Music therapies for those with Autism and others on the Spectrum

Anything about MUSIC but doesn't fit into the forums above.
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Not about the obvious listening to music though that is just as important the subject of music therap is much deeper than that

SENSORY

Extremely powerful tool and one that parents as well as professional caregivers can use.
Children and adults with autism, as well as those with other developmental disabilities, may have a dysfunctional sensory system – referred to as sensory integration disorders in ASD. Sometimes one or more senses are either over- or under-reactive to stimulation. Such sensory problems may be the underlying reason for such behaviors as rocking, spinning, and hand-flapping. Although the receptors for the senses are located in the peripheral nervous system (which includes everything but the brain and spinal cord), it is believed that the problem stems from neurological dysfunction in the central nervous system–the brain. As described by individuals with autism, sensory integration techniques, such as pressure-touch can facilitate attention and awareness, and reduce overall arousal. Temple Grandin, in her descriptive book, Emergence: Labeled Autistic, relates the distress and relief of her sensory experiences.
https://www.autism.org/sensory-integration/

In the unit I had been working on for two plus years we have a sensory room, we call it the activity room...every single thing except maybe the ceiling is sensory, even the walls and floor...Thr floor is a puzzle and walls are chalkboards.

Parents can buy and make wonderful sensory items and one that is fairly expensive does well, a weighted blanket.

Music is of course tied to the sense of hearing, and most of what you read might reflect that though it's overstating the obvious and ignoring a lot. This is from a page telling parents how to create their own sensory environment.
Don’t overlook a few awesome musical instruments for your sensory play area. There are a lot of benefits to offering music and music classes for children, and of course sound is one of the five senses. If you’re worried about it getting too loud, pick out objects that offer softer sounds, such as chimes or certain bells. If you are looking to get creative, get a few plastic eggs and stuff them with all sorts of different items like coins, buttons, or paper clips. That way kids will be able to hear all the different sounds and how they work together. Make sure to tape or glue them shut!
https://www.werockthespectrumkidsgym.co ... -spectrum/

On my new unit we have an old acoustic guitar with one nylon string, the client is gone now but that was a coping tool for this client to just pluck that one string. This was also tactile, we also have kids with keyboards and with many I can see boredom set in...these kids need more knobs, sliders and interactive stuff that create fun sounds...now you think about how many of us get into sound design, think about how cathartic it can be, great sensory activity for those with the needs for such.
Tactile System

The tactile system includes nerves under the skin’s surface that send information to the brain. This information includes light touch, pain, temperature, and pressure. These play an important role in perceiving the environment as well as protective reactions for survival.

Dysfunction in the tactile system can be seen when an individual:

withdraws from being touched
refuses to eat certain ‘textured’ foods
refuses to wear certain types of clothing
complains about having one’s hair or face washed
avoids getting one’s hands dirty (i.e., glue, sand, mud, finger-paint)
uses one’s fingertips rather than whole hands to manipulate objects

A dysfunctional tactile system may lead to a misperception of touch and/or pain (hyper- or hypo-sensitive ) and may lead to self-imposed isolation, general irritability, distractibility, and hyperactivity.

Tactile defensiveness is a condition in which an individual is extremely sensitive to light touch. Theoretically, when the tactile system is immature and working improperly, abnormal neural signals are sent to the cortex in the brain which can interfere with other brain processes. This, in turn, causes the brain to be overly stimulated and may lead to excessive brain activity, which can neither be turned off nor organized. This type of over-stimulation in the brain can make it difficult for an individual to organize one’s behavior and concentrate and may lead to a negative emotional response to touch sensations.
Vestibular System

The vestibular system refers to structures within the inner ear (the semi-circular canals) that detect movement and changes in the position of the head. For example, the vestibular system tells you when your head is upright or tilted (even with your eyes closed). Dysfunction within this system may manifest itself in two different ways. Some children may be hypersensitive to vestibular stimulation and have fearful reactions to ordinary movement activities (e.g., swings, slides, ramps, inclines). They may also have trouble learning to climb or descend stairs or hills; and they may be apprehensive walking or crawling on uneven or unstable surfaces. As a result, they seem fearful in space. In general, these children appear clumsy. On the other extreme, the child may actively seek very intense sensory experiences such as excessive body whirling, jumping, and/or spinning. This type of child demonstrates signs of a hypo-reactive vestibular system; that is, they are trying continuously to stimulate their vestibular systems.
Vestibular System

The vestibular system refers to structures within the inner ear (the semi-circular canals) that detect movement and changes in the position of the head. For example, the vestibular system tells you when your head is upright or tilted (even with your eyes closed). Dysfunction within this system may manifest itself in two different ways. Some children may be hypersensitive to vestibular stimulation and have fearful reactions to ordinary movement activities (e.g., swings, slides, ramps, inclines). They may also have trouble learning to climb or descend stairs or hills; and they may be apprehensive walking or crawling on uneven or unstable surfaces. As a result, they seem fearful in space. In general, these children appear clumsy. On the other extreme, the child may actively seek very intense sensory experiences such as excessive body whirling, jumping, and/or spinning. This type of child demonstrates signs of a hypo-reactive vestibular system; that is, they are trying continuously to stimulate their vestibular systems.
Proprioceptive System

The proprioceptive system refers to components of muscles, joints, and tendons that provide a person with a subconscious awareness of body position. When proprioception is functioning efficiently, an individual’s body position is automatically adjusted in different situations; for example, the proprioceptive system is responsible for providing the body with the necessary signals to allow us to sit properly in a chair and to step off a curb smoothly. It also allows us to manipulate objects using fine motor movements, such as writing with a pencil, using a spoon to drink soup, and buttoning one’s shirt.

Some common signs of proprioceptive dysfunction are:

clumsiness
a tendency to fall
a lack of awareness of body position in space
odd body posturing
minimal crawling when young
difficulty manipulating small objects (buttons, snaps)
eating in a sloppy manner
and resistance to new motor movement activities

Another dimension of proprioception is praxis or motor planning. This is the ability to plan and execute different motor tasks. In order for this system to work properly, it must rely on obtaining accurate information from the sensory systems and then organizing and interpreting this information efficiently and effectively.
https://www.autism.org/sensory-integration/

The uses for music therapy is amazing, we have kids with keyboards who would do well with sound design, it's quite cathartic as we know and if they had hands on with faders and knobs it just gets better. We have had clients with guitars, none now but we'll, on Wed nights we have drum circles by the waterfront. It's more than just listening to music
The highest form of knowledge is empathy, for it requires us to suspend our egos and live in another's world. It requires profound, purpose‐larger‐than‐the‐self kind of understanding.

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withdraws from being touched
refuses to eat certain ‘textured’ foods
refuses to wear certain types of clothing
uses one’s fingertips rather than whole hands to manipulate objects
This describes me, especially when I was younger. I also used to suffer from chronic OCD that I tried to hide from others but couldn't. I don't know if that is related except to general anxiety and sensitivity. I'm more used to being touched and the clothing today but I still hate chummy men hugging my shoulders. I'm very sensitive with regards my personal space. I have always found solace in music and art because I am in my own world and don't have to deal with social rules. I have no diagnosis but my wife used to work with people on the spectrum and with other cognitive disfunction and whenever she talks about it I recognize myself. I think working with music and the arts in general is really really positive.

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Awesome post. Our house is full of sensory items. And music is a huge part of this family environment. I don't know if it is partly because of my musical needs but my little ones have taken to music like food. It's also amazing how much you can learn about yourself by helping others.
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we never really had any issues with sensory problems with thomas. (my much younger foster brother for those not aware)
but music has always been important to him, when he first arrived, at 3 years old. due to his history, he couldnt speak, he had never or very rarely been spoken to.
long before he could string a sentence together to even ask for a drink, rather than just pointing and grunting, he was singing, not great tuning admittedly, but remembering lyrics to complete songs and singing along.
i believe this helped a great deal getting his vocabulary up and running, and now (hes 21 this december) aside from a little shyness and easily frustrated, most people wouldnt even think there was anything different about him and any other 20 year old.

music got him in to a local group for kids, at the local studio, where he has been going now for 10 years or so, which lead to him getting a part time job when they have events.
through the group, he gained confidence in himself and lots of friends.
had he not been interested in the music, he wouldnt have gone, so theres another plus.
:ud:

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thats an equally important use of music therapy and you are fortunate to have a non vocal do so well. Things like that work in my opinion because they make sense on many levels even just dancing without a care. You go to the dr, you got a cut, the dr gives you stitches and you get a bandaid. That's because it works and it makes sense, never ever stop doing either.

You have chronic hemorrhoids, you go see a different dr, you are in his office and you see there is no changing room...odd...he comes over to treat you, he sticks a little needle behind your ear and sends you home.....voila, now you only eat donuts again (not sit on em).

It's cool how sensory things work imo, we have one of these at work...:love:

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hollow...seriously vurt, if I had this when I was a kid...well it might explain a few things :hihi: I lived on a hill :dog: Some kids like the burrito, wrap em up in their blanket at night. I am grateful to good staff when I started because often when a kid is inappropriate they will say it's sensory. There are things I would be in my head like "what!!!" and I would get a little nod from another staff. It itch's here scratch there, fascinating.

Back to your point, of course we have a lot of music therapy of that vein, kids have mp3 players, they have access to radios at night, a semi approved physical activity* is just dance, during "earn" some kids like to watch kids dance, watch music videos. A lot of those things are dependent on other factors, the number one shared would be the expectation is it's appropriate for the kids. I even join in, going down the path the girls were dancing to music coming from one girl's mp3 cans, heads back and forth...I did the same thing but I was behind them, one turned around and I stopped "John I saw your shadow"...no no, not me, I dont dance...no one (not even noone) wants to see that. I cant imagine what those girl's would do without exactly you are talking about, and my other little friend who has moved on...I will see him get awards, very talented.

*we have scheduled blocks called "physical", gym, playground, bike riding, swimming in the summer, sledding/sliding in the winter (never allowed near the lake) are things we would like to see them do for physical activity...we are kinda quick to give in, we like a balanced schedule but they need physical activities...sometimes the only thing available is the gym because of weather...let them dance :tu:
The highest form of knowledge is empathy, for it requires us to suspend our egos and live in another's world. It requires profound, purpose‐larger‐than‐the‐self kind of understanding.

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another thing that comes up at work is prosody, this is something that often is a struggle for those on the spectrum
Commentary on "Why does music therapy help in autism?"
by N. Khetrapal
ANJALI K. BHATARA[1]
Division of Head and Neck Surgery, David Geffen School of Medicine at UCLA


ABSTRACT: Khetrapal reviews the literature on music and autism and stresses the
need for a greater focus on the cognitive and neural mechanisms underlying both
autism and music perception. I build upon this review and discuss the strong
connections between speech prosody and emotion in music. These connections
imply that emotion recognition training in one domain can influence emotion
recognition in the other. Understanding of emotional speech is frequently impaired
in individuals with ASD, so music therapy should be explored further as a possible
treatment.
https://kb.osu.edu/bitstream/handle/181 ... sAllowed=y

thats a dozen years old, I just googled for prosody and autism

One of the things we find is that prosody is completely lost with kids on the spectrum, and our communication with them has to be tailored to the individual because they dont get the little things..I found this great exercise to explain it
How Prosody Works

Prosody is an important tool for communicating meaning. In fact, without an understanding of prosody, it's easy to completely misunderstand another person's words. To better understand how prosody works (and why it's so important), try saying the word "really" five times in a row, changing the meaning each time as follows:

How cool is that?!
I don't believe you.
I'm shocked.
I'm delighted.
I'm telling the truth.

If you did this exercise, you changed your prosody at each repetition of the word, even though your pronunciation of the word (REE-lee) remained the same. In some cases , creating our voice went up or down on different syllables or to a varying degree; in other cases, your voice was louder, quieter, faster, slower.
People with autism use language far more literal, creating great confusion for them...this approach with music helps with recognizing the emotions in music, I imagine but dont know, that in eastern cultures that music therapy might help with tonal based dialects as well.

Paraverbals and prosody are two things we watch, pay close attention to and for each other as well...it's very common for one staff to see another getting ther and we quickly exercise a tap out..."hey jim, phone call"..never obvious...we want to teach the kids to use their words in the proper manner.
The highest form of knowledge is empathy, for it requires us to suspend our egos and live in another's world. It requires profound, purpose‐larger‐than‐the‐self kind of understanding.

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Some music therapy is designed for individual children's sensory (auditory and related) processing difficulties. They use headsets with music filtered in various ways to help children focus, discriminate sounds, etc.
An expert in this area is Paul Madaule with the Listening Centre in Toronto:
https://www.listeningcentre.com/
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ty for that :)
The highest form of knowledge is empathy, for it requires us to suspend our egos and live in another's world. It requires profound, purpose‐larger‐than‐the‐self kind of understanding.

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