Professional Documents
Culture Documents
Music therapy
George L. Duerksen
https://doi.org/10.1093/gmo/9781561592630.article.A2257019
Published in print: 26 November 2013
Published online: 31 January 2014
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programs offer the doctorate. In addition, there is one approved
undergraduate degree program in a Canadian university. Graduate
degrees are required for teaching in college music therapy
programs, plus at least five years of clinical experience for those
who teach clinical courses.
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Music can communicate both nonverbally and verbally. The
nonverbal communication can evoke and express feeling and affect
for which there are no words. Setting words to music can express
what individuals are hesitant to say, or cannot say, without the
presence of music. Music is often interpreted as reflecting positive
feelings such as goodwill, friendship, happiness, loyalty, and love.
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1940s it was evident that a specialized organization was needed to
help establish standards for education and certification of music
therapists, to support continued development of the profession and
its practitioners, and to encourage scientific research to build a body
of knowledge that would underlie best professional practice. At the
annual meeting of the MTNA in late February 1950, ray Green (who
had played leadership roles in several of the national music
organizations mentioned above and was at the time acting chair of
the NMC Committee on the Use of Music in Hospitals) presided at a
session held specifically with the intent of developing a national
music therapy organization. Persons at this meeting elected Green
as chair of a Committee on Organization and authorized him to
appoint a committee and develop a draft constitution. Green’s broad
experience enabled him to develop an association that included a
variety of those associated with music activities in hospitals.
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As the profession evolved later in the century, the two organizations
grew closer to each other. In 1998, after several years of negotiation,
the NAMT and AAMT merged to form a new association, the AMTA.
The AMTA continues to publish the Journal of Music Therapy and
Music Therapy Perspectives.
In the 1950s and 60s, many professional music therapists had music
education backgrounds and were employed in institutions such as
Veteran’s Administration hospitals, state mental hospitals, and
private mental health clinics. In such settings musical activities such
as instrumental and vocal ensembles, listening groups, and
individual sessions provided the locus for the pursuit of therapeutic
goals. The processes used often resembled the psychodynamic and
other psychological approaches typically used in these institutions.
Other music therapists at this time worked in institutions for
retarded children and adults. Music therapy approaches in these
settings frequently reflected then-current practices in special
education. Activities similar to those used in childhood music
education were adapted to pursue changes in client behavior that
would help the person adapt and function better in his/her
environment.
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on the elderly, and concern for the quality of life have stimulated the
development of new techniques. Development and testing of clinical
protocols continues as the profession’s research base develops.
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(i) Guided imagery and music.
Guided Imagery and Music (GIM) is described on the Association for
Music and Imagery website as “a music-assisted integrative therapy
which facilitates explorations of consciousness that can lead to
transformation and wholeness.” This approach, developed through
the work of Helen Bonny and her associates, and sometimes called
the Bonny Method of GIM, uses programs of specifically sequenced
classical music to encourage and support ongoing inner experiences.
GIM techniques originated in work with mentally disturbed
individuals, but current applications extend beyond that population.
Typically, GIM is a “one-on-one” treatment process. The method
couples the musical stimuli with verbal interaction between the
client and therapist before, during, and after the listening portion of
the session. The GIM approach attempts to explore consciousness,
described as including thoughts, images, perceptions, and emotions
through music-activated images guided by the music therapist. The
intention is for the client to enter into an altered state of
consciousness for the listening session.
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help with gait disorders. Patterned sensory enhancement protocols
employ a variety of music’s structural characteristics to pattern body
movements that are not necessarily rhythmic in nature. Speech and
language training applies a variety of protocols designed for
different problems. These processes include melodic intonation
therapy, musical speech stimulation, rhythmic speech cuing, vocal
intonation therapy, therapeutic singing, oral motor and respiratory
exercises, developmental speech and language training through
music, and symbolic communication training through music.
Cognitive training procedures focus on four areas: auditory attention
and perception, memory, executive function, and psychosocial
behavior.
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recording. If a particular improvisation elicited a significant client
response, that music may be repeated and developed at a
subsequent session.
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extensive project on personnel preparation (sponsored by the US
Office of Education and directed by Wanda Lathom), which resulted
in numerous workshop materials including her book entitled Role of
Music Therapy in the Education of Handicapped Children and Youth
(1981). Since its founding the AMTA has published a variety of
research monographs and mediated resources, including a compact
disk comprising all articles published in the Journal of Music
Therapy, Music Therapy Perspectives, and Music Therapy.
Music therapy research in the 1950s and 60s frequently used case
study and relatively uncontrolled observation methodology. The
resulting data, though imprecise, stimulated strong interest in the
refinement of methodology and the development of theory to help
guide and focus research. Several trends in the following decades
significantly influenced research practice. The rapid development of
sophisticated audio/visual equipment and computer technology made
possible improved control in research processes and provided ways
to increase the precision of measurement. Advances in statistical
analysis used the computational power of computers to support
more complex multivariable research designs. Applied behavior
analysis research designs proved useful for a variety of music
therapy studies. Sophisticated qualitative research techniques
increased the precision of clinical studies. Professional education,
business, and industry focused on outcomes as well as the processes
underlying them. An outcomes focus is reflected in current music
therapy clinical research. The current healthcare trend toward
evidence-based practice seems likely to influence the direction of
research. Evidence-based practice suggests that healthcare
providers base their treatment decisions not only on their own
professional experiences and their client’s needs and values, but also
on current quality research outcomes. The need for validated
current outcomes will probably increase the demand for research.
Bibliography
E.T. Gaston: Music in Therapy (New York, 1968)
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H.L. Bonny and L.M. Savary: Music and Your Mind:
Listening with a New Consciousness (New York, 1973,
2/1990)
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K.E. Bruscia and D.E. Grocke, eds: Guided Imagery and
Music: the Bonny Method and Beyond (Gilsum, NH, 2002)
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