Music is a language that does not require the use of words; it is a way one’s emotions are built and expressed through a variety of creative outlets. One of the creative ways music is used is in the form of music therapy. Music is utilized in therapy to treat individuals with a variety of illnesses and medical conditions to address their cognitive, physical, emotional, and social needs. This type of music therapy is commonly used in child and adolescent psychiatry, with patients who have cancer, brain injuries, or are disabled or elderly. Music therapy is considered an alternative treatment, but when paired with conventional medicine, it can improve health conditions by utilizing different techniques and treatments.
Music therapy is considered to be an alternative treatment because it is used as a substitute for conventional medicine. These therapy sessions are not simply prescribing a certain type of music for a person to listen to, but rather having the client involved with the music and lyrics through singing and improvising. Clients do not need to be a musician or have any music ability to benefit from music therapy. Various genres of music affect individuals differently and as a result, music cannot be prescribed to people. Music therapists provide instruments that can be easily played by the client to allow for independent expression. Music therapy sessions can be either individualized or in a group setting. Individual sessions allow the therapist to give the client individualized attention. Group sessions on the other hand, give clients opportunities to interact with one another. Clients who seem to be more open with their emotions are able to build self-esteem, feel like part of a group, and improve social skills. Music therapy sessions can be passive or active. In passive sessions, a single client or group of clients listen to recorded music or sounds made with instruments while active sessions are based on improvisation between the therapist and client and require the client to actively participate to create sounds or lyrics (Mahon, 353).
Before beginning music therapy, the music therapist must assess the client to identify the needs of that person (Mahon, 354). The music therapist then makes a plan that fulfills the needs of their client based on their initial assessment. If the music therapist found that their client was depressed, sad, or had little or no energy, they would choose a song that is fast paced to give them some energy. Some of the decisions the music therapist needs to make include whether the client wants to be in an individual setting or group setting, what type of music they like, and whether instruments can be used (Mahon, 355).
Music therapy is not limited to listening to music. A variety of techniques are used when working with a client. The main techniques used in music therapy are improvising, re-creating, composing, listening to music, singing, and playing a musical instrument. Each of these techniques fulfills a specific goal for the client and can be used anywhere else other than in a music therapy session. The first technique is improvising. Improvising makes it easier for a person to communicate non-verbally and express what they feel at that moment. It encourages social interaction and communication. The second technique is re-creating. When recreating, clients sing or play along to recorded music. Clients are encouraged to produce sound with their voices or instruments to help improve their speech abilities. The next technique is composing lyrics. This is a way for a person to express their feelings. This can provide a person a way to work out fears or negative feelings or even get them to positively express themselves. Another technique is listening to music; it can help a person’s memory. Music may bring a person’s memory back to a certain time period or time in their life. For example, when a certain song that was once played at the individual’s wedding reception is played, that song may trigger the individual’s memory in remembering that special day and event. The next technique is singing. Singing can improve the flow of words, encourage the use of words, and control breathing (Warber). Another technique is word substitution where a single word from a familiar song is substituted with a word of their choice (Foster, 45). This technique allows the clients to interact with the music therapist or others in the group. The last technique is playing a musical instrument. Playing an instrument requires movement of the arms or feet. This helps clients develop a range of motion. Because of this, clients who have developmental delays, brain injuries, or other motor impairments, can develop or improve their motor skills. Since there are a variety of techniques music therapists can choose from, a technique is chosen based on how it may improve and be beneficial to the client’s physical or mental health.
Music affects the body in diverse ways that are beneficial to an individual. Upbeat music can increase brain waves, allow for better concentration, make a person alert, and help with memory. Upbeat music can also reduce the feeling of tiredness and improve coordination (“eMed Expert”). For example, most elders are usually tired and sleepy. If fast, upbeat music is played, the elder may feel alert and not as tired and sleepy. Another example would be working out at the gym. An individual will remain focused and energetic while listening to upbeat music. The feeling of being energetic allows the person to continue exercising for a longer period of time.
Different genres of music have different effects on a person. Upbeat music increases heart rate and breathing rhythm whereas slow music decreases heart rate and breathing rhythm. This can happen through a process called entrainment. Entrainment is when two objects moving at the same frequencies synchronize with one another (Austin, 16). Classical music has a calming effect that allows the body to relax. It can ease muscle tension and boost immunity. Soothing music boosts immunity by giving the listener a positive and emotional experience and stimulates the secretion of immune-boosting hormones (“eMed Expert”). Austin states that music allows endorphins to be released from the pituitary gland in the brain and travel throughout the rest of the body (18). Endorphins are chemicals in the brain that lessens pain. When paired with music therapy, pain may be reduced if conventional medicines are not enough to reduce the pain a patient might be feeling. Music can benefit people in pain by distracting the patient, helping them to relax, and giving them a sense of control (“eMed Expert”). Music heard in different locations will bring about different reactions. During a bath, slow music provides an outlet for stress. In the gym, upbeat music can affect the individual to adjust their pace of the workout. In a doctor’s office, classical music provides a calming effect to patients who may be scared or upset. The effects of music can help with healing or treating a person. Music therapists use different techniques with accompanying music to do that.
Music helps with memory. A person listening to music while studying or doing homework will help them remember things they learned. Music like Mozart’s pieces can stimulate the left and right hemispheres of the brain, consequently increasing the amount of things that are learned (“American Cancer Society”). Mozart is a famous classical composer and musician, and his music has been linked to helping an individual retain more information. Music can make a person smarter; it has the ability to improve reading, reasoning, math skills, and also emotional intelligence (“eMed Expert”). Music allows the person to concentrate on the task that is being performed thus increasing their attention span and productivity (“eMed Expert”). An example of this would be when an individual is cleaning the house while listening to music without any distractions, it permits the individual to clean more than they would have without music.
Music therapy can help Alzheimer’s, autistic, and cancer patients. Alzheimer’s disease is caused by damage done to brain cells and the loss of chemicals that the brain produces. Music can signal the brain to secrete more brain chemical. Acetylcholine seems to have a key role in patients with Alzheimer’s; this brain chemical is associated with remembering things and paying attention. Decreased levels of acetylcholine make it hard for people to remember simple things like what they had for breakfast or who they last talked to. Listening to music that was played from the time period of when the Alzheimer’s patient was younger allows the patient to access their old memories (Foster, 43). This is an important exercise since patients with Alzheimer’s brain functions decrease over time. Alzheimer patients also suffer from cognitive dysfunctions, social behavior issues, and motor skill problems. Alzheimer’s patients also suffer from agitation and restlessness and because of that they have a hard time falling asleep. But listening to soothing music is able to improve the way they feel and the quality of their sleep. It helps them to fall asleep because it decreases the activity in the sympathetic nervous system, decreases anxiety, blood pressure, and the heart and breathing rate (“eMed Expert”). The function that decreases first is usually hearing and music therapy can be used to encourage communication before the hearing function is lost. Encouraging communication could slow down how fast the hearing function fully declines and also help with learning alternative methods of communication.
Autistic people have a passion for music and are often very musically talented. This passion is critical in music therapy to develop their speech and language. There are many benefits of music therapy for autistic people including improving language comprehensive skills, speech encouragement, sensory issues, communication, self-expression, emotional response, and monotone speech. To improve language comprehensive skills, a music therapist can play a song that interacts with them to help them understand the meaning of words. For example, the music therapist could sing, “Shake your shakers above your head,” and the individual would follow the directions in the song. By doing this exercise, the music can increase their ability to understand language. When a person with autism is encouraged to sing, it helps with their word pronunciation, monotone speech, and flow of words (Warber). Music can also stimulate their senses, allowing them to focus and act appropriately in the surrounding environment (Warber). Music therapy also allows autistic patients to break their social barriers. Music increases autistic patients’ social abilities and courage to interact and communicate with other people (Warber). Music therapy can promote self-expression and emotional response by allowing them to play music on musical instruments, dance and move around, and make noise or sing to express emotions (Warber).
Music therapy can also be helpful to ease nausea and vomiting of cancer patients receiving high doses of chemotherapy and drugs (“American Cancer Society”). Because music can relax the body, it eases the nausea and vomiting making the patient comfortable. Music has the ability to stimulate the release of endorphins from the brain, decreasing the pain the patient feels as well as the need to take less pain-relieving drugs (“American Cancer Society”). Taking fewer drugs lessens the chemotherapy side effects of nausea and vomiting. Not only does music therapy ease nausea and vomiting, it also lowers anxiety and pain. Cancer patients suffer from discomfort, but according to the American Cancer Society, cancer patients in hospice care were comforted by music. Music prompts relaxation, promotes positive emotions and thoughts, and improves the quality of life. There is no evidence that music therapy can cure cancer, but it can reduce some symptoms (“American Cancer Society”).
Music therapy is a form of treatment that can provide care to patients with medical issues to improve physical, emotional, and mental well-being. With all the different techniques available in music therapy, there is at least one technique that works. Music therapy is another option when conventional medicine is not enough to treat or improve the patient’s condition. While music therapy may not be the remedy to completely heal or cure an illness, it does have the ability to improve one’s life in coping with their illness or disease.
Works Cited
Austin, Donna. “The Psychophysiological Effects of Music Therapy in Intensive Care Units. (Cover Story).” Pediatric Nursing 22.3 (2010): 14-20. Print.
Foster, Bev. “Music for Life’s Journey: The Capacity of Music in Dementia Care.” Alzheimer’s Care Today (2009): 42-49. Print.
“How Music Affects Us and Promotes Health.” eMed Expert.N.p., n.d. Web. 21 March 2013.
<http://www.emedexpert.com/tips/music.shtml>.
Mahon, Emily M., and Suzanne M. Mahon. “Music Therapy: A Valuable Adjunct in The Oncology Setting.” Clinical Journal Of Oncology Nursing 15.4 (2011): 353-356. Print.
“Music Therapy.” American Cancer Society. American Cancer Society, 01 Nov 2008. Web. 21 March 2013. <http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternative medicine/mindbodyandspirit/music-therapy>.
Warber, Adrienne. “Music Therapy for Autism.” lovetoknow autism. LoveToKnow Corp, n.d.
Web. 21 March 2013. <http://autism.lovetoknow.com/Music_Therapy_for_Autism>.