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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

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

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subject's behaviour was recorded in this way at<br />

baseline, for one week, and throughout a nine week<br />

treatment period.<br />

The treatment period was divided equally into a<br />

treatment phase, reversal phase (a return to baseline<br />

conditions), and a further treatment phase. (Figure 5)<br />

The graph charts the total number <strong>of</strong> episodes <strong>of</strong><br />

inappropriate behaviour which occurred each week. It<br />

shows a high incidence <strong>of</strong> inappropriate behaviour at<br />

baseline - a rate <strong>of</strong> 2.43 incidents per day. With the<br />

introduction <strong>of</strong> music therapy there was an immediate<br />

drop to a daily rate <strong>of</strong> 0.71, followed by a further drop to<br />

0.29 when the behaviours were all but extinguished.<br />

The third week <strong>of</strong> treatment saw a slight increase to a<br />

daily rate <strong>of</strong> 0.43 incidents. During the reversal phase<br />

the rate <strong>of</strong> inappropriate behaviours after remaining<br />

stable for one week returned to a level close to the rate<br />

monitored at baseline. However, the reintroduction <strong>of</strong><br />

227<br />

treatment brought about an immediate drop to an<br />

average level <strong>of</strong> 0.24 daily incidents for the final three<br />

weeks - the lowest recorded level during the entire<br />

treatment period.<br />

The results suggest that the subject responded very<br />

favourably to treatment. Involvement in music sessions<br />

brought about an immediate reduction in inappropriate<br />

behaviours after both the baseline and reversal<br />

conditions.<br />

It would also appear that the treatment effect was<br />

lasting.<br />

It was not until the second week <strong>of</strong> the reversal phase<br />

that the inappropriate behaviours returned to the<br />

baseline level. Significant changes were also brought<br />

about by the removal and reintroduction <strong>of</strong> the music<br />

treatment. There was an increase in inappropriate

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