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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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Combine music with pleasurable multi-stimulation<br />

activities which include physical stroking, moving visual<br />

stimuli, pleasurable olfactory stimuli, and other auditory<br />

stimuli such as patient's name and family voices.<br />

Watch for and identify overt responses. If no overt<br />

responses occur, use physiologic measures to<br />

determine any response to selected stimuli.<br />

Discontinue non-contingent stimulation when response<br />

begins to occur. Give selected stimulus, wait until<br />

patient emits response, then reinforce immediately with<br />

other multi-stimulation activities.<br />

Pair eliciting stimulus with verbal command so that<br />

patient will begin to respond to the human voice.<br />

Begin moving the patient's body in an overt response<br />

timed to coincide with any physiologic events that are<br />

apparent.<br />

Continue with these procedures and lengthen the chain<br />

<strong>of</strong> events to which the patient will respond.<br />

655<br />

For reducing deprivation:<br />

Use patient's preferred music.<br />

Combine music with age-appropriate multi-stimulation<br />

activities, such as looking at slides or pictures to music,<br />

reminiscing about memories related to smells (e.g.,<br />

flowers, vanilla flavoring, lemons, etc.), or touching a<br />

variety <strong>of</strong> surfaces (e.g., velvet, sandpaper, or fur). Use<br />

variety <strong>of</strong> puppets and toys with children. If sterile<br />

conditions prohibit use <strong>of</strong> real materials such as these,<br />

use guided imagery techniques with music to imagine<br />

multisensory events.<br />

Reinforce pleasure responses and creative thinking<br />

(imagination).<br />

Technique 6. <strong>Music</strong> Bi<strong>of</strong>eedback<br />

<strong>Music</strong> Function:<br />

To serve as reinforcer or structure for physiological

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