce a sound by singing or playing an instrument which also requires learning to read musical notations. This experience is used to improve clients who need to develop sensory motor ability, adaptive behaviors, reality orientating and speech. It was cool to know that playing instrument can help with motor coordination, because I remember my mom telling me that while I was playing the piano, many of my body parts work together. While my eyes read the notes and my brain analyzes it, my hands are playing the piano and my foot is pressing the pedal. Composing is when clients are engaged in creating a song in which they help with lyrics writing or making musical decisions like tempo, melody or mood. This helps with clients who have hard time with decision making, expressing themselves, and commitment. I was surprised to know that this experience can be used with cancer patients. This gives them the time to think about life and death and also can be a parting gift for their loved ones. It is so sad to think about death, but by expressing and organizing their thoughts, I believe they are able to be calmer when it comes to that topic. Last is listening. Listening to me, is the most typical and daily use of music as therapeutic tool. Listening to music stimulates ideas and imagination. It also helps with meditation and relaxation

             This observation is my very first time seeing a music therapy session. It was inspiring, impressive and touching. In the beginning of the session I was focusing on getting the information down on my notebook. However, after some time I had an urge to join in the fun. Especially when they were dancing to Cupid’s Shuffle, I felt so happy and excited. It was such a shame I was sitting in an isolated room; I just wanted to jump in and dance with them. I also experienced heart crunching feeling when I heard “lean on me.” Sometimes I feel that I need some place to lean on and they feel they need a place to lean on. We can lean on each other, and that made my heart feel so warm. I cannot wait to experience the session myself. This observation made me extremely passionate and happy that I chose music therapy as my future.    


Reference:
Brucisa, K. (1989), Defining Music Therapy, Phonenixville, PA: Baralona Publishers.
National Association for Music Therapy (NAMT) (1988), Code of Ethics, Music Therapy Perspectives, 5, 5-9

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