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Music Therapy Today
Dr Suvarna Nalapat
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Indian Ragachikitsa
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ASSESSMENT
Nonstructured initial assessment of client
Paper based on grounded theory study
Interview with experienced music therapistswho have done substantial work on the field
Conception of initial assessment examined
Main result of studyqualitative synthesis of
initial assessment proceduresMT as a part of a multidisciplinery team
Regional music for concerned societies
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Assessment models and
methodsDevised by each region.
Generally,A preliminary interview with client
(2-3 hours) Informal.Series of sittings
Assessment with and without questionnaire
Therapy based on disease, mental makeup,
musical background (MLP)
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Traits of initial
assessment1.May need more than one appointments
/sessions
2.Investigation of interaction- essential formof gathering information
3.Interaction of music therapist with client -musical, verbal, nonverbal.
4.Clients relationship to music assessed byinteraction (informal),questionnaire,listeningtogether,sing along ,creating music together
EBM vs happiness of patient/relatives &
physician
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Early childhood
education with musicEveryday is a pleasing experience for childand caretaker/mother
How it makes a difference in life of child andadult?
Philosophy of MT in educational settings
Techniques used
Role of caretakers , teachersCurrent status of MT in other countries andIndia in child and adult population
Family and community MT
Our vision
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Infant research
mother-child interactionMusical tonal characters and emotions inmothers voice and songs, lullabies
Early compassionate relationships withmother-better personality
Critical use of musical metaphors
Importance of biologically determined
initiative behaviourTherapeutic attitude informed by theory &pertinent behaviour taught, propagatedthrough local regional classical traditional.
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Motherese (IDS)The biologically determined infantdirectedspeech (motherese)and its musicalcharacters
Position of intuition between conscious andunconscious behaviour.Is it possible to teachintuitive behaviour?
Unconscious behaviour we get fromupbringing , ancestors, culture(familial,congenital for each civilization,region) Indian behaviour is different fromAmerican/European.
Can arise by learning.Occur irrespective ofinner attitude/state of awareness.
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Intuitive (biological
behaviour)Dependent on inner attitude/willingness torespond to events/developments.May beconcealed or inhibited for several reasons
Empathy-ability to open up to others-weperceive with all senses and respond, due toincrease in intuitive behaviour.
Infants, children, yogy-inocent , empathetic.
Nonverbal, symbolic, intuitive, empatheticinteraction (mother and chiild)
Communicative musicality of mothers-
rhythmic patterns . infants tune in to musicalpoetical emotions expressed by mothers.
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Natural musicality
conceptPotential of music to create emotionaltogetherness
Healing : Music supports intrinsicneurobiologically determined needs forqualitative human communication , organisedmusically, that is , In time.
Child gets emotional message in voice-is theemotion related to tune, pitch, melody,prosody ? To gesture or tactile stimuli? Tointuitive meaning of love . faith for the mother? Is it just familiarity?
Rhythm / heartbeat of mother.
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MT in psycho-oncology
Different types of cancer /men and women21-62 agegroups (6/12 months after detection
50 % were dead.)Seriousness and finality of diagnosis beforetherapy.
Nature of music used and technique used
Personality of Therapists and theircommunication skills and empathy
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3 groups
Receiving active therapy
Receiving receptive therapy
Talking without musicControl population for each of these
3 therapists, 3 projects, 3 institutions
12 patients from each+controlsFollow up
Synthesis and analysis of data of 36 patients.
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Triangulation
A. SeidelLocal (regional) therapist
External observer (not therapist)
describes in blindfolded experimentCore-team of experts (national /international level)
In Germany Bosler scale , emotionalmodel (Bernd Tischer 1993), andquadranten model are used for this
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Hidden music
exploration of silence in
music .Julie Sutton.
An interval- Bardo of silence-laya
British- an angel is passing by
Japanese-Maspace between events
Between two loving couple-most intimate
periodMOUNARAGA (Voice of silence )
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Mounaraaga
The silence slow the pace of music andemphasise the word that flow from silence,highlighting the quiet intensity of the singersvoice.
Silence begins in space before the first soundis uttered-naadabrahma concept of India.Ends with space after last musical sound in amelody has finished resonating, but continuesas everlasting anaahatha sound before a newcreation.
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Creative act from
silenceLinked with a state of unknowingness-lettinggo off the conscious thought processes inorder that there is space and freedom formusic that is yet to become.Naadalayayogam
Longer silences relate to form and structure
Relative silence within texture changes
Therapist listens to this silence within her/himbetween him/her and the client.The musicalpresence of inaudible sound unknown ,indescribable,unimaginable,yet experienced
sweet taste experienced by a dumb person.
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Openness
In which unheard is discovered and createda combination of musical and therapeuticlistening needed for therapist /musician
Then he/she can awaken memory chains inthe client , positive stimuli , neurotransmitterreleases, neuronal communications opens upbetween them and T cells of the immune limband interleukins released-immunity increases
Endorphin secretion-pain relief
Stress hormone decrease-quality of life .
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Data analysis
Computer aided
QSR Nud Richards 1998 programme
Strauss & Corbin 1990-98to find out corecategory
Successful description of assessmentprocedure (membercheck) complex and
multilevelconsists of analytical (theoretical)and practical frameworks+experiencerelatedissues
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Susan Hadley&Jane
EdwardsMaleoriented areas of enquiry: psychology,philosophy,epistemology,aesthetics,socialand natural sciences, ethics, ecology,theology,political theory.
80% Therapists are women. But Musictherapy is not a feminist voice
Music Therapy is always a sociopolitical work.
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Barbara Wheeler
1.Choose the area we want to focus.
2.In US Music Therapists with
psychodynamics are not interested in othermusic therapists who use behaviour oreducationally oriented approaches.
3.Reaching out to people who are different
from us-socially, educationally, ethnically,culturaaly,chronologically. Early.
4.With same values, interests, longtermrelationships. Later
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More mature years
We focus more narrowly. we specialise.
To get stability and to accomplish something
in life.We become more choosy in relationships.
Music tastes also is different. But if tastes aredeveloped early in life, better chances for oneto enjoy life in later years.
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Lokakalyaanam (peace and happinessof entire world) is our motto. This is the
first step.We have miles to go before we sleep
But the steps we traverse are worth thetrial.
May the cosmic power be awakened inour bioenergy field.
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Thank you
http://drsuvarnanalapattrust.org
