A Concert Program to Change the World

It is with great pride and combined awesomeness that the internet now receives a concert program to truly Change the World. This night of music and memories marked the accomplishment of a tremendous milestone, yet more importantly serves to inspire, motivate, and direct our continued pursuit of becoming awesome. Unending thanks to the many musicians (on stage and in the audience), close friends, new friends, traveling family, loved ones, esteemed professors, and especially to my associate in awesomeness, Stephen Choate.

Wagon Wheel

Old Crow Medicine Show

G, D, Em, C, G, D, C, C

G                              D                 

1 Headed down south to the land of the pines

              Em                              C              

2 And I'm thumbin' my way into North Caroline

G                   

3 Starin' up the road

        D                         C          

4 And pray to God I see headlights

  G                                       D               

5 I made it down the coast in seventeen hours

Em                                 C               

6 Pickin' me a bouquet of dogwood flowers

                G                  

7 And I'm a hopin' for Raleigh

         D                        C     

8 I can see my baby tonight

     G                              D           

9 So rock me mama like a wagon wheel

Em                           C            

10 Rock me mama anyway you feel

G     D           C       

11 Hey,    mama rock me

G                                   D                 

12 Rock me mama like the wind and the rain

Em                             C                 

13 Rock me mama like a south-bound train

G     D           C       

14 Hey,    mama rock me

15 Runnin' from the cold up in New England

16 I was born to be a fiddler in an old-time stringband

17 My baby plays the guitar

18 I pick a banjo now

19 Oh, the North country winters keep a gettin' me now

20 Lost my money playin' poker so I had to up and leave

21 But I ain't a turnin' back

22 To livin' that old life no more

Repeat lines 9 - 14

G, D, Em, C, G, D, C, C   2x

23 Walkin' to the south out of Roanoke

24 I caught a trucker out of Philly

25 Had a nice long toke

26 But he's a headed west from the Cumberland Gap

27 To Johnson City, Tennessee

28 And I gotta get a move on fit for the sun

29 I hear my baby callin' my name

30 And I know that she's the only one

31 And if I die in Raleigh

32 At least I will die free

Repeat lines 9 - 14

Wild Horses

Rolling Stones

G   / Am /  G  /  Am

G  Bm               G       Bm                 G  

        Childhood living       is easy to do

Am                    C          D   G                             D      C

    The things you want to        I bought them for you

     Priceless lady,  you know who I am

     You know I can't let you,  slide through my hands

CHORUS:

Am       C          D  G               F             C    

    Wild   horses         couldn't drag me away

Am              C           D  G                 F             C   

    Wild, wild  horses           couldn't drag me away

     I watched you suffer,  a dull aching pain

     Now you decided,  to show me the same

     No sweet thing exits,  oh of stage blinds

     Could make me be bitter,  or treat you unkind

CHORUS

     I know I've drained you,  it seemed like a lie

     I have my freedom,  but I don't have much time

     Faith has been broken,  tears must be cried

     Lets do some living,  after we've died

Am       C          D  G               F             C    

    Wild   horses         couldn't drag me away

Am              C           D  G                 F             C   

    Wild, wild  horses           couldn't drag me away

Am       C          D  G               F             C    

    Wild   horses         couldn't drag me away

Am              C           D  G                 F             C   

    Wild, wild  horses               we’ll ride them someday

It must be made clear that this is a concert performance, not a Music Therapy session. We will nonetheless attempt to demonstrate a select few of the many ways in which music may be implemented to positively affect well-being. Make a transfer...

Classical music often bears only calm and peaceful connotations. Though, "Festa No Sertao" breaks these false limitations, musical elements may be utilized to match or increase patients’ moods or levels of stimulation.  On the contrary, music selections that are tranquil and sedative may also be used to assist such techniques as guided imagery or progressive muscle relaxation.  The iso-principle is a common technique incorporated into music therapy sessions as an application of continuous music to elevate or reduce such states in clients, beginning at a level that mirrors that of the patient, and concluding at a level of stimulation determined by the therapist.  The iso-principle is also used frequently in managing pain, dyspnea (shortness of breath), and agitation/restlessness. 

Proper vocal technique, as used in classical art songs such as, "When I Have Sung My Songs" demands articulation and breath support. Therapeutic applications of music interventions can benefit patients with deficits in these expressive language skills, which may include patients with developmental disabilities, traumatic brain injuries, neurological disorders. Google Gabrielle Giffords.

As music complements communication, language influences music. “Blue Rondo A’ La Turk” illustrates the free and expressive nature of improvisation which mimics speech, and the call and response rhythms of jazz that emulate conversation. Similar exchanges can be accomplished with simple drumming applications designed to meet all levels of musical experience. Such musical activities can faciliatate behavior modification by using music as a cue, structure, and/or a reinforcer. This may prove to be especially effective in sessions with clients who have behavioral disorders.

The Brothers of the national music organization, Phi Mu Alpha Sinfonia, exemplify a strong support system, essential for any individual and especially during addiction, grief, trauma, and crisis. Socialization is a basic need for any individual, which can be provided through interactions in families, schools, church groups, support groups, work, and activities of daily life. Creating music together promotes social interaction and facillitates opportunities for shared experiences between friends, loved ones, and in this case, family. Please enjoy, “Hymn to the Garnet and Gold.”

Music is considered by some to be the language of emotions. "Love" is an original composition expressing deep affection. Songwriting methods, which may include madlib or fill-in-the-blank formatted song lyrics, rapped dialogues or poems over loops or karaoke tracks, piggybacking existing melodies, mash-ups using significant lyrics from multiple songs, and composing completely original pieces, all allow patients to examine and express their thoughts and feelings in a rational and constructive manner. Ironically, love songs often make great examples of irrational thinking, which can be examined through Rational Emotive Behavior Therapy (REBT). Preexisting songs with topic specific lyrics are used in lyric analysis to rapidly establish rapport and open up into counseling, a skill that is particularly critical in both the mental health and end-of-life settings.

"Such Great Heights" employs only three chords, though this performance would still overwhelm the premature infant. This is why Music Therapy in the NICU necessitates hushed, walking arpeggios of the most basic chord progressions with motherly lullabies. Habituation through multimodal stimulation promotes neurological maturation. Dr. Jayne Standley has also conceived and researched the Pacifier Activated Lullaby (PAL) to reinforce sucking behaviors using contingent music to teach and promote feeding in premature infants, enabling shorter length of stay in the NICU.

“In teaching the child, optimism need not suffer – only naïveté.”

- Dr. Clifford Madsen

“Sigh No More” addresses a few commonly misconstrued perceptions of love – betrayal, dismayal and enslavement, but directs the listener into a positive view of the phenomenon. Music therapists at Florida State employ a cognitive behavioral approach, whereby thoughts affect actions and behaviors. We help patients increase awareness of their thought processes to develop more constructive and controlled responses to events, even in their uncontrollable external environment. How we perceive, interpret, and choose to respond to such stimuli influence what emotions we experience. Optimism need not suffer, for human emotions are valid; romanticism can still be both realistic and rational.

While singing decreases the stress hormone cortisol and increases endorphin production, one will also witness the elevation of mood and development of therapeutic relationships. Singalongs and the use of instruments facilitate meaningful interactions, even amongst people functioning at broadly different levels. Enjoy the opportunity to sing or strum with, “Wagon Wheel,” and “Wild Horses,” as we attempt to promote cohesion within an unusually large group. 

Patient-preferred music affects greater emotional response, participation, and enjoyment. Whether improving quality of life, motivating exercise or increasing stamina for physical therapy, anesthetizing before medical procedures, personalizing lyrical content for counseling, maintaining a young child's attention, or changing the world with a Music Therapy project/concert (not recital) - patient preferred music is crucial. We conclude our concert with, “Black Darling Eclipse,” a medley including works by three of our favorite artists.



Goals of Music Therapy in the Tallahassee Memorial Behavioral Health Center (TMBHC):
Actions/consequences
Anger management
Appropriate social skills
Assertiveness
Attention skills
Coping with change
Decision making
Decrease symptoms
Emotional management
Empowerment
Frustration tolerance
Goal directed behavior process
Interpersonal skills
Mood elevation
Normalization
Relaxation and leisure skills
Responsibility acceptance
Self-acceptance
Self-care
Self-concept
Self-control
Self-esteem
Self-expression
Self-image
Socialization
Stress management
Time management
Understanding Mental Illness
Values, values clarification

Sample Music Therapy interventions implemented in the TMBHC:
Active music making
Projects listening to and/or using music
Drumming
Lyric analysis
Lyric mash-up
Making instruments
Movement to music
Music assisted guided imagery
Music appreciation
Music-assisted cognitive reframing
Music skill building
Musical games
Musical stories
Music-based discussion
Poem/Proverb/Haiku writing
Positive thinking
Progressive muscle relaxation
Quotes from music (proverbs, AA/NA slogans, etc.)
REBT
Relaxation/stress reduction
Rhythm and drumming
Sensory integration
Singing and/or instrument playing
Songwriting

Sample Goals and Interventions used in the Hospice and Palliative Setting

Techniques How music therapy addresses clinical objectives	Objectives Problems addressed by music therapy
Iso-principle  (continuous patient-preferred music) Progressive Muscles Relaxation (PMR) Guided imagery Procedural support music therapy	Manage pain  Decrease agitation/restlessness Reduce of anxiety Increase relaxation and comfort Lessen emotional/physical distress Alleviate nausea and vomiting  Normalize patient’s environment
Musical life review Paring video montage, scrapbook, slideshow or photo album with music	Facilitate reminiscence Elevate mood Increase feelings of closeness, acceptance and intimacy Regain sense of mastery and accomplishment Address/resolve family conflict or relational distress Improve self esteem/self acceptance
Songwriting and composition Lyrical analysis Song choice Active or passive music listening Sing along Improvised singing or instrument play Planning memorial services with music	Address anticipatory grief Express of feelings and emotions Facilitate feelings of personal meaningfulness Validate feelings and experiences Increase range of coping mechanisms Assist family members/loved ones in their interactions with patient Regain a sense of control/autonomy Gain a sense of spiritual support Decrease feelings of isolation/rejection
All the above	Increase quality of life