Bachelorarbeit, 2015
64 Seiten, Note: 2:1
Chapter: 1 Introduction
Chapter: 2 Defining Music Therapy
2.1 Drawing a connection between music and the brain
Chapter: 3 Therapeutic Improvisation
Chapter: 4 Improvisation in Action
4.1 Dialoguing
4.2 Creative Music Therapy with a Boy with Multiple Impairments
Chapter: 5 Conclusion
This dissertation investigates the role of improvisation within the discipline of music therapy, examining the differences between musical performance and clinical application through academic research, expert interviews, and a detailed case study of a seven-year-old boy with multiple impairments.
Creative Music Therapy with a Boy with Multiple Impairments
In a case study compiled and conducted by John Carpente,18 Assistant Professor of Music and Music Therapy at Molloy College New York, and founder, and executive director of The Rebecca Centre for music therapy.19 An excellent insight into the application and evidence based use of Creative Music Therapy is given. The study which lasted 20 weeks was centred on the ‘individual therapy in which therapist and client improvise music together’ (Carpente, 2015). This therapy concerned a seven year old boy named, Mikey, who was diagnosed with Autism, Down syndrome, Attention deficit disorder, a communication disorder, and a behavioural disorder.
The case study begins with a full clinical and medical assessment, Mikey’s family circumstances and relationship to his parents and siblings is given full consideration. The clinical assessment which took place over the course of five sessions allowed the team to fully evaluate Mikey’s individual circumstances, and to begin to formulate a goal based and strategic plan in which to assess Mikey’s individual needs.
From the outset musical instruments were introduced to Mikey, they were placed in the centre of the room, on the floor, with no enticement other than them just being there. All sessions were videotaped; a moment by moment log was kept of each session in which the therapist recorded personal reactions and reflections along with clinical rationale and intent.
Chapter: 1 Introduction: Discusses common misconceptions about improvisation and establishes the framework for comparing musical performance with therapeutic practice.
Chapter: 2 Defining Music Therapy: Explores professional definitions of music therapy and examines the neurological and psychodynamic connections between music and the human psyche.
Chapter: 3 Therapeutic Improvisation: Outlines the fundamental differences between musical improvisation in performance and clinical improvisation, focusing on goals and the therapist-client relationship.
Chapter: 4 Improvisation in Action: Provides practical examples of clinical techniques, including dialoguing, grounding, and a comprehensive case study of working with a client with multiple impairments.
Chapter: 5 Conclusion: Synthesizes the research findings, emphasizing that music therapy is a medical discipline centered on individual clinical goals and non-verbal communication.
Music Therapy, Improvisation, Clinical Improvisation, Psychodynamic, Musical Performance, Therapeutic Relationship, Grounding Techniques, Dialoguing, Autism, Non-verbal Communication, Client-Centered, Case Study, Musical Models, Psychological Development, Nordoff-Robbins.
The work focuses on defining the specific role of improvisation within music therapy and distinguishing it from conventional musical performance.
The central themes include clinical improvisation techniques, the development of musical models for therapy, and the use of music to foster interpersonal relationships in clinical settings.
The primary goal is to establish the distinct differences between music as a performance art and music as a therapeutic tool for accomplishing specific clinical aims.
The research utilizes qualitative methods, including academic literature review, interviews with professional musicians and music therapy clinicians, and a longitudinal case study approach.
It covers theoretical frameworks of improvisation, specific technical approaches like grounding and dialoguing, and an in-depth case study of a child with multiple impairments.
Key terms include Music Therapy, Clinical Improvisation, Psychodynamic, Therapeutic Relationship, and Non-verbal Communication.
It is defined as the use of musical improvisation within a framework of trust, specifically designed to meet the therapeutic needs of the client rather than to achieve aesthetic perfection.
It demonstrates how a therapist moves from an initial failed approach of "filling the space" to a more effective model of "leaving space," allowing the client to take an active, self-driven role in the musical dialogue.
Grounding refers to tonal, harmonic, or rhythmic interventions by the therapist that provide a sense of structure and safety, helping a client feel "anchored" when their improvisation lacks direction.
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