First published in 2008 by Jessica Kingsley Publishers 116 Pentonville Road London N1 9JB, UK and 400 Market Street, Suite 400 Philadelphia, PA 19106, USA www.jkp.com Copyright Simon Gilbertson and David Aldridge 2008 All rights reserved. No part of this publication may be reproduced in any material form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) without the written permission of the copyright owner except in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of a licence issued by the Copyright Licensing Agency Ltd, Saffron House, 6 10 Kirby Street, London EC1N 8TS. Applications for the copyright owner's written permission to reproduce any part of this publication should be addressed to the publisher. Warning: The doing of an unauthorised act in relation to a copyright work may result in both a civil claim for damages and criminal prosecution. Library of Congress Cataloging in Publication Data Gilbertson, Simon. Music therapy and traumatic brain injury : a light on a dark night / Simon Gilbertson and David Aldridge. p. ; cm. Includes bibliographical references. ISBN 978 1 84310 665 4 (pb : alk. paper) 1. Brain damage Patients Rehabilita tion Case studies. 2. Music therapy Case studies. I. Aldridge, David, 1947 II. Title. RC387.5.G525 2008 616.89'1654 dc22 2008004133 British Library Cataloguing in Publication Data A CIP catalogue record for this book is available from the British Library ISBN 978 1 84310 665 4 ISBN pdf eBook 978 1 84642 828 9 Printed and bound in Great Britain by Athenaeum Press, Gateshead, Tyne and Wear
Acknowledgements In 1994, as the clinical work, which is the heart of this book, began at Klinik Holthausen in Hattingen, Germany, there were no textbooks or guidelinesonmusictherapyinrehabilitationandtraumaticbraininjury. We therefore gratefully acknowledge and honour the individuals and families affected by traumatic brain injuries with whom we have experienced the process of rehabilitation. Our thanks go to Professor Werner Ischebeck and all our col leagues at the Klinik Holthausen for their support. In particular, we would like to thank Christian Sievert, the financial director, and Dr MichaelAmend,theactingmedicaldirector,fortheirfriendshipandcon tinuoussupporttoSimonandthelargeteamofmusictherapistswhohave workedattheclinic.Wearealsogratefultotheworldwidegroupofmusic therapists in neurorehabilitation for their experience and collaboration. Wewouldliketothankourcolleaguesandthedoctoralcandidates at the Chair of Qualitative Research in Medicine, Institute of Music Therapy, University of Witten, Germany who supported Simon during his doctoral research which is reported in this book. Our particular thanks go to our colleague and great friend, Professor Lutz Neugebauer, the leader of the Institute for many years, who has co founded the Nordoff Robbins Centre,Witten, Germany with David. WewouldalsoliketothankProfessorM che l S illeabh in,the director of the Irish World Academy of Music and Dance, and Professor Jane Edwards, the course director of the MA in Music Therapy, for creating the opportunity for Simon to join them in developing music therapy through the Irish World Academy of Music and Dance, Univer sity of Limerick, Ireland. Finally, David would like to thank Gudrun and Simon would like to thank Joy and Tanja, Ben and Tom, for their love and inspiration.
List of Tables 2.1 Music based interventions used with varying age groups in neurological rehabilitation settings predominantly with TBI 30 3.1 Five phases of therapeutic narrative analysis 38 3.2 The 12 episodes and their episode names, participants and duration 42 3.3 Constructs elicited from comparison of the episodes 44 4.1 Melodic form of the nine melodies sung by the therapist in Episode 2 59 List of Figures 3.1 Ranking episodes along the continuum of constructs43 3.2 Principal components analysis created with RepGrid45 3.3 Focus analysis of the 12 episodes in RepGrid46 3.4 The constructs and categories elicited using RepGrid46 4.1 Signs used in the transcription of Episode 153 4.2 Transcription of Episode 154 4.3 Sonogram of Episode 156 4.4 Signs used in the transcription of Episode 258 4.5 Transcription of Episode 260 4.6 Signs used in the transcription of Episode 365 4.7 Transcription of Episode 366 4.8 Overview of Episode 369 4.9 Overview of pauses in Episode 370 4.10 Sign used in the transcription of Episode 471 4.11 Transcription of Episode 472 4.12 Overview of Episode 475 4.13 Bars 4 6 of Episode 476 5.1 Transcription of Episode 583 5.2 Sonogram of a selection of Episode 586 5.3 Bars 15 18 of Episode 587 5.4 Bars 20 29 of Episode 588 5.5 Transcription of Episode 690 5.6 Bars 4 9 of Episode 692 5.7 Transcription of Episode 793 5.8 Bar 3 of Episode 795 5.9 Bars 11 13 of Episode 795 5.10 Bars 3 10 of Episode 796 5.11 Transcription of Episode 898 5.12 Bars 7 14 of Episode 8101 5.13 Bars 24 34 of Episode 8102