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Proceedings, Oxford, UK (2002) - World Federation of Music Therapy

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dyskenesia, akathisia (motor restlessness) and parkinsons syndrome. The<br />

latter may include hypersalivation and drooling as well as muscular<br />

rigidity, alterations <strong>of</strong> posture, tremor and autonomic symptoms. These<br />

side effects are <strong>of</strong>ten distressing to the patient and necessitate the<br />

prophylactic prescription <strong>of</strong> anti Parkinson medication. The chronic,<br />

irreversible disorder <strong>of</strong> tardive dyskenesia can also develop. This is a<br />

neurological syndrome consisting <strong>of</strong> abnormal, involuntary, stereotyped<br />

and rhythmic motor movements <strong>of</strong> the face.<br />

A randomised controlled study may demonstrate whether a more subtle<br />

interaction is possible between moderated medication levels and the<br />

provision <strong>of</strong> consistent therapeutic input. This obviously requires<br />

sensitive monitoring with regard to the impact <strong>of</strong> planned and unplanned<br />

breaks in therapy, levels <strong>of</strong> developing insight and the individual’s<br />

psychic and cognitive ability to internalise the experience. Patient’s are<br />

frequently both knowledgeable and interested in their medication. This<br />

approach may alleviate distress and thus encourage compliancy to<br />

medication. More individual case studies are required to establish<br />

whether these findings can be replicated.<br />

Stella Compton Dickinson. July <strong>2002</strong><br />

“The whole <strong>of</strong> manifestation has its origin in vibration, in sound; and<br />

this sound was the first manifestation <strong>of</strong> the universe. Consequently the<br />

human body was made <strong>of</strong> tone and rhythm. The most important thing<br />

in the physical body is breath, and the breath is audible; it is most<br />

audible in the form <strong>of</strong> the voice. This shows that the principal signs <strong>of</strong><br />

life in the physical body are tone and rhythm, which together make<br />

music. Rhythm appeals to man because there is a rhythm going on in<br />

the body. The beating <strong>of</strong> the pulse and the movement <strong>of</strong> the heart both<br />

indicate this rhythm. The rhythm <strong>of</strong> the mind has an effect on the<br />

386

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