• Elisabeth Bach Kofoed Gummesen
4. term, Music Therapy, Master (Master Programme)
Communication is a relationship with another person, and the language is commonly used to communicate. If the language is damaged due to e.g. aphasia alternative strategies for communicating must be used. This can include non-verbal communication, which can be defined as a form of communication without words. Using music in a music therapy setting can help build a strategy to communicate, since music and language have both syntactically and semantically meaningful significance.

Through music therapy work, I have explored the communicative processes with a man diagnosed with moderate dementia and aphasia. Therefore, this thesis is a study of how the music therapy technique extemporizing can help a communicative process with a man diagnosed with moderate dementia and aphasia. The questions behind this study are as follows:

Can the use of extemporizing in music therapy act as a facilitator of communicative processes with a man diagnosed with moderate dementia? And if so, how?
• How can the concept of extemporizing, as defined by Tony Wigram, be understood in the context of person centered approach to dementia?
• How can communication processes best be described in the studied music therapy process? What parameters appear throughout the communication processes?

To answer my questions, I have chosen a qualitative case study made use of the 5 steps of a microanalyze video material from a music therapy program.

The thesis is divided into five parts, PART I being a presentation of the projects main focus. In this section, the core question of the thesis will be presented, as well as ethical information on the examiner’s view of human nature, view of treatment etc. PART II contains the theories that are used to respond to the theoretical questions of the thesis. PART III contains the methodology for the analysis in which the epistemological standpoint is elaborated and presented. PART IV contains the analysis and its findings, which eventually will be discussed in PART V of this thesis.

By the use of extemporizing I found that I could have a musical dialogue with Knud, where I had the opportunity through a positive person work / psychodynamic interactions to cover his psychosocial needs. Therefore on the basis of this qualitative case study, this thesis concludes that the technique turn-taking, turn-giving and extemporizing form the foundation of a communicative process with a man with moderate dementia and aphasia.
Publication date31 May 2014
Number of pages72
ID: 198349630