Improvisation in music therapy
Encyclopedia
In music therapy
Music therapy
Music therapy is an allied health profession and one of the expressive therapies, consisting of an interpersonal process in which a trained music therapist uses music and all of its facets—physical, emotional, mental, social, aesthetic, and spiritual—to help clients to improve or maintain their...

 improvisation is defined as a process where the client and therapist relate to each other. The client makes up music, musical improvisation
Musical improvisation
Musical improvisation is the creative activity of immediate musical composition, which combines performance with communication of emotions and instrumental technique as well as spontaneous response to other musicians...

, while singing or playing, extemporaneously creating a melody
Melody
A melody , also tune, voice, or line, is a linear succession of musical tones which is perceived as a single entity...

, rhythm
Rhythm
Rhythm may be generally defined as a "movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions." This general meaning of regular recurrence or pattern in time may be applied to a wide variety of cyclical natural phenomena having a periodicity or...

, song
Song
In music, a song is a composition for voice or voices, performed by singing.A song may be accompanied by musical instruments, or it may be unaccompanied, as in the case of a cappella songs...

, or instrumental piece. In clinical improvisation, client and therapist (or client and other clients) relate to one another through the music. Improvisation may occur individually, in a duet, or in a group. The client may use any musical or nonmusical medium within his or her capabilities. Musical media includes voice, body sound, percussion, and string, wind, and keyboard instruments. Nonmusical media can consist of images, titles, and stories.

How improvisation fits into music therapy

Music therapy
Music therapy
Music therapy is an allied health profession and one of the expressive therapies, consisting of an interpersonal process in which a trained music therapist uses music and all of its facets—physical, emotional, mental, social, aesthetic, and spiritual—to help clients to improve or maintain their...

 is a systematic process; it is not a series of random events. Systematic means that music therapy is "purposeful, organized, methodical, knowledge-based, and regulated" (Bruscia 1998). One of the most important features is its methodical processes. Methodical means that music therapy always proceeds in an orderly fashion. It involves three basic steps: assessment, treatment, and evaluation
Evaluation
Evaluation is systematic determination of merit, worth, and significance of something or someone using criteria against a set of standards.Evaluation often is used to characterize and appraise subjects of interest in a wide range of human enterprises, including the arts, criminal justice,...

. Treatment is the part of a music therapy process in which the therapist engages the client in various musical experiences, employing specific methods and in-the-moment techniques. When planning treatment, the music therapist has to select the types of music and music experiences that will be most relevant to the client. There are four basic types of music experiences, or methods, in which a client may be engaged: listening, re-creating, composition
Musical composition
Musical composition can refer to an original piece of music, the structure of a musical piece, or the process of creating a new piece of music. People who practice composition are called composers.- Musical compositions :...

, and improvisation
Improvisation
Improvisation is the practice of acting, singing, talking and reacting, of making and creating, in the moment and in response to the stimulus of one's immediate environment and inner feelings. This can result in the invention of new thought patterns, new practices, new structures or symbols, and/or...

.

Characteristics of improvisation in music therapy

Clinical Improvisation is a generative and creative process of musical intervention involving the client's spontaneous creation of sounds and music. It helps the client to explore aspects of self, in relation to others, in an appropriate way. Improvisation also generates new and individualized musical forms. Using musical improvisation in a therapeutic setting can increase independence. The interactive use of improvisation facilitates problem-solving, because it is flexible rather than predetermined. Getting the client involved in an improvisational experience can develop social skills
Social skills
A social skill is any skill facilitating interaction and communication with others. Social rules and relations are created, communicated, and changed in verbal and nonverbal ways. The process of learning such skills is called socialization...

 and interaction.

Clinical goals of improvisation experiences

According to Bruscia (1998), clinical goals that can be achieved through improvisation are as follows:
  1. Establish a nonverbal channel of communication, and a bridge to verbal communication
  2. Provide a fulfilling means of self-expression and identity formation
    Identity formation
    Identity formation is the development of the distinct personality of an individual regarded as a persisting entity in a particular stage of life in which individual characteristics are possessed and by which a person is recognised or known . This process defines individuals to others and themselves...

  3. Explore various aspects of self in relation to others
  4. Develop the capacity for interpersonal intimacy
  5. Develop group skills
  6. Develop creativity
    Creativity
    Creativity refers to the phenomenon whereby a person creates something new that has some kind of value. What counts as "new" may be in reference to the individual creator, or to the society or domain within which the novelty occurs...

    , expressive freedom, and playfulness with various degrees of structure
  7. Stimulate and develop the senses
  8. Play, on the spot, with a decisiveness that invites clarity of intention
    Intention
    Intention is an agent's specific purpose in performing an action or series of actions, the end or goal that is aimed at. Outcomes that are unanticipated or unforeseen are known as unintended consequences....

  9. Develop perceptual and cognitive skills

Improvisational methods and their variations

Improvisation can be carried out with both musical and nonmusical references. (Bruscia 1987, 10)
  • Referential improvisations are those in which the client improvises to portray a nonmusical reference (e.g., an event, feeling, image, relationship, etc.)
  • Non-referential improvisations are those in which the client improvises without reference to anything other than the sounds or music.
  • Frequently used variations are as follows:

Variations Explanations
Instrumental referential creating music on a musical instrument according to a given reference
Instrumental non-referential creating music on a musical instrument without reference
Song improvisation creating lyrics, melody, and accompaniment to a song
Vocal non-referential creating a vocal piece without words or images
Body improvisation creating various kinds of body sounds
Mixed media creating a piece with any combination of instrumental, vocal, or body sounds
Conducted improvisation creating a piece by giving directive cues to one or more improvisers

Basic therapeutic techniques

Bruscia (1987) and Wigram (2004) introduced a variety of improvisational techniques in their books. Among these, there are a few major therapeutic techniques. Imitating is a basic technique of empathy in which the music therapist copies or repeats a client's response, after the response has been displayed. The music therapist focuses on any sound, rhythm, interval or even facial expression. Reflecting is a technique in which the music therapist expresses the same moods or feelings which have been presented by the client. Rhythmic grounding is implemented by establishing a steady beat or rhythm, supporting the client's improvisation. The use of a rhythmic ostinato
Ostinato
In music, an ostinato is a motif or phrase, which is persistently repeated in the same musical voice. An ostinato is always a succession of equal sounds, wherein each note always has the same weight or stress. The repeating idea may be a rhythmic pattern, part of a tune, or a complete melody in...

 is an example of rhythmic grounding. Dialoguing is a process in which the music therapist and the client communicate through their improvisations. Lastly, accompanying is a technique in which the music therapist supports the client's improvisation by giving an accompaniment
Accompaniment
In music, accompaniment is the art of playing along with an instrumental or vocal soloist or ensemble, often known as the lead, in a supporting manner...

 that consists of rhythm, melody, and chord progressions.

Integration of therapeutic methods

It is important to have variety in music therapy sessions. Improvisation should be conducted using more than just one or two methods and techniques. It is also critical to maintain flexibility during the improvisation. For example, the music therapist can preserve a flexible session flow by incorporating several methods, such as imitating, accompanying, dialoguing, and rhythmic grounding.

External links

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