Downloaded from https://academic.oup.com/mtp/article-abstract/36/2/281/4859676 by Ed 'DeepDyve' Gillespie user on 07 November 2018 Book Reviews 281 Adler, R., & Samsonova-Jellison, O. (2017). Music Therapy transformation of one’s sensory processing system and overall for Multisensory and Body Awareness in Children and awareness. Other benefits of this protocol include a greater Adults with Severe to Profound Multiple Disabilities: shift in awakened state, increased ability to self-regulate, The Musense Manual. Philadelphia, PA: JKP. 208 pages. increased motor activity and tactile awareness, and increased social connection and communication. ISBN: 978-1-78592-736-2 Chapter three illustrates how the program is implemented. The authors discuss the importance of assessment and suggest various ways to collect information in both group and individual settings. The need for connection is deeply rooted in humanity. Music A strength of the MuSense Program is its emphasis on continual therapists often address this core need, fostering greater self- assessment in addition to taking baseline data. This allows for awareness and improved quality of life while doing so. Roberta the music therapist to be aware of even the most minute details. Adler and Olga Samsonova-Jellison have addressed this need The program is divided into three parts: first, an opening, then, and developed a program, the MuSense Program, to aid music a body awareness development or enhancement sequence with therapists in working with individuals who have severe to pro- tactile engagement, and finally, interventions to build upon the found multiple disabilities (PMD). By working within the PMD body sequence work. The book gives a detailed list of objects and structure, music therapists will develop a skill set that includes an instruments that are recommended for implementation, as well acute awareness of nonverbal communication and an increased as a supportive dialogue discussing the procedure, suggested rep- ability to observe body movements. Scholarly information is ertoire, and advice on how to best connect with clients within supported by the authors’ subjective experiences within the each segment of the body awareness sequence. field over a period of 40 years. The authors are passionate about Chapter four details repertoire used when facilitating this their work as they express detailed insights gained through their program. Since the program has a heavy emphasis on con- clinical experiences. When working with children and adults necting with clients, the therapist is encouraged to find pre- with PMD, burnout can be a concern, as clinicians often do not recorded music or compose music that can sustain clients’ receive as much feedback from clients as they give. The informa- attention and focus as well as effectively working toward spe- tion provided in this text is thought provoking and accessible, cific goals and objectives. The authors share several pieces focusing on how to best meet clients’ needs, while teaching a they created from their own clinical experiences, notated and perspective that acknowledges small gains as large accomplish- printed in an appendix format. In addition to songs listed in ments. Parents, caregivers, and professionals may benefit from chapter three, this section provides additional resources as this book to better understand the approach; however, the text is well as a rationale for each source. primarily targeted toward music therapists. The program can appear to be population specific, which The first two chapters give the reader foundational informa- could be viewed as a limitation. As the authors began to prac- tion to service children and adults with PMD and outlines a tice this program, they concluded that it has the potential to concise and comprehensive understanding of how sensory be adapted to other populations, such as autism spectrum processing functions within the nervous system. The authors disorder, Down syndrome, and brain injury. The final section, discuss anatomical and physiological facts in a simple man- which includes chapters five through nine, provided case stud- ner, allowing the reader to easily comprehend these concepts. ies discussing the results and implementation of the program Tables, bullet points, and italicized keywords are used to rein- with children with severe autism spectrum disorder, severe force and organize information presented. This structure creates to profound Down syndrome, dual diagnosis of autism spec- a functional resource to reference when using this book in clini- trum disorder and Down syndrome, an adult with intellectual cal practice. Sparking additional curiosity and thought, the cor- developmental disorder with multiple impairments and tacitly relations between the sensory nervous system and music, body defensive behavior, and an adult with developmental disabili- awareness, and social interaction are also discussed. ties due to brain injury. Each case study shares a common char- The second chapter contains descriptive information about acteristic of needing assistance to increase sensory and body physical, mental, social, and emotional characteristics fre- awareness, where clients benefit from various elements of the quently exhibited by children and adults with PMD. Short case MuSense Program. studies and vignettes are used as an effective tool to help the Adler and Samsonova-Jellison have created a fantastic reader link terminology and research with real-life experiences. resource that can be used verbatim or for inspiration to relate Sensory processing is further discussed in relation to the popu- and connect with clients, and both novice and experienced lation. An overview of basic services that are currently avail- music therapists would benefit from reading this resource. able are affirmed, going into greater detail about how music The MuSense Program promotes continued success in allow- therapy services can be beneficial. The authors review a range ing children and adults with PMD to be seen, heard, felt, and of treatment perspectives, which include patience and positive understood, one breakthrough at a time. persistence. They state, “We must be willing to put in the effort year after year, until one day, that person smiles, shows eye tracking, grasps an instrument without dropping it, or responds to sensory stimulation with acceptance rather than a defensive Christine Gallagher, MA, MT-BC reaction” (p. 60). Assistant Director of Music Therapy, Next, the MuSense Program is introduced. The program is MusicWorks, Havertown, PA intended to be implemented consistently over an extended doi:10.1093/mtp/mix024 period of time, within a therapeutic environment combining Advance Access publication February 15, 2018 tactile engagement and auditory stimulation to encourage
Music Therapy Perspectives – Oxford University Press
Published: Oct 31, 2018
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