Class 4 PDF

Preview

Summary

class 4 sprint term...

Description

Songwriting as Intervention and Acquired Brain Injury (Courseware pg. 47-56, webinar) Intro to Songwriting ● Songwriting provides a tangible product of a session ○ Songs can be used to communicate with loved ones ○ Ex. palliative care ● Reflection, motivation, and encouragement ● Safe self exploration, identifying and externalizing emotions ○ Bringing unconscious to conscious ● Telling your story Songwriting as a Music Therapy Intervention ● Video captures process of how clients might view music therapy at first and what the experience eventually turns into Traumatic Brain Injury (TBI) ● TBI’s are complex injuries with a variety of symptoms and disabilities (depending on where injury is) ○ Could be limited motion, problems with speech and cognition ● A TBI patient often deals with; ○ Loss (of daily activities, relationships, physical and emotional abilities) ○ Emotional crisis ○ Adjustment ○ Rehabilitation ○ Identity (reidentify how they see themselves) ● Symptoms: limited ROM, dexterity and speech issues, impaired cognition ● Video: shows how music therapy is used to achieve physiological goals, singing helps with vocals, instruments help movement of upper body ● 2 periods within recovery when clients are most vulnerable ○ As they approach stage of rehab, full recovery is less likely ○ 6-12 months after discharge 0 TBI vs ABI ● Acquired brain injury is injury to the brain which is not hereditary, congenital, degenerative, or induced by birth trauma ● Examples ○ Stroke ○ Near drowning ○ Aneurysm ○ Tumour ○ Infectious disease that affects the brain ○ Lack of oxygen supply to the brain (heart attacks) ● TBI is a type of ABI

●

TBI is defined as an alteration in brain function or other evidence of brain pathology, caused by external force ● Examples: falls, assaults, car accidents, sports injuries Common Themes in TBI Songwriting ● A study analyzed 82 songs written by TBI patients, and most common themes were ○ Isolation ○ Dependency ○ Helplessness ○ Body image (wheelchair, ability to move limbs, expressions) ○ Anger Speech Pathologies in TBI ● Aphasia: cognitively aware of what one wants to say, cannot find the words ○ Goal is to help them find the words they wanna communicate, often use singing to stimulate the production of words ● Dyspraxia: difficulty articulating speech ○ Precomposed songs that have words that have the sounds that are providing most difficulty ● MT and aphasia video: When to Introduce Songwriting ● Depends on the client and how it may be beneficial to them ● For a TBI, it may or may not be appropriate to implement song writing ○ If they’re struggling with cognition and also emotionally, they might not be in a place where they can process the trauma Songwriting Techniques ● Brainstorming: think about themes and words ○ Sometimes you can brainstorm words and a theme will eventually come around or can start with theme and develop words around that ● Fill in the blanks: using a pre-existing song and changing up the words ○ Song has particular meaning to the client and choosing some words to replace with words that have greater meaning to the client ● Song parody: changing all the words but melody remains the same ● Song collage: using pieces of other songs and putting them together ○ Uses visuals to assist Example; Sam TBI (19) ● Train accident, could not remember events prior to the accident ● Physically disabled, speech was impaired, cognition impaired ● Exhibited a lot of anger and behavioural issues ● Skipped or cancelled rehab, was a noncompliant - often comes with impaired cognition

●

MT suggested songwriting, sam picked heavy metal, allowed others to gain insight into his situation and how he was feeling ● Wrote about the common themes, anger, his accident, his experience at hospital ○ Helped him with expression and validation Example; Sally (12) ● 12 year old girl –struck by a car ● ●

Physio, speech, language impairments, memory impairment, impaired social judgment Unmotivated to participate in most therapies ( therefore referral to MT)

● ●

MTfor self-expression LOVED idea of songwriting - motivated - lots of ideas, creative

●

Mom assisted in sessions...