Music Therapy: Catalyst for Speech and for Language
Betsey King, PhD, MT-BC, an assistant professor at Nazareth College in Rochester, NY, has extensive experience in music therapy practice and research related to speech and language rehab. This AMTA.Pro Symposium focuses on music therapy applications addressing challenges encountered in speech and language therapy, especially the unique characteristics of aphasia, apraxia, and dysarthria.
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Music Therapy: Catalyst for Speech and for Language
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Betsey King, PhD, MT-BC
AMTA.Pro Symposium
Betsey King, PhD, MT-BC is an assistant professor at Nazareth College in Rochester, NY. She coordinates the undergraduate music therapy program and teaches in the graduate creative arts therapy department. Dr. King works cooperatively with other Nazareth faculty to actively promote interprofessional learning and clinical training in on-campus clinics for music therapy, physical therapy, speech-language therapy, and art therapy. Much of the work described in this symposium was conducted during joint clinical training for music therapy and speech therapy students.
Note: This symposium was recorded in an informal setting, a spirited discussion between Dr. King and AMTA.Pro coordinator, Cathy Knoll at the 2009 AMTA conference in San Diego. Because both King and Knoll are rather lively conversationalists, AMTA.Pro’s technical coordinator, Dwight Knoll, was not always successful in keeping a microphone in the optimal position for a consistent sound level.
Discussion Outline
Overview of the potential of music therapy in speech production and language development
1. Important distinction between language and speech
2. Language: A system of symbols encoding and conveying information
3. Speech: The human vocal system for voicing language
Review of three common issues related to speech and language
1. Aphasia: A disorder of language, which may be expressive, receptive, or both.
2. Apraxia: A neurological disorder affecting the purposeful motor planning for speech.
3. Dysarthria: A neurological disorder affecting control of the muscles needed for speech.
Description of innovative program at Nazareth College
1. Cooperative project involving on-campus clinics for separate disciplines
2. Music therapy, physical therapy, speech-language therapy, and art therapy clinics
3. Involves faculty from all four disciplines work in teams
4. Active promotion of interprofessional learning and clinical training
Descriptions of music therapy applications addressing clients/patients with diverse needs
1. Automatic singing for pleasure, self-confidence, and motivation to participate and interact
2. Balancing drills with relaxation: the use of the bridge
3. Consonant production drills
4. Free singing for phoneme production / identification
5. Transition from automatic to volitional speech production
6. Addressing language
Recommendations of readings and research
Brookshire, R. H. (2007). Introduction to neurogenic communication disorders. Philadelphia: Mosby.
King, B. (2007). Language and speech: Distinguishing between aphasia, apraxia, and dysarthria in music therapy research and practice. Music Therapy Perspectives, 25, pp. 14-22.
Koelsch, S. (2008). Shared Neural Resources between Music and Language Indicate Semantic Processing of Musical Tension-Resolution Patterns. Cerebral Cortex, 18, 1169-1178.
Patel, A.D. (2007). Music, language and the brain. New York: Oxford University Press.
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Neither the American Music Therapy Association nor its Board of Directors is responsible for the conclusions reached or the opinions expressed in any of the AMTA.Pro symposiums.
February 5th, 2010 at 8:52 pm
This was very informative about using speech techniques with our music therapy clients!!! I love the example interventions with stroke patients. They can be easily translated to children. Thanks!!
February 15th, 2010 at 1:48 pm
It was very helpful having an explanation of the differences between a language disorder and a speech disorder. This presentation was very relevant to my clinical work with children who have disabilities in private practice and in the public schools. The yes/no song is a great example of how to let the music do the work for us to help our clients interpret and utilize the parts of their brains that process musical aspects better than language. Thank you.
February 19th, 2010 at 3:36 pm
I found this difficult to hear, but it was worth sticking my ear on my computer to get all of the info. My favorite thing about this presentation is that King emphasized the joy that people feel in singing and how motivating that can be- and yet still be extremely effective clinically. I love reading the research in music and medecine but feel that sometimes we get caught up in the science and forget how powerful and amazing music is, in and of itself.
April 16th, 2010 at 6:34 pm
Excellent work.Thank you Betsey King and Cathy Knoll. I work with several people with speech and language difficulties as a result of TBI/CHI and I can’t agree with you more ,regarding the need to be specific with each client and use all one’s creative skills to adapt to his/her needs. So good to hear your ideas.Very useful.I am so envious of your inter-professional clinic settings- would have loved that wonderful teaching environment when I was at college(so many years ago!!) It is so important to try not to be territorial with our professions because iit is the client and his/her well-being that is the ‘bottom line after all. Thank you very much!
November 9th, 2010 at 6:07 am
Thank you so much for tying in the specific uses of music with the therapeutic work. Example: major and minor with the yes/no song. How smartly using the melody, chord progressions and rhythm can lend to specific outcomes. This is great work. I am excited to hear more, and hope you are presenting at the AMTA conference in Cleveland!
November 9th, 2010 at 6:13 pm
I found this to be very interesting and informative. I work in a public school system and will be giving a presentation for speech and language pathologists in January and now I have a lot more ideas to speak about and literature I want to look up.