Alicia Ann Clair, Ph.D.

Transcription

Alicia Ann Clair, Ph.D.
Music Therapist-Board Certified
Music Therapy Consultant
Professor Emeritus
The University of Kansas, Lawrence
[email protected]
Copyright: Alicia Ann Clair, June, 2014

There are no relevant personal financial
relationships

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
Almost Everyone Needs Music
Not Everyone Needs Music Therapy
Music alone is not Therapy but can be Very
Helpful or Therapeutic
There is Room for Music Providers of Many
Types on the Late Life Continuum of Care
Family, Staff, Volunteer & Professional Providers
 Passion, Genuine Interest & Commitment
 Sensitivity
 Awareness of Self & Others
 Awareness of Musical Taste & Preferences
 Knowledge of Strengths & Limitations (Self &
Others)
 Consider Musical Knowledge, Skills & Abilities


Basic “Common Sense” Knowledge
Required
Music is Delivered in Large Groups

Improving Life Quality
 Aesthetic
Experience, Enjoyment
 Entertainment
 Diversion from Routine
 Cultural Participation
 Maintaining Traditions
 Marking Events/Celebrations

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“Do and Don’t Do” Training
Required
Music is Delivered in Small
Groups
Social Interaction
 Awareness of Others
 Associations with Past Life,
Recalling Memories/Histories

Completed Education &
Training as a Music Therapist
Credential
Music Therapist-Board Certified

Affects Functional Changes
 Cognitive-Memory & Attention
Training, Executive Function Training
 Physical-Motor Rehabilitation
 Communication-Speech & Language
Rehabilitation
 Emotional-Mood Vectoring & Support
 Social- Engagement Facilitation, Social
Function
When it Facilitates Change!

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Poor or Inadequate Success with other
Interventions
Patients become Bored with Regimens
Neurological Impairments Compromise
Ability to Understand Rehab Instructions
Failure to Engage in other Interventions
without Music Therapy Support

Arousal: Physiological & Psychological State


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Awake & Reactive to Stimuli
Under Arousal
Over Arousal
Music Experiences can Shift Arousal
Copyright: Alicia Ann Clair, June,
2014
Current
Environment Initial
Arousal State
Musical Elements
Matched to Arousal
Manipulated
Musical &
clinical
Elements
Engagement
in Music
Therapy
Experiences
Optimal Arousal &
Ongoing Attention
Evidence-Based
Outcomes
Stroke
Chronic Obstructive
Pulmonary Disease
Dementia
Bruer, R. A., Spitznagel, E., & Cloninger, C. R. (2007). The temporal limits of
cognitive change from music therapy in elderly persons with
dementia or dementia-like cognitive impairment: a randomized
controlled trial. Journal of Music therapy, 44 (4), 308-328
Chatterton, W., Baker, F., & Morgan, K. (2010). The singer or the singing:
Who sings individually to persons with dementia and what are the
effects? American Journal of Alzheimer’s Disease and Other Dementias,
25(8), 641-649. doi: 10.1177/1533317510385807
Cheung, D. S., Chien, W. T., Lai, C. K. (2011). Conceptual framework for cog
nitive function enhancement in people with dementia. Journal of
Clinical Nursing, 20 (11-12), 1533-1541. doi: 10.1111/j. 13652702.2010.03584.x
Clair, A. A. (1996). Alert responses to singing stimuli in institutionalized
persons with late stage dementia. Journal of Music Therapy, 33 (4),
234-247.
Clair, A. A. (1991). Rhythmic responses in elderly and their implications for
music therapy practice. Journal of the International Association of
Music for the Handicapped, 6, 3-11.
Clair, A. A. (1991). Rhythmic responses in elderly and their implications for
music therapy practice. Journal of the International Association of
Music for the Handicapped, 6, 3-11.
Clair, A. A. (2002). The effect of caregiver implemented music applications on
mutual engagement in caregiver and care receiver couples with dementia.
American Journal of Alzheimer’s Disease & Other Dementias, 17, 286-290.
Clair, A. A. & Bernstein, B. (1990). A preliminary study of music therapy
programming for severely regressed persons with Alzheimer's type
dementia. Journal of Applied Gerontology, 9, 299-311.
Clair, A. A. & Bernstein, B. (1994).The effect of no music, stimulative music and
sedative music on agitated behaviors in persons with severe dementia.
Activities, Adaptations, and Aging, 19, 61-70.
Clair, A.A., & Bernstein, B. (1993). The preference for vibrotactile versus auditory
stimuli in severely regressed persons with dementia of the Alzheimer's
type compared with dementia due to ethanol abuse. Music Therapy
Perspectives, 11, 24-27.
Clair, A. A., Bernstein, B., & Johnson, G. (1995). Rhythmic characteristics in persons
diagnosed with dementia, including those with probable Alzheimer's type.
J
ournal of Music Therapy, 32(2), 113-131.
Clair, A. A., & Ebberts, A. G. (1997). The effects of music therapy on interactions
between family caregivers and their care receivers with late stage
dementia. Journal of Music Therapy, 34(3), 148-164.
Clair, A. A., Mathews, M., Koslowski, K. (2005). Assessment of active music
participation as an indication of subsequent music making engagement for
persons with midstage dementia. American Journal of Alzheimer’s Disease
and Other Dementias, 20(1), 37-40.
Clair, A. A. & Memmott, J. (2008). Therapeutic uses of music with older adults. Silver
Spring, MD: American Music Therapy Association.
Clair, A. A. Tebb, S. & Bernstein, B. (1993). The effects of a socialization and music
therapy intervention on self-esteem and loneliness in spouse caregivers of
those diagnosed with dementia of the Alzheimer's type: A pilot study.
American Journal of Alzheimer's Care and Related Disorders and Research, January/
February, 24-32.
Cohen-Mansfield, J., Marx, M. S., Freedman, L. S., Murad, H., Thein, K., & Dakheel-Ali,
M. (2012). What affects pleasure in persons with advanced stage dementia?
Psychiatric Research, 46 (3), 402-406. doi: 10.1016/j.jpsychires.2011.12.003
Cohen-Mansfield, J., Marx, M. S., Thein, K., Dakheel-Ali, M. (2011). The impact of
stimuli on affect in persons with dementia. Journal of Clinical Psychiatry, 72(4),
480-486. doi: 10.4088/JCP.09m05694oli.
Gfeller, K. (2002). Music as communication. In R. E. Unkefer & M. H. Thaut (Eds.),
Music therapy in the treatment of adults with mental disorders (2nd ed.) (pp. 42-59)
St. Louis, MO: MMB Music, Inc.
Götell, E., Brown, S., & Ekman, S.L. (2002). Caregiver singing and background music
in dementia care. Western Journal of Nursing Research, 24 (2), 195-216.
Koger, S. M., & Brotons, M. (2000). Music therapy for dementia symptoms. Cochrane
Database Systematic Review, 3, CD001121. Retrieved from http://
www.ncbi.nlm.nih.gov/pubmed/10908486
McDermott, O., Crellin, N., Ridder, H.M., & Orrell, M. (2013). Music therapy in
dementia: A narrative synthesis systematic review. International Journal of
Geriatric Psychiatry, 28 (8), 781-794. doi: 10.1002/gps.3895
Mathews, R. M., Clair, A. A., Kosloski, K. (2001). Keeping the beat: Use of
rhythmic
music during exercise activities for the elderly with dementia.
American
Journal of Alzheimer’s Disease & Other Dementias, 16(6), 377-380.
Raglio, A., Oasi, O., Gianotti, M., Manzoni, V., Bolis, S., Ubezio, M.C., Gentile, S,
Villani, D., & Stramba-Badiale, M. (2010). Effects of music therapy on
psychological symptoms and heart rate variability in patients
with dementia: A pilot study. Current Aging Science, 3 (3), 242-246.
Ridder, H.M., Stige, B., Ovale, L.G., & Gold, C. (2013). Individual music therapy
for agitation in dementia: An exploratory randomized controlled trial.
Aging and Mental Health, 17 (6), 667-678. doi:
10.1080/13607863.2013.790926
Wall, M., & Duffy, A. (2010) The effects of music therapy for older people with
dementia. British Journal of Nursing, 19 (2), 108-113.

Alicia Ann Clair, Ph.D.

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