Ray, in our program I had to coordinate all activities within a tiny budget, and music as therapy or pass-time/entertainment were the most expensive items on the agenda. I therefore could only possibly comment in a most elementary way on what I observed of a bi-weekly one-two hour sustained effort, and alternate weeks of the musical CDs whose feature length of film would average about 50 minutes or so of song and dance.

Seniors are interested in music therapy, professional or informal, as long as they are having fun. In therapy sessions, percussion instruments are obviously the easiest, and most readily conspire to encourage new skills as they rotate individual instruments round the ensemble. A sound created is a thing, a chronic surprise and intrigue, immediately satisfying, and as skills grow, group satisfaction and interaction spills into the room. Rhythm guides their mood, but reaches their very being, awakening familiar laughter, and allowing them to be carried away where ever the beat takes them. Abandonment of self-consciousness is more easily attained with an elderly group because they were raised on music.

But once the rhythm is established, giving voice is the natural inclination for fullest expression. (Bodies moving would be even better, but they would break hips soon enough.) They have lots to say about love and stuff and words meanings will be acted out more openly with instrumental accompaniment in their own two hands. Sure, the songs are the usually old time tunes up to the Beatles (they should include more modern melodies that seniors sang along with the radio as their kids were growing up, as well--many will complain about tired tunes and the drawn out rhythm) but their common themes are what runs through most thoughts of longing in a retired bundle of emotions. They cast off, in these sessions, many deeply harboured resentments for one another as group accomplishment is realized. Politics at seniors' residences can be extremely damaging to fragile souls, and such activity, managed by professionals from the community rather than from within (too much like family) can encourage inclusion while breaking the barriers of ego posturing. Recorded progress feedback and a CD recording of their best work together brings pride and fosters belonging. I would think that Sony personal composing recorders would be beneficial, so that people could further build on their confidence, and exercise possibilities.

Seniors have generally tired voices, diminished or barely discernible, flat or overly loud. This all starts to blend as things progress, as long as they like what they're singing. For those whose voices have difficulty, the key or rhythm is often the thing, but some good old spinal alignment a la Alexander Technique is helpful too. I don't know that they are stressing physical composure enough as a means to an end, but a lot of that works itself out, too, as people's bodies adjust into relaxation. Like bio-feedback from the Seventies was promoting as ways to overcome pain. I believe that if finances are in place, better physical workouts are helpful. Old people still want to dance, or even move differently from what habits they've grown into, but a well appointed facility would provide sturdy supports and staff to assist. No matter how humble, it's still in the doing. As with art as therapy, which I introduced to this group--but art does not attract the numbers, for physical demands or skills, and though extremely beneficial, will usually only be so if the person had previous inclinations, or is very open. Those suffering from Alzheimer's have ego boundaries firmly entrenched, and it takes a great deal of coaxing for them to pick up a paint brush if they're not guaranteed an attractive finished product, so they lose on the process part. They may glean some pride if the brush is applied to a sail boat or bird house, as in crafts, and then you get to regularly remind them whose handy work was responsible for that piece they're admiring. But music is immediate, certainly less taxing, and you can get into the mood easily. With music, brain works creatively from within, as well as reactively from the external world.

Perhaps this feeds one of the strongest of natural and healthy addictions. Perhaps it affects our emotions not unlike chemical addiction, but instead of causing demise from over-feeding, builds healthy new receptors whose cells just get smarter? Emotions produce peptides or MOEs--molecules of emotions, that dock in receptors in the cells. The more you get, the more you crave. Music receptors are waiting expectantly for those emotions, and we give them MUSAK if they're lucky. Musical junkies? Us? Yes, us!

Now, when you have seniors who have been dealing with various harmful and often addictive drugs, even morphine, they've built up an enormous number of docking sites for drugs which make them very edgy and tired. This would include emotional addictions. There is a tolerance effect in emotions, but unlike the unhealthy ones like anger and thrill seeking which desensitize, music restores balance to the stressed out neuropeptides that constantly scream, "give me more!". Music can help them to alleviate these cravings, even obviously lessen the need for painkillers. The frontal lobes hold the thought, activate the neural net and subsequently signal the internal pharmacy.

I read a little about MOE's and Dr. Candace Pert's work. Though she is now focusing on developing pharmaceuticals that selectively block receptor sites for the AIDS virus, she (according to a blurb in /"What the Bleep do we/ /Know!?" /pursued the "threateningly interdisciplinary" relationship between nervous and immune systems, developing documentation of a body-wide communication system mediated by peptide molecules and their receptors, which she perceives to be the bio-chemical basis of emotion and the potential key to many of the most challenging diseases of our time. She wrote the book, /"Molecules of Emotion",/ which I'd mentioned in earlier posts, and holds several patents on synthetic neuropeptides, from what I remember.

The local conservatory will visit clients in their rooms, and often engage family members, while, where ever possible, building bridges to confidence so that clients can then join the group. Once they're there, they love it. Alzheimer's probably knows no better friend, but music participation brings most all out if they're stimulated, entertained, and physically able. Where therapy is structured for rehab, very specific stimulative methods will yield measurable results, as you know better than I, and I cannot comment on such programs beyond my strongest recommendations because of clearly favourable results.

I worked with assisted living clients--we used the dining room for all activities, while the kitchen that opened onto the common space burned up its regular fare, sans air conditioning, and whose demised fridges ran their own percussive confabulation. I shake my head knowing the pensioners who once worked for government or education enjoy resort-like facilities, with up to date programs in therapies of all kinds. The difference is $700-1000/month and $3-6000/month in rents.

Wish I had more, but Dr. Pert's work should connect you to information relevant to what constitutes emotion.

Where you ask: Other than for physical infrastructure what new ways of thinking about value and new sustainable services would you imagine? I'm presuming you are still talking about music. Otherwise, I might never finish this email!

If not, let me know, after all, it's in the doing you come up with stuff!


Natalia


Ray Harrell wrote:

I just ordered the Michel Thaut book Rhythm, Music and the Brain after reading passages from it elsewhere. The issue for me is the study of what exactly constitutes emotion. Both as a Cherokee and a Musician, Emotion is generally described as the mask that we put over what we are perceiving from the Kinesthetic. Kinetics somewhat but especially the inner sense of feeling. Just as we do with abstract music, we place stories on the feelings and which stories or Masks we choose will be mad, sad, glad, scared, etc. Rather than be stirred to feel fear or caught in love, we have sensations that we interpret i.e. choose to perceive as a particular emotion. This has a lot of implications for the way that one teaches tonal character in singing and acting.

Your description of the work with music therapy and the musicologist's research into the archeology of music and emotion is changing the way that we think about the world and as to what constitutes value in the world when it relates to the purpose of the Arts in the marketplace. In the case of the Cherokee it has to do with the way the Arts were used to train the human instrument to have technique, or virtuosity, to handle the job of forester and in designing and caring for the forest as a Garden. This idea is not only coming from my traditions but the work of anthropologists in the Amazon working with the remnant populations of Native people has redefined the whole argument around hunting gathering and pillaging. It seems that these current activities are the result of the collapse of major population centers of millions people in the Amazon and not the pedagogical structures that were and in some cases are still in place. The Anthropologists in Brazil are far ahead of their North American peers who are still stuck in the old patronizing place that destroys the objectivity of their observations. Most of them can't even speak the languages. How many Canadians speak Indian Languages? In America? America is a colonial mono linguistic culture that mistrusts someone speaking anything but English. But back to the music: I would be interested Natalia in what you would have designed for the way the Stimulus packages were constructed? Other than for physical infrastructure what new ways of thinking about value and new sustainable services would you imagine? It seems to me that if we can't imagine a different way then we can't create one. Thank you for what you posted and what do you think?
REH

*From:* [email protected] [mailto:[email protected]] *On Behalf Of *Darryl or Natalia
*Sent:* Thursday, July 15, 2010 10:19 PM
*To:* RE-DESIGNING WORK, INCOME DISTRIBUTION, EDUCATION
*Subject:* [Futurework] Music as medicine

I had a client with Dementia whose repertoire of tunes up to, say, the late Seventies was in tact. She would remind us that she used to sing on the radio as a kid, and her utter joy at Sing-Along time, or movie afternoons, where older musicals worked best for most clients, was delightful. Couldn't remember much past a minute, but a happy decline--fortunately. We had music therapy through the local conservatory therapists in prior years, but ours was a small group, and the funding wasn't there after new rules set in. There was an onus on us to prove that we could pay 50% for workshops for at least 2 years, and it had to be weekly. We could barely pay for an eight week run. So we continued to be tortured by Sing-Along, with intermittent guitar performances or Barber Shop. But the clients loved it, needed it, and so obviously benefited from it physically because of the psychological boost and challenge to mind and body, and it was a way to relate to others they may not otherwise get along with, and they'd get to see a new face, too.

Memory, however, might just be stored outside the brain. Have to remember where I read that one! Wait, it's coming back...that "What The Bleep Do We Know!?" book, page 158.

It reads: /A number of scientists are currently looking into the proposition that memories are not actually stored in the brain. It has been found that if you remove part of the brain where a memory appeared to be located, the memory may still persist! Where is it stored? Perhaps somewhere at the planck scale, or what some people might call "the akashic records." The brain might just serve as an instrument to pull the memories out of the universe. It might be the local storage, the local disk for the cosmic hard drive where all memories are stored.

/(Planck scale, currently the smallest distance that can be defined, at 10-33 centimeters, 10 trillion trillion times smaller than a hydrogen atom.)/
/
This was inset in the section where Dr. Stuart Hameroff, a prof in Dept. of Anesthesiology and Psychology and Director of the Center for Consciousness Studies at U. of Arizona, Tuscon, (www.quantumconsciousness.org <http://www.quantumconsciousness.org>), explains that he thinks /"more like a quantum Buddhist, in that there is a universal proto-conscious mind that we access, and which can influence us. But it actually exists at the funda-mental level of the universe, at the Planck scale." /He is the same fellow who coordinated with Roger Penrose ( proposed that consciousness comes about when superpositions of neurons within the brain reach a certain threshold and then collapse--similar to collapse of wave function due to observation, called objective reductions (ORs). Hameroff suggested the mechanism by which this could take place. Together they formulated their *Penrose-Hameroff "OR" Theory of Consciousness.* Central to the collapse process are highly intelligent, self-organizing microtubules which serve as the cell's nervous and circulatory system; they process and communicate, and organize neighbouring cells to act coherently. In neurons, microtubules set up synaptic connections, and are involved in release of neurotransmitters. They organize the neuronets one level up, but are themselves affected deep within their own structure by a quantum phenomenon: the proteins of which they are made respond to signals from an internal quantum computer consisting of single electrons. These "proteins changing their shape is the amplification point between the quantum world and and our affecting the classical world in everything that mankind does, good and bad." Hameroff continues "that it's the spontaneous collapse (OR) of these microtubules, roughly forty times a second, that gives a moment of consciousness. Our consciousness is not continuous, but a sequence of "ah-ha moments". He says, "Consciousness kind of ratchets through space time in a sequence of now moments: now, now, now..."

"What The Bleep Do We Know!?" has many amazing contributors, and is one of the best books ever. It's a great introduction to quantum physics, and it's not at all dry. Most libraries should carry it. It's way better than the movies that preceded it, though the movies are fun. So are the film comments as they go through the contributors.

Natalia

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