Facilitating musical interaction when clients become dysregulated in music therapy: What comes first, co-regulation or interaction?

Raging ToddlerHi all,

The question of what comes first, co-regulation or interaction was inspired by a conversation that I had with music therapy colleague regarding helping a child, who has difficulty modulating his emotions, maintain reciprocal interactions for a sustain period of time. Here’s the short of it:

This particular child, Peter, displays difficulty sustaining reciprocal interactions due to his challenges dealing with emotional modulation. Thus, his ability to co-regulate for extended periods is constricted by challenges related to modulating his emotions while interacting. Simply put, his emotional range 1-dimensional, meaning that it expresses ONLY in the extremes, i.e., 0-100. Following 10-15 circles or 4-5 measures of back and forth musical-play interaction, Peter becomes “overloaded” emotionally as well as sensorily and withdraws from the interaction in a hypo responsive manner by becoming agitated while attempting to leave the room in a very aggressive manner.

So…what to do when the child becomes emotionally “overloaded,” dysregulated and wants to leave the room? There are two sides or opinions as to possibly work with this particular child during these challenging moments. One side of the discussion suggests, “first, YOU need to regulate the child. YOU can not do anything with him until he is completely regulated and attentive. Thus, stop the play and begin to calm him down. Once he is regulated, then return musical engagement. In addition, musical-play, be very sensitive and careful not to dysregulate him. If the child does become dysregulated, the play must stop again and techniques should be focused on regulated him. This may involve placing him in his seat, or provide some type of sensory input e.g., weighted vest, brushing, etc. Again, once he is regulated […]

Don’t miss EARLY BIRD Registration for IMCAP-ND CMTE in New York!

Don’t miss the EARLY BIRD REGISTRATION for New York Course (Early bird ends July 2nd, 20014)

IMCAP-ND CMTE Course at Molloy College, New York

EARN 35 CMTE CREDITS! 

2-Day in-person course & Post Course Assignments

 

COURSE LOCATION:

Molloy College

1000 Rockville Centre, NY 11571

Course will take place in the Public Square Building, Room 040 (located in the lower level)

DATES:

August 1st & 2nd, 2014

Read what music therapists are saying about the IMCAP-ND CMTE Course:

The IMCAP-ND Music Therapy Assessment training provided by John Carpente was an experience that opened my eyes to a new way of seeing and interacting with my clients musically, as well as giving an invaluable framework from which to communicate music therapy’s benefits for individuals with Neurological Disorders to administration, families, and staff. I find that I am relating to and understanding the needs of my clients on a much deeper level and that will greatly influence every facet of the therapeutic process with them in the future. This is an extremely valuable tool, and John presents it in such a way that is thorough, challenging, and creative! I highly recommend this training to any music therapy professional!”

Julie Schlosser, MT-BC

“The IMCAP-ND course was career changing!!!!!! After15 years of a successful music therapy career it opened my eyes to a very positive child-centered way to communicate and assess –following the lead of the child. Coming from a school that uses  DIR/Floortime in the early intervention program, the IMCAP-ND method is a logical and well thought out process that marries music therapy and floortime. The assessment is ready to use and […]

Following the Client’s Lead. What is it? What isn’t it? And Why do it?

Holding HandsHi folks,

An ongoing key topic when discussing behavioral and developmental approaches is the concept of following the client’s lead. This is especially relevant within the current trends in the research pertaining to evidence-based practice in regards to interventions with children with autism spectrum disorder (ASD). Yes, that’s correct, developmental interventions are now being used in the current evidence based research. In addition, even the current behavioral research shows to be using developmental interventions in their treatment protocols, e.g., Denver Model. Thus, the current trends in ASD intervention research appears to be either based on a hybrid approach (implementing behavioral and developmental interventions) or staged developmental interventions.  Unfortunately, most clinicians continue to quote dated research when speaking on evedence-based practice (I will discuss that topic in detail in a future blog post). All of that being said, the topic of client-led interactions, which is at the core of developmental interventions, is extrememly relevant and draws quite a bit of discussion in terms of what it is and isn’t.

Client-led interactions, or better known as following the child’s lead, is at the core of developmental relationship-based ways of working. In music therapy, it may involve the therapist creating musical experiences based on the client’s musical-emotional lead, e.g., musically reflecting their emotional state, creating music around their musical and/or non-musical action, etc.  Some therapists feel that following the client’s lead means to ONLY and ALWAYS follow what the client is doing whereby never implementing any  boundaries or limits- NOT TRUE. Others may say, “follow the client’s lead only when it’s appropriate.” Appropriate? Appropriate to what? The therapist? Finally, some say, you can not and should not follow the client’s […]

Registration is OPEN! IMCAP-ND CMTE Course Headed to New York and Radford, VA!

frank and cimdy4REGISTER FOR IMCAP-ND CMTE COURSE!

8/1 & 8/2 at Molloy College, Rockville Centre, NY

10/24 & 10/25, Radford University, VA

The IMCAP-ND Music Therapy Assessment training provided by John Carpente was an experience that opened my eyes to a new way of seeing and interacting with my clients musically, as well as giving an invaluable framework from which to communicate music therapy’s benefits for individuals with Neurological Disorders to administration, families, and staff. I find that I am relating to and understanding the needs of my clients on a much deeper level and that will greatly influence every facet of the therapeutic process with them in the future. This is an extremely valuable tool, and John presents it in such a way that is thorough, challenging, and creative! I highly recommend this training to any music therapy professional!”

Julie Schlosser, MT-BC

“The IMCAP-ND course was career changing!!!!!! After15 years of a successful music therapy career it opened my eyes to a very positive child-centered way to communicate and assess –following the lead of the child. Coming from a school that uses  DIR/Floortime in the early intervention program, the IMCAP-ND method is a logical and well thought out process that marries music therapy and floortime. The assessment is ready to use and with practice will become the staple assessment process that I use in schools. Fantastic course! In short, the IMCAP-ND course was mind blowing! 

-Amy Gardiner, MT-BC

 I’m thrilled to announce that the IMCAP-ND CMTE Training is continuing to travel through the Mid-Atlantic Region, […]

1 WEEK left for Early bird Registration for IMCAP Course, Columbia MD

IMCAP CMTE PROMO -MD-May 3_4Hi all,

1 week remaining for EARLY BIRD Registration for IMCAP-ND CMTE Course at Howard Community College (Ends on April 15th!)

Are you interested in learning more about working within a Developmental Relationship-based Music Therapy Model? Here’s an opportunity to do so while earning 35 CMTE Credits! Click HERE for more information!

You will expand your knowledge on how to:

  • Create musical experiences that target specific musical areas that deal with
    • A) Social-Emotional Skills
    • B) Cognitive and Perceptual Skills
    • C) Preferences, Efficiency, Arousal Levels
  • Observe, assess, and score target responses within the context of relational musical-play
  • Create and write individualized goals and treatment plans
  • Communicate assessment findings to caregivers and healthcare professionals
  • Gain a deeper understanding of your musical tendencies and habitual responses as a musician and music therapist

By registering for this course you will receive complimentry Developmental, Relationship-based Music Therapy course materials (as  well an opportunity for discounted supervision/coaching): 

  • Receive 50% off IMCAP-based reflective supervision for up to 5 supervision sessions
  • A 10-pack of IMCAP-ND Rating Scale Booklets
  • IMCAP-ND Work Guide that includes:
  • Musical resources for the music therapist
  • Quality of Interaction rating chart
  • Procedural work phase check list
  • Clinical sample of IMCAP-ND rating scores (Scales I, II, & III)
  • IMCAP-ND goal bank
  • Clinical techniques guidelines (procedural phases and music domain areas)

The IMCAP-ND 2-day CMTE course with post-course assignments provides an opportunity to earn 35 CMTE Credits. This course will be held at Howard Community College in Columbia, MD on May 2nd and 3rd.

Click HERE to register!

Musically,

John

Spring 2014 Discount for IMCAP-ND Products!

Hi all,

Developmental Music Health is kicking in Spring 2014 by offering a 15% DISCOUNT  for the next 7 days on all IMCAP-ND products. Beginning today, March 18th 2014, and through March 25th, we are offering a 15% discount on all  IMCAP-ND Clinical Manuals and IMCAP-ND Rating Scale purchases. This offer will ONLY last 7 days (ending March 25th).

To receive your 15% discount, simply click on the link below, choose the product that you would like to order, and then simply enter the promotional discount code: IMCAPDIR

To place your order and to find out more about the IMCAP-ND Manual, please click HERE. 

For international orders, please click HERE.

Also, if you are interested in learning more about how to applying and integrating the IMCAP-ND into your clinical practice, check out out our upcoming IMCAP-ND CMTE courses that will be offered in Maryland, New York, and Virginia! This exciting NEW 2-day course (with post-course assignments) provides music therapists with the opportunity to EARN 35 CMTE credits!

Musically,

John

Paul Nordoff’s Thoughts on the Diminished 7 Chord

Paul NordoffHi all,

Paul Nordoff believed that the diminished 7th is one of the most important chords in music (Nordoff & Robbins, 1998). The diminished 7th brings with it so many harmonic possibilities. Therefore it is a tremendous asset for the music therapist to have at finger tips when engaging clients in musical experiences. . This post will discuss two functions of the  diminished 7th chord: 1) as a passing chord and 2) as a pivot or modulating chord (functioning as a Dominant 7th chord).

Diminished 7th as a Chromatic Passing Chord

Using the Dim 7th as a passing chord can help guide a melody, creating a bridge to the subsequent chord. This bridge can create tension, setting up the resolution for the following chord. This structure between tension and resolution is what helps the music move, breathe, fluctuate, anticipate, and provide meaning for what is about to happen. Depending how long you sustain the tension and delay resolution can alter “musical-time” and provides the clinician with a way to alter the future based on the client’s interaction. Here’s a simple example of the Dim 7th being used as a passing chord:

Diminished 7th chord being used as a passing chord

Exercise examples:

  • IM–>   I#°7  IIm7- V7à  I
  • IM–> I#°7à IIm7-  II#°7- I-  V7-  I
  • IM–> I#°7  IIm7-  II#°7- IIIm6- IV°7-  V7-  I

Functioning as a V7 Substitution

The diminished seventh chord is often used in place of a dominant 7th chord. In the key of C Major the V chord, G dominant 7th (which is made up the notes G,B,D,F) can be replaced with a G# diminished seventh chord (G#, B, D, F). In order to create chromatic movement, you can play a B diminished […]

“Using” vs “Working-In” Music in Music Therapy? Huh? Is there a Difference?

toolHi all,

Just jotting down some quick notes/thoughts on a topic that continuously pops up for me as a clinician, supervisor, and educator: the concept of music being used versus music being worked in in therapy. One word treats music as a thing, and the other as a verb. For me, the differences are pretty significant, and are a critical factors in establishing my identify as a  music therapist. The purpose of this post is to flesh out some questions and encourage dialogue. These ideas, thoughts, and questions are by no means something new, and in fact are consistently brought up via social media.

So, as music therapists, why do we play and make music, or create music experiences with clients? Does the musical experience really matter? Is the music more about being some-thing that is sound-based and seeks nothing more but to alter a behavior (i.e. I play this and you do that. If you don’t do that, I keep playing this to make you do that because I want you to do that)? Is the music about the experience occurring between you and the client as a relationship unfolds? And if so, how can the relationship foster health?

Furthermore, is it (music therapy) about using music as a stimulus (i.e. stimulus-response based work)? Or, Is it about working in music and experiencing the things that are unique about it, i.e., aesthetic and relational elements? The “keys” here, I believe, are the words “using” and “working.” Can a music therapist do both, use and work in music at the same time? Is that really possible? Can both paradigms be blended together? Does one cancel out the other? […]

CMTE Course: IMCAP-ND Certificate Training (35 Credits)

cont EdDear Colleagues,
In collaboration with Connecticut Music Therapy Services, LLC (CBMT Approved Provider P-#0130), Developmental Music Health Services, LLC is offering the first IMCAP-ND Certification Training.  This training will take place Friday, February 21 and Saturday, February 22.  Combined with post-course assignments, this course offers 35 CMTE Credits.
Please view the full course information here: http://ctmusictherapy.com/wordpress/for-music-therapists/cmte-imcap-nd-certification-training/ and note that the earlybird registration deadline is 1/22/13 and that we have a limited number of seats available for this course.

Watertown, CT is situated in scenic Litchfield County, CT, less than a 2 hour drive from both New York City and Albany, NY. Additional travel information is also available on our site: http://ctmusictherapy.com/wordpress/for-music-therapists/travel-and-lodging-information/

For additional information call 203-394-3033 or email jen@ctmusictherapy.com with any questions.

OTHER ANNOUNCEMENTS!

1) Website UPDATE- the Developmental Music Health website is working its way back to being functional again! (DMHmusictherapy.com will be hosting this blog) 

2) See us on Facebook– to see our weekly updates and happenings, please “friend” us on Facebook.

All the best,

John

IMCAP-ND Updates/Announcements!

IMCAPsoft-150x150Hi all,

Since the publication and release and the IMCAP-ND: A Clinical Manual, I have received a variety of emails regarding questions, requests for materials to use in clinical practice, as well as inquiries pertaining to IMCAP:ND training courses. Although I have created an IMCAP-ND Facebook page, I realize that many MTs that are interested in using or learning more about  the IMCAP-ND may not be a part of our Facebook community. Therefore, I thought it might be a good idea to include IMCAP information on this blog.

REQUEST FOR INTAKE FORM & ASSESSMENT/PROGRESS REPORT TEMPLATES

I have been asked by several IMCAP-ND Manual users If I would share the digital files of the IMCAP-ND Intake Form and Assessment/Report templates. Although they are located in the appendix of the manual, it would probably be easiest and more practical to have the electronic versions of the files so you can simply type your responses and reporting directly onto the document. Thus, I’m making those documents available to any IMCAP-ND Manual owners who would like them. if interested email info@dmhmusictherapy.com

REQUESTING ACTUAL CLINICAL SAMPLES OF IMCAP-ND SCORING REPORTS

For those of you working with the IMCAP-ND who would like scoring samples illustrating the use of the of the three rating scales as well as a completed progress/assessment report (PDF versions) please email info@dmhmusictherapy.com (THIS REQUEST WILL TAKE SOME TIME TO FULFILL AS WE ARE REQUIRED RECEIVE CLIENT PERMISSION BEFORE DISTRIBUTING ANY CLINICAL INFORMATION)

INTERESTED IN USING THE IMCAP:ND TO DETERMINE GROUP PLACEMENT

For those of you who are using the IMCAP-ND in clinical practice, has anyone incorporated it into their assessment process in regards to deciding if a client is musical-emotionally “appropriate” for a […]