Promoting Socialization through Music Therapy

Waving, laughing, smiling, sharing, taking turns, and playing; these are all social skills. Social skills are learned behaviors that help us interact with peers, strangers, and family. We don’t often think about it, but social skills aren’t innate skills we are born with. While some people may be more outgoing or charismatic than others, we still learn how to engage with other people through similar ways: watching, listening, mirroring, repeating, and being around other people. For some people, the acquisition of social skills is more difficult and complicated for a variety of reasons. For example, people with disabilities and/or mental health issues like autism, depression, anxiety, or intellectual and/or developmental disabilities may be isolated or have limited opportunities to interact with peers or other people. 

Music provides a unique opportunity for people of all abilities and backgrounds to interact. Perhaps you were (or are) in a band or choir in school or you and your friends started a garage band to hang out more. These group opportunities help teach how to work as a team, make friends, be a part of a community, and problem solve. You may learn how to communicate preferences, compromise, advocate for yourself, or protest an idea that you don’t like. Just the act of making music with others promotes a sense of meaning, purpose, and community. 

Music therapy groups combine the purpose of music making with therapeutic principles to target building social skills in a safe, open, and non-judgemental environment. Music therapy social groups may focus on writing music, creating a band, or playing instruments together. For children’s music therapy groups, music therapy interventions can focus on taking turns playing instruments, sharing instruments, playing with others, and learning how to communicate with others, both verbally and nonverbally. In these scenarios, the music therapists provide opportunities to try out social interactions or support people to let their voice be heard in a large group. 

Research behind social skills-based music therapy groups show that music therapy is an effective medium to teaching social skills. In a study by Pasiali & Clark (2018), music therapy interventions such as improvisation (spontaneous music making) and teaching skills through song lyrics are salient interventions for school-aged children (https://doi.org/10.1093/jmt/thy007). An article by Pavlicevic et al. (2013), highlights how long-term music therapy groups help young adults with disabilities build confidence, self-esteem, and friendships, as well as provide them and their families with a community (https://doi.org/10.1177/1744629513511354). An article by Baines (2003) reports that one of the most valuable elements of a music therapy program for adults with mental health difficulties was socializing and relationship building (https://voices.no/index.php/voices/article/view/1658/1418). 

Anna Laura McAfee, MMT, MT-BC

Hiya! I’m Anna Laura, a board-certified music therapist (MT-BC) in Nashville, TN. I’m from Western Arkansas, which is where I completed my Bachelor of Arts degree in music from the University of Central Arkansas with minors in interdisciplinary studies and psychology. During my bachelor's degree, I completed research on using music therapeutically with older adults with dementia and their family caregivers. In August 2018, I began the music therapy equivalency and master’s degree program at Appalachian State University in Boone, North Carolina. During the equivalency portion of my studies, I explored individual and group-based music therapy in older adult residential facilities, special education classrooms, after-school programs for teenagers, adult medical settings, and residential facilities for people with intellectual and/or developmental disabilities (I/DD). In December 2020, I completed my internship at Opportunities for Positive Growth in Marion, Indiana, where I provided individual and group music therapy for children, teenagers, young adults, adults, and older adults with I/DD, autism, and neurocognitive disorders.

After internship, I returned to Appalachian State to complete my master’s degree in music therapy (MMT). During my graduate coursework, my focus was mainly on promoting self-determination and self-advocacy in teenagers and young adults with I/DD who communicate in extraverbally/nonverbally. I have taken courses in play therapy, special education, and child and adolescent therapy. I have also completed a graduate practicum promoting social skills with neurodiverse college students post-COVID quarantine. In December 2021 I completed my thesis titled “Promoting Self-Determination in Individuals with I/DD who Communicate Extraverbally: Reflections and Implications for Practice”.

I have professional experience working in public schools, assisted living facilities, and inpatient and outpatient psychiatric hospitals, focusing on academic, emotional, social, and communicative strengths and areas for potential growth.

I am passionate about disability rights and self-advocacy, and my main emphasis as a clinician is to help promote autonomy and self-determination, build a trusting and therapeutic relationship, and to help provide a space in the music for people to be themselves and express who and where they are.

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Music Therapy as Support for Adolescent Siblings of Children with Disabilities

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Music Therapy and Talk Therapy