Indexing is certainly a key component. Lets make that a topic to focus on. How are we listening? Can we hear the potential development from what the client is already offering us? What can musicing do for this person?
I think indexing is critical because it is in the analysis of the music that we can learn more deeply about where our client is at and what is their potential. I think listening in the moment while the musicing is happening is also just as critical. The client's music can help us understand how they are feeling, what they need, and where they need to go. It also opens the door for verbal expression and processing of feelings and emotions.
Mary presented Andy- 58 y/o male who is 5 years post-stroke. Andy had a catastrophic stroke at age 53. He lost all speech sounds and most motor activity. Had to releanr everything again. After 6 months of speech therapy he still had no speech sounds or language. Speech therapist told him to give up and that speech therapy would not be effective because of the severity of the brain damage. I saw his brain scan. There was not much left of his brain after the stroke. When he came to me initially he was very depressed. I have been working with him in Music Therapy for 4 years. He now has a much different life. He can read and write. He can paint amazingly beautiful pictures. And he can sing lots of songs! He has worked so hard on his singing and speech. I have used a combined approach of LiPS articulation cuing and awareness and singing familiar songs from his youth. We have also written several songs together to work on articulation, vocabulary and express his feelings. He has written a bonding song for each of his grandchildren and he sings them to each of them. He is very creative! He also drives a car now and teaches other child and adults with disabilities how to play golf. His main goal for the next 6 months is to increase his spontaneous speech so that he can initiate conversations. He is thinking of words to say but is having trouble getting out what he is thinking. I am hoping that through Nordoff Robbins improvisational therapy that he will be able to increase his spontanteous speech. He can be very creative with his voice and likes exploring the low and high registers. He also loves to play the piano.
Alan recommended Mary start with spontaneous improvisation on a melodic instrument or the piano to open up melodic creativity.
Diana presented her case of a 24 year old man referred to her Community Outpatient Music Therapy program. This client has depression and was hospitalized for suicidal ideation. He is very nervous and his goal is to become less nervous. He also has sad feeling and anger about his father's death. Diana attempted to engage him in music playing during their first session but the client was only comfortable playing for about a minute on the piano, which was not what Diana had initially offered to him. She also played and he listened and said the music was sad. He has a preference for anime music and showed Diana some music that he likes.
Alan recommended using improvisational music to help him stay with feelings and experience them. Aland discussed Paul Nordoff's idea of music being "wonderfully sad". Music that conveys that someone understand them but also has momentum and hopefulness. Alan recommended using the music to help the client to attune to his feelings. Alan reminded us that music is abstract and a blend of emotions and that we have lots of opportunities in the music.
Group assignments from CMT this week: Indexing Relationship Scale And listen to audio examples of first session and beginnings of sessions
Next NRMT Group Supervision 9/10/17 at the same time- who would like to present?
I think indexing is critical because it is in the analysis of the music that we can learn more deeply about where our client is at and what is their potential. I think listening in the moment while the musicing is happening is also just as critical. The client's music can help us understand how they are feeling, what they need, and where they need to go. It also opens the door for verbal expression and processing of feelings and emotions.
ReplyDeleteGroup Supervision 8/27/17- notes:
ReplyDeleteMary presented Andy- 58 y/o male who is 5 years post-stroke. Andy had a catastrophic stroke at age 53. He lost all speech sounds and most motor activity. Had to releanr everything again. After 6 months of speech therapy he still had no speech sounds or language. Speech therapist told him to give up and that speech therapy would not be effective because of the severity of the brain damage. I saw his brain scan. There was not much left of his brain after the stroke. When he came to me initially he was very depressed. I have been working with him in Music Therapy for 4 years. He now has a much different life. He can read and write. He can paint amazingly beautiful pictures. And he can sing lots of songs! He has worked so hard on his singing and speech. I have used a combined approach of LiPS articulation cuing and awareness and singing familiar songs from his youth. We have also written several songs together to work on articulation, vocabulary and express his feelings. He has written a bonding song for each of his grandchildren and he sings them to each of them. He is very creative! He also drives a car now and teaches other child and adults with disabilities how to play golf. His main goal for the next 6 months is to increase his spontaneous speech so that he can initiate conversations. He is thinking of words to say but is having trouble getting out what he is thinking. I am hoping that through Nordoff Robbins improvisational therapy that he will be able to increase his spontanteous speech. He can be very creative with his voice and likes exploring the low and high registers. He also loves to play the piano.
Alan recommended Mary start with spontaneous improvisation on a melodic instrument or the piano to open up melodic creativity.
Diana presented her case of a 24 year old man referred to her Community Outpatient Music Therapy program. This client has depression and was hospitalized for suicidal ideation. He is very nervous and his goal is to become less nervous. He also has sad feeling and anger about his father's death. Diana attempted to engage him in music playing during their first session but the client was only comfortable playing for about a minute on the piano, which was not what Diana had initially offered to him. She also played and he listened and said the music was sad. He has a preference for anime music and showed Diana some music that he likes.
Alan recommended using improvisational music to help him stay with feelings and experience them. Aland discussed Paul Nordoff's idea of music being "wonderfully sad". Music that conveys that someone understand them but also has momentum and hopefulness. Alan recommended using the music to help the client to attune to his feelings. Alan reminded us that music is abstract and a blend of emotions and that we have lots of opportunities in the music.
Group assignments from CMT this week:
Indexing
Relationship Scale
And listen to audio examples of first session and beginnings of sessions
Next NRMT Group Supervision 9/10/17 at the same time- who would like to present?
Mary D. :)