Professional Documents
Culture Documents
imagine EARLY
CHILDHOOD
MUSIC THERAPY
Newsletter
2009
We offer this annual online newsletter as part of AMTA’s Early Childhood Network to bring
reports, reviews, ideas, commentaries, news, and announcements on current developments and
issues related to Early Childhood Music Therapy to music therapists working with young children
and colleagues from related fields.
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 2
3.2. Research Initiatives. Early Childhood Network members are involved in the EC NETWORK
following research initiatives:
• Kamile Geist is working on a multi-site research project called Math Star in
collaboration with Eugene Geist focusing on the development of math skills in
AT-A-GLANCE
early childhood through music.
• Denna Register received a cooperative grant with the University of Kansas on Organization
Early Reading Skills through the Department of Education. American Music Therapy Association
• Darcy Walworth and Petra Kern are interested in conducting a multi-site research (AMTA)
project through the AMTA Autism Task Force. They will call for collaborators
working with individuals on the autism spectrum in the near future. Established
3.3. Government Relations. Angie Snell reported that the Reauthorization of IDEA is due 1994 in Orlando, Florida by
in 2009. It is not clear if the Congress will begin this process in 2009 due to the Ronna Kaplan, MA, MT-BC and
transition from the Bush administration to Obama administration. Snell noted that the Marcia Humpal, Ed.M., MT-BC
reauthorization process can be lengthy. The current form of IDEA was passed in
2004. The corresponding rules and regulations were not reformulated and put in Co-Chairs
place until 2006. After that date each state took time to update their Special Dr. Petra Kern
Education rules and regulations to line up with the Federal rules. Many states are MT-DMtG, MT-BC, MTA, NICU-MT
just now implementing those changes resulting from IDEA 2004. Reauthorization will Angela Snell
begin the process all over again. It will be important for music therapists and client MT-BC
families to become involved with any new reauthorization activities. Angie Snell said
that members should pay attention to the AMTA website’s government relations Members
section for updates on this topic. During the meeting Meryl Brown received an email Music Therapists of AMTA working
message stating that the Illinois Autism Insurance Bill had just passed. with young children
3.3. Publications. Members shared the following published and forthcoming publications:
• Beth Schwartz recently published her book Music, Therapy, and Early Meeting
Childhood: A Developmental Approach with Barcelona Publisher. Annual AMTA Conference Special
• Marcia Humpal authored A Variety of Abilities + Music = Totally Tuned in Target Populations Session
Toddlers in the Fall 2008 issue of the Michigan Music Educator. This particular
issue featured articles on Special Education throughout the publication.
Facebook
• Angie Snell authored a series of two articles on Special Education for the
Available for members by invitation
Michigan Music Educator’s Association publication. ACCESS to Music Education
for ALL Students, Part 1, was published this fall. Part 2 of this article will appear
in the 2009 Winter Issue of the Michigan Music Educator. The MMEA is also Early Childhood Newsletter
featuring Angie in an ongoing Special Education Q & A Column. Will expand into an online magazine
• Beth McLaughlin contributed a chapter to Courage, Heart, and Wisdom: Essays format in 2010
in Autism. It is currently in press.
• Darcy Walworth’s publication on social learning for infants attending learning Editor
groups has been accepted by JMT and will be published shortly. Additionally, Dr. Petra Kern
she submitted her dissertation to AMTA for publication. It is a developmental MT-DMtG, MT-BC, MTA, NICU-MT
curriculum for early childhood and parent groups with goals and curriculum that
correspond to activities. There are 130 developmental milestones outlined. Links
• Kamile Geist is in the process of submitting an article to Young Children on math www.musictherapy.org
and music. www.musictherapy.biz
• Petra Kern was featured in a podcast produced by FPG at UNC-Chapel Hill.
She also has been invited to write an article on transitions and routines for
Children and Families, a Head Start publication.
• Rachel Hinze and Garret Stanton were guests on a radio show at St. Francis Special Target
Hospital in Hudson Valley, New York. They will upload the link on to the Early
Childhood Music Therapy Facebook Page. Populations Network
Session 2009
4. Music and Product Sharing. The following were shared by meeting attendees:
• Garrett Stanton shared his cymbal song, published in the EC Newsletter 2008.
• Beth Schwartz shared her handout from the CMTE with songs included.
The next meeting will take place at the
• Angie Snell shared simple signs and gestures to the Toy Story song You’ve Got
2009 Annual AMTA Conference on
a Friend in Me.
• Kamile Geist shared the Color Train song/chant that reinforces color patterning
and lining up in a line. She will submit it to the 2009 Newsletter. Friday, November 13, 2009
• Petra Kern shared that AMTA Students are selling their products such as large 12:30 - 2:15 PM
decorated hand picks at the AMTA Market Place and refers to the free training San Diego, California
resources of International Society of Early Intervention (ISEI) and NICHCY Fact
Sheets on disabilities. See you there!
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 4
Celebrating Achievements
Jean Nemeth Petra Kern Beth McLaughlin
Jean is a music therapist in private Petra is an Assistant Professor at Beth serves as music therapist and Clinical Training
practice working with numerous SUNY New Paltz and Visiting Director at Wildwood School for students with
public schools in Connecticut. Jean Scholar at the Frank Porter Graham neurological impairments and autism in Schenectady, NY.
has provided outstanding and long Child Development Institute at Beth has made significant contributions to the practice of
time services to AMTA. She served University of North Carolina at music therapy through the integration of innovative ideas
on the Board of Directors as Chapel Hill. Her pioneering work in into her clinical practice and the enhancement of her
Council Coordinator. Jean co- music therapy and community based clinical work with her talents as a published songwriter.
chaired the national Standards learning has significantly added to Working with her students at Wildwood School inspired
Committee and has been a member the music therapy knowledge base Beth to write numerous songs that would help teach
of both the Development Advisory by: Providing school music therapists social, motor and academic skills. Her 2002 CD, “Songs
Board and the Restructuring with needed evidence for music for Stories” is a wonderful addition to practice. She has
Advisory Board. In addition to therapy embedded instructional developed practice models for instruction, assessment,
being a long-standing member of support; providing replicable and service delivery for both the clinical setting and for
the Assembly of Delegates, a research models; inspiring clinical music therapy interns. Beth has a special interest in
position she currently holds, she is music therapists to develop technology and has used her skills in this area to open up
also currently serving as co- innovative music therapy the world of music to her students at Wildwood School
chairperson of the national approaches in inclusive settings; and who might otherwise never have found a voice. She has
Continuing Education Committee. providing the public with needed authored the chapter, “Using Technology, Adaptations,
Jean organized the Silent Auction a information on the relevance and and Augmentative Tools” in the AMTA monograph,
few years ago, chaired the AMTA efficacy of music therapy for Effective Clinical Practice in Music Therapy – Early
Recognition Awards committee, preschool and school-aged children. Childhood and School Age Educational Settings. In
and assisted in the development of Dr. Kern’s contributions have come 2000, she also published Picture Symbols for
the Standing Committee Handbook. in the form of innovative and Communication in Music Therapy and the Music
She can always be counted on to outstanding research in the areas of Classroom. She is well known for her willingness to share
take on any assignment, no matter early childhood and children with her work with colleagues at national and regional music
the size, if she feels it will benefit diagnosis on the autism spectrum, therapy conferences, inspiring and motivating many
AMTA. Jean lives the life of service with a focus on embedded music therapists. She has also provided administrative
to AMTA, exemplifying what this instruction and collaborative leadership enhancing clinical education as a long time
award is all about. consultation in inclusive children’s and successful clinical training director.
settings.
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 6
Based on the results of this study, may provide the necessary stimulus to
interventions designed to target peer increase attention towards peers. During
awareness through sustained and alternating music therapy sessions, the use of a single
attention towards peers may be most musical stimulus, in this case a musical
effective if they utilize a musical instrument in object, may focus the children’s attention
a non-music or play-based context. These towards their peers. The results of this study
interventions could be implemented in a provide preliminary evidence regarding the
variety of environments including classroom best methods for targeting peer awareness Jamie Sussman can be contacted at
circle time activities and music therapy in preschool age children with suss2255@aol.com
sessions. During classroom circle time developmental disabilities.
activities, the addition of a musical object
Questionnaires were returned by 20 times). Songs and activities that teach and
parents (approximately 25% of all parents reinforce social skills (such as transitioning
surveyed) regarding their use of songs and from one activity to the next or greeting
types activities in other settings. The peers) were most often used by parents in
responses are summarized in the charts other situations.
below:
Many parents wrote positive comments
about the benefits of participation in the
groups on their children’s development,
reported using songs and activities learned
A questionnaire was distributed to in the group in multiple other settings (at
approximately 80 parents of infants and home, when traveling, while shopping,
toddlers (from 6 to 24 months of age) who etc.), and reported making up their own
participate in weekly interactive music songs/activities based on their experiences
groups designed to teach developmental with the group. The responses to the
skills. During the music groups, music questionnaire indicate that direct parent
therapists educate parents in ways to use instruction in a music group setting with
music with their children to promote demonstration of appropriate activities and
development. Parents and music therapists handouts describing ways to use music at
also model and encourage appropriate home is an effective format for teaching
cognitive, communication, motor, and social parents to use music with their children to
skills for infants and toddlers. During their enhance development.
child’s first visit to the group, parents
receive a packet with lyrics of songs that Study contributors:
are used in the curriculum and a packet
with American Sign Language signs that are Olivia L. Swedberg
paired with songs in the curriculum. Within MME, MT-BC, NICU-MT
the first few weeks of attendance, parents
also receive a free CD which contains age- Jayne M. Standley
appropriate songs for young children. Ph.D., MT-BC, NICU-MT,
Parents are given a new handout each week
which gives ideas of other developmentally Darcy D. Walworth
appropriate activities, some of which Ph.D., MT-BC, NICU-MT
involve music, to try at home with their The Florida State University
children.
Miriam G. Hillmer
The questionnaire asked parents how often All parents who responded reported using MME, MT-BC, NICU-MT
they use songs/activities from the curriculum songs and activities outside of the group at Tallahassee Memorial HealthCare
and from the handouts with their child least once. The majority of parents (85%)
outside of the group, which activities they reported using songs and activities learned
use with their child outside of the group, in the group in other situations at least six Olivia can be contacted at
and whether they have noticed any times, while activities from the handouts Olivia.swedberg@tmh.org
development in their child that parents were used less frequently (60% reported
attribute to use of the music curriculum. using activities from handouts at least three
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 8
BY ANNIE HEIDERSCHEIT, PH.D., MT-BC, FAMI, MFT & JASON ALBRECHT, CCLS
Eva and the “Happiest Day” James would continue to work. Health
Once upon a time there was a couple, James insurance and income were critical to their
and Elizabeth. The day had finally come, the family’s survival. For much of the time between
day their first child would be born. Only, ... it surgeries, Eva would be fully sedated to prevent
was much much better than that. They disrupting the array of sutures used to pull and
discovered along the way that Elizabeth was stretch the two ends of her esophagus--
having twins -- twin girls. The excitement stimulating new tissue to grow.
permeated their home and even reached part
way around the globe -- as far away as During this process, hour after hour, day after
Australia, where the matriarch of the family day, like so many parents of infants and
awaited the time when she would finally toddlers in a Pediatric ICU, all Elizabeth could
become... a grandmother. The family decided do was sit at the bedside. She could barely
that Elizabeth would work full time and James hold or interact with Eva except for short
would continue running a business. Grandma periods between surgeries. She longed to hold
would come following the birth and help take her. She ached for that bond.
care of the girls for as long as she could remain
in the US. After more than three months, Eva’s esophagus
was nearly connected. It was working. Then,
The pregnancy proceeded with no abruptly and unexpectedly, there was a
complications. The girls were delivered problem with grandma’s visa. She had to go
naturally and were named Ella and Eva. Breast- home. Elizabeth found herself in an agonizing
feeding the first day was an adventure in position. She couldn’t care for Ella alone while
motherhood. Things really didn’t work all that staying with Eva. She needed to focus her time
well. “Not to worry,” said the nurses, “Get in one place or the other. Since Eva was
some rest. It takes a little time.” The second sedated much of the time, she chose to return
day was much easier. What troubled her was home with Ella and visit Eva as often as she
that while Ella seemed to feed with a growing could. That meant every other weekend. Travel
ease, Eva seemed to struggle with swallowing expenses, child care, James’ time away from
and seemed to cough up most (or perhaps even work, Elizabeth’s need to work to cover
all) of the milk she swallowed. growing expenses -- they could find no other
solution.
Given they were twins, the girls were a bit
small. It didn’t seem Eva was getting much Elizabeth left photos of the family all around
nutrition so the doctor decided to give Eva a Eva’s bed. She bought a small voice recorder
little food through a tube inserted from her nose and recorded short “I love you” messages for
to her stomach. This was when Elizabeth staff to play for Eva when she wasn’t there.
realized the object of her intuition. The tube She called every day and every night to check
would not go down. After repeated attempts at on her and have the phone placed by her head
what should have been a very simple process, so she could tell her she loved her and say
the staff realized something was wrong. goodnight.
Elizabeth learned that Eva was born with a
condition known as esophageal atresia. As Eva’s treatments continued to work, she was
Between her stomach and the base of her plagued by an infection that started when a
throat, her esophagus failed to grow. portion of the tissue being stretched became
necrotic. Literally, a small step backwards in the
After a whirlwind of shock, fear and disbelief, process of stretching and growing, but it began
Elizabeth and James found themselves deciding a long-term struggle to rid the infection.
between two choices: Eva could live and grow
the rest of her life feeding through a tube in her As September gave way to October and then
stomach or pursue a new treatment involving a to November, Eva was awake much more than
series of surgeries to stimulate growth of what she was sedated. It was a cold Friday in
Contacts:
little existed of her esophagus. Few places in December when Elizabeth entered her room
Annie Heiderscheit at the world perform this procedure. Eva would after a dreadfully long two weeks away to find
heide007@umn.edu need to go to the children’s hospital at the her crying, like babies do sometimes. She
University of Minnesota -- nearly 500 miles quickly dropped her coat and purse and rushed
Jason Albrecht at away. The process would take months. to comfort her. She placed her hand over the
JALBREC1@Fairview.org top of her head and leaned over to say, “Eva,
Grandma came as quickly as she could. She it’s Mommy. I’m here. I love you. It’s okay.
would stay at home with one girl, while Shhhhh.”
Elizabeth was 500 miles away with the other. continued
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 10
With this, Eva cried even louder. Elizabeth music therapist and poetry therapist, the and from around the world. Many parents
continued to soothe and reassure her. She nurse and Eva’s family collaborated to struggle with feelings of intense helplessness
continued to cry. weave their talents into comfort. at their child’s bedside, particularly when
During Elizabeth’s next visit, she met with their child is sedated, intubated and unable
As Katie, her primary nurse, looked on she the poetry therapist to explore and sort her to be held for complex medical reasons.
noticed Eva’s heart rate and blood pressure feelings, to articulate her immense love for Parents are also frequently faced with
were climbing, she instinctively moved to Eva and to express a heartfelt, personal demands of maintaining employment and
Eva’s bedside to help calm her. As she message that embraced the intimacy of a caring for other children at home and can
leaned over her and their eyes met, she mother-child bond. Afterward, she met with experience tremendous guilt when they are
softly whispered, “Eva, you’re okay.” With the music therapist and child life specialist to forced to leave their child’s bedside. Our
this, she held her gaze and calmed learn how to deliver her message to Eva. continuing efforts to serve families such as
immediately as she touched her cheek. She learned about an amazing these have lead to the development of this
Within a moment, the room was quiet. phenomenon called entrainment and innovative approach that incorporates the
couldn’t wait to see how it worked. therapeutic elements of music, poetry and
But in that moment, Katie felt the weight of Intimidated by the prospect of being technology to provide comfort to some of
that silence and wished she could have recorded, Elizabeth was coached on how to our nation’s most fragile children.
taken back that last minute. For in that maintain a slow, consistent tempo as she
moment of peacefulness and calm existed a spoke and sang into a video camera late at The certified poetry therapist works with
whole new suffering -- the realization that night after Eva had gone to sleep. She parents to explore and articulate their
mom was the stranger and Katie, the envisioned holding and rocking her to the intense feelings of love and nurturance for
primary nurse, was the primary caregiver in tempo of her heartbeat as she sang to her their child in the form of a lullaby that can
Eva;s eyes. through the lens. be spoken or sung. The board-certified
music therapist then educates parents about
Being an excellent nurse, Katie quickly Making her own recordings dispelled some the importance of tempo and coaches and
engaged the support of the team of of her anxiety. She was now ready to sing accompanies them in singing or rhythmically
professionals caring for Eva. The next the lyrics of one of the poems she created, speaking their lullaby. The slow, soothing
Monday, she contacted the child life accompanied by the music therapist. She tempo of the lullaby, along with personal
specialist and the unit social worker to seek could do this. She wanted to do this. It felt messages, stories, prayers or other
a way to foster stronger attachment so good to make this for Eva. The warmth of meaningful expressions are video-recorded
between Eva and her mother and to help her presence, the sincerity of her love, the in a special way that focuses on the parent’s
Elizabeth with the pain she felt. They nurturing of her words poured forth from the voice, close-up images of the parents’ faces
communicated with Elizabeth by phone. little DVD player that would soon be placed and facial expressions. The recordings are
Together, they developed a plan. in the crib next to Eva as part of her then played on a portable DVD player in
bedtime ritual. The nurses would cling to the the child’s crib to help the child calm and
The child life specialist, working both in the care plan that involved: completing cares by relax.
Pediatric Intensive Care Unit (PICU) and in a specific time, dimming lights, preparing for
Conferences in
palliative care, had been working to
develop a creative arts therapies program
Elizabeth’s evening call, placing the phone
by Eva’s ear and pressing the “PLAY”
The music entrainment process along with
the close-up images of the parents speaking
for critically ill and dying children. The button so she could fall asleep to the heartfelt words of love directly to their child
Related Fields
interdisciplinary team had been exploring familiar image of her mother’s face and a creates the foundation of the lullaby DVD
how to utilize art, music and poetry voice she’d known since before birth. and its amazing impact on the child. We
therapists to carry the work of the team to have seen the lullaby DVDs promote
Compiled by
new levels. In particular, they had been New Ways to Meet Family Needs relaxation and calm, accentuate the
brainstorming
Dr. Petraways to support the needs of
Kern, The Songs For Our Child initiative began as effectiveness of pain medications and have
infants and parents on the PICU – exactly an effort to empower parents of infants and a positive impact on child attachment with
the needs of Eva and
MT-BVM, her family.
MT-BC, MTA toddlers in the PICU to comfort their the parents. Currently, the team is working
children and engage in meaningful ways at on designing a pilot study to measure the
To address suffering associated with the bedside. The University of Minnesota impact and effectiveness of the lullaby DVD
separation, to empower Elizabeth with Amplatz Children’s Hospital provides highly intervention. Enrollment for the study is
something she could do for Eva, to facilitate advanced medical care to some of the most targeted for Fall 2009.
better attachment, the child life specialist, critically ill children in the upper Midwest
Children with autism often demonstrate We found that all study participants
significant developmental delays in their improved their emotion identification skills
ability to identify the primary emotions through the social storybook intervention, Example 1: Pictures presented in an
(American Psychiatric Association, 2000). although it was unclear whether the music individualized social story for “Happy.”
However, understanding emotions conveyed or non-non-musicmusic condition was more
through facial expression is an important successful. However, children requested
skill in communicating with others and singing the social story more often than
developing relationships (Katagiri, 2009). reading the story, and parents reported an
increase in emotion identification and
We conducted a multisite study to examine expression after the intervention. Overall,
the effects of social stories with and without we concluded that the musical adaptation of
songs on increasing the identification of individualized social stories may provide
emotions in twelve 4-5 year-old children with familiarity and motivate children to further
Autism Spectrum Disorder. All children were facilitate the learning and generalization of
enrolled in two self-contained community- emotion identification (Hinze, Larkin, &
based preschools in upstate New York. Stanton, 2008).
Additionally, we examined whether children
choose the musical presentation more often
than the spoken presentation of a social References
story, and wether parents would be able to American Psychiatric Association (2000).
identify enhanced learning of emotion Diagnostic and statistical manual of
identifications in the home environment. mental disorders (IV-TR). Washington,
DC: Author.
For each participant, we created four Barlow, D. H., Nock, M. K., & Hersen, M.
individualized social storybooks (Gray, (2009). Single-case experimental
2000) displaying the emotions happy, sad, designs: Strategies for studying
angry, and scared, respectively. Each social behavior change (third edition).
story captured children’s everyday situations Boston, MA: Allyn & Bacon.
with one of the four emotions displayed. Hinze, Larkin, & Stanton (2008). The Effect
Photographs of facial expressions of adults of Music on Enhancing the Learning
familiar to each child accompanied the Process of Emotion Identification in
social storybooks (see Example 1 on the Children With Autism Spectrum
right side bar). Disorder. Unpublished master’s thesis,
State University of New York, New
During an Initial and Post Assessment Phase, York.
we determined each participant’s capability Gray, C.A., (2000). The new social
to identify emotions correctly. In the storybook: Illustrated edition.
Intervention Phase, we alternated singing Arlington, TX: Future Horizons.
and reading the individualized storybook to Katagiri, J. (2009). The effect of
each child followed by a Testing Phase background music and song texts on
during which we asked the individual child the emotional understanding of
to identify the emotions presented in the children with autism. Journal of Music
photographs (see Example 2 on the right Therapy, 56 (1), 15-31.
side bar) and whether they would like to
repeat the story. In other words, we
compared a music condition (story book Contact: Cristina Larkin at
Example 2: Pictures presented during the
sung to the child) and non-music condition cristina.larkin@gmail.com
Initial/Post Assessment and Testing Phase.
(story book read to the child) in terms of the
effectiveness on the study participant’s
emotion identification by using a single-
subject randomized alternating treatment
design (Barlow, Nock, & Hersen, 2009).
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 12
PRACTICE
teach infants about auditory patterns like
phrases, rhythm and grouping. This is critical to
Once upon a time, a very long time ago, a new
developing the processing skills needed to
mother gazed into her baby’s eyes and began
decode speech.
to sing. Why? Because she quickly learned that
singing helped to calm her baby, capture its
But what does this mean for our infants with a
attention and forge a bond so strong as to be
hearing loss? Research has demonstrated that
nearly unbreakable. What she probably didn’t
when a hearing mother first discovers that her
realize was that it would also help her baby to
infant has a hearing loss, she will increase her
acquire spoken language later on. Scientists
use of vocal range, but over time this fades. In a
now refer to this kind of sing-song
study conducted by the Department of
communication as Infant Directed (ID) singing
Otolaryngology at the Indiana University
or speech. You may recognize it by its common
School of Medicine (Bergeson, Miller &
name, motherese. It is characterized by a
McCune, 2006), researchers discovered that
higher than usual pitch, slower tempo and an
hearing mothers of infants with cochlear
emotional expressiveness. Studies show that
implants used typical ID style when
Visit the new Infant and Toddler Section at babies prefer this kind of communication over
communicating with their child. They also
The Listening Room at typical adult speech. It is not only mothers who
adjusted their vocal style to match the hearing
www.hearingjourney.com engage in ID singing, but fathers as well. In
experience rather than the chronological age of
fact, this behavior occurs universally among
the child. This is good news, indeed, because of
caregivers!
the critical link between ID singing and the
development of language, speech
We also know that for an infant, its primary
discrimination and cognitive skills. The current
response to rhythm is movement. Isn’t it
technology that enables early identification of
interesting that when we hold an infant we
hearing loss affords us the opportunity for early
begin to rock or bounce, thus reinforcing that
intervention. A natural part of that intervention
response? There is evidence to suggest that a
should include ID singing.
strongly metric rhythm actually induces an
internal clock in infants and that they can
So, bounce, rock, and SING to your baby!!
discriminate when that rhythm changes. This is
important for developing the ability to
synchronize movements to an external source,
Source:
such as a piece of music.
This Listening Room is a steady stream of Bergeson, T. R., Miller, R. J., & McCune, K.
FREE activities and resources to support the (2006). Mothers' speech to hearing-impaired
Babies are also able to recognize a melody
development of speech, language and
sung at a different pitch as long as the infants and children with cochlear implants.
listening skills of children, adolescents and
relationships between the tones are unchanged.
adult cochlear implant recipients. Infancy, 10, 221-240.
It’s notable that when mothers sing to their
Music developed by Chris Barton.
BY BARBARA A. ELSE, MPA, LCAT, MT-BC Adults can help by remaining calm and maintaining ordinary routines
of life.
Fears of dark Loss of appetite Anxiety Give verbal assurance and physical comfort
Stomach aches
Avoidance of sleeping Fear Provide comforting bedtime routines
alone Nausea
Irritability Avoid unnecessary separations
Increased crying Sleep problems, nightmares
Angry outbursts Permit the child to sleep in parents’ room
Resumption of bed-wetting, Speech difficulties temporarily
thumb sucking, clinging to Sadness
parents Tics Encourage expression regarding losses (i.e.,
Withdrawal deaths, pets, toys)
Source: Field Manual for Mental Health and Human Service Workers in Major Disasters. DHHS ADM 90-537, 2006.
The Role of Music and Music Therapy in Disaster Following a disaster, young children often
Recovery respond well to individual or small group
During and immediately following a disaster activities. Preferably, this is with the consistent Resources
event, responders must deal with immediate presence of a parent or caregiver. Initially, the
concerns related to rescue and safety. Typically, most important function of live music is to
music and music therapy interventions begin quickly establish a relationship with the Buell, J. (2006). Emotional first aid
once there is stability around the event and any children (Gao, 2008). Music based activities manual. San Juan Capistrano,
geographic or physical “hot zones”. A program tailored to the needs of the children provide CA: Innovations Press.
of music and music therapy interventions in the much needed structure and routine, especially Coping With Traumatic Events: Tips
immediate days following a disaster generally in temporary housing situations. Music-based for Talking About Traumatic
focuses on establishing stability and some sense activities should be designed to facilitate a Events. Retrieved June 2, 2009
of normalcy, even if that normalcy is reinvented sense of emotional stability and control. from the SAMHSA Center for
and a “new normal” is established. Music Therefore, activities should engage the child Mental Health Services Web
therapy in response to crisis or trauma may and/or allow the child to have some sense of site: http://
provide opportunities for: empowerment in the process. mentalhealth.samhsa.gov/cmhs/
• Non-verbal outlets for emotions TraumaticEvents/
associated with traumatic experiences The music therapist can also provide an tips.asp#workers
• Anxiety and stress reduction important consultation service with respect to Disaster Help for Children and
• Positive changes in mood and the availability of live and recorded music for Parents. Retrieved June 2, 2009
emotional states young children for the purpose of creating a from The Child Advocate Web
• Active and positive participant calming environment, masking noise, and site: http://childadvocate.net/
involvement in treatment cueing children about transitions to nap time, disaster.htm
• Enhanced feelings of control, bedtime, meals, and other daily activities that Field Manual for Mental Health and
confidence, and empowerment may be taking place in an unfamiliar, Human Service Workers in
• Positive physiological changes, such distracting, and/or transitional environment. Major Disasters. Retrieved June
as lower blood pressure, reduced 2, 2009 from the SAMHSA
heart rate, and relaxed muscle Finally, music therapists should consider Center for Mental Health
tension designing activities that incorporate movement Services Web site: http://
Source: AMTA Fact Sheet: Music Therapy in and touch with the music to reinforce a sense mentalhealth.samhsa.gov/dtac/
Response to Crisis and Trauma of presence, self, and “being in their own FederalResource/Response/3-
body”. This is because trauma can trigger Field_Manual_MH_Workers.pdf
Music therapists are reminded to only provide enormous physiological reaction as well as Music Therapy in Response to Crisis
services within their scope of practice, training, difficulty in focus and being present in the and Trauma. Retrieved June 12,
and qualifications. There are numerous moment. Children (and adults) need time to 2009 from the American Music
techniques and approaches available and in rest, settle, and allow the body to return to a Therapy Association Web site:
use by some music therapists such as Somatic state of balance or homeostasis. The http://www.musictherapy.org/
Experiencing, Psychological First Aid, and a neuroscience and neuro-physiology behind factsheets/MT%20Crisis
new modified technique under development these recommendations is a rapidly growing %202006.pdf
and study by music therapy Professor Tian Gao area of inquiry with positive trends in favor of National Center for Traumatic Stress
called Music Entrainment Desensitization and the use of music and music therapy. – National Resource Center
Reprocessing (MEDR). However, only trained http://www.nctsnet.org
and qualified clinicians should consider using Contact: T. Gao (personal communication,
these techniques. else@musictherapy.org November 20, 2008).
barb@developmentlaboratory.com
She listens
EARLY to the musicNEWSLETTER
CHILDHOOD and VOLUME 15 PAGE 19
turns around...
vocabulary. Music therapists may also create
Music Therapy in Bilingual strategies that incorporate familiar objects,
Early Childhood Education movements, pictures, and manipulatives. Active
experiences can engage multiple learning
modalities and increase the relevance of
BY BILL MATNEY, M.A., MT-BC &
language skills.
CHRISTINA STOCK, M.A., MT-BC
that specifically address the use of music Kennedy, R. (2008). Music therapy as a
therapy in ESL classrooms (Schunk, 1999; supplemental teaching strategy for
Kennedy & Scott, 2005; Kennedy, 2008). kindergarten ESL students. Music Therapy
Perspectives, 26 (2), 97-101.
The purpose of a recent study by Stock (2009) Krashen S D. (1973). Lateralization, language
was to determine the effect of bilingual music learning, and the critical period: Some
therapy on the expressive language output in new evidence. Language Learning, 23,
special needs children who are learning 63-74.
English in early childhood classrooms. Eleven Krashen, S.D. (1983). The din in the head,
English-language learners at an early input, and the language acquisition
childhood education center in north Texas device. Foreign Language Annals 16,
participated in an English-only control group 41-44.
and a bilingual experimental group. In the Mehler, J., Juscyk, P., Lambertz, G., Halsted,
English-only group, the researcher utilized N., Bertoncini, J., & Amiel-Tison, C.
Western songs, spoke and sang only in (1988). A precursor of language
English. In the bilingual group, the researcher acquisition in young infants. Cognition,
sang indigenous folk songs in Spanish and 29, 143-178.
English, and communicated with the students in Menon, V., & Levitin, D.J. (2005). The rewards
both languages. Pretest and posttest data were of music listening: Response and
analyzed on the Woodcock-Muñoz Language physiological connectivity of the
Survey-Revised (WMLS-R) and the school mesolimbic system. Neuroimage, 28,
district’s Pre-Kindergarten Assessment Chart 175-184.
(PKAC) to determine gains in expressive Muller, E., & Markowitz, J. (2004). Synthesis
communication within each group and any brief: English language learners with
differences between control and experimental disabilities. Alexandria, VA: National
groups. While improvement was noted on the Association of State Directors of Special
WMLS-R, it was not statistically significant. The Education, Inc.
students’ PKAC data revealed improvement in Murphey, T. (1990). The song stuck in my
expressive language, with the bilingual group head phenomenon: A melodic din in the
experiencing greater improvement. LAD. System 18, 53-64.
Nazzi, T. et al. (1998). Language
Summary discrimination by newborns: Toward an
In culmination, studies and theories suggest understanding of the role of rhythm.
that multicultural, bilingual music therapy can Journal of Experiential Psychology,
1) aid in ESL students’ language Human Perception and Performance, 24,
comprehension and language expression, 2) 756-766.
facilitate consistent prosody as embedded Patel, A. (2007). Music, language, and the
within indigenous music, 3) build rapport to brain. Oxford: Oxford University Press.
enhance the therapeutic process, 4) positively Perani, D. (1998). The bilingual brain:
modify the affective filter for enhanced Proficiency and age of acquisition of the
learning, and 5) validate the indigenous and second language. Brain, 121, 1841-1852.
multicultural identities of early-childhood Pike, K.N. (1945). The intonation of American
students. English. Ann Arbor: University of
Michigan Press.
References Pinker, S. (1994). The language instinct. New
Asher, J.J. (1969). The total physical response York: Morrow.
approach to second language Randall, K. (2009). Say what? Bias against
learning. The Modern Language Journal, languages other than English hurts
53 (1), 3-17. students, says scholar. Retrieved May 1,
Barber, E. (1980). Language acquisition and 2009, from The University of Texas Web
applied linguistics. ADFL Bulletin 12, site: http://www.utexas.edu/features/
26-32.
Bosch, L. & Sebastien-Galles, N. (1997).
2009/03/16/language_bias/
Schunk, H. A. (1999). The effect of singing
C
Christina
hristina Stock
Stock
Native-language recognition abilities in paired with signing on receptive received
eceivi ed
dhher
er Bachelor of Artss in Music
M ic
Mus
four-month old infants from monolingual vocabulary skills of elementary ESL from the University of Texas,
and bilingual environments. Cognition, 65 students. Journal of Music Therapy, 36 concentrating Ethnomusicology. She
oncentrating on Ethnomusicology
(1), 33-36. (2), 110-124. received her Master of Arts in Music
Bruck, M., Genesee, F., & Caravolas, M. Stock, C. (2009). The effect of bilingual music Therapy at Texas Woman's University.
(1997). A cross-linguistic study of early therapy on the expressive language of She works as a contract music
literacy acquisition. In B. A. Blachman Spanish-speaking children learning therapist in the Dallas area. Her
(Ed.), Foundations of reading acquisition English in early childhood classrooms. interest in music and culture has led
and dyslexia: Implications for early Unpublished master’s thesis, Texas her to pursue research and
intervention (pp. 145-162). Mahwah, NJ: Woman’s University, Denton, Texas, interventions involving the needs of
Erlbaum. U.S.A. Spanish-speaking second language
Kennedy, R., & Scott, A., (2005). A pilot learners.
study: The effects of music therapy
interventions on middle school students’ Contact: musicaconamor@gmail.com
ESL skills. Journal of Music Therapy, 42
(2), 244-259.
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 21
infuse gaiety and merriment in order to disorders can also experience music as they
The Hydraulophone: nurture a sense of engagement and wonder can feel the hydraulikeys, the sonic
Music from Water that is the foundation of scientific, musical, vibration in the instrument and can see the
and personal exploration. affects of the note on the water flow.
BY DAVID GILDINER
The most beneficial aspect of this new The Hydraulophone has been installed in
invention is its expressivity and accessibility numerous institutions in North America. For
for everyone. Because water is naturally example, The Canadian National Institute
A group of engineers, musicians and
multi-dimensional (it’s a fluid after all), the for the Blind uses the Hydraulophone as a
designers from the University of Toronto
Hydraulophone can sculpt an array of centerpiece for their sensory garden to
have redefined the physical capabilities of
aquatic sounds that seem to emanate from teach math, music, and meaningful play at
water and provided a fun and useful tool
another world, the water world. One can their Calgary facility. A giant sculptural
for early childhood education and music
make music that bends, swirls, and flows Hydraulophone that is located at the
therapists – the Hydraulophone.
around itself and “urban beach” in front of the Ontario
may sound like an orchestra of flutes, Science Centre in Toronto is open to the
The Hydraulophone is an instrument that
oboes, and organs. Children can use their public 24 hours a day. Children’s Museums
literally makes music with water. Imagine an
fingers, hands, arms or bodies to play the such as the Chicago Children’s Museum and
organ whose keys are replaced with water
Hydraulophone. Jeane’s Discovery Center in Texas also have
nozzles, each one corresponding to a note
Hydraulophones that engage their visitors’
on the musical scale. When blocking a
Moreover, the player can actually see and senses while learning about music, math
“hydraulikey” with a finger the water is
feel the music as it is created. The and having fun!
forced back through the instrument and
Hydraulophone can be referred to as an
creates a tone. By manipulating the flow of
"outstrument" as it is essentially always on.
water one can play chords, harmonies, and
The water continuously flows from the jets
create simple to complex music. Tones are
and a note is activated by closing the note,
arranged diatonically so that complete
i.e. blocking the water. This makes it
musical pieces can be played.
possible to actually see the music being
created. With a flute or an organ, one
The Hydraulophone has expanded the
cannot see the air, but a Hydraulophone
fundamental sources used to make sound.
allows the user to see and feel exactly how
Instruments of the past used only two
they are manipulating the sound producing
natural elements to make music: solids
medium to create the music they hear.
(strings, percussion) and gas (woodwinds,
When the finger blocks a note the water
brass). Meaning, the narrow channel
cascading out of other notes will dance in
through which we previously thought about
response to the change in water flow,
sound production has been expanded.
allowing the player’s eyes to see what their
ears hear and what their hands feel. All
At the core of the Hydraulophone is the
senses are immediately and seamlessly
idea to create a new tool that encourages
engaged. This has been especially powerful
children to discover their senses from a
for children with sensory disabilities such as
perspective of exploratory play and to
visual impairments. Children with hearing
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 22
Evolutionary and neuro-affective aspects of planning, and later to symbols, is seen as Further support for the power of the singing
early communication suggest, “the human the primary neurologically-based voice for these early social dynamics comes
capacity for singing, first evident in the sing- compromise in ASD (Greenspan & Shanker, from research by Porges and Lewis (in
song babbling of babies, is an adaptation 2004). press). According to them, evolutionary
that facilitates teaching and learning shifts in the vagus (the primary
between mother and child” (Panksepp & Floortime™, one component of DIR®, is parasympathetic cranial nerve regulating
Bernatzky, 2002). The singing voice evolves carried out in multiple daily sessions of visceral states) brought reciprocal
and stays with us for life; it is available to us naturalistic play with the parent or caregiver vocalizations into a privileged role; Along
everywhere, anytime. In the realm of the in a developmental-partner’s role. Affect is with facial expressions, head movements
highly dynamic, relational approach known mobilized by following the “child’s and listening, vocalized intonations are
as DIR® (Developmental, Individual lead” (interest) and then gradually thought to actually trigger the social
Difference, Relationship-based)/Floortime™ challenging him or her to successively higher engagement system and evolve there in the
(Greenspan & Wieder, 2006), it is certainly stages. The voice is a natural and powerful service of regulation. Interventions designed
musical gold! medium in this special kind of interactive with these principles in mind could
play. Serena Wieder refers to the value of a hypothetically “enhance social behavior,
Based on my experience and supported by prosodic speaking voice clearly dressed facilitate state and affect regulation, reduce
research in the scientific literature, this is a with musical riches when she says, stereotypical behaviors, and improve vocal
brief view of procedures and rationale for “Remember, the voice is probably the most communication, including both prosody in
the adult partner’s singing voice when powerful tool you have to cue your child. expressive speech and the ability to extract
applied to a child’s challenges in the earliest Whether or not he understands the words, human voice from background
(four out of six) functional emotional the message comes from the tone and the sounds.” (Porges, in press).
developmental capacities articulated by rhythm and the loudness and the pacing of
DIR®, detailed below. Greenspan (2008, it.” (Greenspan, 2004). In Floortime™, I encourage drawing
chap. 17) considers the earliest four stylistically from an expanded vocal model,
capacities to have particular importance, as Singing for social communication and including a.) Highly prosodic speech b.)
embedded in them are many of the most regulation in settings with children who have Monotonic unmeasured chant c.) Multi-tone
critical building blocks for mental health. developmental impairments is similar to that rhythmic chant d.) Non-speech vocalizations
Challenges in the earliest capacities often which Trehub (2003) describes mothers (animal and environmental sounds, clicks,
impact joint attention, social engagement universally applying in the developmental sighs, etc.) e.) Musical babble f.)
and expressive communication, with even process with pre-linguistic infants. However, Ornamentation g.) Recitative-like speech/
minimal signaling posing difficulties. while mothers of typically developing babies song h.) Melodic phrases and full songs
use “meaningful melodies” (Fernald, 1990) from the child’s musical culture h.)
A transdisciplinary approach developed by to propel dyadically-attuned states, children Improvised phrases and songs i.) light-
Drs. Stanley I. Greenspan and Serena with developmental delays often need to be hearted melodic patterns that highlight
Wieder, DIR® “is a framework that helps drawn out from affectless, self-absorbed “building blocks of music” from just-sung
clinicians, parents and educators conduct a states. Here, we have reason to value vocal tunes (Reynolds, Valerio, Bolton, Gordon, &
comprehensive assessment and develop an material with heightened impact of pitch Taggart, 1998).
intervention program tailored to the unique (frequency). While Zatorre, Belin, and
challenges and strengths of children with Penhune (2002) distinguish music processing
Autism Spectrum Disorders (ASD) and other from speech (the latter requiring left-
developmental challenges.” (http:// hemisphere processing of rapid, brief
www.icdl.com/DIRFloortime.shtml) auditory stimuli), research (Gervais et al,
Assessment is made regarding each of the 2004) suggests cortical impairment in
developmental milestones (capacities) that a speech processing in ASD. Importantly,
child needs for healthy growth: 1.) Shared though, there is also evidence for a
attention and regulation 2.) Engagement 3.) heightened ability for pitch processing in
Two-way purposeful signaling 4.) Long ASD (Heaton, 2003). This combination --
chains of shared problem-solving 5.) impairment in speech processing and
Creating representations 6.) Logical strength in pitch -- bodes well for singing as
thinking. Strongly impacting DIR® a medium of intervention which offers
interventions is the overarching principle slower, more defined spectral information
Photograph:
that affect is a critical factor for healthy that evidently “gets through” and that “Where’s the treasure, do you know, is it high or low?”
development; failure of affect to connect a retains some common elements of both Mom uses singing with pivotal DIR/floortime principles and
child’s sensory perceptions to motor speech and music.
continued
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 23
tactics to help her son advance from repetitive, self- training, there is flexibility on many levels Panksepp, J., Bernatzky, G. (2002).
absorbed puzzle play through the first four developmental
milestones and into a joyful, interactive game. The power
for such use, ranging from “ordinary” Emotional sounds and the brain: The
of singing (alerting attention, stimulating engagement and singers whose emergent voices can be Neuro-affective foundations of musical
evoking spontaneous vocal participation) is magnified supported by basic physical adjustments appreciation. Behavioural Processes,
when following his lead and joining his play, meaningful and stylistic choices, to those with 60,133-155.
gestures coordinated with sound, face-to-face high affect,
and “playful obstruction” (hiding his desired puzzle piece
considerable pastime or professional Porges, S. W. (In Press). Music therapy and
in one of her hands). experiences who might, for example, be trauma: Insights from the Polyvagal
able to reap the benefits of “voice Theory. In K. Stewart (Ed.).
The timing and purpose of each singing bending” to heighten affect (Sundberg, Symposium on Music Therapy &
style is evoked by the lead of the child and 1999, chap. 6) or strengthening spectral Trauma: Bridging Theory and Clinical
is purposefully linked to the sensory-motor resonance, including the special ringing Practice. New York: Satchnote Press.
states that are precursors of sound known as the “singer’s Porges, S. W., Lewis, G. F. (In Press). The
representational self-expression, with aims formant” (Titze, 2001). Further Polyvagal hypothesis: Common
of both co-regulating and lending meaning. development of feasible methods for mechanisms mediating autonomic
Along with occasional body percussion and training parents and professionals related regulation, vocalizations, and listening.
rhythmic instrument play, singing is to a singing and DIR®/Floortime™ context In S. M. Brudzynski (Ed.). Handbook
integrated with semantic and prosodic are timely and called-for. As these skills, of Mammalian Vocalization: An
speech, gestures, facial expressions and, integrated with DIR® principles, move Integrative Neuroscience Approach.
most importantly, embedded in play with toward second-nature for singing partners, Amsterdam: Academic Press.
toys of the child’s choice and Floortime their value as “musical gold” will optimally Reynolds, A. M., Valerio, W. H., Bolton, B.
pursuits (Weeks, 2005). enrich the child’s early developmental M., Gordon, E. E., & Taggart, C. C.
capacities. (1998). Music Play: The Early
The child may show a range of positive Childhood Music Curriculum Guide for
responses, including alert acculturation/ Parents, Teachers, and Caregivers.
absorption (Reynolds et al, 1998), engaged References Chicago: GIA Publications.
vocalizations, sung or spoken material in Appelman, R. D. (1967). The science of Sundberg, J. (1999). The perception of
“proto-conversation,” (Trevarthen, 1998, vocal pedagogy. Bloomington, IN: singing. In D. Deutsch (Ed.).
chap. 1) or non-musical social interaction. Indiana University Press. Psychology of Music. (pp. 171-214).
As the child is moved to communicate more, Fernald, A. (1990). Meaningful melodies in London: Academic Press.
the singing partner’s choices and mothers’ speech to infants. Infant Titze, I. R. (2001). Acoustic interpretation of
rhythmicity must be exquisitely sensitive to Mental Health Journal, 11, 262-282. resonant voice. Journal of Voice,
the child’s unique biological vulnerabilities Gervais, H., Belin, P., Boddaert, N., 15(4), 519-528.
and strengths in order to cultivate a steady Leboyer, M., Coez, A., Sfaello, I., Trehub, S. E. (2003). The Developmental
back and forth flow, creating more and Barthelemy, C., Brunelle, F., Samson, origins of musicality. Nature
stronger “circles of Y. & Zilbovicius, M. (2004). Abnormal Neuroscience, 6 (7), 669-672.
communication.” (Greenspan & Wieder, cortical voice processing in autism. Trevarthen, C. (1998). The concept and
2006). Especially here, being able to Nature Neuroscience, 7, 801-802. foundations of infant intersubjectivity.
“carry” one’s voice in tandem with rapid Greenspan, S. I. (2004). Floortime™: What In S. Braten, (Ed.), Intersubjective
and versatile physical mobility for proximity it really is, and what it isn’t. [Web- Communication and Emotion in Early
and contingent responses gives the singing based radio show audio transcript]. Ontogeny. (pp. 15-46). Cambridge:
partner a unique musical and relational Retrieved January 10, 2009 from, Cambridge University Press.
advantage. http://www.icdl.com/distance/ Weeks, K. (2005). Rhythm and rhapsody:
webRadio/documents/9-2-2004.pdf Music’s power in the DIR® model. Best
Greenspan and Wieder (2006) have Greenspan, S. I. (2008). A Dynamic Practices Newsletter of the
consistently advocated for hands-on, developmental model of mental health Interdisciplinary Council on
primary roles for parents in applied and mental illness. In A. Fogel, B. J. Developmental and Learning
solutions for their children. Thus, singing King, & S. G. Shanker, (Eds.), Human Disorders, 5 (4), 3-10.
partners in Floortime™ are often parents. development in the twenty-first Zatorre, R. J., Belin, P. & Penhune, V. B.
Just as parent coaching is applied to century: Visionary ideas from systems (2002). Structure and function of
Floortime™ techniques, so too some vocal scientists. (pp. 157-175). Cambridge: auditory cortex: Music and speech.
coaching by a knowledgeable professional Cambridge University Press. Trends in Cognitive Sciences, 6 (1),
is feasible and valuable in this setting. Greenspan, S. I., & Wieder, S. (2006). 37-46.
Many adults today are so removed from Engaging autism. Cambridge, MA: Da
live music-making that they have either Capo Press. For more information contact Kaja Weeks
forgotten or never developed fundamental Greenspan, S. I., & Shanker, S. (2004). The at kaja.weeks@gmail.com
singing skills or confidence. Yet significant first idea: How symbols, language and
improvements can result from attention to intelligence evolved from our primate
basic competencies, such as breathing, ancestors to modern humans. Editor’s Note:
diaphragmatic support, use of articulators Cambridge, MA: Perseus Books.
(jaw, tongue, lips) particularly to adapt Heaton, P. (2003). Pitch memory, labeling, It has been brought to my attention that
timbre, and appropriate use of vocal and disembedding in autism. Journal there has been an oversight in
registers (Appelman, 1967). of Child Psychology and Psychiatry, referencing Kaja Weeks’ work in the
44 (4), 543-551. article “A Glimpse into the use of Music
While my work has primarily been as a ICDL (Interdisciplinary Council on Learning Therapy and the DIR®/Floortime™
coach to parents, DIR®-based clinicians and Developmental Disorders), Model for Children with Autism,” Early
and educators from a variety of (non- (2009). What’s DIR/Floortime? Childhood Newsletter Issue 14, 2008,
musical) disciplines have increasingly been Retrieved Januray 10, 2009, from p.18-19. The editor and author of this
interested in incorporating tactics informed http://www.icdl.com/dirFloortime/ article apologize for this error.
by a singing model. With direction and overview/index.shtml
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 24
The 11th Annual AMTA Conference in San Diego will offer many opportunities for learning more about
music therapy across a wide variety of early childhood settings. Here are some of the session topics, as
of this writing:
• Bright Start Music: Connecting the Dots for Infants and Tots
• Catch the Wave Early: ABC’s to XYZ’s of starting an Early Childhood Music
Program
• Containers: Music Therapy in Pediatric Oncology
•
AMTA 2009 •
Intergenerational Music Therapy Programs
Join the Circle: Music Therapy and Young Children with Emerging Autism
• Lullaby 101: A Program for At-Risk Expectant and Parenting Teens and Adults
• Music Therapy and Hope: Songwriting with Pediatric Oncology Patients
• Music Therapy, DIR ©, and Autism: It’s in the Relationship, Baby!
• Reuniting Families in Crisis through Music Therapy and Music Together
Featured • The First Duet: The Music of Human Attachment
• Therapeutic Performance for the Young and Young at Heart
Early • Think Green: Applying Low-Cost and Eco-Friendly Interventions in Early Childhood
Music Therapy
Childhood • Toddler Rock: The ABC’s of Music Therapy and Preschool Literacy
• Who Knows a Song in Locrian? Baby Does!
Conference
CMTE offerings of interest to those working with young children include:
• Surfing Through Contemporary Practices in Pediatric Medicine: Music Therapy Skill
Events Development and Clinical Intervention
• Attachment Based Music Therapy
The always popular pre-conference NICU Music Therapy training returns, as does the Sharing Our
Strategies (SOS) Early Childhood session, led by Petra Kern, Beth Schwartz, and Beth McLaughlin. Be
thinking of what you can share. This one is for those of you who want something new to take home and
use in your sessions on Monday. Also, don’t miss the Early Childhood Networking Lunch session,
sponsored by the Special Target Populations Committee – be sure to bring your business cards!
Additional information will be shared at the Clinical Practice Forum and the Research Poster Session.
Come visit the Exhibits and the AMTA Village to see what new products and resources are now
available.
There will be something for everyone waiting for you in San Diego. Come be inspired and renewed in
sunny California!
Juanita Eslava
Instituto Colombiano de Neurociencias
Columbia Universidad Nacional de Colombia
Bogota, Columbia
South America
“Dale alegría a mi corazón, es lo único que te pido al menos hoy. Ya verás cómo se transforma el
aire del lugar. Y ya verás que no necesitaremos nada más”
(Fragmento de Dale alegría a mi corazón. Compositor: Fito Páez).
Snapshot Give joy to my heart, it is all I’m asking today. And you will see how the air will transform. And you
will see that we won’t need anything more
Area (Fragment from the song Dale Alegría a mi corazón. Composer: Fito Páez).
Also, the policy statement for early childhood Therapy, and Eclectic approaches. As can
– a document presented in 2006 and included be seen, American, European, and Latin-
in the National development plan 2007-2011 American Music Therapy models and Snapshot (cont.)
(the route plan that articulates all policies that schools of thought influence our practice. In
each government prepares for the 4 year school settings it is also common to find
period of each president) - enforces new approaches based upon music education
routes to protect children ages 0-6. programs such as Dalcroze, Orff, Suzuki Children under 14
and Kodaly. The methods more widely used 30.3% of the general population.
Both Law 1098 and the Policy for Early are re-creation, improvisation and
Childhood document determined the principles composition and those less used are the
for protection of early childhood services in receptive method and its techniques. Source
Columbia. The first principle is that family is the Related to our culture, there is also a strong DANE. Colombian National Department
central axis for integral development of young reliance on techniques that derive from of Statistics. Data from Censo 2005.
children. Therefore the government must dance and movement. There is still very little
protect the family as the natural context for use of technology due to of the lack of
development of children. The second principle resources in the area.
is that children have rights and that their rights
are prioritized over those of the rest of society.
Therefore the government must be sure Prominent Publications
children receive quality services in health and
education, and protection against danger. Eslava, J. (2006). Music Therapy in
Third, there is a principle of equity and social developmental disabilities.
inclusion that must translate in the building of Neuropediatria Revisiones, 4 (1),
basic social conditions that will allow children 28-34.
to be subjects of rights. Fourth, the principle of
co-responsibility and integrality establishing Some of the master theses in the field of
that family, society and government have early childhood in the country include:
shared and equal responsibility in the
development of children, and that the policies Sanabria, L. (2008). Design and
in place must be articulated so that all efforts application of a music therapy program
can result in an optimal development. It is very to stimulate the development of psycho-
important for music therapists to be aware of motor skills in children 3-4 years.
these principles, as the services we provide Charry, A. (2008). Music Therapy and self-
must be framed by them. It is also critical to concept: Music as facilitator for the
understand that it is in the spirit of the law itself construction of the self in a child with a
that we can justify provision of music therapy history of abuse, abandonment, and
services in all kinds of institutions working with problematic behaviors. Case study.
early childhood. The principles at the core of Botero, N. (2008). Effects of a music
the law are also at the core of our profession. therapy program in girls between 6-13
years old diagnosed with ADD and
Another legislation particular to the matter of learning disabilities. Case studies.
early childhood is the mainstreaming
legislation that establishes that children with
disabilities must be included into regular
school settings to promote development. This
poses different challenges for preschools and
schools, as they must adjust their programs;
create continuing training programs regarding
disabilities for teachers and staff members in
disabilities; and offer therapeutic services to
be able to have inclusion for children with
About the Author
disabilities. Otherwise this could result in
discrimination towards this population in Juanita Eslava obtained her Master’s
educational settings. Degree in Music Therapy from Temple
University (Philadelphia, USA) in 2004
and moved back to Colombia that year.
Common Approaches She is a music therapist at the Instituto
Colombiano de Neurociencias, and a
Given that the group of music therapists in the professor, thesis director and fieldwork
country studied at such broad range of music supervisor in the Master of Music
therapy schools, one might find quite a variety Therapy Program at the Universidad
of approaches used in practice. The Nacional de Colombia. In her clinical
philosophy and characteristics of the different practice she works with children with
settings will also determine the approach to be disabilities.
used. Some of the commonly used approaches
include: Behavioral approaches, Contact: juanaeslava@hotmail.com
Developmental approaches, Creative music
therapy, Plurimodal approach (Schapira),
Benenzon model, Social and Community Music
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 27
Karen Twyford
Snapshot "In my experience music therapy is a most integral component of the multidisciplinary team. Aside
from the sheer joy and delight experienced in music therapy sessions, children also have the ability
Area to reach their full potential and develop skills in the most motivating context. I cannot imagine our
centre operating without the wonder of music therapy."
The physical area is 268,680 sq kms,
so a little smaller than Italy or Japan, Victoria Crone, Pediatric Physiotherapist, Coordinator, Wellington Early Intervention Trust
and a little larger than the United
Kingdom. New Zealand comprises
the North and South Islands (the two
music therapists are self-employed, working
main islands), and a host of smaller Demographics through early childhood agencies, or directly
islands including Waiheke, Stewart
The present number of registered music with families. All music therapists work as part
and the Chatham Islands. New
therapists in New Zealand is 51. The majority of multidisciplinary, interdisciplinary or
Zealand’s wildlife includes the transdisciplinary teams and contribute to
of these work in part time or sessional
flightless kiwi bird. Physical features children’s Individual Plans where possible.
employment. Music therapy has been
include active volcanoes, hot springs, practiced in New Zealand over the last 25 Collaborative approaches at differing levels are
geysers and mudpools, also the years and a gradual migration of overseas an integral part of music therapy practice.
Southern Alps with fiords, glaciers trained therapists has seen the population of ____
1
and lakes. In Maori, Aotearoa means therapists increase during this time. The Results from a recent (2008) online survey of
‘Land of the Long White Cloud.’ commencement of the Wellington based 36 Registered Music Therapists working in New
Masters in Music Therapy course in 2004 has Zealand in which a 50% response rate was
enabled the profession to expand achieved.
Population considerably over the last few years. Music
4,305,890 therapists work primarily in and around the
three main cities of Wellington, Auckland Background Information
and Christchurch. A small number of
Official Language therapists work in more isolated locations. Music Therapy New Zealand (MThNZ) is the
English, Maori and NZ sign language professional body representing music therapists.
One third of registered music therapists Music therapists are encouraged to apply for
practicing in New Zealand currently work registration with MThNZ to gain a practicing
Ethnic Groups within the area of Early Intervention1. certificate. As the profession continues to
78% European/Other Services are provided on both a direct and establish its identity, New Zealand agencies are
14.6% Maori consultancy basis. Therapists working encouraged to employ only registered music
9.2% Asian exclusively with this client group work part- therapists. The Ministry of Education endorses
6.9% Pacific peoples time or on a sessional basis. A small number this approach and lists registered music
of music therapists in full time employment therapists within its Specialist Services
provide services to children of varying ages. Standards (2006).
Median Age Music therapy is provided to young children Sources
36.4 (2008 estimate) in a variety of settings. These include early Ministry of Education (2006). Specialist
intervention centers including the Wellington services standards. Wellington: Ministry of
Early Intervention Trust, family homes,
Children under 5 community, early childhood centers,
Education
where availability of music therapy resources setting. New Zealand Research in Early
are scarce. By using this approach, skills and Childhood Education 10, 81-94.
knowledge are imparted to families and Rickson, D. J. (2004) Angela’s mother: The
professionals working with young children. This early years. New Zealand Journal of
ensures that skills and strategies modeled by Music Therapy 2, 17-35. Featuring
music therapists can be continued and used in Rickson, D. (1995). Healing Families: the
the home and other settings. music therapist’s role in early
intervention programmes. Annual
A variety of techniques are used with children Journal of the New Zealand Society
in Early Intervention with a focus on for Music, 26-35.
improvisational models. Music therapists work Rickson, D. (1993). The use of music to
with individuals and small groups. This work facilitate communication with children
can include parents and/or peers. An aged 0-7 years with severe or
emphasis is placed on the establishment of a profound congenital hearing loss.
therapeutic relationship and through this, Annual Journal of the New Zealand
identified physical, emotional, intellectual and Society for Music, 3-29.
social aims can be addressed. Music therapists Shaw, F. (2006). Triadic Improvisations:
use structured musical activities and free Developing Communication Skills. New
musical play/improvisation, including singing, Zealand Journal of Music Therapy 4,
chanting, movement and use of instruments and 46-63.
multi-media props. Stevenson, K. (2003). Music Therapy
Assisted Communication with Children
with Severe Disabilities. New Zealand
Journal of Music Therapy 1, 82-92.
Prominent Publications Twyford, K. (In Print). Finding a Niche:
Establishing a Role for Music Therapy
Archer, C. (2004). Music therapy and early within the Ministry of Education, Special
intervention: The parent-child relationship Education, New Zealand. New Zealand
is centre stage. New Zealand Journal of Journal of Music Therapy.
Music Therapy 2, 35-49.
Archer, C. (1995). Music and early
Integrated
egr
gra
rated
ate
ateed Team
Team
eam Working
ea Wo
Work
rkkiing
rki n explores
explllor
exp lo
or
o es
es
intervention: A survey. Annual Journal of
the New Zealand Society for Music, transdisciplinary
nsdi
nsddisc
isccipliinary and
ipllinary d collaborative
nd colllla
co llabborati
borativ
tive
ve
46-54. approaches
proache hess between
en UK music
between music
Ayson, C. (2008). Child-Parent Wellbeing in a therapists
erapists and other professionals an and
Paediatric Ward: The Role of Music
About the Author demonstrates how they can be
Therapy in Supporting Children and Their valuable methods of music therapy
Parents Facing the Challenge of intervention. The book is both a
Hospitalisation. Voices: A World Forum theoretical and practical guide for
for Music Therapy. Retrieved April 5, music therapy students and
2009, from http://www.voices.no/
professionals. It considers the music
mainissues/mi40008000261.php
therapist’s role in the multidisciplinary
Cooper, A., Bagley, M., Bailey, A., Choi, H-C.,
Gang, N-H., & Molyneux, C. (2009). The team and the rationale, purpose and
first five years: Celebrating the growth of application of collaborative
the Raukatauri Music Therapy Centre. approaches in work with children,
Poster presentation at the 6th Nordic adults and the elderly in a range of
Music Therapy Conference clinical settings. Eighteen case studies
Croxson, M. (1999). Music Therapy and illustrate a variety of creative and
Families. Annual Journal of the New Karen has worked as a music therapist in innovative collaborative approaches
Zealand Society for Music, 40-49. Australia, England and more recently, New between music therapists and other
Hoskyns, S. (In Press). Promoting readiness for Zealand. She has worked in a variety of professionals including occupational
learning in a pre-school child with clinical areas since 1992, with the majority therapists, physiotherapists, speech
features of developmental dyspraxia: of her experience being with children.
and language therapists, psychologists
Some strategies from music therapy. Karen is currently self employed and is
Paper for Proceedings of Music 09: and other arts therapists.
contracted by the Ministry of Education,
Modulations Music Education Special Education, in the areas of early
Conference, Christchurch July 09. intervention and school focus. Her work
Hoskyns. S. (2005) Creativity in music making: focuses on inclusion, children with special
Some thoughts from music therapy. Sound educational needs, autism and
Arts 1, 3, 11-12. transdisciplinary teaming.
Rickson, D. J., McLaren, S. J., & Jones, L. L.
(2007). "A kind of serene feeling washing
Special thanks to Fiona Hearn for her
over the centre": Perceptions of staff and
assistance with this article.
trained observers regarding the use of
background music to improve the auditory
Contact: karen.twyford@xtra.co.nz
environment in an early childhood centre
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 29
Sunelle Fouché
Aksana Kavaliova-Moussi
BMT, BA, MTA
Kingdom of
The Children's Academy, Bahrain
Bahrain
Snapshot "Almost all children respond to music. Music is an open-sesame, and if you can use it
carefully and appropriately, you can reach into that child's potential for development."
Area Clive Robbins, Nordoff-Robbins Center, New York
Archipelago in the Persian (Arabian)
Gulf, east of Saudi Arabia. 665 sq
report of the Kingdom of Bahrain (Inclusive
km, or 3.5 times the size of Demographics education: the way of the future)” (2008, p.
Washington, D.C.
Music therapy in early childhood education 67):
in Bahrain, 2008:
Population Number of music therapists: 1 • Shortage of specialized human cadres in
1,050,000 approximately, including Workplace conditions: Sessional the field of the provision of care for
530,000 citizens (Human Rights Setting: Special education school students with special needs
Report, 2008) • Shortage of financial resources to execute
There is no music therapy education projects for inclusive education for
Official Language program in the Arab Gulf region. The music students with special needs. The
therapists working in the region are trained equipment and other requirements of this
Arabic is the universal language,
in Europe (in Dubai), Canada (in Bahrain), group are also too costly.
English is widely spoken, Farsi and
and the USA (in Qatar). The only music • Lack of data and information about the
Urdu less so.
therapy service available in Bahrain at the cost of education for students with special
moment is at the Children’s Academy. The needs whether they are in schools or
Ethnic Groups program started in October, 2008, and private centers
63% Indigenous Bahrainis (northern provides individual and small-group • High expectations of the parties
Arab) interventions to children with various concerned (society and parents) to get
19% Asians quick results following the integration of
diagnoses such as Autism Spectrum
10% other Arab groups
Disorder, Down Syndrome, Learning these children into formal schools can
8% Iranians
6% other ethnic groups Disabilities, ADHD, PDD (NOS). have a negative effect on the development
(Encyclopedia of the Nations, 2002) process.
Background Information
Music therapy in Bahrain is not yet a state-
Median Age Children with special needs in the Arab Gulf recognized health care profession, but the
30.1 years region have long been excluded from or future projects of the Ministry of Social
have not received adequate education. Development might include music therapy as
According to Al-Hilawani, Koch, and part of their therapeutic services available to
Children under 5 Braaten (2008), “this is a culture where the public.
65,000 (UNICEF Bahrain, 2007) efforts have been made to hide individuals
Children with disabilities: Data is not with disabilities from society” (p. 3).
available Children with special needs have
Common Approaches
traditionally attended special centers. The music therapy approaches used in early
Source However, the concept of inclusive education childhood education include Developmental
is gaining more attention now. This concept Approach, Behavioral Music Therapy (ABA),
CIA. The World Factbook. Bahrain.
was developed as part of the “Education for the Nordoff-Robbins Creative Music Therapy
https://www.cia.gov/library/
all” issued in Jomtien, Thailand in 1990. It Model, as well as music educational
publications/the-world-factbook/
means that all children, regardless of their approaches (Dalcroze, Orff-Schulwerk).
geos/ba.html
sociocultural background or their abilities, Techniques used are active music making and
have rights to the same standards of improvisation (instrumental, vocal), singing,
education. However, there still exist some chanting, music and movement, painting to
barriers to this principle, and they are listed music, music listening.
in “The development of education: National
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 31
continued from p. 30
Resource
Al-Hilawani, Y. A., Koch, K. R., &
Braaten, S. R. (2008). Enhancing
services for students with mild
disabilities in the Middle East Gulf
region: A Kuwait initiative. TEACHING
Exceptional Children Plus, 4(5) Article
1. Retrieved May 10, 2009 from
http://escholarship.bc.edu/education/
tecplus/vol4/iss5/art1
continued from p. 31 use the keyboard and guitar with the students,
as the preschool teacher plays keyboard and
The Hope Town School was founded in 1893. It sings. The teachers also helped students draw
serves students on the island of Elbow Cay from pictures expressing their thoughts about our
preschool through 6th grade, and includes month of music making and what they enjoyed
students with learning and intellectual best.
disabilities, physical and sensory limitations,
and attention deficits whenever possible. Elbow
Cay is a 6-mile long Island in the Abacos.
Populated by British loyalists fleeing the US in
1785, its main village of Hope Town surrounds
a protected harbor with a lighthouse built in
1863. The school has no music teacher or
regular music in the curriculum. I brought an
electronic keyboard and guitar from Dallas,
and donated these to the school when I left. I
worked with the classrooms twice per week
during January, involving all regular and
special needs students in singing, songwriting,
playing, moving, learning music concepts, and
improvising. At the end of the month we
presented a concert for parents and visitors
outside the school in the bright Bahamian
sunshine. One song I used with the preschool
class was Sharon, Lois, & Bram’s “One
Elephant, Deux Elephant,” which I re-wrote as
“One Hermit Crab, Deux Hermit Crabs.”
Hermit crabs are plentiful on the island, and the
children related easily to them. Each child had
to stay tucked “inside their hermit crab shell” Photograph: Drawing from a preschool student
until picked by the most recent crab who “came which combines a palm tree, the sun, the
out to play upon a spider’s web one day.” Our ocean, lots of birds, a red flower, and me with
next song was “Old MacDonald,” which I a guitar. The heart she drew above my head
changed to “Hope Town Preschool Has a makes the image very special.
Band.” The class had a box of un-pitched
percussion instruments, which we used. Each In summary, this month of volunteering was
child identified and played their instrument both a challenge and a joy for me. I enjoyed
when called to do so, and played together creating cross-cultural music experiences that
during “Hope Town Preschool has a band, yes honored the heritage of the country of the Robert
Rober t Krout
Krout
we, yes we do.” A third song for the Preschool Bahamas, while still exposing students to music
was “Bonefish,” a popular Bahamian song. from other cultures, including the U.S. It was
After the singing of the verse and chorus, the meaningful to work with the special needs Dr Robert
Dr. Rober
Ro ber t Krout
Krou
K ut is Professor
Prof
rofeessor and
nd
children held up their “bonefish.” These were students in both the segregated environment Director of Mus
Music
usic
ic Therapy in the
paper plates cut out in the shape of a fish and (ECC) and integrated classrooms as well. I look Meadows
M d School
S h l off the
th Arts
A t att
colored by the children. The children then had forward to seeing these students again in the Southern Methodist University (SMU)
their bonefish “dance” while we sang, ending future. in Dallas, Texas. Prior to joining SMU,
with a rousing “Bonefish!” Robert was Director of Music Therapy
at Massey University in Wellington,
References New Zealand. He was Music Therapy
Hughes, J., Robbins, B., McKenzie, B., & Robb, Manager and AMTA Internship
S. (1990). Integrating exceptional and Director at Hospice of Palm Beach
nonexceptional young children through County, Florida, and taught Music
music play: A pilot program. Music Therapy at the State University of
Therapy Perspectives, 8, 52–56. New York from 1982-1997. In 2005
Rickson, D. J., & Krout, R. E. (2004). Making he received the Research and
music with special needs children – Publications Award of the American
strategies for non-specialist teachers. New Music Therapy Association. Robert
Zealand Ministry of Education. http:// remains actively involved in both
www.tki.org.nz/r/arts/music/ clinical and research areas in music
specialneeds/ therapy. These include the uses of
Schwartz, E. (2008). Music, therapy, and early guitar in music therapy, music
Photograph: Children during the outdoor childhood: A developmental approach. therapy-based songwriting, computer
concert. Gilsum, NH: Barcelona Publishers. and technology applications, student
training and personal growth, end of
The concert was a community success, with life care, and bereavement.
many parents attending, and feedback from
parents and staff was positive. Although they Contact: rkrout@smu.edu
do not have any funding for a music teacher or
therapist, the school does plan to continue to
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 33
We used music as a distraction and to build completed drum art back to the United
a sense of community among those in the States where they were displayed at the
hallway waiting area. There were several REMO exhibition in Los Angeles as part of
little ones (ages 4-8) who consistently the “Artbeat for Humanity Project.” They
followed us wherever we went--always with were later sold at a silent auction sponsored
big smiles, little giggles, and hands open by Resounding Joy, Inc. to fund volunteer
for the next instrument to play. Our first program opportunities for children through
experience of the day showed how quickly the Junior Joy Giver program.
music works its magic. No words were said
and yet mothers were down on the floor These kids are so rhythmic; they just “get it”
with us helping their children create the even though they probably have not heard
community of sound through the common music like this until now. We are continually
language of music. surprised at how boldly and willingly the
children try new things and how resilient
Dr. Grossfeld stressed the importance of their families have proven to be. – Alex
Resounding Joy: Healing “keeping the patients calm to prevent their Field, MT-BC, NICU-MT
bodies from entering a hypertensive state
Hearts With Music post-surgery.” Sedation and medications can This experience was unique because it
be administered to prevent hypertension; allowed complete freedom to try anything
International Outreach however, music therapy techniques offer a and everything in regard to therapeutic
natural and holistic alternative to support interventions. Music was the common
medical interventions. The therapists used a language, the “rapport-builder,” and of
ALEXANDRA B. FIELD, MT-BC, NICU-MT variety of melodic mediums, such as course, fun! Resounding Joy donated the
NOELLE PEDERSON, MT-BC classical guitar, ukulele, Native American instrument kit, the kazoos and egg shakers
flute, kalimbas, and vocal improvisation to to the hospital to share with patients and
Resounding Joy, Inc. is a non-profit create a comforting, supportive, and families. Maintaining detailed data, keeping
organization based in San Diego that relaxing atmosphere for approximately forty anecdotal comments, audio/visual footage
provides music therapy, recreational and people in a one-room surgical unit. Post- have all proven to be important factors in
supportive music services to under-served operative data was collected from each capturing the essence of our work. There is
populations. Through networking patient’s heart monitor every five to fifteen an enormous possibility for continued
opportunities, in August 2008, Alexandra minutes to gauge increases and decreases in research and reaching past the borders into
Bashor, MT-BC, NICU-MT met Dr. Paul the heart beats per minute (bpm). a new realm of music therapy techniques.
Grossfeld, a pediatric cardiologist from the
University of California San Diego (UCSD). The therapists matched the music to the
He and the cardiac surgical team through patients’ heart rates and gradually
Variety Children’s Lifeline were scheduled decreased the tempo to entrain the
for a medical mission trip in October 2008 heartbeats to a more relaxed rate. The
to Siem Reap, Cambodia. He was interested medical staff watched in amazement as a
in the benefits music therapy can provide, so patient’s pre-session heart rate was
a budget proposal was created, illustrating monitored at 146 bpm and was down to
the funding costs for travel, room and 107 bpm post-session after one hour of
board, equipment, art supplies, and other musical relaxation listening and interactive
necessities for the two-person music therapy play. This occurred throughout the sessions,
team from Resounding Joy. Funding for the and the staff took several photographs and
outreach project was provided by several
repeatedly acknowledged the power that
private donations. the music therapy interventions had.
The therapists encouraged individual
Each music therapist (Alexandra Bashor and creativity, family bonding, and play through
Noelle Pederson) volunteered nearly sixty music and creative art interventions by using
hours of their services to twenty patients various hand-percussion instruments,
receiving PDA (Patent Ductus Arteriosus) glockenspiel, bubbles, scarves, parachutes,
surgeries and their families at Angkor and various small toys like a “Viewfinder.”
Hospital for Children. Outreach was also The concept of outdoor chalk art was
provided to approximately fifty other introduced to build rapport and get them
families who were at the hospital awaiting outside to experience their own creativity.
medical attention. The music therapy
services included: direct contact with The instrument retailer REMO donated five
patients and families, documentation, uniquely designed, large shape drums with Contacts:
audio/video recording, planning, and paintable heads and reinforced frames.
consultation with the UCSD cardiac team Multiple families painted four drums during Alexandra B. Field at
and Angkor Hospital for Children’s or after patients’ surgeries. Each drum was alexbashor@gmail.com
staff. Intervention goals primarily focused painted in a different way – one sibling
on relaxation and pain-management, giggled with his mother as he held the Noelle Pederson at
normalization of environment, and diversion paintbrush in his toes. Another toddler npederson@resoundingjoyinc.org
from the hospital experience. The therapists created her masterpiece by ‘playing’ the
compiled detailed numerical and anecdotal drum with her paintbrush like it was a
documentation; the following was written mallet. A patient awaiting cataract surgery www.resoundingjoyinc.org
after the first session: painted the last drum to take the focus off
his pain. The therapists transported the
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 34
Directions
While sitting in a circle, instruct children to
play as follow:
INTERVENTION
1. Here comes a cloud...extend paddle
drum above head
IDEAS 2.
3.
Here comes the wind...rub drum with
flat hand
Here comes the thunder...hit drum
slowly
4. Here comes the lightening...hit drum
faster tempo
5. Get your umbrellas...hold drum over
head and tap with fingers
6. Here comes the rainbow...move drum
It Looks Like Rain overhead, side to side
7. The rain has stopped...hold drum still
BY BETH MCLAUGHLIN, LCAT, MT-BC and turn so the sun is visible
8. Here comes the sun!...move drum
overhead, side with sun showing
Description
The purpose of It Looks Like Rain is to Adaptations
encourage sound exploration and movement Since this is a pentatonic melody, a simple
through music and instrument play. bordun accompaniment using C and G
bass tone bars creates a lovely music
experience and is very accessible to
Materials young children. Add other sounds effects
e.g. thunder tube, flex-a-tone, rain stick
Paddle drums
and a gong to further dramatize the
Scarves or wrist streamers (http://
storm.
www.pbetc.com/moveprops.html)
Sun graphic (laminated)
Beth McLaughlin can be contacted at
Attach scarf or wrist streamer to paddle
bmclaughlin@wildwood.edu
drum handle. Fun tac or tape sun graphic
inside paddle drum.
Goals
• to express dynamic and tempo changes
associated with a rain storm
• to play paddle drums using various hand
and finger positions
Behavior Observation
The child will
• rub, tap, hit paddle drums
• differentiate quiet, loud, slow, fast paddle
drum accompaniment
• model positional changes with paddle
drums
Description 3. For young children, the concepts of front/ “Sticks Next to your Side – Side,
The purpose of the Rhythm Stick Game is to back can be modified with body part Side, Next to Your Side,
enhance Concept Development/Cognition. As a location, e.g., “Touch your tummy” or
child develops his/her gross and fine motor “Touch your back.” Sticks Across to the Other Side –
skills, is able to label the people and objects 4. Encourage your students to add additional Across, Across, Across to the
around him/her, and becomes familiar with directions. Other Side.”
body parts, s/he begins to generalize the 5. After one stick has been mastered, two
information to other situations. Music may be presented for bilateral motor
experiences introduce concepts and provide coordination, adding new directions, “Tap “Sticks Go Side to Side – To Side,
additional practice through repetition and a your sticks together” or “Tap a partner’s To Side, To Side, To Side.”
multisensory, hands-on approach. sticks.”
6. Number concepts may be reinforced with (Alternating sides, crossing the
“Tap your stick one time,” etc. midline each time.)
Goal 7. Melody concepts may be reinforced using
• to demonstrate understanding of basic boom whackers for tapping the floor
directional concepts following your directions.
8. For lower functioning children, physical “Sticks Over your Head – Over,
patterning may be required for success. Over, Over your Head, (hold with
9. For higher functioning children, individual
Specific Objectives sets of opposites can be alternated in one
both hands)
The child will phrase e.g., “Sticks Up, Sticks Down,” Sticks Under your Knees - Under,
• Demonstrate an understanding of the “Sticks In, Sticks Out.” Under, Under your Knees.”
following concepts: high/low, up/down, 10. Letters of the alphabet may be reinforced
front/back/side/other side, over/under, in/ when two sticks or claves are used: “Sticks
out make a “T”, an “X”, an “L,” etc.
• Reinforce his/her concept of rhythm
“Sticks In our Circle – In, In, In our
• Improve motor skills This musical experience also enhances other Circle,
• Improve awareness of space developmental skills, e.g. Bilateral Motor
Coordination, Eye-Hand Coordination, Motor Sticks Out of our Circle – Out,
Materials Planning, Rhythm, Auditory/Visual Reception, Out, Out of our Circle.”
Auditory Memory, Non-Verbal Expression,
Rhythm sticks and simple song or chant.
Following Directions, Body Awareness/Image,
Self Awareness and Peer Interactions. It can
Directions easily be incorporated in a 1:1 setting -- you are Other “directions” as desired, closing
1. If appropriate, give each child one rhythm seated opposite the child -- or with a group with “Sticks at Rest.” (Placed quietly
stick. (Otherwise, have children raise one depending on your program and setting. I on the floor)
arm.) would love to hear how you use and adapt
2. Begin the chant, demonstrate correct action “Rhythm Stick Game” with the children in your
and instruct the group to join you. practice.
3. Children follow and imitate movements. Enjoy!!
4. Only teach concepts that are appropriate
for your students and do not attempt too Adapted from Adler, R. F. 1988,
many different ones at one session. For additional information please contact Target on Music, 2nd ed. (pp.
5. When the first set is known, add the Ruthlee at radler8209@aol.com 110-111) Rockville, MD: Ivymount
additional sets. Much repetition should be School.
included for each set to ensure that the
basic concepts are clear.
EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 36
Materials
None required. Teachers may choose to add
visuals (see adaptations).
New Publications
The following articles reflect a selection of publications related to early childhood music therapy
published during 2008-2009. Colleagues are encouraged to send their publication for future inclusion
in this annual list.
Ayson, C. (2008). Child-parent wellbeing in a paediatric ward: The role of music therapy in supporting
children and their parents facing the challenge of hospitalisation. Voices: A World Forum for
Music Therapy. Retrieved August 20, 2009, from http://www.voices.no/mainissues/
mi40008000261.php
Bergeson, T. R., Miller, R. J., & McCune, K. (2006). Mothers' speech to hearing-impaired infants and
children with cochlear implants. Infancy, 10, 221-240.
Cevasco, A. M. (2008). The effects of mothers’ singing on full-term and preterm infants and maternal
emotional responses. Journal of Music Therapy, 45 (3), 273-306.
Geist, E., & Geist, K. (2009). The beat goes on: Mathematics and music with young children.
Early Childhood Today. March 2009 issue.
Geist, E., & Geist, K. (2008). Do re mi, 1-2-3; That's how easy math can be. Young Children, 63 (2),
20.
Geist, K., McCarthy, J. & Rodgers, A. (2008). Integrating music therapy service and speech language
therapy services for children with severe communication impairments: A co-treatment model.
Journal of Instructional Psychology, 35 (4), 311-316.
Humpal, M. (2009). A community music program for parents and children with
and without special needs. In Abril, C. & Kerchner, J. (Eds.) Musical Experiences in Our
Lives; Expanding the Boundaries of Music Education. New York: Rowman & Littlefield
Education.
Kern, P. (2008). Singing our way through the day: Using music with young children during daily
routines. Children & Families, 22 (2), 50-56.
Lindenfelser, K. J., Grocke, D., & McFerran, K. (2008). Bereaved parents’ experiences of music
therapy with their terminally ill child. Journal of Music Therapy, 45 (3), 307-348.
Nicholson, J. M., Berthelson, D., Williams, K., & Bradley, J. (2008). Impact of Music Therapy to
promote positive parenting and child development. Journal of Health Psychology, 13 (2),
226-238.
Oldfield, A, & Flower, C. (Ed.) (2008). Music therapy with children and their families. Gateshead, UK:
Athenaeum Press.
Schwartz, E. (2008). Music, therapy, and early childhood: A developmental approach. Gilsum, NH:
Barcelona Publishers.
Snell, A. M. (Fall, 2008). Access to music education for all students. In Michigan Music Educator, Vol.
46, No. 1, Fall, 2008, (pp. 8-11). Mount Morris, MI: Michigan Music Educators Association.
Standley, J. M., Walworth, D., & Nguyen, J. (2009). Effect of parent /child group music activities on
toddler development: A pilot study. Music Therapy Perspectives, 27 (1), 11-15.
Steward, K. (2009). Patterns - A model for evaluating trauma in NICU music therapy: Part 1-Theory
and design. Music and Medicine, 1 (1), 29-40.
Sussmann, I.E. (2009). The effects of music on peer awareness in preschool age children with
developmental disabilities. Journal of Music Therapy, 46 (1), 53-86.
Twyford, K. (In Print). Finding a Niche: Establishing a Role for Music Therapy within Group Special
Education, New Zealand. New Zealand Journal of Music Therapy.
Twyford, K. (2008). Integrated Team Working. London, UK: Jesisca Kingley Publisher.
Walworth, D. (2009). Effects of developmental music groups for parents and premature or typical
infants under two years on parental responsiveness and infant social development. Journal of
Music Therapy, 46 (1), 32-52.
Whipple, J. (2008). The effects of music-reinforcement nonnutritive sucking on state of preterm, low
birthweight infants experiencing heelstick. Journal of Music Therapy, 45 (3), 227-272.
Wolf, D. E., & Noguchi L. K. (2009). The of music with young children to improve sustained attention
during a vigilance task in the presence of auditory distractions. Journal of Music Therapy, 46
(1), 69-82.
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EARLY CHILDHOOD NEWSLETTER VOLUME 15 PAGE 39
Graphic Design
Petra Kern
The interest in the newsletter has increased tremendously. Many authors and
readers around the world are accessing and contributing to the newsletter so that it
has grown from a 6 to a 39 page publication. Responses from colleagues within
and outside the field of music therapy have been extremely positive, especially from
clinicians whose access to literature is limited.
AMTA has approved the expansion of the Early Childhood Newsletter into an
online magazine format. The inaugural issue will be available 2010. Music
therapists and others interested in early childhood music therapy may access and
download the online magazine on the AMTA website for free.
Stay tuned and look for updates on the AMTA website at www.musictherapy.org
and the Early Childhood Music Therapy Facebook page.