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樂玩樂開心, 音樂治療師陪你長大 Play Hard Together #早期療育

Updated: Oct 22, 2023

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文、Eng/Zoe


早期療育 音樂治療


在開始大量接觸早療族群以後,很常被問到一個問題:「老師,請問還要上多久的課孩子才會 ( 自行填空)?」老實說,我們並沒有答案。就像在拼一個1000片的拼圖,一直到最後一塊放到那個屬於它的空格前,我們都不知到底需要多少時間才有辦法完成,有時甚至中間會有許多意想不到意外。孩子的成長過程就好像拼圖,需要大人協助他們找到每一片拼圖,並找到合適的位置放上,而有特殊需求的孩子們,需要許更多時間以及人力來協助並完整他們的成長拼圖。


在治療的過程中比起要求個案要像完成任務似的進行治療,我們更期望他們是享受過程、慢慢的去引導他們「主動」達到治療目標,讓他們可以在玩樂中學習。而要讓孩子「主動」,首先得讓他們熟悉環境以及信任音樂治療師。


在真正開始訓練具體有功能的目標(例如:仿聲、專注力、抓握力等)以前,音樂治療師需要時間先與孩子找到common point,互相熟悉彼此的行為模式,讓他們降低焦慮感感到信任與安全,因為我們希望在上音樂治療課提升能力的同時,擁有一個正向以及健康的治療關係。


在正向經驗當中,孩子們漸漸的「主動」參與當中,能夠與治療師有這樣的互動我們稱之為共同注意力,有了共同注意力才會有更高的參與度,漸漸得開始建立對於行為上的自我控制、活動的專注力,對於他們情緒的穩定度也相對的會有幫助,進而開始往具體有功能的目標繼續前進。


如果將每一項能力比喻成一小片拼圖,音樂治療的過程就是協助孩子們尋找每一片拼圖,慢慢地完成屬於他們的成長拼圖,過程很漫長也有許多挑戰,但是讓我們一起用音樂陪伴孩子們,享受治療的時光,一起進步、一起成長吧!


Let us PLAY HARD TOGETHER!


早期療育


 

Let us PLAY HARD TOGETHER!


“Ms. Zoe, when will my kid finally learn how to ___?”


This is a question that I have been asked so much ever since I started to work with the early-childhood population. Honestly, we don’t have an answer. We will never know how much time we need to finish a 1000-piece puzzle until the last piece, and so do children’s developmental growths. Kids need parents’ help to put every little piece of the puzzle into the correct spot, and for kids with special needs require a huge amount of assistance and time to finish their life puzzle. Instead of asking clients to finish tasks like a checklist, we expect them to enjoy the process, to gain new skills while playing, and gradually lead them to achieve the therapeutic goal “autonomically.” But first, the trust between the kid and the music therapist and the familiarity and friendliness of the clinical sites are needed to be established.


Before we start developing a functional skill (e.g. vocalization, attention, grasping…), both kids and the music therapists need time to have common points and know each other. Through the process of getting familiar, it can lower the anxiety for the clients, and helps them feel trustworthy and secure. While improving their abilities, having a positive, encouraging, and healthy therapeutic relationship is highly important especially in music therapy sessions.


With positive experience, children “autonomically” participate in the activities with the music therapist. This kind of interaction is called “joint attention”. The increase of joint attention will raise participation, build the ability of self-control and attention towards interventions, and it’s helpful to stabilize their emotions. With the above-mentioned, we can start moving forward to our targeted functional goals.


If we use the metaphor of one puzzle representing one skill, the process of music therapy is to help children find every little piece and finish their puzzle of growth piece by piece and step and step. The process is long and challenging. Let us focus on the bright moment, enjoy the process, and grow with our children with music.


Let us PLAY HARD TOGETHER!



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