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Sarah Pearson • March 8, 2017

Dimensions of Music Care Part 4: Musicking

In this, our fourth installment of this blog series on the ten dimensions of music care, we look at musicking. Musicking refers to spontaneous music-making, but it comes from a deeper theory that music is an action that always involves all people. Whether we are listening to a song on the radio, performing on a stage, ripping tickets at the Met Opera, hitting record in the studio, dancing to the horah, or enjoying the busker in the subway, we are all engaged in musicking. It is an inclusive, relational act.

During the Music Care Trainings, we have fourteen hours of content to cover in two days. That intensity can be daunting for an instructor, as well as a participant. Sitting and listening to someone instruct for fourteen hours straight on the value of music in care would be impossible. These are concepts that must be experienced.

I was trained in an approach to music therapy called “music centered psychotherapy.” In this approach, we are called to deeply trust that the music alone can create the therapeutic change, if we use it skillfully, carefully, and wisely.

So as an instructor of the Music Care Training, I’m constantly looking for moments where musicking as a group can teach the content.

“Musicking” is a wonderful word, coined by ethnomusicologist Christopher Small, to describe music as an action.

Most of us make choices about whether or not to “music,” on a regular basis, and for reasons and for various roles. Film editors may be thinking about when a scene calls for scored film music; a yoga instructor may think about when the class calls for some recorded music; a person driving home from a long day at work may ask themselves whether their car ride merits a particular playlist, or simply the silence of one’s own thoughts; an athlete may wonder whether to train to music today, and if so, which music.

I try to go in and out of musicking as much as possible during these Trainings, as well as in more therapy-based groups I facilitate. Signs for me that it’s time for musicking I look for are:
- I’m getting sleepy
- I’m depending too heavily on words to explain a point
- I’m becoming too “teacher-y”
- There’s a felt sense in the room that we could go deeper into an experience
- We’ve been sitting for far too long

Then the question becomes – what kind of musicking?
- Will we listen to a recording of a song that someone is sharing that is significant to them?
- Will we do something silly and fun to lighten the mood, break the ice, and make the energy more buoyant?
- Will we do something mindful and peaceful for focus, attunement, and non-verbal connection?
- Will we do a dyad – where two people improvise together while the room holds the space?

By musicking together, it energizes us. As an instructor (and therapist), I experience less of the fatigue that can come from lecturing or talking too much about an idea, or anxiously trying to establish and hold a therapeutic rapport. It connects the us as a whole, and it gives us a shared embodied experience.

Thinking about music as a verb is a great way of understanding its power to transform lives and relationships. “Musicking,” to me, is like running – it’s a feeling, experience, and process. I know what I feel like before, during, and after running – it changes all of me, mind and body. Similarly, I know how I am when I’m “in music” from when I’m not. It changes me, and changes the space around me.

Musicking is also like breathing: it happens subtly and unconsciously. We may have music stuck in our head, or music playing in the background at work. And just as a deep breath or sigh may signify to a loved one that we are there with them, so may a sudden drop into musicking communicate presence and change the space. Spontaneously singing an upset child a lullaby, or asking a friend in distress if you can play them a recorded song we think might speak to them, or singing to ourselves in the shower or the car, are all ways that we can breathe into musicking. These moments aren’t programmed or pre-meditated; they arise from our instincts and change us.

Thinking about music as a verb invites us to think of music as life itself – ever evolving, always in process, always in relationship. It’s a living, breathing tool for caregiving.

Sarah Pearson is a music therapist working in oncology and palliative care in Kitchener, ON . She is the Program Development Coordinator for the Room 217 Foundation and Lead Facilitator of the Music Care Training program.

By Shelley Neal March 8, 2024
I initially trained with MUSIC CARE to work with Seniors in Long Term Care who were experiencing dementia and Alzheimer’s Disease. This is the path I travelled with my mom. My training with Music Care and Room 217 supported capacity building in selecting music that was played on my harp or chosen recorded music. The music centered on the care of the individual and their specific needs. My job was to determine the individual’s specific and select music to address these needs. The music selected helped to build community, support sleep, talk about life experiences, create a background landscape of sound, support connection to decrease isolation and loneliness, as well as coming alongside people dying. My training with Music Care helped me understand how to support people “where they were” physically, emotionally, and spiritually. Through using beat, tempo, melody, and timbre, I could cater the music and desired support required for individuals or small groups. My profession is teaching. I am a special education teacher and use music in my primary teaching as a method for learning, practicing language skills, transmitting information about science studies or math equations, as well as having fun and creating our own songs. My teacher toolkit married exceptionally well with the knowledge and skills provided by the Music Care Certification training. Recently, my work with students has involved individual programming for the medically fragile children and the palliative children. I use music (repeating the chorus several times) to engage and connect with the kiddos. We use music to "talk" about feelings (our communication is through eye gaze, eye blinks, and squeezing hands), and content material. I use music to enjoy our relationship of being together. At times, due to medication for seizures, my little ones can be very sleepy. I increase the tempo, engaging in tapping the beat on her hands and using silly action songs. The giggles and wiggles make it magical. I also use music to tell stories (my students have CVI, cortical vision impairment, so visual perception is difficult). This helps the child to engage in the story arch and adventures. Music is my conduit for reaching out and being with the students. Recently, I had the sacred journey of visiting one of my children in ICU at Sick Kids. I was invited to come to say "goodbye". A dear friend who was an ICU nurse in a different department told me (AKA, insisted) that I bring my harp with me. I wasn't sure if this would be appropriate for the family. However, with the permission of the mom, I bravely packed my harp up and took it to the Unit. It was a beautiful evening of talking with their mom and dad about how special their child was in my life. I played the kiddo's favorite songs and then ended with "The More We Get Together". The little one opened their eyes and stared at me. We hugged, and I left. They passed the next morning. I consider this time to be a sacred gift. Music Care Certification has given me the confidence and toolset to work alongside people and to journey together. It is a time a beautiful, difficult, or sacred time that I have been honoured to participate in.  Thank You
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