Facilitation Technique Category: Expressive Arts as Therapeutic Media
Activity Title: Music Therapy: Musical Scattergories
Source: Davis, W. B., Gfeller, K. E., & Thaut, M. H. (2008). An introduction to music therapy: Theory and practice. American Music Therapy Association. 8455 Colesville Road Suite 1000, Silver Spring, MD 20910. Equipment: Subject cards, pencil w/ paper, and timer. Activity Description: Expressive Arts uses art principles in order to help participants come into contact with their authentic self. Therapeutic Recreation specialists can also use expressive arts in the form of therapeutic interventions to advocate self-expression, and increase physical, social, cognitive, and emotional functioning. Then, under the Expressive Arts as Therapeutic Media category, falls Music Therapy. Music Therapy helps advocate communication, emotional health, wellness, stress management, pain reduction, emotional expression, and memory retention. Now for this weeks activity, I chose a game called Musical Scattergories. This game can accommodate as many participants as possible. The procedures for this activity includes: 1) splitting the clients into groups, 2) give each group a pencil and paper, 3) draw a single card with a category on it and share it with each of the groups 4) set a timer for a specific amount of time, 5) teams must then think of as many song titles as they can fit into that specific category that was drawn on the card, 6) Once the time has expired, each team gets a point for each song they thought of. In addition, in order to receive credit for the point, someone from the group must also be able to sing part of the song. 7) Whoever has the most points at the end, wins. Leadership Considerations: A CTRS will function as an instructor for this activity, and he/she will assist if any help is needed. If there are any limitations that a client may have or that has already been diagnosed as having, it is essential that the CTRS gather this information as early as possible. This is done so the leader can have time to prepare/adjust the activities, according to the specific clients needs. This activity has many different focuses, but the two that are the most predominant are the social and recall/cognitive aspects. So when the CTRS is conducting this activity, it is essential that he/she helps to facilitate and encourage, as much social interaction as possible, between the clients. And in reference to the recall/cognitive aspects, its important for the leader to have some back up options for some of the clients, if they fail to recall some songs, for specific topics, to have some lists of songs that fit certain categories just incase a client forgets and to avoid feelings of being left behind. Adaptations: Participants with Post-Traumatic Stress Disorder (PTSD): The essential feature that differentiates Post-Traumatic Stress Disorder from other disorders is that it involves the development of characteristic symptoms that follow exposure to one or more traumatic events. The list of traumatic events may include rape, abuse, natural disaster, being in a war zone, or exposure to a terrorist attack. Symptoms may also include problems with social and cognitive functioning, as well as problems with their
limbic systems. Specific symptoms include detachment from people, avoidance of
people/places/things, poor concentration and focus, and having difficulty when it comes to emotional learning. When it comes to adaptations for clients with PTSD, it is very important for the client to also bring a list of possible triggers for their specific trauma. Also it is also good fir the CTRS and other staff member to continually provide positive praise and feedback. Allowing clients to play soothing music is also a good adaptation (or the leader can provide music). And lastly, the CTRS should have a pair of backup noise canceling head phones, just in case a certain noise or sound may trigger a clients trauma (Davis, Gfeller, & Thaut, 2008). Participants with Parkinsons Disease: Parkinsons disease is a chronic, progressive disorder of the central nervous system, and affects the motor systems of the body. Parkinsons is a result of losing cells in the substantia nigra part of the brain. The cells that are lost are called dopamine. And as a result of losing these dopamine cells, it causes neurons to fire at an out of control rate, which then causes the patients to not have control over their movement, in a normal matter. Symptoms of the disease include tremors or trembling, difficulty maintaining balance and gait, rigidity or stiffness of the limbs and trunk, and general slowness of movement. Severe cases can even result in little to no mobility over time. In terms of possible adaptations for clients who have Parkinsons include, providing speech amplifiers and speech enhancement devices, in order to assist client with audible difficulties. Parkinsons often hinders the motor speech abilities of the client, and so these communication devices, will assist them in feeling more included into the activity. In addition, providing written communication of rules is a good idea because if the client forgets, all they have to do is look at the paper and are reminded of the instructions (Pacchetti et al., 2000). Adaptations References -Bensimon, M., Amir, D., & Wolf, Y. (2008). Drumming through trauma: Music therapy with post-traumatic soldiers. The Arts in Psychotherapy, 35(1), 34-48. - Davis, W. B., Gfeller, K. E., & Thaut, M. H. (2008). An introduction to music therapy: Theory and practice. American Music Therapy Association. 8455 Colesville Road Suite 1000, Silver Spring, MD 20910. - Pacchetti, C., Mancini, F., Aglieri, R., Fundar, C., Martignoni, E., & Nappi, G. (2000). Active music therapy in Parkinsons disease: an integrative method for motor and emotional rehabilitation. Psychosomatic medicine,62(3), 386-393