Podcast: "The
Positive Effects of Music Therapy on Health"
Link:
http://www.loc.gov/podcasts/musicandthebrain/podcast_tomaino.html
Date: April 29, 2010
Hosted by: Steve Mencher
from the Library of Congress
Guest: Concetta M.
Tomaino, the executive Director for the Institute for Music and
Neurologic Function and Senior Vice president for Music Therapy at
Beth Abraham Family of Health Services
This podcast is from the
Library of Congress Music and
Brain series. Host Steve Mencher interviews Concetta
Tomaino about music therapy and the positive effects it has on
health. Tomaino begins by discussing how she discovered music therapy
in the 1970s during her pre-med studies (she was double-majoring in
music and biology), where she observed the powerful effects music had
on her dementia and Alzheimer's patients. She mentioned that with the
"right" songs, people with dementia who could not
previously talk, came alive with memories and singing. Tomaino
continues on to say that with the advent of technology in the last
ten years, neuroscientists can now explain what she was observing at
her clinic. She says that research now shows that music is processed
through a complex system of neural networks - networks that "talk
to each other" when processing music. She says that through
sound, music therapists are able to reach fundamental areas of the
brain through these complex neural networks.
The podcast continues with
Mencher asking Tomaino if music therapy should be done with a
therapist or if music can be prescribed like medicine. Tomaino
responds that the best music therapy is accomplished through
interactive musical therapy sessions. After seeing what activities
cause a positive change in the patient, the therapist can then
continue with that activity or prescribe practice tapes and
recordings of a particular music that will enforce these positive
changes. She says that through a combination of music and the
constant repetition of a particular musical activity, the therapist
can help the patient make permanent changes in his/her brain.
Mencher then asks Tomaino
how music therapy could help his mother-in-law who has trouble with
her gait. She explains that musical rhythm can drive the fundamental
motor areas, the basal ganglia and the cerebellum, into action.
Rhythm "turns" on these parts of the brain that are
associated with movement and gives the patient something to
synchronize his/her movement to. Tomaino says this is much easier and
more natural than trying to think about how to walk.
Mencher continues on by
asking about the importance of rhythm and melody in music therapy.
First, Tomaino discusses that rhythm is fundamental mechanism in
music and the human body. She talks about how from the time of birth,
humans are wired to perceive rhythm. This is a basic mechanism that
therapists can "tap" into in order to turn on neural
networks. In regard to melody, Tomaino talks about its importance in
discussions of music and emotion. It is in the melody of a song that
is important to you, or the shape of a given melody where musical
meaning is perceived and explained. She discusses how neuroscience
has discovered that when people listen to music that is pleasureful
and meaningful to them, certain parts of the brain turn off (the
amygdala). This part of the brain that is responsible for fear is not
needed during these pleasureful experiences; thus, we are able to
more fully engage in and relax into the experience of listening to
music. Tomaino discusses that the effect of melody, emotion and rhythm
on the brain is key to music therapy.
Mencher asks a final
question about how the field of music therapy has gained more
attention through writers such as Oliver Sacks. He asks how Tomaino's
work has been impacted by this attention. She answers that people
have finally started to take the field more seriously, even
scientists. She comments that only thirty-two years ago, scientists
told her that music and the brain could not be studied
scientifically; but now, everyone is interested in studying it, from
cognitive scientists who want to understand the mechanisms with which
we process music, to clinicians who want to know the neuroscience
behind what they see on a daily basis, to the general public who want
to know how it is that music can be so powerful. She says that with
the expansion of literature from writers like Sacks, there has been a
general growing inquisitiveness and more wide-spread use of music
therapy.
Tomaino ends this podcast
by saying "I feel reassured that the world has changed".
Thirty-two years ago she knew that music had healing properties and
observed this in her clinical work, but it is only now that science
is reaffirming this power of music.
Reflection:
I thought that this
podcast was an informative introduction to how music therapy works,
as well as to how the field as developed in more recent years as a credible, scientifically-based form of therapy. I think
it is absolutely amazing that music can help Alzheimer's patients
come "alive", as Tomaino says. My grandmother had
Alzheimer's, so I now have some more insight into the reasons why she
was able to respond and remember songs I played for her, when she
couldn't even remember who my grandfather was. I was also fascinated
by Tomaino's discussion on rhythm and its ability to effect us at
neurological level in the most primitive parts our brains (cerebellum
and basal ganglia). It is interesting to know that rhythm is so engrained in us that it can be used to help people
regain important motor functions.
Tomaino discusses how she
has seen the healing power of music in her clinical work
throughout the last thirty-two years, but that it has only been in
the last ten years that her observations have been able to be
explained by neuroscience. It's too bad that it has taken so long for
this field to be recognized as legitimate among scientists and
therapists. I do remember back to my impressions of the music therapy
program at the school where I did my undergrad (about ten years ago). I knew very little about the program, but I do remember hearing daily
group drumming and xylophone playing by students dressed like
hippies. At the time I thought that music therapy couldn't possibly
be a legitimate form of therapy, and that if anything, music therapy
could only add enjoyment to a patient's life. This was my impression
until I read Oliver Sacks' Musicophilia (which
covered some of Tomaino's work). Now
taking this course, I am even more interested in learning about music
therapy. This podcast is a great introduction to the field of music
therapy, a field that I hope will continue to grow and eventually
become part of mainstream medicine.