Music Therapy

Music Therapy

Music therapy is a type of expressive arts therapy that uses music to improve and maintain the physical, psychological, and social well-being of individuals—involves a broad range of activities, such as listening to music, singing, and playing a musical instrument.

This type of therapy is facilitated by a trained therapist and is often used in hospitals, rehabilitation centers, schools, correctional facilities, nursing homes, and hospices.

 

Music has been used as a therapeutic tool for centuries and has been shown to affect many areas of the brain, including the regions involved in emotion, cognition, sensation, and movement. This fact, combined with the engaging nature of music and the diversity of music forms, makes music uniquely effective in the treatment of a wide array of physical and mental problems, including depression,  anxiety, and hypertension.

 

Benefits

Music therapy can benefit many individuals. The diverse nature of music means it can be applied in the treatment of concerns both physical and psychological. In some instances, the therapeutic use of music has been able to help people in ways that other forms of therapy have not, as it can sometimes elicit responses that may not appear through more traditional forms of treatment. When people find it difficult to express themselves verbally, they may display a greater degree of interest and engagement in music therapy than they would in a more traditional form of therapy. No background in music is required for a person to benefit from this approach.

Because music can evoke positive emotions and stimulate reward centers in the brain, music therapy is often able to alleviate symptoms of mental health concerns such as:

How Does Music Therapy Work:

 

  • The intervention methods employed in music therapy can be roughly divided into active and receptive techniques. When a person is making music, whether by singing, chanting, playing musical instruments, composing, or improvising music, that person is using active techniques. Receptive techniques, on the other hand, involve listening to and responding to music, such as through dance or the analysis of lyrics. Active and receptive techniques are often combined during treatment, and both are used as starting points for the discussion of feelings, values, and goals.

  • Music therapy can be conducted with individuals or in groups, and the music may be chosen by the therapist or by the person in therapy. A music therapist will generally ensure the type and mode of the chosen form of music, as well as the timing of the music intervention, are appropriate for meeting the needs and goals of the individual in therapy.

  • When introducing music, therapists often base their selections on the ISO principle, which states music is more likely to influence if it matches an individual's current condition. Therapists, therefore, try to ensure the lyrics and melody of a selected piece of music are well-matched with the mood and psychological state of the person in therapy.

  • Songwriting is commonly used in music therapy and may involve writing original songs or modifying existing ones, with the latter being a more structured approach to writing. A person might modify a song by changing some of the words or lines, adding new verses, or writing entirely new lyrics to match the existing tune. In cases when songs are freely composed, the therapist may provide an emotion or topic to serve as a starting point. 

 

Uses of Music Therapy:

  • When a person experiences difficulty communicating after a stroke, singing words or short phrases set to a simple melody can often enhance speech production and fluency.

  • A person with impaired motor skills might improve fine motor skills by playing simple melodies on a piano or tapping out a rhythm on drum pads. Listening to a rhythmic stimulus, such as a metronome, can also help a person initiate, coordinate, and time their movements.

  • A therapist might play a piece of music for children with autism who have limited social skills and ask them to imagine the emotional state of the person who created the music or the person who is playing it. Doing so can help a person with autism develop or strengthen the ability to consider the emotions others are experiencing. 

  • Group drumming circles have been used to induce relaxation, provide an outlet for feelings, and foster social connectedness among members of a group. Group members might sit in a circle with a hand drum while the therapist leads them in drumming activities that may involve group members drumming one at a time or all at once. Those who are part of the circle may be asked to express how they feel by playing a rhythm on their drum or the group might be asked to improvise music as a means of increasing group cohesiveness.

  • Music might be incorporated into guided imagery or progressive muscle relaxation techniques to enhance the effectiveness of these methods.

 

Limitations of Music Therapy

Music therapy generally produces positive results, but it is not recommended as a stand-alone treatment for serious medical and psychiatric issues. While music may help to alleviate some of the symptoms of these conditions, other forms of treatment such as medication, physical therapy, or psychotherapy may also be necessary.

Further, while any form of music can be used effectively in music therapy, not all individuals will find each type of music to be therapeutic. The benefit of a particular type of music will often depend on an individual's preferences and the condition experienced by that individual, and some music forms may cause agitation. To achieve success with music therapy, a therapist will likely need to ensure the musical preferences of the individual in treatment are taken into consideration.

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