Expression and Interaction

MQ is one of the new clients I saw for the first time this recent Tuesday. She has Tuberous Sclerosis – a condition I honestly have never heard of until last week. As there is no cure for this condition, the main therapeutic goals for her are simply expression and interaction.

At the start of the session and up till slightly after the mid-way point, MQ was showing apprehension about my presence, being resistant to changes and unfamiliar people. She refused to sit in the chair next to the piano when I was there, and at one point she even took my arm and gestured for me to stand further away so that she could have more physical space. While we complied with all these, E was constantly trying to re-introduce the physical proximity between us, trying to make MQ comfortable with me being near her.

At the start, while E and MQ improvised on the woodblocks, I was tapping on the xylophone, 2 meters away. Then E tried to introduce the wind chimes.

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MQ resisted greatly to this, presumably because it sounded too clashing for her. But when E started to play a gentle piano accompaniment, and I softly tinkled the high notes, MQ stopped resisting and seemed to pause to listen.

Halfway into this exchange, E whispered to me to get the hand chimes, while she continued the piano accompaniment so as not to break MQ’s focus.

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This was the instrument which MQ seemed to really identify with. I held 2 in my hands at first and played to her. She seemed to enjoy the sound and started swaying from side to side in wider motions. When E suggested to her that she take one and play it herself, MQ allowed me to hand her one, and allowed me to stand closer to her in the process. That was when things really started to take off. It was as if the instrument allowed MQ to unleash all the musical expression within her. With E still playing the comforting accompaniment on the piano, MQ was swaying more vigorously than ever, smiling, laughing, vocalizing. And… She had finally allowed me to stand face to face in front of her, without pushing me away!

We remained like this for the rest of the session – the 2 of us with a hand chime each, swaying together, smiling.. and E supporting with the piano.

E later commented that it is unusual for MQ to allow a totally new and unfamiliar person to stand that close to her within the time span of 1 session. No doubt the music helped to make her feel less threatened when confronted with change and unfamiliarity.

Expression and interaction – achieved – at least for this session.

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