1. Sounds of Healing an introduction to music therapy Christian Nielsen MT-BC

2. Matthew's Story

3. Gaston (1951): “Rhythm is the organizer and the energizer.”

5. What is Music Therapy? Music therapy is the systematic, scientific, and creative application of music to aid in the achievement of specific therapeutic goals and to attain and maintain health and well being. Music therapy is an established allied health service similar to occupational therapy and physical therapy. As a holistic treatment approach, music therapy focuses on the well being of the entire person, not just the part which is diseased or in distress.

6. Who are music therapists? ➢ Bachelor of Science Degree, or advanced degree in music therapy ➢ 60 hours practicum training ➢ 1040 hour supervised internship ➢ Board Certification Examination ➢ MT-BC Music Therapist Board Certified. ➢ 100 hours of continuing education per 5 year certification period

7. Who are music therapists? ➢ Theory, composition, history, literature ➢ Musicianship: guitar, piano, major instrument, strings, brass, woodwinds, percussion, large and small ensemble participation ➢ Psychology, research, special education, anatomy & physiology, therapy technique ➢ Specific music therapy courses: pscyhoacoustics, biomedical and psychological foundations, assessment, treatment approaches and methods, assessment, and evaluation of treatment effectiveness

8. Music Therapy Impacts ● Heart Rate ● Blood Pressure ● Respiration Rate ● Brain Function ● Neuromuscular Function ● Immune System ● Endogenous Opioids ● Perceived Well-Being ● Pain Perception ● Symptom Perception ● Transitions ● Emotional State ● Coping Skills ● Quality of Life ● Spiritual Life ● Social Needs ● Grieving Process ● Reality Orientation ● Family & Caregivers ● “Customer” Satisfaction

9. “If the preacher don't work Hank Williams just might” Willie Nelson on MPR 1999

10. Sedative Music ➢ Tempo of 50-80 beats per minute ➢ Arhythmic- No specific rhythm ➢ Smooth melodic structure ➢ Dynamics stable ➢ Limited Range ➢ Decreases heart rate and blood pressure ➢ Calming effects emotionally ➢ Decreases feelings of anxiety or agitation

11. Stimulative Music ➢ Tempo > 80 beats per minute (240 bpm max) ➢ Rhythmic ➢ Variable melodic structure ➢ More melodic jumps ➢ May have greater range ➢ Can increase heart rate and blood pressure ➢ Can be Motivating ➢ Stimulates Movement ➢ Can increase agitation

12. Law of Entrainment Term from physics- if two rhythms are nearly the same and in close proximity, they will always entrain or move together.

13. Iso Principle Matching the mood, rhythm, or physiological state of a person with music and gradually changing that state using music. (Altshuler 1948)

14. Law of Entrainment Term from physics- if two rhythms are nearly the same and in close proximity, they will always entrain or move together. Entrainment is used in two ways: ➢ Altering mood or emotional state ➢ Altering body rhythms- rhythmic entrainment

15. Deana's Story

16. Ritual & Ceremony

17. Sacred Space

18. Collin's Story The Unbroken Circle

19. There are loved ones in the glory whose dear forms you often miss When you close your earthly story will you join them in their bliss Will the circle be unbroken by and by by and by In a better home awaiting in the sky Lord in the sky In the joyous days of childhood oft' they told of wond'rous love Pointed to the dying Saviour now they dwell with him above Will the circle be unbroken... You can picture happy gath'rings round the fireside long ago And you think of tearful partings when they left you here below Will the circle be unbroken...

20. I said a prayer for you today And know God must have heard. I felt the answer in my heart Although he spoke no word! I didn't ask for wealth or fame (I knew you wouldn't mind). I asked him to send treasures Of a far more lasting kind! I asked that he be near you At the start of each new day; To grant you health and blessings And friends to share your way! I asked for happiness for you In all things great and small. But it was for his loving care I prayed the most of all!

21. Music Therapy Interventions ➢ Entrainment techniques ➢ Music choice ➢ Lyric discussion ➢ Composition ➢ Improvisation ➢ Songwriting ➢ Reminiscince & life review ➢ Music as spiritual support ➢ Music-assisted relaxation & meditation ➢ Guided imagery with music ➢ Counseling using music as a tool of therapy ➢ Group therapy sessions with family & friends ➢ Co-treatment with other professionals ➢ Transitional Music

22. Common Relaxation Techniques Deep Breathing ➢ taking slow deep breaths ➢ Inhaling relaxation, O2, “positive” feelings. ➢ Exhaling toxins, stress & tension, discomfort Progressive Muscle Relaxation ➢ Mentally moving from one muscle or muscle group to another ➢ Tensing, then releasing muscle tension Autogenic Relaxation ➢ Imagining Parts of the body becoming “heavy and warm”

25. Music Therapy References Visit www.nielsenmtbc.com ➢ Click on “Music Therapy Information” ➢ Scroll to bottom of page and click on ➢ “Music Therapy References” ➢ Then click on “Music Therapy General References” to download the PDF file

26. CD and MP3 recordings Visit: www.musictherapycd.com or www.nielsenmtbc.com Click on “Recordings: CD & MP3 stores” Then select the format you want to browse