The Improvement of Non-Verbal Communication Skills of Five Females with Profound and Multiple Disabilities Using Song-Choices in Music Therapy

Authors

  • Ju-young Lee The University of Melbourne
  • Katrina McFerran University of Melbourne

DOI:

https://doi.org/10.15845/voices.v12i3.644

Keywords:

Adults with profound and multiple disabilities, Preference and choice, Song-preference assessment, Song-choice, Intentional communication

Abstract

Facilitating the expression of preferences and choices of non-verbal adults who have profound and multiple disabilities is important yet challenging. The present research project aimed to examine whether consistent opportunities for expressing song-choices within music therapy resulted in an improvement in communication abilities of five females with profound and multiple disabilities. A multiple case study design was used. Each participant attended weekly thirty-minute sessions comprising three song-preference assessment sessions followed by ten song-choice intervention sessions. Affective responses to songs in the song-preference assessment were analyzed to identify each participant’s preferred songs. Four song-choice opportunities consisting of a pair of preferred and less-preferred songs were offered during the intervention sessions, and intentional choice-making behaviors were facilitated. The descriptive video-analysis of the sessions shows that the participants were able to indicate consistent preferences for songs, make intentional choices of songs, and improve communication skills throughout the ten intervention sessions. Two participants developed clear choice-making skills, such as selecting a preferred song-card from two options and alternating eye-gaze between a song-card and the researcher. The other three participants demonstrated idiosyncratic but clear intentional behaviors using body movements, facial expressions, and vocalizations to indicate choices of preferred songs. Inter-rater reliability was calculated. These results suggest that some adults with profound and multiple disabilities are capable of improving non-verbal communication skills when appropriate interventions and strategies are provided and also highlight the potential of music therapy to promote communication development of these individuals.

Author Biographies

Ju-young Lee, The University of Melbourne

Ju-Young Lee is a registered music therapist trained in Australia. She has been working with adults with profound and multiple disabilities since 2006 and conducted a research project for her masters study called 'Using song-choice in music therapy to improve communication skills of audlts with profound and multiple disabilities'. She is currently a PhD candidate at the University of Melbourne studying the intersubjectivity in communication between music therapists and adults with profound and multiple disabilities. She currently works in a paediatric hospice as well in Melbourne.

Katrina McFerran, University of Melbourne

Dr Katrina McFerran is a registered music therapist who works as senior lecturer at the University of Melbourne in Australia.  She is passionate about deepending understandings of the relationship as experienced in music therapy, and is particularly interested in the wellbeing of young people who have disabilities and mental health challenges.  Katrina has published a book with Jessica Kindslgey Publishers titled 'Adolescents, Music and Music Therapy' and has published in a range of local and international refereed journals.

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Published

2012-09-17

How to Cite

Lee, J.- young, & McFerran, K. (2012). The Improvement of Non-Verbal Communication Skills of Five Females with Profound and Multiple Disabilities Using Song-Choices in Music Therapy. Voices: A World Forum for Music Therapy, 12(3). https://doi.org/10.15845/voices.v12i3.644

Issue

Section

Research Voices