BLOGS
Educational blogs for parents and professionals
Embracing Neurodiversity: Evolving Autism Care Beyond ABA Therapy
In recent years, discussions surrounding autism spectrum disorder (ASD) and its treatment have evolved significantly. Traditionally, Applied Behavior Analysis (ABA) therapy has been the predominant approach for managing the behaviors of children with autism. Some still recommend up to 20 hours of ABA per week. However, there is a growing acknowledgment of the limitations and criticisms associated with ABA therapy.
Numerous articles delve into the critiques and hurdles associated with Applied Behavior Analysis (ABA) as the predominant therapy for children diagnosed with Autism Spectrum Disorder (ASD). Below are a few examples:
1. The Controversy Around ABA by Child Mind Institute.
2. ABA Therapy Controversy by Total Care Therapy
3. The Controversy over Autism’s most Common Therapy by Spectrum Autism Research News
4. Concerns About ABA-Based Intervention: An Evaluation and Recommendations by Journal of Autism and Developmental Disorders
As our comprehension and appreciation for neurodiversity grows, and as we aim for methods that are both inclusive and efficient, it becomes imperative to delve into alternative viewpoints. This includes considering approaches that view autism as a neurological condition rather than solely emphasizing behavioral modification. After all, Autism Spectrum Disorder (ASD) is classified as a neurological and developmental disorder, not solely a behavioral one.
Autism as a Neurological Condition
Autism spectrum disorder is a complex neurodevelopmental condition characterized by differences in social interaction, communication, and behavior. Research suggests that autism has strong neurological underpinnings, with differences in brain structure and function compared to neurotypical individuals. Viewing autism through a neurobiological lens highlights the importance of addressing the core challenges individuals with autism face, such as sensory sensitivities, executive functioning difficulties, and atypical processing of social cues.
Questions about ABA Therapy
ABA therapy is a behaviorally based intervention that aims to modify and shape behaviors through reinforcement techniques and some still practice reward and punishment in their ABA sessions. While it has been widely used and has shown some benefits for individuals with autism, there are significant concerns and criticisms associated with this approach. Critics argue that ABA therapy focuses excessively on normalization and compliance, often at the expense of the individual's autonomy and well-being. Additionally, ABA's emphasis on outward behavior modification may overlook the underlying neurological differences and fail to address the unique needs of individuals with autism.
Moving Towards Neurodiversity and Acceptance
Treating autism as a neurological condition rather than solely a set of behaviors encourages a shift towards a more holistic and inclusive approach. Embracing neurodiversity acknowledges the inherent value and strengths of individuals with autism, promoting acceptance and inclusion in society. Instead of viewing autism as something to be fixed or normalized, this perspective emphasizes providing support and accommodations that align with the individual's neurobiological profile and preferences.
Alternative Approaches to ASD
In recent years, various alternative approaches to ABA therapy have gained attention and research support, prioritizing improved quality of life and self-determination for individuals with autism. These approaches include:
Strengths-Based Approaches: Recognizing and building upon the strengths and interests of individuals with autism to support their development and well-being.
Sensory Integration Therapy: Addressing sensory sensitivities and difficulties through structured sensory experiences to promote self-regulation and comfort.
Social Skills Training: Providing targeted interventions to improve social communication and interaction skills, tailored to the individual's needs, preferences and/or limitations.
Occupational Therapy: Supporting individuals with autism in developing adaptive skills for daily living and promoting independence in various contexts.
Acceptance and Commitment Therapy (ACT): Focusing on acceptance, mindfulness, and values-based behavior change to help individuals with autism lead meaningful and fulfilling lives.
Neurologic Music Therapy: (NMT) is a scientifically and holistically validated treatment that harnesses the power of music to influence the brain and its neural responses. Its benefits encompass improving communication and social skills, regulating emotional responses, addressing sensory needs and enhancing overall cognitive development.
As our understanding of autism continues to evolve and we understand the variations of the spectrum, it's essential to reevaluate traditional approaches to treatment and embrace more inclusive and person-centered perspectives. By shifting the focus from behavior modification to addressing the underlying neurological differences, we can better support the diverse needs and strengths of individuals with autism. While ABA therapy may have a place in the spectrum of interventions, it's crucial to explore alternative approaches that prioritize acceptance, autonomy, neurobiology and well-being. Ultimately, by embracing neurodiversity and adopting a more nuanced understanding of autism, we can create a more supportive and inclusive society for all.
At Mewsic Moves, our mission is to foster a culture of respect and acceptance for every individual, irrespective of their limitations. We prioritize autonomy, aiming to boost confidence and encourage self-expression and confidence. Through our neurologic music-centered approach and acceptance-based therapy, we empower individuals to embrace their true selves while also aiding them in achieving their personal goals. Our programs and tailored supports are flexible, adapting to the unique needs and communication styles of each client.
Our services include group and individual support in our 3 locations: Santa Monica, Torrance and Long Beach, CA. For more on our group programs check out the links below.
Glee Choir: www.mewsicmoves.com/glee-choir
Rock Band: www.mewsicmoves.com/rock-band
Music based social skills groups: www.mewsicmoves.com/social-skills
We offer a free 15-minute consultation and are excited to explore how our neurobiologically informed Music Therapy can support your loved one through a treatment grounded in acceptance and research.
Click here to schedule your FREE 15-minute consultation. We look forward to supporting you.
How is Music Therapy Beneficial For Those With Alzheimer’s?
Research has shown that music has a profound impact on the brain of individuals with Alzheimer’s, often eliciting positive responses and triggering various cognitive, emotional, behavioral and physiological effects. Some key ways in which music therapy can benefit those with Alzheimer’s include:
1. Memory recall
Music has the power to evoke memories and emotions, even in individuals with advanced Alzheimer's. Listening and playing familiar songs from their past can help stimulate memories and encourage reminiscence. Music has also been shown to improve memory retention and cognitive function, making it an effective tool for aiding in the learning and memorization of information which can assist in long and short term memory skills.
2. Cognitive stimulation
Engaging in musical activities such as singing, playing instruments, or rhythmic exercises can also stimulate cognitive functions, including attention, concentration, and executive function. Music can also help maintain cognitive abilities.
3. Delayed cognitive decline
While not a cure, some research has suggested that music therapy and music-based activities can potentially slow the progression of cognitive decline in Alzheimer's disease.
4. Neuroplasticity
Engaging with music can promote neuroplasticity, which is the brain's ability to reorganize itself by forming new neural connections. Learning to play a musical instrument or engaging in musical activities can stimulate the growth of new neural pathways, leading to improved brain function and cognitive abilities.
5. Emotional well-being
Music can have a calming and uplifting effect. It can also enhance mood and promote emotional well-being. Many studies have reported reductions in anxiety, depression, and agitation when individuals with Alzheimer's are engaged in music.
6. Enhanced communication
Music can serve as a means of non-verbal communication for individuals with Alzheimer's who may struggle with language. It can help caregivers and loved ones connect with and understand the person with Alzheimer's.
7. Stress reduction and relaxation
Music has the capacity to reduce stress, anxiety, agitation and restlessness by affecting the autonomic nervous system. Playing or listening to calming music can lower cortisol levels, reduce heart rate, and promote relaxation, which leads to a decrease in stress related symptoms.
8. Promotion of physical well-being
Engaging in music-related activities such as rhythmic movements or dancing can promote physical well-being by encouraging movement and coordination. This can be particularly beneficial for maintaining motor skills and physical function in individuals with Alzheimer's.
9. Social interaction
Participating in group music therapy sessions provide opportunities for social engagement, which can help reduce feelings of isolation, depression and improve overall well-being for individuals with Alzheimer’s. At our organization, we offer a range of specialized programs designed to cater to various needs, including our Rock Band, Glee choir, and Social skills group therapy services. These programs are specifically crafted to foster connections, boost well-being, and provide a sense of belonging for participants.
10. Reduced reliance on medication
Some studies have indicated that the use of music therapy in Alzheimer's care can lead to a reduction in the use of psychotropic medications, which are often prescribed to manage behavioral symptoms. Music lowers cortisol as stated above which helps reduce anxiety or stress associated with Alzheimer’s.
11. Improved quality of life
Music therapy can enhance overall quality of life for individuals with Alzheimer’s by promoting relaxation, reducing stress, bringing on a sense of joy, comfort, and connection, all of which increases overall enjoyment and pleasure in daily life. It also provides an avenue for self-expression and creativity, which can enhance feelings of fulfillment and contentment.
Bonus Benefit!
12. Caregiver support
As a marriage and family therapist, I especially love the additional benefits that music has on individual caregivers. When in session with an individual with Alzheimer’s, their partners, children, and or siblings frequently participate in the music sessions, either absorbing the melodies or actively engaging with the music. This involvement not only offers solace but also fosters a sense of empowerment, equipping them with new skills to assist their loved ones. Ultimately these sessions create enduring, delightful musical memories that they can cherish for a lifetime.
While music therapy has shown significant benefits for individuals with Alzheimer's, it is important to note that it is not a cure for the disease nor a substitute for medical treatment. It is typically used as a complementary approach to standard care, tailored to the individual’s specific needs and goals.
The impact of music therapy can differ depending on the individual, underscoring the importance of collaborating with a skilled music therapist capable of tailoring music therapy approaches to the specific needs and goals of those with Alzheimer’s. Some music therapists specialize in neurologic music therapy (NMT), making them particularly adept at working with individuals living with Alzheimer’s and other neurologic conditions. Their expertise and experience extends to understanding the intricate ways in which music influences the brain, including neuroplasticity and other neurological elements.
At Mewsic Moves we are dedicated to supporting families of those living with neurologic conditions such as Autism, Parkinson’s, Alzheimer’s and more. All therapists at Mewsic Moves are trained and understand the application of music and how it affects the brain and those living with neurologic conditions. As a family first practice we are also dedicated to supporting the entire family with counseling and group support. Check out our musical minds programs which is a community based music therapy for those living with Alzheimer’s which includes their loved ones, partners, caregivers and more.
Check it out here: www.mewsicmoves.com/musical-minds
If someone you know is struggling with the progression of Alzheimer’s and needs additional support we offer a FREE 15 minute consultation and would love to chat with you and support your loved one.
Schedule your FREE 15 minute consultation in the link below:
https://www.mewsicmoves.com/contact-us
John Mews, LMFT, NMT
Founder & Owner - Mewsic Moves
Licensed Marriage and Family Therapist #132572
Music Therapist