Incorporating Musical Strategies into Clinical Practice

Course #76824 - $30-


Study Points

  1. Discuss the historical and cultural roles of music and its impact on human healing.
  2. Describe the basics of how music affects the human brain.
  3. Explain the three-stage consensus treatment model.
  4. Evaluate the use of musical techniques/approaches in the stabilization stage of treatment.
  5. Analyze the use of musical techniques/approaches in the processing stage of treatment.
  6. Outline the role of musical techniques/approaches in the reintegration stage of treatment.

    1 . Etymologically, the word "music" is derived from the Greek mousike techne, meaning
    A) open wound.
    B) art of the muses.
    C) food of the gods.
    D) science of sound.

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    2 . Which of the following is considered a cultural universal?
    A) Sex
    B) Music
    C) Eating
    D) All of the above

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    3 . According to the triune brain model, the amygdala, hypothalamus, and hippocampus are part of the
    A) neocortex.
    B) limbic brain.
    C) cerebral cortex.
    D) R-complex (reptilian) brain.

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    4 . One reason trauma may remain unprocessed is due to a misunderstanding of what processing involves.
    A) True
    B) False

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    5 . Music activates the physiologic systems of the body from the cognitive level of the brain down to the visceral level.
    A) True
    B) False

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    6 . In the developing brains of children, music
    A) is a form of punishment.
    B) inhibits exploratory competence.
    C) invokes lower level integrative processes.
    D) prepares the brain for the eventual exploration of generative language development.

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    7 . Which of the following is NOT one of the stages of the three-stage consensus model?
    A) Stabilization
    B) Precontemplation
    C) Working through the trauma
    D) Reintegration/reconnection with society

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    8 . Complicated grief is
    A) a gradual movement toward an acceptance of loss.
    B) a severe grief reaction that continues for several months.
    C) a grief reaction that occurs in anticipation of an impending loss.
    D) the experience of maladaptive or problematic psychologic symptoms resulting from unresolved grief.

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    9 . During stage 1 (stabilization) treatment, the major goal is
    A) addressing acute symptoms.
    B) resolving traumatic memories.
    C) developing a series of coping skills for distress tolerance.
    D) Both A and C

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    10 . Stabilization skills must be developed perfectly in order for the client to have healthy ways to self-soothe and cope when therapy becomes more intense.
    A) True
    B) False

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    11 . Which of the following statements regarding the use of music in guided imagery is TRUE?
    A) Music should only be used if a client requests it.
    B) Only lyrical music is useful for guided imagery exercises.
    C) Almost any classic guided imagery exercise can be replaced with a piece of music.
    D) If visually oriented guided imagery exercises are not working, using music will not be successful.

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    12 . If, while listening to the sound or song, the client's attention appears to be drifting, invite the client to draw his or her focus back to the song.
    A) True
    B) False

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    13 . Calming music developed for meditation or yoga often makes use of rhythms or vibrations that stimulate
    A) heart and respiratory rates.
    B) theta wave activity in the brain.
    C) gamma wave activity in the brain.
    D) recall and memory enhancement.

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    14 . Music relaxation has been found to significantly reduce depression and increase sleep efficiency, with improvements in sleep latency, sleep activity, and wake episodes.
    A) True
    B) False

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    15 . When making a playlist is incorporated into therapy, some clients may require
    A) help navigating the technology.
    B) a list of acceptable music and songs.
    C) prompting to only listen to full albums.
    D) All of the above

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    16 . All of the following are acceptable playlist themes, EXCEPT:
    A) Triggering
    B) Motivating
    C) Empowering
    D) Soothing/calming

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    17 . Music can be used in a variety of ways to help clients express feelings when they may otherwise lack the vocabulary to do so.
    A) True
    B) False

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    18 . When incorporating music into stage 1 (stabilization) work in a group setting, facilitators should ensure
    A) that no one finds the work boring.
    B) group members do not discuss their own musical tastes.
    C) they are available after the session to discuss any disturbing reactions.
    D) discussions are limited to the music and notidentifying feelings elicited by the exercise.

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    19 . In the context of trauma counseling, reprocessing is defined as
    A) forgetting traumatizing past experiences.
    B) developing coping strategies to improve life functioning.
    C) reintegrating into society after completing inpatient therapy.
    D) consciously accessing a traumatic memory and striving to bring about a more adaptive experience or solution.

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    20 . According to the triune brain model, talk therapy alone may not be effective for stage 2 (processing/working through trauma) because
    A) talking about trauma is always re-traumatizing.
    B) traumatic memories and language originate in the same part of the brain, making processing difficult.
    C) the part of the brain responsible for storing traumatic memories is not accessible with conscious thought.
    D) the part of the brain responsible for language is different from the part of the brain where traumatic memories are maladaptively stored.

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    21 . Before beginning any approaches to working through past trauma, it is important that
    A) proper stabilization is in place.
    B) the client is not reliant on stabilization skills.
    C) the role of music in therapy is discussed with the client.
    D) the client no longer feels any anxiety or stress as a result of traumatic material.

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    22 . The most obvious way that music can be used to help a client process trauma is to directly ask the client if he or she remembers any music or sounds associated with the traumatic memory or memories.
    A) True
    B) False

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    23 . Which of the following is an example of a musical journaling exercise?
    A) Listening to one's favorite album
    B) Tracking, on a body level, how music affects one's body
    C) Recording an original song inspired by trauma processing work
    D) Writing about the feelings that a song or whole playlist generates

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    24 . Focusing involves
    A) paying attention to inward body cues.
    B) spending time meditating on a single mantra.
    C) evaluating how one thinks in a specific situation.
    D) getting in touch with how one feels in a specific situation.

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    25 . If a client has difficulty selecting a song that matches his or her experience, the clinician should not suggest one.
    A) True
    B) False

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    26 . Even if only one group member is obviously affected when the song is played, other group members may relate to and be impacted by the experience.
    A) True
    B) False

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    27 . Having a basic appreciation of music and its healing potential is not an essential component of using music in stage 2 of the therapy process.
    A) True
    B) False

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    28 . The goal of stage 3 (reintegration) work is to
    A) ensure that full catharsis takes place.
    B) stabilize the client following stage 2 work.
    C) help the client identify approaches to cope with stressors in everyday life.
    D) take the gains made in the first two stages and apply them to improve life functioning.

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    29 . Musical strategies identified for stage 1 (stabilization) and stage 2 (working through past trauma)
    A) are applicable to all clients at all points in therapy.
    B) are not appropriate for stage 3 (reintegration) work.
    C) should be abandoned as the client progresses with therapy.
    D) may be applied to stage 3 (reintegration) with some modification.

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    30 . Empowerment is defined as providing a client with
    A) a strong desire to do or to achieve something.
    B) listening to his or her own bodies and intuition.
    C) a sense of achievement and realization of his or her own abilities.
    D) finding his or her own way without outside support or resources.

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