لایب سان

 In my companion book (Oldfield 2006), I define ‘interactive music therapy’ and explain how this approach arose from clinical practice and research while working with pre-school children with autistic spectrum disorder and their parents. The work I shall be describing here also grew out of my clinical work. In addition I was influenced by the fact that the general role of the Croft children’s unit, where I worked, gradually changed from being a treatment centre to becoming an assessment unit, and by the fact that an out- patient parenting project was run there for a number of years. Opportunities to develop music therapy approaches in specific clinical areas presented them- selves.

Contents Foreword by Joanne Holmes 9 ACKNOWLEDGEMENTS 11 Introduction 13 Chapter 1 Characteristics of My Music Therapy Approach in Child and Family Psychiatry 15 Introduction 15 The Croft Unit for Child and Family Psychiatry 15 History of music therapy at the Croft 17 Two vignettes 17 Defining my approach 20 Influences from my own background 22 Some thoughts about working in child and family psychiatry 22 Parallels with family life at home 24 Therapeutic music teaching 25 The Croft team 27 Written music therapy reports at the Croft Unit 28 Conclusion 28 Chapter 2 Music Therapy Diagnostic Assessments in Child and Family Psychiatry 29 Introduction 30 Alternative approaches to music therapy assessment 30 Description of the Music Therapy Diagnostic Assessment (MTDA) 35 Feeding back to the rest of the team 43 Three vignettes 43 Conclusion 46 Chapter 3 Music Therapy at the Croft: Assisting Clinical Diagnosis 47 Introduction 47 General organisation of the music therapy group 48 Group philosophy 49 Rationale for the group 50 Group structure 52 Reviewing the group 63 Four Vignettes 63 Conclusion 69 Chapter 4 Individual Short-term Music Therapy in Child and Family Psychiatry 70 Introduction 70 Other approaches to short-term music therapy 71 Four case studies 72 Reflections on the four cases 80 Improvised stories, working in partnership with a psychotherapist 81 Conclusion 88 Chapter 5 Music Therapy with Families at the Croft Unit 89 Introduction 89 Other family music therapy work 89 Three families receiving individual music therapy treatment 91 A six-week group with mothers and young children 99 One-off interventions followed by video reviews with groups of mothers and babies 105 Conclusion 109 Chapter 6 Music Therapy Research 110 Introduction 111 Effects of music therapy on a group of adults with profound learning disabilities 111 Qualitative and quantitative approaches to research 114 What constitutes research? 115 Investigation into music therapy with mothers and young children at a unit for child and family psychiatry 117 Common points in all my research investigations 120 Reflections 120 Conclusion 122 Chapter 7 Research Investigation into Music Therapy Diagnostic Assessments 123 Introduction 124 Background 124 Methodology 125 Results of the study 137 Additional study comparisons 154 Review of main findings in this chapter 156 Chapter 8 Teaching Music Therapy 159 Introduction 159 Music therapy workshops 160 Training music therapists 165 Making music therapy training videos 176 Conclusion 178 Chapter 9 Music Therapy Supervision 179 Introduction 180 Receiving supervision 180 Giving individual supervision 181 A supervision group 186 Reflections on what supervisees have written 194 Conclusion 195 Conclusion 196 APPENDIX 1 BLANK SHEET USED FOR RECORDING ON-GOING MUSIC THERAPY NOTES IN THE CROFT NURSING FOLDER 199 APPENDIX 2 SUMMARY DESCRIBING DAMIEN’S MUSIC THERAPY SESSION 200 APPENDIX 3 SUMMARY DESCRIBING NANCY, CLAUDE AND PHOEBE’S MUSIC THERAPY SESSION 202 APPENDIX 4 DAMIEN’S MUSIC THERAPY REPORT 203 APPENDIX 5 NANCY, CLAUDE AND PHOEBE’S MUSIC THERAPY REPORT 205 APPENDIX 6 CROFT GROUP ‘HELLO’ SONG 206 APPENDIX 7 FULL MTDA SCORING SHEETS 207 APPENDIX 8 MTDA AND ADOS TESTERS’ QUESTIONNAIRE 210 APPENDIX 9 GUIDELINES FOR STRUCTURED INTERVIEWS WITH THE CHILDREN 213 APPENDIX 10 GUIDELINES FOR WRITING ABOUT INDIVIDUAL SUPERVISION 215 APPENDIX 11 GUIDELINES FOR WRITING ABOUT GROUP SUPERVISION 216 REFERENCES 217 SUBJECT INDEX 221 AUTHOR INDEX 224

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