The Use of Music in Early Caregiver-Child Relationships in Bhutan
A Changing Landscape
DOI:
https://doi.org/10.15845/voices.v26i1.4421Keywords:
music in early childhood, caregiver–child relationships, Bhutan, cultural globalization, technologyAbstract
This study addresses how the local practices, traditions, and perspectives surrounding the use of music in early caregiver–child relationships are articulated by local musicians, singers, and health workers in the context of Bhutan. This small Buddhist kingdom in the Himalayan region with historical, religious, and cultural ties to Tibet is undergoing rapid transformations influenced by globalization. A qualitative research design was employed to explore the topic, using individual semi-structured interviews. The study was conducted from the viewpoint of a Western-trained music therapist and also involved local collaborators. Thematic analysis was used to analyse the data. The findings reveal existing customs and practices similar to those recognized in Western literature as musical interactions between caregivers and children, and they emphasize how music can create unique opportunities for children’s social participation in various contexts. The results highlight the effects of globalization on the role of music, showing that factors such as technology, migration, and the influx of new ideas are influencing children’s access to music, the ways in which music is practiced by children and caregivers, and traditional events. The discussion is framed around music as an inborn capacity, aligning with the concept of communicative musicality, and is viewed through an ecological perspective of music in addition to the concept of “scapes” to comprehend the evolving musical landscape in Bhutan.
Acknowledgements
I would like to thank the Norwegian Academy of Music and my supervisors, Dr. Gro Trondalen and Dr. Sidsel Karlsen, for their guidance and support. Special thanks to Dr. Neyzang Wangmo for her guidance and mentorship throughout this project; to Mr. Jigme Drukpa for his support with recruiting and interviewing; and to the Community Health Department of Jigme Dorji Wangchuck Referral Hospital and Khesar Gyalpo University of Medical Sciences of Bhutan for their openness and cooperation, which made this researchpossible. Most importantly, I am grateful to the participants who shared their stories and perspectives—your contributions were essential to this study.
Funding
The Progreso Foundation funded this research.
References
Abad, V., & Williams, K. (2006). Early intervention music therapy for adolescent mothers and their children. British Journal of Music Therapy, 20(1), 31–38. https://doi.org/10.1177/135945750602000106
Ansdell, G. (2014). How music helps in music therapy and everyday life. Ashgate.
Ansdell, G., & Pavlicevic, M. (2009). Between communicative musicality and collaborative musicing: A perspective from community music therapy. In S. Malloch & C. Trevarthen (Eds.), Communicative musicality: Exploring the basis of human companionship. Oxford University Press.
Appadurai, A. (1996). Modernity at large. Cultural dimensions of globalization. University of Minnesota Press.
Appadurai, A. (2000). Grassroots globalization and the research imagination. Public Culture, 12(1), 1–19. https://doi.org/10.1215/08992363-12-1-1
Appadurai, A., Gaonkar, D. P., Kramer, J., Lee, B., & Warner, M. (2006). Fear of small numbers: An essay on the geography of anger. Duke University Press.
Arnett, J. J. (2002). The psychology of globalization. American Psychologist, 57(10), 774–783. https://doi.org/10.1037/0003-066X.57.10.774
Bar, A., Monalisa, M., Damayantie, N., & Halimah, H. (2023). Music therapy for pain and anxiety in hospitalized children: A systematic review of randomized controlled trial. NSC Nursing, 3(2), 30–52. https://doi.org/10.32549/OPI-NSC-92
Barrett, M. S., & Welch, G. F. (Eds.). (2023). The Oxford handbook of early childhood learning and development in music. Oxford University Press. https://doi.org/10.1093/oxfordhb/9780190927523.001.0001
Bekar, P., & Efe, E. (2022). Effects of mother-sung lullabies on vaccination-induced infant pain and maternal anxiety: A randomized controlled trial. Journal of Pediatric Nursing, 65, e80–e86. https://doi.org/10.1016/j.pedn.2022.03.003
Black, M. M., Walker, S. P., Fernald, L. C. H., Andersen, C. T., DiGirolamo, A. M., Lu, C., McCoy, D. C., Fink, G., Shawar, Y. R., Shiffman, J., Devercelli, A. E., Wodon, Q. T., Vargas-Barón, E., & Grantham-McGregor, S. (2017). Early childhood development coming of age: Science through the life course. The Lancet, 389(10064), 77–90. https://doi.org/10.1016/S0140-6736(16)31389-7
Bolton, D. (2020). Cultural responsiveness: Perspectives from an early intervention home visitor. In P. Kern (Ed.), Colours of us: Early childhood music therapy around the world. De LaVista Publisher. http://books.apple.com/us/book/id1521528038
Bowlby, J. (1982). Attachment (2nd ed). Basic Books.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Britto, P. R., Lye, S. J., Proulx, K., Yousafzai, A. K., Matthews, S. G., Vaivada, T., PerezEscamilla, R., Rao, N., Ip, P., Fernald, L. C. H., MacMillan, H., Hanson, M., Wachs, T. D., Yao, H., Yoshikawa, H., Cerezo, A., Leckman, J. F., & Bhutta, Z. A. (2017).
Nurturing care: Promoting early childhood development. The Lancet, 389(10064), 91–102. https://doi.org/10.1016/S0140-6736(16)31390-3
Bronfenbrenner, U., & Morris, P. A. (2001). The ecology of developmental processes. In W. Damon & R. N. Lerner (Eds.), Handbook of child psychology (Theoretical models of human development) (Vol. 1, 5th ed., pp. 993–1023). Wiley.
Burton, S. L., & Taggart, C. C. (2011). Learning from young children: Research in early childhood music. Rowman & Littlefield.
Campbell, P. S. (2010). Songs in their heads: Music and its meaning in children’s lives (2nd ed.). Oxford University Press.
Campbell, P. S., & Wiggins, T. (Eds.). (2014). The Oxford handbook of children’s musical cultures (first issued as an Oxford Univ. Press paperback). Oxford University Press.
Carlough, M. C. (2003). The implications of cultural practices on the health of women and their newborns in Bhutan. First international seminar on Bhutanese Studies.
Chen-Hafteck, L., & Mang, E. (2018). Music and language in early childhood development and learning. In G. McPherson & G. Welch (Eds.), Music learning and teaching in infancy, childhood, and adolescence: An Oxford handbook of music education (Vol. 2, pp. 40–57). Oxford University Press.
Chen, J.-Y., Strodl, E., Wu, C., Huang, L.-H., Yin, X.-N., Wen, G.-M., Sun, D.-L., Xian, D.-X., Chen, Y.-J., Yang, G.-Y., & Chen, W.-Q. (2021). Screen time and autistic-like behaviors among preschool children in China. Psychology, Health & Medicine, 26(5), 607–620. https://doi.org/10.1080/13548506.2020.1851034
Choki, T. & Wang, G. (2015). Performing arts and traditional games. In J. Dorji (Ed), Intangible cultural heritage of Bhutan. Research & Media Division, National Library & Archives of Bhutan.
Clift, S., Mackenzie, K., & Bushell. (2017). The MusicStart project: Evaluation of an Isle of Wight early years music initiative. Sidney De Hann Research Centre for Arts and Health.
Dema, S. (2023). Overexposure to screen causing virtual autism. May 16, 2023. https://www.bbs.bt/news/?p=185872/
DeNora, T. (2000). Music in everyday life. Cambridge University Press. https://doi.org/10.1017/CBO9780511489433
Dissanayake, E. (2009). Root, leaf, blossom, or bole: Concerning the origin and adaptive function of music. In S. Malloch & C. Trevarthen (Eds.), Communicative musicality: Exploring the basis of human companionship (pp. 17–29). Oxford University Press.
Dorji, K. (2021). Media, youth, and culture. The Druk Journal, Volume 7 (Issue 2).
Dorji, K., & Wild, M. (2013). Bhutan’s cultural diversity. Life and culture in four remote communities of Bhutan. Helvetas Swiss Intercooperation.
Dorji, T., & Melgaard, B. (2018). Medical history of Bhutan. Chronicle of health and disease from bon times to today (2nd ed.). Centre for Research Initiatives Changangkha.
Drukpa, J. (2009). The role and status of performing artists in traditional Bhutanese society. The essence of Bhutanese culture. National Library Bhutan, 2.
Edwards, J. (Ed.). (2011). Music therapy and parent–infant bonding. Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199580514.001.0001
Evrard, A. Y. (2017). An analysis of Arjun Appadurai’s Modernity at Large: Cultural dimensions of globalization. Macat Library International.
Gaden, T. S., & Trondalen, G. (2018). Bonding through music: Music therapy as health promotion for mothers and children at a public health clinic. In L. O. Bonde & T. Theorell (Eds.), Music and public health. A Nordic perspective. Springer.
Gandhi, L. (2019). Postcolonial theory. A critical introduction (2nd ed.). Columbia University Press.
Go, J. (2016). Postcolonial thought and social theory. Oxford University Press.
Gratier, M., & Apter-Danon, G. (2009). The improvised musicality of belonging: Repetition and variation in mother–infant vocal interaction. In S. Malloch & C.Trevarthen (Eds.), Communicative musicality (pp. 301–326). Oxford University Press.https://doi.org/10.1093/oso/9780198566281.003.0014
Hammersley, M., & Atkinson, P. (2019). Ethnography: Principles in practice (4th ed.). Routledge. https://doi.org/10.4324/9781315146027
Henriksson-Macaulay, L., & Welch, G. F. (2015). The musical key to babies’ cognitive and social development. International Journal of Birth and Parent Education, 2(2), 21–25.
Hermawati, D., Rahmadi, F. A., Sumekar, T. A., & Winarni, T. I. (2018). Early electronic screen exposure and autistic-like symptoms. Intractable & Rare Diseases Research, 7(1), 69–71. https://doi.org/10.5582/irdr.2018.01007
Houde, M., & Narendran, N. (2018). A literature review of the influence of early childhood music education and music therapy on child development. Canadian Journal of Music Therapy, 24, 27-39. https://www.proquest.com/scholarly-journals/literaturereview-influence-early-childhood-music/docview/2569704555/se-2
Jing, M., & Kirkorian, H. L. (2020). Video deficit in children’s early learning. In J. Bulck (Ed.), The International encyclopedia of media psychology (1st ed., pp. 1–8). Wiley. https://doi.org/10.1002/9781119011071.iemp0239
Johannessen, L. E. F., Rafoss, T. W., & Rasmussen, E. B. (2018). Hvordan bruke teori?:Nyttige verktøy i kvalitativ analyse [Why use theory? Useful tools in qualitative analysis] (1st ed.). Universitetsforlag.
Kern, P. (2020). Colors of us early childhood music therapy around the world. De La Vista Publisher.
Kinga, S. (2001). The attributes and values of folk and popular songs. Journal of Bhutan Studies, 3(1).
Kvale, S., & Brinkmann, S. (2021). Det kvalitative forskningsintervju [The qualitative research interview](3rd ed.). Gyldendal Norsk Forlag AS.
Liamputtong, P. (2010). Performing qualitative cross-cultural research (1st ed.). Cambridge University Press. https://doi.org/10.1017/CBO9780511812705
Maguire-Fong, M. J., & Peralta, M. (2019). Infant and toddler development from conception to age 3. Teachers College Press. https://www.tcpress.com/infant-and-toddlerdevelopment-from-conception-to-age-3-9780807761083
Malloch, S. (1999). Mothers and infants and communicative musicality. Musicae Scientiae (Special Issue 1999-2000), 29–57.
Malloch, S., & Trevarthen, C. (Ed.). (2009). Communicative musicality: Exploring the basis of human companionship. Oxford University Press.
Nicholson, J. M., Berthelsen, D., Abad, V., Williams, K., & Bradley, J. (2008). Impact of music therapy to promote positive parenting and child development. Journal of Health Psychology, 13(2), 226–238. https://doi.org/10.1177/1359105307086705
Papoušek, H. (1996). Musicality in infancy research: Biological and cultural origins of early musicality. In I. Deliege & J. Sloboda (Eds.), Musical beginnings: Origins and development of musical competence (pp. 37–55). Oxford University Press.
Pavlicevic, M., & Ansdell, G. (Eds.). (2004). Community music therapy. Jessica Kingsley Publishers.
Pavlicevic, M., & Ansdell, G. (2009). Between communicative musicality and collaborative musicing: A perspective from community music therapy. In S. Malloch & C. Trevarthen (Eds.), Communicative musicality. Exploring the basis of human companionship (pp. 357–376). Oxford University Press. https://doi.org/10.1093/oso/9780198566281.003.0016
Phuntsho, K. (2018). The history of Bhutan (2nd ed.). Penguin Random House.
Rayce, S. B., Okholm, G. T., & Flensborg-Madsen, T. (2024). Mobile device screen time is associated with poorer language development among toddlers: Results from a largescale survey. BMC Public Health, 24(1): 1050. https://doi.org/10.1186/s12889-024-18447-4
Rigyal, S., & Prude, M. A. (2016). Buddhism in contemporary Bhutan. In M. Jerryson (Ed.), The Oxford Handbook of Contemporary Buddhism. Oxford University Press.
Rockefeller, S. A. (2011). Flow. Current Anthropology, 52(4), 557–578. https://doi.org/10.1086/660912
Rogoff, B. (2003). The cultural nature of human development. Oxford University Press.
Ruud, E. (2013). Musikk og identitet [Music and identity](2. ed). Universitetsforlaget.
Sticca, F., Brauchli, V., & Lannen, P. (2025). Screen on = development off? A systematic scoping review and a developmental psychology perspective on the effects of screen time on early childhood development. Frontiers in Developmental Psychology, 2, 1439040. https://doi.org/10.3389/fdpys.2024.1439040
Stige, B. (2002). Culture-centered music therapy. Barcelona Publishers.
Stige, B. (2015). Culture-centered music therapy. In J. Edwards (Ed.), The Oxford handbook of music therapy. Oxford University Press.https://doi.org/10.1093/oxfordhb/9780199639755.013.1
Stige, B., Malterud, K., & Midtgarden, T. (2009). Toward an agenda for evaluation of qualitative research. Qualitative Health Research, 19(10), 1504–1516. https://doi.org/10.1177/1049732309348501
Stige, B., & Aarø, L. E. (2012). Invitation to community music therapy. Routledge.
Stige, B., Ansdell, G., Elefant, C., & Pavlicevic, M. (2017). Where music helps: Community music therapy in action and reflection. Routledge.
Sundqvist, A., Koch, F.-S., Birberg Thornberg, U., Barr, R., & Heimann, M. (2021). Growing up in a digital world – Digital media and the association with the child’s language development at two years of age. Frontiers in Psychology, 12, 569920. https://doi.org/10.3389/fpsyg.2021.569920
Takahashi, I., Obara, T., Ishikuro, M., Murakami, K., Ueno, F., Noda, A., Onuma, T., Shinoda, G., Nishimura, T., Tsuchiya, K. J., & Kuriyama, S. (2023). Screen time at age 1 year and communication and problem-solving developmental delay at 2 and 4 years. JAMA Pediatrics, 177(10), 1039. https://doi.org/10.1001/jamapediatrics.2023.3057
Tashi, K. P. (2009). Foreword. In The Essence of Bhutanese Culture (2nd ed.). The National Museum of Bhutan.
Taylor, T. D. (2020). Circulation, value, exchange, and music. Ethnomusicology, 64(2), 254–273. https://doi.org/10.5406/ethnomusicology.64.2.0254
Temple, B., & Edwards, R. (2002). Interpreters/translators and cross-language research:Reflexivity and border crossings. International Journal of Qualitative Methods, 1(2), 1–12. https://doi.org/10.1177/160940690200100201
Thagaard, T. (2018). Systematikk og Innlevelse. En innføring i kvalitative metoder. (5 utgave). Fagbokforlaget.
Trondalen, G. (2023). Ethical musicality. Routledge.
Tshering, D., Dargay, Y., Tashi, K. P., Samdrup, S., & Maki, A. (Eds.). (2009). The essence of Bhutanese culture (2nd edition). The National Museum of Bhutan, Paro.
Tsing, A. (2000). The global situation. Cultural Anthropology, 15(3), 327–360. https://doi.org/10.1525/can.2000.15.3.327
Tuomi, K. M., Ala-Ruona, E., & Oldfield, A. (2017). Literature review of early childhood music therapy between 1990–2012. Voices: A World Forum for Music Therapy, 17(2). https://doi.org/10.15845/voices.v17i2.888
UNICEF. (2022). Early environments of care: Strengthening the foundation of Children’s development, mental health and wellbeing. www.unicef.org/bhutan. https://www.unicef.org/bhutan/documents/early-environments-care-strengtheningfoundation-childrens-development-mental-health-and
UNICEF. (2023). The future is now: Early childhood development for all children, everywhere. https://clearinghouse.unicef.org/sites/ch/files/ch/sites-PD-NutritionChild%20Nutrition%20and%20Development%20KU-ECD_ENG_Brochure_PDF-ForWeb_2PageSpreads_20240817-2.0.pdf
United Nations. (2024). Bhutan becomes seventh country to graduate out of Least Developed Country category. https://www.un.org/ohrlls/news/bhutan-becomesseventh-country-graduate-out-least-developed-country-category
United Nations Statistics Division. (2023). World population prospects. https://data.worldbank.org/indicator/SP.POP.TOTL?locations=BT&name_desc=false
University of Hong Kong. (2020). An evaluation of the Early Childhood Care and Development Programme in Bhutan. Ministry of Education Bhutan and UNICEF Bhutan Country Office. https://www.unicef.org/bhutan/reports/evaluation-early-childhoodcare-and-development-programmebhutan#:~:text=Highlights.%20The%20ECCD%20Evaluation%20Report%20is%20the%20first%20comprehensive%20national
Vestad, I. L. (2017). Introduction: Children’s music—an emerging field of research. Nordic Journal of Art and Research, 6(2). https://doi.org/10.7577/information.v6i2.2274
Vygotsky, L. S. (1980). Mind in society: The development of higher psychological processes (M. Cole, V. Jolm-Steiner, S. Scribner, & E. Souberman, Eds.). Harvard University Press. https://doi.org/10.2307/j.ctvjf9vz4
Welch, G., & Barrett, M. S. (2023). The Oxford handbook of early childhood learning and development in music. Oxford University Press.
Wheeler, B. L. (2016). Principles of interpretivist research. In B. Wheeler & K. Murphy (Eds.), Music therapy research (3rd ed.). Barcelona Publishers.
World Health Organization. (2023). Improving early childhood development: WHO Guideline [Guideline]. https://iris.who.int/bitstream/handle/10665/374308/9789240004498-eng.pdf
Young, S. (2016). Early childhood music education research: An overview. Research Studies in Music Education, 38(1), 9–21. https://doi.org/10.1177/1321103X16640106
Young, S., & Ilari, B. (Eds.). (2019). Music in early childhood: Multi-disciplinary perspectives and inter-disciplinary exchanges. Springer International Publishing. https://doi.org/10.1007/978-3-030-17791-1
Zamfir, M. T. (2018). The consumption of virtual environment more than 4 hours/day, in the children between 0–3 years old, can cause a syndrome similar with the autism spectrum disorder. Journal of Literary Studies, 13. https://www.researchgate.net/publication/323748812
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