As a learning music therapist it is sometimes difficult to
describe music therapy to someone, especially someone who is skeptical. I have had people ask me if our purpose is to
play song request and make someone happy, or to teach music to people. My response to questions like this is
normally something along the lines of the therapist does whatever the client
needs, which is usually a little more complex than simply playing a requested
song.
One thing I try to stress is the fact that music therapy
practices are based off of an assessment process and the treatment plans are
based on goals and objectives that need to be addressed to improve the quality
of life for the client. Coming into this
trip, the only perspective I had of music therapy was what I had seen in the KU
clinics and videos we had seen in class.
At the KU clinic, the practicum students receive a client that they work
with for the semester, and although the sessions look different according to
the client and the client’s needs there is a very structured process of
assessment, treatment plans, individual session plans, and progress notes.
However, this organized and methodical process is not quite
the same here. While we come up with treatment goals and objectives based off
of assessment, music therapy itself looks quite different here than it does
back at the KU clinic. In Thailand,
there are several treatment facilities and rehabilitation centers that say they
offer music therapy services. In the
United States, these services would be considered music activates as opposed to
therapy because a board certified therapist does not facilitate these
activities.
When I first saw a session at Sirindhorn Rehabilitation
Center in the adult daycare unit, I was very confused as to how it was a music
therapy session. Observing the session
the week before I was taking it over, I thought I would get some ideas for
applications and facilitations to do the following week. What I saw during the session however
appeared to me like a sing-a-long, which is everything I ave learned to say
music therapy is not.
The facilities at Sirindhorn Rehabilitation Center |
I was upset by the way the session was done, and I wanted to
do something else that I considered music therapy. From my perspective, what was occurring
during this session was not therapeutic.
I struggled with this concept and many other students I talked to had
the same experience and confusion about therapy practices here. On the way home from the first session I
facilitated, I talked to Melissa Hill who has been doing her internship here
for the past six months. She told me
that although what I am doing may not seem therapeutic to me, it does not have
to be. The session is for the clients.
Because the caregivers and the clients and the nurses all
attended theses sessions at Sirindhorn, the session is geared towards
interaction between them all. The
clients at Sirindhorn are taken care of and work with physical therapist,
occupational therapists, and see other medical care professionals, but the
caregivers that take them to the rehabilitation center and care for them at
home need care themselves, which is something that we were able to provide
during our sessions. The caregivers and
clients were able to interact with one another in a non-stressful, fun
environment that we were able to provide, and this is what was therapeutically
beneficial for them.
Our last day at Sirindhorn where we received leis from a grateful caregiver. |
At first glance, I was unable to see the value in the
session here, and I had to rethink what I call music therapy. I had a very pinpointed, narrow definition
that was based off of what paperwork and formalities I would go through to plan
and facilitate a session back home. What
I learned from this experience is that the therapy part of music therapy is
really the most important part, which is dependent on what the clients consider
therapeutic and beneficial. Although my
definition of therapy coming into this trip consisted of the procedures and
paperwork behind the scenes, I would now describe it as facilitating
applications to create an environment in which therapeutic objectives can be
reached, and those therapeutic objectives depend on what the client needs.
No comments:
Post a Comment