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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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esponses.<br />

Therapeutic Objectives:<br />

• Increased awareness, self-control, and<br />

monitoring <strong>of</strong> physiological state.<br />

Diagnoses:<br />

• Epilepsy - <strong>Music</strong> used to reduce frequency <strong>of</strong><br />

seizures by inducing relaxation as reaction to stress or<br />

prior to fatigue (Scartelli, 1982).<br />

• Coronary - <strong>Music</strong> used to lower blood pressure,<br />

heart rate, tension responses (Bonny, 1983).<br />

• Habituated Tension Responses - <strong>Music</strong> used to<br />

lower blood pressure, lower stress hormone levels, and<br />

to relax muscle tension (Epstein, et al., 1974; H<strong>of</strong>fman,<br />

1974; Martin, 1987; Scartelli, 1982).<br />

• Migraine Headaches - <strong>Music</strong> used to reduce<br />

frequency through relaxation responses to stress rather<br />

than tension responses (Budzynski, et al., 1970).<br />

656<br />

• Poor Circulation - <strong>Music</strong> used to increase blood<br />

flow to extremities through temperature measurement<br />

(Standley, 1992a).<br />

Documentation:<br />

Record one or more <strong>of</strong> the following:<br />

• Physiological: Blood pressure, pulse,<br />

vasoconstriction, stress hormone levels, EEG waves,<br />

EMG muscle tension, temperature (internal and<br />

peripheral), seizure frequency, migraine frequency, etc.<br />

• Behaviorally Observed: Overt signs <strong>of</strong> relaxation,<br />

verbalizations free <strong>of</strong> content about stress.<br />

• Self-Report: Log <strong>of</strong> relaxation practice and<br />

incidence <strong>of</strong> physiological problem, ratings <strong>of</strong><br />

improvement.<br />

Procedure:<br />

Use patient's preferred music.

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