Music therapy for Obsessive Compulsive Disorder
18th April, 2009
Negative intrusive thoughts
One theory of OCD is fighting against negative intrusive thoughts.
Today, one patient of 37 years having preference to Rabindrasangeet is asked to sing a song. She has started singing " Aloker ei jharnadharay dhuiye dao". She has said that most frequently she sings this song. After analysis of the song, it appears that patient is trying to come out from the negative intrusive thought that she is dirty. This poor self concept is conditioned with faulty superstitions maintained by her mother during her first statge of menstruation. Patient is deconditioned with the faulty reinforcements using that Rabindrasangeet. The result is very interesting. Yesterday, patinet takes more than 10 hours in toilet, today, she takes 2 and half hours.
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28th July, 2008
Response prevention is the best treatment of OCD to dirt. With this assumption, I have used music therapy to a client of 52 years old woman recently.
For last 30 years, she regularly goes to toilet for washing and cleaning hands. She always keeps herself within 4 walls. She always closes her hands tightly so that no dirt can come.
Before visit to me, she was treated by many psychiatrists and one psychologist.
No notable changes are noticed except long time sleep.
In the first session, I found very strong resistance in her to reveal herself to me. By experiencing my failure to establish rapport, I diverted attention to Tagore's songs - "Ananda loke, mangala loke" (moving to spiritual land).
Two assumptions were there - (i) the words of song would provide feeling of divine/spiritual land or feeling of away from any guilt, vice etc. (ii)such spiritual feeling might help to open her closed hands as her constant concentration to hands would be diverted.
Woman sang with me initially in very low voice later loudly. She participated into my hand movement representing changes in music wave.
In the 2nd session after 6 days, the client sang with me same song by standing. She moved her hands above head when she sang " Grahataraka chandra tapana byakula drutabege" (the planets, satellites are moving speedily). It is noted that her hands now completely opened.
I adviced her to practice Tagore's songs.
In the 3rd sitting, patient reported that she alone practiced two songs "Ektuku chona lage...." (feeling light touch), and "Eto din je bosechinu" (waiting for long days) at home. Finally, she sang with me both songs alongwith Ananda loke, danced and she never closed her hands.
Her guardians are mild happy as wastage of water is reduced. In the bathroom, patient sang both songs. I do not know whether the songs helped her relaxed over tension in the bathroom or not.
I am writing this study to you as the study provides some curiosity to know the followings :
1. Is our cognition affected by music ?
2. Does the word of music have power to create response prevention ?
3. What will be the research methodology to assess therapeutic effectiveness as music therapy includes many confabulations ?
4. Is it possible to control effect of confabulations on music therapy ?
Please share your views on therapy or on research questions.
Session : 2nd August, 2008
Geetbitan as Psychological Test
Yesterday, I requested my OCD to dirt patient to select 10 songs from Geetbitan, the famous Book of songs composed by Rabindranath Tagore.
Patient selected following 10 songs:
1. Akash bhara surya tara
2. Aloker ei jharna dharay
3. Ananda dhara bahiche bhubane
4. Ananda loke mangala loke
5. Aji jato tara tabo
6. Amar mukti aloy aloy
7. Ami chini go chini
8. Aro aro prabhu aro aro
9. Alo amar alo ogo
10. E ki labonye punya
Next, I told her to rank them. Her rank was :
First : 3
Second : 10
Third : 4
Finally, she sang the first rank song. I followed her in singing.
I have noticed that each line of this song reflects her current mental state and it is interesting to note that the song also provides the answer as how to recover from such problems.
Finally I have used that song for her psychological counseling.
Therefore, I have developed following assumptions:
1. Geetbitan as Psychological test;
2. The words of Geetbitan advances knowledge of psychotherapy.
Comment of my E-friend
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bondhu amra tomar moto doctor chai je age rogir mon k chue setar chikitsha kore tarpor sorirer chikitsha korbe....
aj tomar moto doctor jadi aro kichu sonkhaye bare tahole bodh hoe amra sopurno var mukto-rog mukto hote parbo....
Rabindra nath to amader jibone "PRANER ARAM< MONER ANANDA
tini jadi tomar hat dhore kono rogir potho hisabe dhuke jan, tahole se sustho hote badho!
asha korbo amader o moner jor barie sustho rakhte tomar onoboddo presciption sob samay pabo!
sob seshe boli, bless????? seto ISWAR e tomake deben,swadhu kajer jonyo, amra sudhu pase achi!
Negative intrusive thoughts
One theory of OCD is fighting against negative intrusive thoughts.
Today, one patient of 37 years having preference to Rabindrasangeet is asked to sing a song. She has started singing " Aloker ei jharnadharay dhuiye dao". She has said that most frequently she sings this song. After analysis of the song, it appears that patient is trying to come out from the negative intrusive thought that she is dirty. This poor self concept is conditioned with faulty superstitions maintained by her mother during her first statge of menstruation. Patient is deconditioned with the faulty reinforcements using that Rabindrasangeet. The result is very interesting. Yesterday, patinet takes more than 10 hours in toilet, today, she takes 2 and half hours.
=================================================================================
28th July, 2008
Response prevention is the best treatment of OCD to dirt. With this assumption, I have used music therapy to a client of 52 years old woman recently.
For last 30 years, she regularly goes to toilet for washing and cleaning hands. She always keeps herself within 4 walls. She always closes her hands tightly so that no dirt can come.
Before visit to me, she was treated by many psychiatrists and one psychologist.
No notable changes are noticed except long time sleep.
In the first session, I found very strong resistance in her to reveal herself to me. By experiencing my failure to establish rapport, I diverted attention to Tagore's songs - "Ananda loke, mangala loke" (moving to spiritual land).
Two assumptions were there - (i) the words of song would provide feeling of divine/spiritual land or feeling of away from any guilt, vice etc. (ii)such spiritual feeling might help to open her closed hands as her constant concentration to hands would be diverted.
Woman sang with me initially in very low voice later loudly. She participated into my hand movement representing changes in music wave.
In the 2nd session after 6 days, the client sang with me same song by standing. She moved her hands above head when she sang " Grahataraka chandra tapana byakula drutabege" (the planets, satellites are moving speedily). It is noted that her hands now completely opened.
I adviced her to practice Tagore's songs.
In the 3rd sitting, patient reported that she alone practiced two songs "Ektuku chona lage...." (feeling light touch), and "Eto din je bosechinu" (waiting for long days) at home. Finally, she sang with me both songs alongwith Ananda loke, danced and she never closed her hands.
Her guardians are mild happy as wastage of water is reduced. In the bathroom, patient sang both songs. I do not know whether the songs helped her relaxed over tension in the bathroom or not.
I am writing this study to you as the study provides some curiosity to know the followings :
1. Is our cognition affected by music ?
2. Does the word of music have power to create response prevention ?
3. What will be the research methodology to assess therapeutic effectiveness as music therapy includes many confabulations ?
4. Is it possible to control effect of confabulations on music therapy ?
Please share your views on therapy or on research questions.
Session : 2nd August, 2008
Geetbitan as Psychological Test
Yesterday, I requested my OCD to dirt patient to select 10 songs from Geetbitan, the famous Book of songs composed by Rabindranath Tagore.
Patient selected following 10 songs:
1. Akash bhara surya tara
2. Aloker ei jharna dharay
3. Ananda dhara bahiche bhubane
4. Ananda loke mangala loke
5. Aji jato tara tabo
6. Amar mukti aloy aloy
7. Ami chini go chini
8. Aro aro prabhu aro aro
9. Alo amar alo ogo
10. E ki labonye punya
Next, I told her to rank them. Her rank was :
First : 3
Second : 10
Third : 4
Finally, she sang the first rank song. I followed her in singing.
I have noticed that each line of this song reflects her current mental state and it is interesting to note that the song also provides the answer as how to recover from such problems.
Finally I have used that song for her psychological counseling.
Therefore, I have developed following assumptions:
1. Geetbitan as Psychological test;
2. The words of Geetbitan advances knowledge of psychotherapy.
Comment of my E-friend
=====================================================================================
bondhu amra tomar moto doctor chai je age rogir mon k chue setar chikitsha kore tarpor sorirer chikitsha korbe....
aj tomar moto doctor jadi aro kichu sonkhaye bare tahole bodh hoe amra sopurno var mukto-rog mukto hote parbo....
Rabindra nath to amader jibone "PRANER ARAM< MONER ANANDA
tini jadi tomar hat dhore kono rogir potho hisabe dhuke jan, tahole se sustho hote badho!
asha korbo amader o moner jor barie sustho rakhte tomar onoboddo presciption sob samay pabo!
sob seshe boli, bless????? seto ISWAR e tomake deben,swadhu kajer jonyo, amra sudhu pase achi!
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