The use of extemporizing in music therapy to faciliate communication in a person with dementia: An explorative case study.

The use of extemporizing in music therapy to faciliate communication in a person with dementia: An explorative case study.

Abstract

A person who has dementia may also have aphasia and severe communicative disabilities with the risk of this leading to social isolation. This study explored the music therapeutic process with a person with dementia and aphasia in order to understand how music therapy may facilitate communication and dialogue. In an explorative hermeneutic case study, new understandings to the music therapy process were added and led to the identification of the improvisation method known as extemporizing described by Tony Wigram. In a subsequent literature review extemporization was explored and is suggested as a valuable method for providing a safe ground for the person with dementia. Extemporizing can thus facilitate engagement in communicative dialogues and thereby address psychosocial needs for people with dementia.

Keywords: aphasia, communication, improvisation, extemporization, dementia, music therapy


Citation

Ridder, H.M., & Gummesen, E. (2015). The use of extemporizing in music therapy to faciliate communication in a person with dementia: An explorative case study. Australian Journal of Music Therapy, 26, 6-29.


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Date published: July 2015