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Music therapy is an interpersonal process in which the therapist uses music and all of
its facets-physical, emotional, mental, social, aesthetic, and spiritual-to help clients to
improve or maintain their health. In some instances, the client's needs are addressed
directly through music; in others they are addressed through the relationships that
develop between the client and therapist.
Music therapy is used with individuals of all ages and with a variety of conditions,
including: psychiatric disorders, medical problems, physical handicaps, sensory
impairments, developmental disabilities, substance abuse, communication disorders,
interpersonal problems, and aging. It is also used to: improve learning, build self-
esteem, reduce stress, support physical exercise, and facilitate a host of other health-
related activities.
What makes music therapy different from every other form of therapy is its reliance
on music. Thus, every session involves the client in a musical experience of some
kind. The main ones are improvising, re-creating, composing, and listening to music.
In those sessions which involve improvising, the client makes up his or her own
music extemporaneously, singing or playing whatever arises in the moment.
The client may improvise freely, responding spontaneously to the sounds as
they emerge, or the client may improvise according to the specific musical
directions given by the therapist. Often the client is asked to improvise sound
portraits of feelings, events, persons, or situations that are being explored in
therapy. The client may improvise with the therapist, with other clients, or
alone, depending on the therapeutic objective.
In those sessions which involve re-creating music, the client sings or plays
precomposed music. This kind of music experience may include: learning how
to produce vocal or instrumental sounds, imitating musical phrases, learning to
sing by rote, using musical notation, participating in sing-alongs, practicing,
taking music lessons, performing a piece from memory, working out the
musical interpretation of a composition, participating in a musical show or
drama, and so forth.
In those sessions which involve composing, the therapist helps the client to
write songs, lyrics, or instrumental pieces, or to create any kind of musical
product, such as music videos or audiotape programs. Usually the therapist
simplifies the process by engaging the client in easier aspects of the task (e.g.,
generating a melody, or writing the lyrics of a song), and by taking
responsibility for more technical aspects (e.g., harmonization, notation).
In those sessions which involve listening, the client takes in and reacts to live
or recorded music. The listening experience may focus on physical, emotional,
intellectual, aesthetic, or spiritual aspects of the music, and the client may
respond through activities such as: relaxation or meditation, structured or free
movement, perceptual tasks, free-association, story-telling, imaging,
reminiscing, drawing, and so forth. The music used for such experiences may
be live or recorded improvisations, performances or compositions by the client
or therapist, or commercial recordings of music literature in various styles (e.g.,
classical, popular, rock, jazz, country, spiritual, new age).
In addition to these musical types of experiences, music therapists often engage
clients in verbal discussions. Clients may be encouraged to talk about the
music, their reactions to it, or any thoughts, images, or feelings that were
evoked during the experience. Clients may also be encouraged to express
themselves through the other arts, such as drawing, painting, dance, drama or
poetry. Music therapy sessions for children often include various games or play
activities which involve music.
Music therapy sessions are designed with several factors in mind. First and foremost,
the therapist has to select the types of music experience to be used according to the
goals of therapy and the needs of the client. Each of the music experiences described
above requires something different from the client, and has a potentially different
effect. For example, improvising and composing are both creative, but one is done
extemporaneously and the other is not. Moreover, the improviser produces his/her
own music, while the composer relies upon a performer. Continuing in this
comparison, creating one's own music is quite different from re-creating or
performing music already composed by someone else. A performer has to faithfully
convey the musical ideas of another person, while an improviser or composer deals
only with his or her own ideas. Finally, listening is quite different from the other types
of music experience because it involves taking in and receiving the music, without
being actively involved in its creation or production. The listener is active in a
different way from the improviser, composer, and performer.
Individuals who go into music therapy are typically musicians who have a sincere
desire to use their love and talents for music to help others. Often there is an equal
interest in music and psychology or medicine.
Many factors enter into deciding where to study music therapy. Certainly, the school's
reputation, facilities, geographical location, and faculty are important to consider,
along with financial matters and many other personal circumstances and preferences.
In addition, there are some important professional matters that warrant consideration.
First, students should make sure that the college or university is approved by
the American Music Therapy Association, otherwise they may not be eligible
to apply for certification in the field.
Second, students should select the college or university which will best meet
their particular interests and needs. It is essential to talk to the faculty, to
students currently enrolled, and when possible, to graduates of the program.
Inquire about the requirements and the quality of training. Also find out about
how the internship experience is scheduled, structured and supervised, as there
are many different ways of designing this culminating part of the training.
Three things will help the most: 1) Practice for the audition on your major instrument.
2) Study the books on how to take the SAT or GRE examinations so that you get your
best score. 3) Start taking piano or guitar lessons if you do not know how to play
either.
WHAT ARE CERTIFICATION REQUIREMENTS?
Music therapists have many career options. They may be employed as a practitioner
or clinician, a consultant, an administrator, a supervisor, or a college professor. Each
option involves different places of employment and different qualification
requirements.
Clinicians spend the majority of their time doing therapy with clients. They
may work in private or governmental agencies, including hospitals, institutions,
schools, clinics, residential treatment centers, group homes, day-care centers,
nursing homes, halfway houses, partial hospitalization programs, community
centers, institutes, etc. Many states have established job titles for music
therapists and career ladders for advancement, while other states use a variety
of other positions and titles to employ music therapists. Local school districts
may also hire music therapists, some under the title of therapist and others
under the title of teacher.
Not all clinicians are employed full-time by one agency. Many music therapists
have begun to establish private practices of their own, or develop positions as
clinical consultants with several agencies. Music therapists who develop their
own practices usually have clients who know about music therapy or who are
referred by other health professionals. Music therapists who serve as
consultants work in an agency part-time, either providing diagnostic or
treatment services to certain clients or developing programs which can be
implemented by other staff members at the agency.
To be a clinician or consultant in an agency or private practice, the individual
must be certified at the bachelor's level. When the job market is poor, there is a
tendency for employers to also ask for the master's degree as a minimum
qualification. A state license is not currently required to practice music therapy,
however many states require certified music therapists to take an examination
before becoming eligible for employment in any state-operated institution.
School districts may also require an applicant to be certified as a teacher as well
as a music therapist.
An administrator or supervisor directs clinical staff in a public or private
agency. When the agency has a large music therapy program, the individual
may be in charge of only music therapy; however, in many instances the music
therapy program is part of a larger department which also includes other arts
therapists, activity therapists, or recreation therapists. Administrators and
supervisors have various responsibilities, including ordering and maintaining
equipment, developing and managing budgets, hiring and dismissing staff,
supervising and evaluating staff, etc. In most larger governmental agencies, at
least two years work experience and a master's degree are required to become
an administrator or supervisor. In smaller private institutions however, there
may be no additional requirements.
Another career option is to become a college professor who trains others to
become music therapists. In addition to teaching classes, professors supervise
students in the clinic, evaluate students for admission and retention, attend
meetings, and perform a variety of academic and administrative
responsibilities. College professors are also expected to do research and to
write articles and books. Some professors also continue to work part-time doing
clinical work. To be a college professor, an individual should have at least a
master's degree and three years of clinical experience. To be promoted in a
college or university, music therapists are usually required to earn a doctorate.
Many institutions and agencies maintain permanent full-time positions for music
therapists. These positions are usually advertised when they become vacant. In
addition, because music therapy is a relatively new profession, and because music
therapists work with diverse populations, there are always opportunities to create new
job openings. Often, music therapists create their own positions by introducing
themselves to administrators, demonstrating to the clinical staff what music therapy
can do, and then consulting with the agency until a program can be initiated. Although
this takes time and energy, such promotional efforts are a necessary and important
aspect of being a music therapist. Because music therapy has many young
professionals working their way up the career ladder, and because the career ladder
often involves extending one's expertise into related fields, jobs in music therapy tend
to turn over frequently.
As in other health and education professions, employment opportunities in music
therapy are influenced by the economy and the amount of governmental funding given
to health care and education programs. Though employment opportunities vary from
place to place, and from time to time, music therapists who are committed and
effective clinicians tend to be successful in the job market.
Music therapy salaries depend upon the individual's educational and work experience,
the employer institution, and the specific job position. Average yearly salaries for
clinicians range from $46,000 to $53,000 depending upon the setting. Salary scales in
governmental agencies and schools tend to be higher than those in the private sector.
Administrators and supervisors can expect to earn more than clinicians, depending
upon background and experience and the size of the program or staff under their
direction. College professors can also expect to earn a higher salary, especially those
who have doctorates.
There are two organizations in the USA representing the profession and professionals
of music therapy:
Yes, one can find music therapists and music therapy organizations in many other
countries. In fact, there is a world federation of music therapy associations and world
congresses are held every three years. To find out more, write to the AMTA for an
international directory.
First, go to the library and read! There are hundreds of books and articles on music
therapy and its myriad applications, and most public and university libraries have a
basic collection on the topic. There are also three professional journals in the USA.
Their titles are: the Journal of Music Therapy, Music Therapy Perspectives,
and Music Therapy: Journal of the American Association for Music Therapy,. Once
you have an overview of the field, contact the AMTA, and find out if there are any
agencies near you that employ music therapists, and ask for a list of colleges and
universities that offer music therapy programs. If possible, try to observe a music
therapist at work, or visit a music therapy class at a nearby college, or attend one of
the association conferences. These experiences will deepen your understanding of the
field significantly.
This depends upon what your particular interests are. For overviews of different
aspects of the field, any of the one listed on the next page would be helpful, but keep
in mind that there are many, many more! To obtain books and materials on music
therapy, contact:
Barcelona Publishers
4 White Brook Road - Lower Village
Gilsum NH 03448
Tel 800-345-6665
e-mail: pbs@top.monad.net
Bonny, H. & Savary, L. (1973). Music and Your Mind. New York: Harper-Row.
Boxill, E. (1985). Music Therapy for the Developmentally Disabled. Rockville MD:
Aspen Systems.
Boxill, E. (1997). The Miracle of Music Therapy. Gilsum NH: Barcelona Publishers.
Bruscia, K. (1998). Defining Music Therapy (Second Edition). Gilsum NH: Barcelona
Publishers.
Bunt, L. (1994). Music Therapy: An Art Beyond Words. New York: Routledge.
Davis, W., Gfeller, K., & Thaut, M. An Introduction to Music Therapy: Theory and
Practice. Dubuque IA: William C. Brown.
Froehlich, M. (Ed.). (1996). Music Therapy with Hospitalized Children. Cherry Hill
NJ: Jeffrey Books.
Heal, M., & Wigram, T. (1993). Music Therapy in Health and Education. London:
Jessica Kingsley.
Hibben, J. (1999). Inside Music Therapy: Client Experiences. Gilsum NH: Barcelona
Publishers.
Katsh, S., & Merle-Fishman, C. (1998). The Music Within You. Gilsum NH:
Barcelona Publishers.
Levin, H., & Levin, G. (1998). Learning Through Music. Gilsum NH: Barcelona
Publishers.
Munro, S. (1984). Music Therapy in Palliative/Hospice Care. St. Louis: MMB Music.
Nordoff, P. & Robbins, C. (1977). Creative Music Therapy. New York: John Day.
Plach, T. (1980). The Creative Use of Music in Group Therapy. Springfield IL:
Charles C Thomas.
Prickett, C., & Standley, J. (Eds.) (1995). Research in Music Therapy: A Tradition of
Excellence. Silver Spring MD: AMTA.
Robbins, C., & Robbins, C. (1980). Music for the Hearing Impaired and Other
Special Groups. St. Louis MO: MMB Music
Wigram, T., Saperston, B., & West, R. (Eds.) (1995). The Art and Science of Music
Therapy: A Handbook. Chur, Switzerland: Harwood Academic Publishers.