MUSIC THERAPY APPROACHES Creative Music Therapy – Nordoff-Robbins • • • • Music-centered, not focus on verbal Music did the therapy Playing on instruments Facilitating education goals Guided Imagery Method • • • • Invented by Helen Bonny Pre-recorded music invokes an image in patients head Activates inner reflection Used to begin as classical music Behavioural Approach • • • Music used as a reinforcement/stimulus to cue behaviour NICU infants use music to stimulate sucking for nutrition Creating positive or negative reinforcement (to encourage or stop certain behaviour) Cognitive Behavioural Model • • Shifts how we perceive somethings, irrational beliefs (shift the lense) When we believe something so strongly, it becomes a fact to us. You believe you are going to fail because you walked underneath a ladder Psychotherapy Approach • • • Sigmund Freud creates Psychodynamic theory Human behaviour influenced by unconscious psychological processes (internal conflicts, impulses, desires, motives) Explains motives behind the way we think, feel, and act, gain insight on our unconscious conflicts Biomedical Models • • • • Collaboration between music therapists and physicians, nurses, physical therapists to treat physical/biological/neurological conditions Unique structural and cultural properties of music can be harnessed to access brain and behaviour functions to facilitate healing and rehabilitation Focus on neurobiological foundations of nervous system Strong emphasis on music participation and perception to stimulate physiological and neurobiological processes Neurologic Music Therapy • Therapeutic application of music to cognitive, sensory, and motor dysfunctions due to neurological diseases in nervous system • Evidence based approach, outcomes are measurable o o o Sensorimotor rehabilitation: Rhythmic Auditory stimulation (RAS) uses rhythm to access movement center in brain (walking in tempo) Speech and language rehabilitation: use singing to improve speech Cognitive Rehabilitation: structured time, tempo, rhythm of music focsus attention to neglected visual field