Assessment in Music Therapy: Options & Resources

  • Assessment in Music Therapy: Options & Resources
  • Author: Bruscia, Kenneth E.
  • ISBN: 9781945411632
  • E-ISBN: 9781945411816


"Assessment in Music Therapy" by Dr. Kenneth Bruscia provides options and resources to help music therapists make assessment decisions—whether those decisions involve selecting an existing assessment, creating a new one, or doing spontaneous assessments. It focuses on the practical needs of clinicians, addressing three main topics: what to assess, how to assess, and how other music therapists have approached assessment. A music-centered approach is taken, focusing the assessment on the client’s ways of making and listening to music and their therapeutic significance, both musically and nonmusically. Objective and interpretivist paradigms are used to interpret quantitative versus qualitative data. Throughout its 620 pages, extensive clinical and research findings are presented on how musicality varies according to clinical diagnoses. Over 250 existing music therapy assessments are summarized and categorized, and over 60 assessment forms developed by the author are presented.

Table of Contents

Unit One: Overview

Chapter 1: INTRODUCTION

Definitions and Distinctions

Rationale for Using Music

The Four Main Methods

Levels of Musical Data

Health Domains

Objectives of Assessment

References

Chapter 2: THE ASSESSMENT PROCESS

Pre-Session Assessment

Setting Assessment Objectives

Selection of Assessment Protocol

Data Analysis

Clinical Interpretations

References

Chapter 3: THERAPIST AS LISTENER

Perspective vs. Attitude

Notational Listening

Open Music Listening

Focused Music Listening

Holistic Music Listening

Open and Focused Clinical Listening

Empathic Listening

Cyclic Listening

Intersubjective Listening

Subjective Listening

Self-Listening

Altered State Listening

Mindful Listening

Ambient Listening

Fluid Listening

Integrative Listening

A Synthesis

References

Chapter 4: INDICATIONS AND CONTRAINDICATIONS

Indications

Therapeutic Risks and Contraindications

References

Chapter 5: ETHICAL AND DIVERSITY CONSIDERATIONS

Ethical Considerations

Diversity Considerations

Intersectionality

Differences in Worldviews

Conclusions

References

Chapter 6: PARADIGMS AND INTEGRITY

Paradigms

Integrity Standards in the Objectivist Paradigm

Integrity Standards in the Interpretivist Paradigm

Integrity Standards for Music Therapy Assessment

            References

Chapter 7: DIFFERENT TYPES OF ASSESSMENT

Types of Assessment

Rationale for the Various Types

Implications

References

Chapter 8: WRITING ASSESSMENT REPORTS

Recommendations for Full Reports

Recommendations for Progress Notes

Final Note


Unit Two: The Four Musical Methods of Assessment

Chapter 9:  LISTENING METHODS

Rationale

Existing Assessments

References

Chapter10: RE-CREATIVE METHODS

Rationale

Existing Assessments

References

Chapter 11: IMPROVISATIONAL METHODS

Rationale

Existing Assessments

References

Chapter 12: COMPOSITIONAL METHOD: SONGWRITING

Rationale

Procedural Considerations

Existing Assessments

References


Unit Three: The Biographical, the Medical or Physical, and the Behavioral Domains

Chapter 13: THE BIOGRAPHICAL DOMAIN

Data Collection

Existing Assessments

References

Chapter 14: THE MEDICAL OR PHYSICAL DOMAIN

Background Information

Brain Activity

Existing Assessments

References

Chapter 15: THE BEHAVIORAL DOMAIN

Procedural Considerations

Tracking Targeted Behaviors

Tracking Interactive Behavior

Behavior Inventories

Behavior Streams

Existing Assessments

References


Unit Four: The Skill Domain

 Chapter 16: VOICE PRODUCTION AND CONTROL

Overview

Vocal Production

Vocal Control

Methods of Appraisal

Diagnostic Links

Stages of Development

References

Chapter 17: VOCAL-TONAL SKILLS

Overview

Pitch Perception

Pitch Imitation

Interval Perception

Interval Imitation

Contour Perception

Melody Perception

Melody Conservation

Melody Recognition

Melody Imitation

Maintenance of Tonality

Harmony Perception and Production

Song Recognition

Singing Songs

Stages of Development

Existing Assessments

References

Chapter 18: INSTRUMENTAL SKILLS

Tasks

Criteria for Assessment

Unpitched Percussive Instruments

Tone Bar Instruments

Instrumental Tonal Skills

Stages of Development

Existing Assessments

References

Chapter 19: IMPROVISING SKILLS

Intentionality

Patterning

Self-Regulated Expression

Integration

Variability

Self-Monitoring

Stages of Development

References

Chapter 20:  PULSE-RELATED SKILLS

Overview

Definitions

Indications and Contraindications

Duration Skills

Pulse Perception

Pulse Production

Pulse/​Tempo Maintenance

Spontaneous Tempo

Tempo Perception

Producing Different Tempos

Perceiving Meter

Meter Production

Stages of Development

Summary

Chapter 21: RHYTHM SKILLS

Significance

Duration Perception and Imitation

Number Perception and Imitation

Serial Order Perception

Rhythm Perception

Rhythm Imitation

Stages of Development

Existing Assessments

References

Chapter 22: SYNCHRONIZATION SKILLS

Overview

Variables

Assessment Options

Measurement and Evaluation

Diagnostic Links

Resources

Stages of Development

References

Chapter 23: TIMBRE AND VOLUME PERCEPTION SKILLS

Timbre Perception

Significance

Volume Perception

Existing Assessments

Developmental Stages

References

Chapter 24: GENERAL RECEPTIVE SKILLS

Definition of Music Aptitude

The Concept of Natural Musicality

Contraindications

Existing Assessments

Diagnostic Links

Stages of Development

References

Chapter 25: DATA ANALYSIS AND INTERPRETATION OF SKILL ASSESSMENTS

Descriptive Skill Assessment

Interpretive Skills Assessment

Diagnostic Assessment

Prescriptive Assessment

Evaluative Assessment

References


Unit Four: The Intrapersonal Domain

Chapter 26: ACTIVITY PREFERENCES

Main Variables

Diagnostic Links

Media Preferences

Existing Assessments

References

Chapter 27: LISTENING PREFERENCES

Musical Variables

Listener Variables

Healthy Uses of Music Listening

Unhealthy Uses of Music Listening

Personality

Circumstances

Mood

Body Variables

Relational Variables

Culture

Diagnostic Links

Existing Assessments

References

Chapter 28: INDIVIDUAL NONREFERENTIAL IMPROVISATION

Approach to Assessment

The Projective Hypothesis

Contraindications

Medium and Instrument Selection

Salience

Integration

Variability

Tension

Expressivity

            Client Insights

            References

Chapter 29: REFERENTIAL IMPROVISATION

Analytical Music Therapy (AMT)

Scheiby Assessment

The Integration of Image, Music, and Life

An Inner World Assessment

References

Chapter 30: GUIDED IMAGERY AND MUSIC (GIM)

Introduction

Intake Assessment

Assessments After Intake

Imagery Analysis

References

Chapter 31: SONGS AND SONG EXPERIENCES

Setting for the Song Experience

Types of Song Experiences

Music

Client Problems and Resources

Collecting Projective Data

Song Improvisations

Interpreting Song Projections

Client Insights

Existing Assessments

References


Unit Five: The Relational Domain

Chapter 32: CLIENT-THERAPIST IMPROVISATIONS:

Musical Analysis

Instrument Choice

Musical Readiness

Shared Auditory Images

Salience

Integration

Variability

Tension

Congruence

Autonomy

Existing Assessments

References

Chapter 33: SIGNIFICANT-OTHER IMPROVISATIONS

Focus

Preliminary Considerations

Modes of Communication

Role of the Therapist

Musical Analysis and Interpretation

Referential Improvisations

Client Insights

Existing Assessments

References

Chapter 34: INSTRUMENTAL GROUP IMPROVISATIONS

Approach to Assessment

Preliminary Considerations

Musical Analysis and Interpretation

Verbal Interactions

Client Insights

Existing Assessments

References

Chapter 35: GROUP SONGWRITING

Preliminary Considerations

Different Approaches

Contraindications

Client Readiness

Analyzing the Lyrics

Analyzing the Music and Lyrics

Group Dynamics

Performing the Song

Notating or Recording the Song

Reacting to the Song

Existing Assessments

References

Index