Improvisation In Music Therapy
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music therapy Music therapy, an allied health profession, "is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music th ...
improvisation is defined as a process where the client and therapist relate to each other. The client makes up music,
musical improvisation Musical improvisation (also known as musical extemporization) is the creative activity of immediate ("in the moment") musical composition, which combines performance with communication of emotions and instrumental technique as well as spontaneous ...
, while singing or playing, extemporaneously creating a
melody A melody (from Greek language, Greek μελῳδία, ''melōidía'', "singing, chanting"), also tune, voice or line, is a Linearity#Music, linear succession of musical tones that the listener perceives as a single entity. In its most liter ...
,
rhythm Rhythm (from Greek , ''rhythmos'', "any regular recurring motion, symmetry") generally means a " movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions". This general meaning of regular recu ...
,
song A song is a musical composition intended to be performed by the human voice. This is often done at distinct and fixed pitches (melodies) using patterns of sound and silence. Songs contain various forms, such as those including the repetitio ...
, or instrumental piece. In clinical improvisation, client and therapist (or client and other clients) relate to one another through the music. Improvisation may occur individually, in a duet, or in a group. The client may use any musical or nonmusical medium within their capabilities. Musical media includes voice, body sound,
percussion A percussion instrument is a musical instrument that is sounded by being struck or scraped by a beater including attached or enclosed beaters or rattles struck, scraped or rubbed by hand or struck against another similar instrument. Exc ...
, and string, wind, and
keyboard instruments A keyboard instrument is a musical instrument played using a keyboard, a row of levers which are pressed by the fingers. The most common of these are the piano, organ, and various electronic keyboards, including synthesizers and digital pianos. ...
. Nonmusical media can consist of images, titles, and stories.


How improvisation fits into music therapy

Music therapy Music therapy, an allied health profession, "is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music th ...
is a systematic process; it is not a series of random events. Systematic means that music therapy is "purposeful, organized, methodical, knowledge-based, and regulated" (Bruscia 1998). One of the most important features is its methodical processes. Methodical means that music therapy always proceeds in an orderly fashion. It involves three basic steps:
assessment Assessment may refer to: Healthcare *Health assessment, identifies needs of the patient and how those needs will be addressed *Nursing assessment, gathering information about a patient's physiological, psychological, sociological, and spiritual s ...
, treatment, and
evaluation Evaluation is a systematic determination and assessment of a subject's merit, worth and significance, using criteria governed by a set of standards. It can assist an organization, program, design, project or any other intervention or initiative ...
. Treatment is the part of a music therapy process in which the therapist engages the client in various musical experiences, employing specific methods and in-the-moment techniques. When planning treatment, the music therapist has to select the types of music and music experiences that will be most relevant to the client. There are four basic types of music experiences, or methods, in which a client may be engaged: listening, re-creating,
composition Composition or Compositions may refer to: Arts and literature *Composition (dance), practice and teaching of choreography *Composition (language), in literature and rhetoric, producing a work in spoken tradition and written discourse, to include v ...
, and
improvisation Improvisation is the activity of making or doing something not planned beforehand, using whatever can be found. Improvisation in the performing arts is a very spontaneous performance without specific or scripted preparation. The skills of impr ...
.


Characteristics of improvisation in music therapy

Clinical Improvisation is a generative and creative process of musical intervention involving the client's spontaneous creation of sounds and music. It helps the client to explore aspects of self, in relation to others, in an appropriate way. Improvisation also generates new and individualized
musical forms In music, ''form'' refers to the structure of a musical composition or performance. In his book, ''Worlds of Music'', Jeff Todd Titon suggests that a number of organizational elements may determine the formal structure of a piece of music, such a ...
. Using musical improvisation in a therapeutic setting can increase independence. The interactive use of improvisation facilitates
problem-solving Problem solving is the process of achieving a goal by overcoming obstacles, a frequent part of most activities. Problems in need of solutions range from simple personal tasks (e.g. how to turn on an appliance) to complex issues in business an ...
, because it is flexible rather than predetermined. Getting the client involved in an improvisational experience can develop
social skills A social skill is any competence facilitating interaction and communication with others where social rules and relations are created, communicated, and changed in verbal and nonverbal ways. The process of learning these skills is called social ...
and interaction.


Clinical goals of improvisation experiences

According to Bruscia (1998), clinical goals that can be achieved through improvisation are as follows: # Establish a nonverbal channel of communication, and a bridge to
verbal communication Linguistics is the scientific study of human language. It is called a scientific study because it entails a comprehensive, systematic, objective, and precise analysis of all aspects of language, particularly its nature and structure. Linguis ...
# Provide a fulfilling means of self-expression and
identity formation Identity formation, also called identity development or identity construction, is a complex process in which humans develop a clear and unique view of themselves and of their Identity (social science), identity. Self-concept, personality developme ...
# Explore various aspects of self in relation to others # Develop the capacity for interpersonal intimacy # Develop group skills # Develop
creativity Creativity is a phenomenon whereby something new and valuable is formed. The created item may be intangible (such as an idea, a scientific theory, a musical composition, or a joke) or a physical object (such as an invention, a printed literary w ...
, expressive freedom, and playfulness with various degrees of structure # Stimulate and develop the senses # Play, on the spot, with a decisiveness that invites clarity of
intention Intentions are mental states in which the agent commits themselves to a course of action. Having the plan to visit the zoo tomorrow is an example of an intention. The action plan is the ''content'' of the intention while the commitment is the ''a ...
# Develop perceptual and
cognitive skills Cognitive skills, also called cognitive functions, cognitive abilities or cognitive capacities, are brain-based skills which are needed in acquisition of knowledge, manipulation of information and reasoning. They have more to do with the mechanisms ...


Improvisational methods and their variations

Improvisation can be carried out with both musical and nonmusical references. (Bruscia 1987, 10) * Referential improvisations are those in which the client improvises to portray a nonmusical reference (e.g., an event, feeling, image, relationship, etc.) * Non-referential improvisations are those in which the client improvises without reference to anything other than the sounds or music. * Frequently used variations are as follows:


Basic therapeutic techniques

Bruscia (1987) and Wigram (2004) introduced a variety of improvisational techniques in their books. Among these, there are a few major therapeutic techniques. Imitating is a basic technique of empathy in which the music therapist copies or repeats a client's response, after the response has been displayed. The music therapist focuses on any sound, rhythm, interval or even facial expression. Reflecting is a technique in which the music therapist expresses the same moods or feelings which have been presented by the client. Rhythmic grounding is implemented by establishing a steady beat or rhythm, supporting the client's improvisation. The use of a rhythmic
ostinato In music, an ostinato (; derived from Italian word for ''stubborn'', compare English ''obstinate'') is a motif or phrase that persistently repeats in the same musical voice, frequently in the same pitch. Well-known ostinato-based pieces include ...
is an example of rhythmic grounding. Dialoguing is a process in which the music therapist and the client communicate through their improvisations. Lastly, accompanying is a technique in which the music therapist supports the client's improvisation by giving an
accompaniment Accompaniment is the musical part which provides the rhythmic and/or harmonic support for the melody or main themes of a song or instrumental piece. There are many different styles and types of accompaniment in different genres and styles ...
that consists of rhythm, melody, and
chord progressions In a musical composition, a chord progression or harmonic progression (informally chord changes, used as a plural) is a succession of chords. Chord progressions are the foundation of harmony in Western musical tradition from the common practic ...
.


Integration of therapeutic methods

It is important to have variety in music therapy sessions. Improvisation should be conducted using more than just one or two methods and techniques. It is also critical to maintain flexibility during the improvisation. For example, the music therapist can preserve a flexible session flow by incorporating several methods, such as imitating, accompanying, dialoguing, and rhythmic grounding.


Benefits of using Improvisation methods

Using Improvisation in musical therapy actually has specific benefits for those with neurological problems. These benefits can span from reducing anxiety and stress to improving communication and behavioral attention problems in younger adults/children. This is due to the proposed idea that musical therapy with improvisation links the unconscious and the conscious brain, promoting social and creative interaction. Many believe that it is a useful tool used to connected on a deeper level with patients in order to bring out these characteristics and benefits within themselves. Improvisation is a fun way to challenge the psyche of individuals and it shows to have very good results in promoting healthy benefits later on down the road.


References

{{reflist, 2 Bruscia, Kenneth E. 1987. ''Improvisational Models of Music Therapy''. Springfielf,IL; Charles C. Thomas Publications.
Bruscia, Kenneth E. 1998. ''Defining Music Therapy''. Gilsum, NH: Barcelona Publishers.
Wigram, Tony. 2004. ''Improvisation: Methods and Techniques for Music Therapy Clinicians, Educators and Students''. New York:Jessica Kingsley Publishers.


External links


Improvisation
with definitions and characteristics of improvisation.
American Music Therapy Association (AMTA)
Therapy A therapy or medical treatment (often abbreviated tx, Tx, or Tx) is the attempted remediation of a health problem, usually following a medical diagnosis. As a rule, each therapy has indications and contraindications. There are many different ...
Music therapy