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放音乐就叫音乐治疗?大众对音乐治疗的误解

编辑:csm351
2019-01-03来源:百家号

  音乐不只是好听:谈声音的治疗力。讲座除了介绍音乐治疗师的工作内容,说明许多大众对于音乐治疗的误解,是一场充满欢乐又有许多温馨故事的分享,以下是我的整理。


  讲者介绍 — 廖珮岐
  讲者是从澳洲的昆士兰大学音乐治疗所毕业的现居台湾的音乐治疗师--廖珮岐老师,擅长成人身心障碍。虽然是从音乐系毕业,但对教钢琴没有什么兴趣的他,是在大学毕业后才走上音乐治疗的路:
  我很喜欢音乐,我希望我的生命跟工作可以有很大的关联性,这是一个社会价值,我存在社会有什么价值?音乐治疗帮助我找到价值。很多人说我们是助人的工作,但事实上我们跟个案是互惠的,我的确从他们身上学到很多。
  一开始接触音乐治疗很痛苦,因为我以前是学音乐的,要重新学很多东西,大学毕业后到澳洲重新念心理学,然后再念音乐治疗研究所。到了研究所实习时确定了自己要走这条路。
  The speaker has a master degree of music therapy graduated from University of Queensland. She doesn’t want to become a piano teacher when she graduated from college of music department. She decided to be a music therapist after her college life. This is what she said in the speech:
  I really like music, I hope my work have a connection with music in my life. It’s about my value in the society. Music therapy helps me to find the value. Many people said music therapist is a job of assisting other people, indeed we and patient benefited each other. I learned a lot from them.
  In the beginning, it’s hard to realize music therapy. I learn many new knowledge like psychology. When I was an intern of therapist, I certainly confirmed that that’s what I want.
  音乐治疗师的工作内容(The Job of Music Therapist)
  治疗师出门时会带个吉他和行李箱,行李箱里是乐器,会因为个案的不同而带不同的乐器,实际上放音乐的时间蛮少的。
  键盘、吉他跟唱歌是音乐治疗必修的科目,治疗师把音乐一种工具,并非要把吉他练得超厉害。音乐是治疗师的媒介与素材,来帮助需要的人,达到认知、社会互动、心理(忧郁症)或是一般人舒压、自我探索、肢体复健等目的。
  Being a music therapist, we usually bring the guitar with a baggage containing instruments depends on the different patients. Therapists treats music as a tool interacting with patients. Playing guitar, keyboard and singing are necessary skills, but the purpose of learning instruments is not becoming a guitar master.
  Music is a media to help people gain the ability of cognition, social interaction, self-explore, rehabilitation and more.
  大众对于音乐治疗的误解(Common Misunderstandings of Music Therapy)
  Q : 可以在家做音乐治疗吗?
  A : 不可以在家自己做音乐治疗,我们可以说听音乐是很疗愈的东西,但不会称作治疗,要做音乐治疗要有音乐治疗师。
  就像心情不好时会找朋友聊天,聊天后心情变好,你会说你在跟心理师讲话吗?你也不会跟别人说我刚刚做心理咨商。
  Q : Can I do music therapy at home?
  A : No. We take listening to music as a great and curable way, but we don’t take it as a therapy. It’s necessary to have a therapist when doing music therapy.
  It’s like when you feel sad, you would talk to your friends. After a talk, you may feel better and you wouldn’t take it as a consultation.
  Q : 会音乐的就可以做音乐治疗师吗?
  A : No!!音乐治疗需要有执照,目前台湾尚未有国家级的音乐治疗师证照和科系,只有辅大从2017年开始有音乐学系在职专班音乐治疗组,但方向是偏职能治疗为主。
  国内持有执照者多是在美国、英国、澳洲、加拿大等地完成大学以上音乐治疗学程,并考取该国治疗师证照。台湾大约有40~50位音乐治疗师,加上国外工作的约有100多位。
  那为什么不是会音乐就可以做音乐治疗呢?是因为在学习音乐治疗的过程中不只有学音乐,虽然有一堂课叫music skill,但是除了音乐技巧外还要学习咨商、解剖等知识。如果你念心理系,就要加强音乐能力,音乐系要加强心理学。
  台湾有聘音乐治疗师的医院有长庚、荣总、北医,然而治疗师的服务机构不限于医院,还有社福机构、诊所、教育体系(大学、特教班)。


  Q :Whether a musician can play instruments, is also can be a music therapist?
  A :No!!Doing music therapy requires a license because it needs to know more knowledge than playing music, like the psychology, dissection, consultation and more knowledge.
  Taiwan doesn’t have a national license or college of music therapy now. In 2017, Fu Jen Catholic University Music Department starts to set up music therapy course in master degree, but the direction is bias to functional therapy.
  In Taiwan, music therapists finished their degree and got licenses from England, Australia, Canada and America. It almost has almost 40 to 50 music therapists have legal licenses. If we count in the people who work abroad, it almost has 100 person working in this field.
  The therapists’ workspace is not only hospital, but also in college, school, clinic or welfare institution.
  Q : 音乐治疗就是听音乐吗?
  A : 不是,治疗大部分的时间在建立个案与治疗师之间的关系,虽然会听音乐,但不是什么都不做,仅仅是听音乐而已。
  音乐治疗里有一个派别叫引导想像音乐治疗学派(Guided Imagery and Music Therapy),简称GIM,这个学派就很常听音乐、做冥想。
  也常常有人会利用这样的方式去诈骗,所以接触相关活动时要注意讲师的资格、背景,确认对方有接受过专业训练,对方可能不是心理师,要思考危险性。


  Q : Does music therapy equal to listening to music?
  A : No. In the process of therapy, therapist spends time on building the relationship with the patient.
  There is a branch in music therapy called Guided Imagery and Music Therapy, the abbreviation is GIM which applying the way of listening to music and mediations very often.
  We often see some liars using this method to cheat people. Be aware of the events you attend about music therapy, checking the background, license and professional firstly. To avoid the dangers.
  Q : 音乐治疗就是教音乐吗?
  A : 音乐治疗与音乐教育的不同在于目的性,音乐教育是教会你某一项技能,比如学钢琴。音乐治疗的目的在建立社会互动、心理、肢体、认知,让人们有更好的生活品质(quality of life)。
  以音乐治疗的合唱团为例,成员大多在18~45岁,声音如同学龄前的孩童,练习一首歌曲可能需要很长的时间,他们在选歌的过程中会学习尊重别人的意见,这是社会互动中的一环,透过跟他人沟通,在团体里生活。
  有一次老师与这些大孩子在谈梦想,有好几个人的梦想是要有工作,他们想要有好朋友,渴望别人了解自己。
  这时合唱团的目的就不是唱出好听的音乐或是呈现精彩的表演。


  Q : Does music therapy equal to music education?
  A : The difference of music therapy and education is the purposes. The purpose of education is teaching you an ability, like playing piano. The purpose of music therapy is enhancing patients’ social interaction, psychology, physical, cognition and quality of life.
  Take a chorus of music therapy as example, the age of members almost between 18 to 45. Their sound is like child. Practicing a song takes a very long time.
  Once a time, speaker and chorus members have a conversion of their dreams, they want to have a job. They want somebody know him and also eager to realize themselves like every person.
  In this situation, the purpose of chorus is not performing an amazing show and great music. During the process, they learn how to respect other people’s opinion and living in a group. It’s a great way to become better.
  Q : 音乐治疗的对象都是小朋友吗?
  A : 近几年的媒体大多将音乐与自闭症连结在一起,可能是因为有许多自闭症的孩子对音乐的反应是很好的,但并不是每个自闭症的孩子都可以成为音乐家,像「小小鼓手」那么出色,媒体大多都只报导能力很好的。
  接受治疗的对象可以从0~100岁,像有治疗师的专长是早产儿,有些擅长7 岁前或是成人身心障碍:
  儿童(幼儿园阶段至小学前):身心障碍、育幼院
  青少年(初中至大学):身心障碍、家暴、高风险家庭
  成人:身心障碍、舒压、自我成长、支持性团体(外籍配偶、身心障碍家属、性侵家暴)
  长者:失智症、身心障碍
  其他:癌症、精神疾病


  Q : Who are the major patients of music therapy? Are they children?
  A : Music therapy is not limited to age. Every therapist has different target group. Some of them good at adult disability or premature baby.
  Here is a list of age group of music therapy:
  Child(elementary school or younger):disability, orphans
  Teenage(junior high school to college):disability, domestic violence
  Adult:disability, pressure relief, self-growth, supporting group(people who have the same events and supporting each other, like foreign spouse, family member of disability, domestic violence and sexual assault)
  Elder:dementia, disability
  Others: cancer, mental illness
  讲座中除了这些知识外,我相当喜欢讲者的小故事:像是讲者在疗养院时接触到一位脑性麻痹个案,在他们通力合作下写了一首歌,由于个案的音不是很准,往往每一句都要反覆揣摩20几遍。故事当中蕴含了许多耐心和包容。
  如果有情绪问题或者心理不舒服,切记不可随便找所谓的音乐自我治疗来疗伤,应该找熟悉的人敞开心扉倾诉自己的不开心或及早的找心理医生才是最好的方法。

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