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23.7. 1993 Vitoria-Gasteiz / Spain - World Federation of Music Therapy

23.7. 1993 Vitoria-Gasteiz / Spain - World Federation of Music Therapy

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M U S I C , A N X I E T Y A N D T H E M E N T A L L Y<br />

H A N D I C A P P E D - A R E V I E W<br />

JEFF HOOPER<br />

There is evidence to suggest that the prevelance <strong>of</strong><br />

anxiety among adults with a mental handicap is greater<br />

than that in the general population (Novosel 1 ). This<br />

anxiety is found particularily in the form <strong>of</strong> phobic<br />

reactions (Corbett 2 , Ballinger and Reid 3 ) or as<br />

manifested by behaviour disturbance. The behavioural<br />

treatment <strong>of</strong> that anxiety appears largely to centre on<br />

the use <strong>of</strong> relaxation training, either as a treatment in its<br />

own right (Lindsay and Baty 4 5 ) or in conjunction with<br />

systematic desensitisation (Guralnick 6 ).<br />

Since the late nineteenth century researchers have<br />

studied physiological responses to musical stimuli<br />

(Gilliland and Moore 7, Zimny and Weidenfeller 8 , Ellis and<br />

Brighouse 9 and Shatin 10 ). They have established that<br />

222<br />

music effects G.S.R., heart rate and respiratory rate.<br />

This evidence has in turn resulted in a variety <strong>of</strong> clinical<br />

projects examining the impact <strong>of</strong> music on various<br />

aspects <strong>of</strong> client behaviour (Stevensll, Reiber l2 ,<br />

Reardon and Bell l3 , Moss l4 and Zimmerman, Pierson<br />

and Marker l5 ). A wealth <strong>of</strong> work has been undertaken<br />

among the non-handicapped population into the use <strong>of</strong><br />

music in stress reduction, however a comparatively<br />

small body <strong>of</strong> research has investigated the effect <strong>of</strong><br />

relaxing music on the anxiety <strong>of</strong> the mentally<br />

handicapped.<br />

Relaxation techniques <strong>of</strong>ten require the subjects to<br />

watch and imitate. The demand this places on<br />

concentration and attention may prove too great for<br />

many mentally handicapped people and so exclude<br />

them from treatment.<br />

Could relaxing music <strong>of</strong>fer a viable alternative?<br />

Certainly Stoudenmire 16 has shown that music is as<br />

successful as relaxation training among the non-

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