Some Concerns in Designing Therapy
Discourses on Music -7
To utilise music in its therapeutic aspect we need to identify music that corresponds to our various emotions. If a particular melody attracts us, we could examine what is so special about it. Is it the lyrics, the voice, the intonation of the words, the interplay of instruments, the use of silence in the song or something else? However, when we use music as a complement to certain other procedures we have to study all the above aspects as well as the musical abilities of the individual who is the recipient of the treatment, and their preferences regarding the setting. There can be many a setting for a therapy exercise in music- from a community centre to a hospital ward, the studio of the therapist to the school-room, even a park or the home of the patient. In terms of participation it can be an individual who receives therapy, a couple, a family, a group or any other set of like-minded people.
Then one has to choose the kind of musical experience –between listening to music, recreating music, making new music and an appropriate musical medium, whether it would be the voice of the participants or instrument, or a combination of them. Similarly, one needs to carefully choose what music to use- some existing music, which is known to both or known to one alone or a new music to be created jointly. Once these factors have been accounted for music therapy can be designed for any kind of disease or condition: from childbirth and immature babies to patients suffering from cancer, HIV/AIDS and those with burns and other trauma. It can also be used in treatment of psychiatric illnesses of schizophrenia, substance abuse, depressions, phobias and for rehabilitation to neurological conditions of multiple sclerosis, stroke, autism, developmental delays and handicaps, Alzheimer’s and Parkinson’s Diseases. Even in operation theatres the use of music can help in carrying out a safe surgery by reducing the stress levels of all involved, with a possible reduction of the dosage of anasthesia required by the patient and in post-surgical recovery. Further uses may be to promote self-actualization, to stimulate developmental growth, to manage pain and to treat musical problems.
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