Melbourne Conservatorium of Music - Theses

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Type: Masters Research thesis × Start date: 2000 × Subject: music therapy × End date: 2009 ×

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    Using song-choice in music therapy to improve the communication skills of adults with profound and multiple disabilities
    LEE, JU-YOUNG ( 2009)
    A multiple case study design was used to examine the effect of a song-choice intervention on the communication skills of adults with profound and multiple disabilities in individual music therapy. Five females participated in three song-preference assessment sessions and ten song-choice intervention sessions on a weekly basis. In the preference assessment sessions, each participant was provided with a different set of eight songs that were sung with guitar accompaniment by researcher. Affective responses to each song were analyzed and four preferred and non-preferred songs were identified. In the 30-minute song-choice intervention, each participant was offered four song-choice opportunities, with each allowing for several attempts. When the participant clearly indicated their choice of song between a pair of preferred and non-preferred songs, the researcher verbally validated it and immediately sang the chosen song, actively interacting with the participant. All sessions were video-taped and the participants’ and therapist’s behaviors during the song-choice processes were analyzed. The analysis of this data resulted in three clear outcomes. First, most participants expressed consistent affective responses to different songs and it was more obvious when provided with a highly preferred song. Second, all participants were able to choose songs which were intentional decisions as they selected their preferred songs 73 % of the time. Third, most participants gained improved communication skills. Specifically (a) two participants developed intentional choice-making behaviors such as alternating eye-gaze between a song-card and the researcher, and picking up a song-card from two song-cards, and (b) three participants improved intentional communication skills by clearly displaying their facial expressions and voices. The findings have implications for providing adults with profound and multiple disabilities with opportunities to express preference and choice, which ultimately improve their quality of life.