Thursday, January 31, 2013

Advocacy Through Teaching: An Educator's Perspective


Advocacy through Teaching

It is the last day of Social Media Advocacy Month in Music Therapy and I feel compelled to write one more post on the topic. I feel that as an educator, I am advocating through the students I teach. They move into the world and create their own music therapy stories, moving along in their own journey. I have been asked about what difference one music therapist can make in the world. The concept of a ripple in the pond comes to me, which I learned while reading about Navajo traditions and beliefs. When you toss a stone into a pool of water, ripples are created which continue long after the stone has fallen to the bottom.


I have had the privilege and honor of teaching and supervising music therapy students since the late ‘90’s. I have learned a lot from each student over the years – how to better articulate a concept, determine a definitive rationale for why I make certain clinical choices, better support what I say with solid research, and even how to better organize my thoughts when teaching. But I would say that I have learned much more over my years as an educator. I have learned:
  •  I do not have to know everything (whew!) and that I am always learning
  •  my students open me up to new perspectives in music therapy which I never would have   considered otherwise
  •  the importance of music for myself, beyond what it can do for others
  • I can renew my own passion for music and music therapy by creating music with my students and by delving into discussions with them
  •  the pride I feel for students as they move from new student into the professional music therapy world is palpable and awesome
  • my students have a well of insight which expand my own awareness
  • colleagues who are former students astound me with their transformation and, in return, teach me so much through their role as on-site supervisors, guest lecturers, their writing, and through their voice in our profession                                         
I asked a few graduates spanning the decade of my teaching at Saint Mary-of-the-Woods College to share a meaningful moment in music therapy. One student, who is now a mother of three and not currently working as a music therapist, shared the following about a client she had when working as an MT-BC:

He would have little to say as we walked back to the music room, so we typically dove right into making music together.  He played the drum, keeping a very steady beat, while offering a "hi" when prompted.  He would chose an instrument to match how he was feeling and I would lead him into an instrumental improvisation (me on the piano), creating music to symbolize his current emotional state as well as how he would like to feel.  Our improvisations were so powerful.  His facial expressions, eye contact, body language, musical and verbal interaction all changed throughout our improvisation.  The music would begin as very heavy, dark, chaotic, driving and then little by little open up to something so beautiful and peaceful.  In the beginning, our improvisations were very predictable; this is what sad sounded like and this is what happy sounded like.  Over time, the music became more varied, more daring.  I think his daily experiences were very similar and his emotions, good and bad, were not explored.  Certain things made him mad and certain things made him happy.  Creating music, learning music, sharing music, experiencing music, allowed him to explore his emotions in new ways… More often than not, he would want to tell me about other boys in his class who were bullying him.  We would talk about his response to their bullying and whether or not it was the appropriate response.  He would choose a style of music and another improvisation would begin…

Another student, who returned to school to complete our equivalency program after many years as a performer, now works with adolescents with behavioral and emotional issues. She writes about the impact of music therapy on her ability to truly be present with another person:

What I love about music therapy is the language it has afforded me through which to speak of those parts of life that I believe are most profound- the healing of the wounds of the heart and soul. I now have the skills to identify and clarify what I see in the human being sitting in front of me who will nevertheless be a mystery and a wonder. In my work with psychiatric patients on an acute unit of a hospital I will only see a patient one time… What can I give? Where should I focus? I work with teens mostly and I was taught to trust: trust the skills, knowledge, the music, the other person. 

She goes on to write about how this translated with one particular client:

…when I met the patient I realized, no, that wasn't going to be the plan (songwriting plan for a group)… I did a 180 and found myself working almost entirely with a hand drum and other various percussion instruments to represent stages of de-escalation that he completely identified and chose. And what mature reflections he made too…So the drum was the voice, no fancy reflections here, I heard raw, safe energy, color coming into the flat expression, emotion emerging. And my soul rejoiced, secretly, my heart smiled quietly. Meeting a real person inside a shell – that's the gift music therapy gives. Now I have a language with which to meet someone without fear. And it makes a difference, oh what a difference. I have never been happier in my whole life because this is a profession that gives back!

It is meaningful to stop and think about all the people I have served as a music therapist, and the families who have been impacted. It is powerful for me to also think about each student I have taught who then carries forth the premise and principles about the role of music in human health and wellness, and how each student goes on to serve others within this positive framework in society. As a music therapist, I realize after so many years that the client who once wrote a song with me about hope through adversity actually created ripples that continue through me today. As a music therapy educator, I better understand that music therapy is not a “subject” I teach…it is truly a way of being, thinking, and engaging with the world. I am grateful to each student who has stepped into my classroom because it is through my students that I have truly expanded my own awareness about the importance of advocacy, and my own role in the process—I am seeing the big picture. I am now able to comprehend that while I am just one “stone” tossed into the world, the ripples that I started all those years ago when I sat in my first music therapy class continue on through the people I serve and teach. I am blessed that the ripples I create often move through waves of sound and beauty. I am motivated by the fact that I am creating “ripples” of GOOD which may continue impacting our global community by fulfilling our needs for hope and beauty, long after I am gone.
Boyle with colleague, Dr. Tracy Richardson


-Written by Sharon R. Boyle, Associate Professor of Music Therapy and Coordinator of the Undergraduate Music Therapy Program at Saint Mary-of-the-Woods College.

----------------------------------------------------------------------
For more information about Music Therapy Advocacy, visit http://www.musictherapy.org and read more about the SROP below:

What is the State Recognition Operational Plan and why is it important to music therapy?

 Sharon R. Boyle - SMWC faculty member
since 2002
Since 2005, the American Music Therapy Association and the Certification Board for Music Therapists have collaborated on the State Recognition Operational Plan. The primary purpose of this plan is to get music therapy and our MT-BC credential recognized by individual states so that citizens can more easily access our services. The State Recognition Operational Plan is a national initiative being implemented jointly by CBMT and AMTA to obtain state recognition of music therapy and the MT-BC credential. This collaborative effort between AMTA Government Relations staff and CBMT Regulatory Affairs staff provides guidance and technical support to state task forces throughout the country as groups of music therapists work toward recognition as defined by their particular state. To date, their work has resulted in over 35 active state task forces, 2 licensure bills passed in 2011, 1 licensure bill passed in 2012, and an estimated 7 bills being filed in 2013 that seek to create either title protection or a licensure for music therapy.





Thursday, January 17, 2013

An Educator’s Perspective on Advocacy: My Music Therapy Journey


This month is Social Media Advocacy month for Music Therapy! It was kicked off on Twitter by a high profile celebrity, musician Ben Folds, when he created a thread (#followMTweek) and stated he would follow as many music therapists as he could that week. It is now mid-January and this thread is still going strong, connecting non-music therapists as well as music therapists to one another through facts and statements about music therapy. He is even following me on Twitter now!

Musician Ben Folds' Twitter Advocacy of Music Therapy
At the American Music Therapy Association national conference in 2011, Ben showed up and sat in on sessions being offered, causing a great deal of excitement among the music therapists. How did he come to be at the AMTA conference? An individual in the music therapy world “tweeted”, encouraging him to come and learn about music therapy and he showed up!  

Musician Ben Folds showing his support of Music Therapy
 One Music Therapist’s Journey

When I think back to my start in music therapy, I realize I was not entirely clear on what I was about to study. I had a “sense” of what I thought it might be, but growing up I did not have access to music therapists in my Montana hometown. I had never actually SEEN music therapy in process, nor experienced it myself, and all I knew was that I (say it with me!) “loved music and wanted to help people”. I hear this often when I meet with prospective students and am pretty certain my colleagues do too. When I prod further by asking the question, “What role does music play in your own life?”. I tend to hear a meaningful story from the prospective student about how music was great solace during a difficult time, how helping a child with Down Syndrome play the piano sparked a desire to pursue this profession, or that music was the only way the student could connect with a grandparent who was in middle stage Alzheimer’s Disease. This does not surprise me, because I also felt this connection to music as a young girl. I used to sit on my back porch singing for hours to alleviate loneliness and to feel “connected”; I felt part of something bigger in my high school choir room. When I think back to the mid-1980’s, I wish that a music therapist had been part of my own brother’s treatment when he was diagnosed with leukemia. When I talked to him later about how music therapy is effective in addressing pain, physical discomfort, fatigue, and psycho-social goals for oncology patients, my brother told me that he would have liked to have had access to music therapy. So, as I searched for this magical combination of “helping” and “music”, I headed to college to pursue music education, then vocal performance, and I even considered special education. These are all wonderful professions, but when I found music therapy it just “clicked”.

Sharon R. Boyle, Associate Professor of Music Therapy,
at Saint Mary-of-the-Woods College since 2002
 As I moved through my 6-month internship and into professional clinical practice, I was so honored to witness truly extraordinary moments and the best of humanity through music therapy. We have all had therapeutic moments…when we just feel better as a result of doing something, or talking to someone, or listening to a great song. We can find entire threads on Twitter where a person writes “music is my therapy”. We can find increasing numbers of studies about the benefits of music for individuals and groups and how our brain processes music. This is all wonderful and so important to continue. But music therapy is more than these things. It is, on one hand, easy for the general public to consider and, on the other hand, difficult for people to grasp without personal experience. This is understandable and why consistent advocacy is so important. Advocacy is not about jobs. It is about ACCESS to services which make a tremendous difference.

When I speak about music therapy to my students and the people they may serve in the future, I hold within my mind and my heart all those individuals I have had the honor of serving throughout my career. I recall walking into a man’s room as his body began to shut down after years of coping with Parkinson’s Disease and late-stage Alzheimer’s Disease. I had worked with this man for years on the long term memory care unit, singing with him in his more lucid moments. I sang the last song he would hear as he took his final breaths (which had relaxed with the first few chords) and was present with his wife as she held his hand and wept. I remember seeing the light shine in a child's eyes when he created a sound on an instrument for the first time. I remember writing songs with one man who had been a farmer and who was angry at his loss of independence. Throughout his anger and sadness, he still spoke of hope and the support of his family and our final song was shared with his wife as she held his hand. I remember hearing one woman with Cerebral Palsy vocalize with me as I sang and the pride on her face as I strummed the last chord. There are too many people to name over my 15+ year career. But I remember them all as I teach the next generation of music therapists.

Music Therapy on a Memory Care Unit
 It can be frustrating to be a music therapist. Music therapy was established as a formalized profession in 1950 in the United States, but the concepts of music in healing have existed for thousands of years. Music was once revered and deemed both mystical and scientific, but in today’s society, it can be a challenge to educate the public about the depth and breadth of music’s potential when shows like American Idol and The Voice promote the idea that creating music is only for a limited number of people. This is why it has such impact to have artists such as Ben Folds support and advocate for music therapy. Music therapists work to be represented as the well-educated and highly trained professionals that we are within the medical and psychiatric communities. We try to educate other professionals about our very specific skill set that goes beyond a counselor using music in a session (although this can certainly be beneficial). We use the music process itself to transform, change, and connect with others. The music process is a microcosm of the relationships and processes a client experiences outside of the session. It is difficult to articulate what happens between people as they create music together, beyond just listening to a recording. It is difficult because we have stopped creating music together in our communities, so when clients come to music therapy, they are often stunned by the range of emotions and physical benefit from the experience. Yes, it is frustrating to be a music therapist at times. Some music therapists even choose to leave music therapy to move on to other professions which are seemingly more respected, or simply to have more income. I do not begrudge these former music therapists, for those thoughts have passed through my mind from time to time over the years. Sometimes it is just difficult to be in a smaller profession which can be misunderstood. But, I can’t imagine leaving music therapy. Music therapy is not just a job I do, but it is a way of being and experiencing the world. I believe in music therapy so strongly because I now understand how important it is, and will be, in the healthcare landscape of today. In a society where technology allows us to watch events unfold in real time around the world, we somehow seem more isolated from one another and need to lean on our communities now more than ever. I feel that music therapy has a very relevant and central role in helping each of us to reconnect to our own humanity and to the world around us.

-Written by Sharon R. Boyle, Associate Professor of Music Therapy and Coordinator of the Undergraduate Music Therapy Program at Saint Mary-of-the-Woods College.





  
For more information about Music Therapy Advocacy, visit http://www.musictherapy.org and read more about the SROP below:

What is the State Recognition Operational Plan and why is it important to music therapy?

Since 2005, the American Music Therapy Association and the Certification Board for Music Therapists have collaborated on the State Recognition Operational Plan. The primary purpose of this plan is to get music therapy and our MT-BC credential recognized by individual states so that citizens can more easily access our services. The State Recognition Operational Plan is a national initiative being implemented jointly by CBMT and AMTA to obtain state recognition of music therapy and the MT-BC credential. This collaborative effort between AMTA Government Relations staff and CBMT Regulatory Affairs staff provides guidance and technical support to state task forces throughout the country as groups of music therapists work toward recognition as defined by their particular state. To date, their work has resulted in over 35 active state task forces, 2 licensure bills passed in 2011, 1 licensure bill passed in 2012, and an estimated 7 bills being filed in 2013 that seek to create either title protection or a licensure for music therapy.



Thursday, January 3, 2013

Skype Lecturers Provide Rich Educational Experiences


The Saint Mary-of-the-Woods College Music Therapy program is fortunate to have an extensive network of friends who support the undergraduate program through guest lectures (several also teach graduate (MAMT) and/or distance equivalency courses (MTED)!) This network is comprised of music therapy clinicians, educators, authors, and experts in other fields. These dynamic individuals have contributed greatly to all levels of our curriculum over the years, and we would like to take this opportunity to begin a series of blog posts to introduce them to our readers!
---------------------------------------------------------------------------------------------------------
Kat Fulton, MM, MT-BC is a music therapist, rhythm lover, pianist, writer, and creative catalyst who founded Sound Health Music LLC in 2005. Her company oversees 3 divisions: Music therapy service contracts in the San Diego area, MusicTherapyEd.com continuing education for music therapists, and RhythmForGood.com rhythm-based wellness products for drum circle facilitators and music therapists. 

Kat has spoken via Skype at SMWC about percussion improvisation and group facilitation techniques.
Kat Fulton
 Debbie Bates, MMT, MT-BC, provides music therapy to patients and families throughout the Cleveland Clinic. She is currently working toward her PhD in Music Therapy from Temple University and is an advanced trainee in the Bonny Method of Guided Imagery and Music. Debbie is passionate about music therapy ethics and has been on the AMTA Ethics Board since 2002. She has served as a co-chair since 2007. She is a GLR representative to the Assembly of Delegates and is the GLR Secretary. She has also served as the Ohio representative to the GLR Executive Board. She is also the Immediate Past President of the Association of Ohio Music Therapists. 

Debbie has lectured via Skype at SMWC about music therapy ethics.


Debbie Bates
Erin Fox, MA, MT-BC has worked at a skilled nursing facility for over 7 years where she co-treated with physical, occupational, and speech therapists in rehabilitating adults and older adults. Her thesis research examined the effects of Neurologic Music Therapy (NMT) sensorimotor techniques in orthopedic rehabilitation in older adults. She has provided supervision to interns and practicum students, including some summer practicum students from SMWC. Erin is a Fellow of Neurologic Music Therapy, Fellow of the Association for Music and Imagery, and an adjunct faculty member for the Saint Mary-of-the-Woods College MTED program. Currently working in the Hospice setting, Erin provides music to patients and families for end of life care needs.


Erin has lectured via Skype at SMWC about sensorimotor techniques in NMT and will be guest lecturing again in Spring 2013 about her music therapy work in Hospice and BMGIM.

---------------------------------------------------------
Erin Fox
We greatly appreciate these accomplished music therapists sharing their knowledge and passion with us!










-Interviews completed by Cathleen Flynn, Music Therapy Student Assistant; edited by Sharon R Boyle, Associate Professor of Music Therapy