Sing when the Spirit says Sing Clinical applications of music in spiritual care

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Sing when the Spirit says SingClinical
applications of music in spiritual care

• Summit 09 Preconference workshop
• 30 January 2008
• Chaplain Sarah Byrne, MDIV, BCC
• Rev. Terry Ruth Culbertson, MDIV, BCC, CT

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• Music has made societies and civilizations
  possible in six distinctive ways, each with its
  own evolutionary music
• Daniel J. Levitin. The World in Six Songs
  How the musical brain created human nature.
  2008, Dutton, NY

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Its time to sing!
All Songs taken from Rise Up Singing, The Book
of Kids Songs, or on-line
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Friendship This Land is Your Land
(Chorus) This land is your land, this land is my
land From California, to the New York Island From
the redwood forest, to the gulf stream
waters This land was made for you and me As I
was walking a ribbon of highway I saw above me an
endless skyway I saw below me a golden
valley This land was made for you and me.
(Chorus) There was a high wall that tried to
stop me A sign was painted, said Private
Property. But on the back side it didn't say
nothing That side was made for you and me.
(Chorus 2x)
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FRIENDSHIP HINEH MA TOV (HOW GOOD IT IS)

• Hineh ma tov uma na'im
• (how good and pleasant it is)
• Shevet achim gam yachad
• (For brothers sisters to sit together)
• Hineh ma tov uma na'im
• Shevet achim gam yachad.
• Chorus Hineh ma tov
• Shevet achim gam yachad (2x)

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Friendship Lean on Me
Sometime, in our lives We all have pain, we all
have sorrow But, if we are wise We know theres
always tomorrow Lean on me, when youre not
strong And Ill be your friend, Ill help you
carry on For, it wont be long Til Im gonna need
somebody to lean on If there is a load, you have
to bear, That you cant carry Im right up the
road Ill share your load - if you just call me
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FRIENDSHIP We Shall Overcome

• We shall overcome, we shall overcome
• We shall overcome some day
• O deep in my heart, I do believe
• We shall overcome some day!
• The truth will make us free
• We shall live in peace

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FRIENDSHIP We shall not be moved
(traditional) We shall not, we shall not be
moved (2x) Just like a tree thats planted by the
water We shall not be moved For the union is
behind us, we shall not be moved (2x) Just like a
tree.. (United Farmworkers) Fuertes, fuertes,
fuertes somos ya (2x) Como un arbol firma junto
al rio/ Fuertes somos ya (Salvadoran union
organizer who fled the death squads to take
sanctuary in the US) No, no, no nos moveran
(2x) Como un arbol firma junto al rio/ no nos
moveran
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JOY
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JOY
Zip-A-Dee-Doo-Dah Zip-A-Dee-A My oh my what a
wonderful day Plenty of sunshine headed my way
Zip-A-Dee-Doo-Dah Zip-A-Dee-A Mister blue birds
on my shoulder It's the truth It's actual
Everything is satisfactual Zip-A-Dee-Doo-Dah
Zip-A-Dee-A Wonderful feeling, Wonderful Day
(Yes Sir!) Zip-A-Dee-Doo-Dah Zip-A-Dee-A My oh
my what a wonderful day Plenty of sunshine headed
my way Zip-A-Dee-Doo-Dah Zip-A-Dee-A
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Comfort Let it Be
When I find myself in times of trouble Mother
Mary comes to me Speaking words of wisdom, let it
be. And in my hour of darkness She is standing
right in front of me Speaking words of wisdom,
let it be. Let it be, let it be. Whisper words
of wisdom, let it be. And when the broken
hearted people Living in the world agree, There
will be an answer, let it be. For though they may
be parted there is Still a chance that they will
see There will be an answer, let it be. Let it
be, let it be. Yeah There will be an answer,
let it be. And when the night is cloudy, There
is still a light that shines on me, Shine on
until tomorrow, let it be. I wake up to the sound
of music Mother Mary comes to me Speaking words
of wisdom, let it be. Let it be, let it
be. There will be an answer, let it be. Let it
be, let it be, Whisper words of wisdom, let it
be.
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Comfort O Lord, Hear my prayer
O Lord hear my prayer O Lord hear my prayer When
I call, answer me O Lord hear my prayer O Lord
hear my prayer Come and listen to me
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Comfort (after 9/11)
God bless America, land that I love Stand beside
her and guide her Through the night with the
light from above From the mountains To the
prairies, To the ocean white with foam God
bless America, My home sweet home
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Comfort For Baby (For Bobby)
Ill walk in the rain by your side Ill cling to
the warmth of your tiny hand Ill do anything to
help you understand Ill love you more than
anybody can And the wind will whisper your name
to me Little birds will sing along in time The
leaves will bow down when you walk by And morning
bells will chime Ill be there when youre
feeling down To kiss the tears if you cry Ill
share with you all the happiness Ive found A
reflection of the love in your eyes And Ill sing
you the songs of the rainbow Whisper all the joy
that is mine The leaves will bow down when you
walk by And morning bells will chime
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Knowledge The Alphabet Song
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Knowledge The Brain Song
BNeo-Cortex, Frontal Lobe P Brainstem!
Brainstem! B Hippocampus, Neural Node Right
Hemisphere Pons and Cortex Visual P
Brainstem! Brainstem! B Sylvian Fissure Pineal
Left Hemisphere Cer-e-bellum Left,
Cer-e-bellum Right Synapse Hypothalamus,
Striatum Dendrite (interlude) BAxon Fibers,
Matter Grey P Brainstem! Brainstem! B Central
Tegmental Pathway, Temporal Lobe White Core
Matter, Forebrain, Skull P Brainstem!
Brainstem! B Central Fissure, Cord Spinal,
Parietal Pia Mater Meningeal Vein Medulla
Oblongata and Lobe Limbic Micro-Electrodes PB
The Brain!
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Knowledge The Wheels on the Bus
The wheels on the bus go round and round Round
and round, round and round The wheels on the bus
go round and round All through the town.(Roll
hands over each other) The wipers on the bus go
"Swish, swish, swish, Swish, swish, swish, swish,
swish, swish" The wipers on the bus go "Swish,
swish, swish" All through the town.(Put arms
together in front of you and 'swish' like
windshield wipers) The horn on the bus goes
"Beep, beep, beep Beep, beep, beep, beep, beep,
beep" The horn on the bus goes "Beep, beep,
beep" All through the town. (Pretend to honk
horn)
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Religion Misheberach
Mi she berach avoteinu, M'kor hab'racha
l'imoteinu May the source of strength, Who
blessed the ones before us Help us find the
courage to make our lives a blessing And let us
say Amen. Mi she berach imoteinu, M'kor
hab'racha l'avoteinu Bless those in need of
healing with r'fuah sh'leima The renewal of body,
the renewal of spirit, And let us say Amen.
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Religion We are marching in the light of God
Siyahamb' ekukhanyen' kwenkhos', Siyahamb'
ekukhanyen' kwenkhos', Siyahamb' ekukhanyen'
kwenkhos', Siyahamb' ekukhanyen' kwen-, Khanyen'
kwenkhos', Siyahamba, hamba, Siyahamba,
hamba, Siyahamb' ekukhanyen' kwen-, Khanyen'
kwenkhos'. Siyahamba, hamba, Siyahamba,
hamba, Siyahamb' ekukhanyen' kwenkhos'.
We are marching in the light of God, We are
marching in the light of God, We are marching in
the light of God, We are marching in the light
of, The light of God, We are marching, marching,
We are marching, marching, We are marching in
the light of, The light of God, We are marching,
marching, We are marching, marching, We are
marching in the light of God.
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Religion Swing Low, Sweet Chariot
Swing low, sweet chariot Coming for to carry me
home.. I looked over Jordan and what did I
see Coming for to carry me home A band of angels
coming after me Coming for to carry me home If
you get there before I do Coming for to carry me
home Tell all my friends I'm coming to Coming for
to carry me home
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Love I cant help falling in love with you
Wise men say only fools rush in But I cant help
falling in love with you Shall I stay Would it be
a sin If I cant help falling in love with
you Like a river flows surely to the sea Darling
so it goes Some things are meant to be Take
my hand, take my whole life too For I cant help
falling in love with you Like a river flows
surely to the sea Darling so it goes Some
things are meant to be Take my hand, take my
whole life too For I cant help falling in love
with you For I cant help falling in love with you
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Love You are my sunshine
You are my sunshine My only sunshine You make me
happy When skies are gray Youll never know
dear, How much I love you Please dont take my
sunshine away
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Love Tell Me Why
Tell me why the stars do shine? Tell me why the
ivy twine? Tell me why the skies are blue? And I
will tell you just why I love you. Because God
made the stars to shine Because God made the ivy
twine Because God made the skies so blue Because
God made you is why I love you.
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The power of the nigun
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SING WHEN THE SPIRIT SAYS SING LEARNING GOALS

• Examine the way music has shaped your life
• Become better equipped with resources and methods
  for applying music
• in your clinical pastoral practice
• Gain understanding through of ways to apply music
  as an intervention to creatively meet the
  spiritual needs of patients, families and staff

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Different ways to incorporate music in spiritual
care
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The powerful mix of emotion and cultural
evolution in our musical brains produced
diversity, power, even history. And it has done
it in six definable ways. - Daniel Levitin

• Friendship
• Joy
• Comfort
• Knowledge
• Religion
• Love

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• The average American can readily identify more
  than one thousand different songs.
• Daniel Levitin, The World in Six Songs, 266

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• Music produces a kind of pleasure which human
  nature cannot do without.
• Confucius

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Your Musical Inventory
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Reflecting on your experience

• Did anything surprise you?
• Did you learn anything about yourself?
• Did anything satisfy you?
• Dissatisfy you?
• Did you discover anything new?
• Any next steps you plan to take for yourself?

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And now for the research
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Searching key databases

• Parent InstitutionNCBI ( National Center for
  Biotechnology Information at the US National
  Library of Medicine and NIH)
• PUBMED (Medicine/nursing/allied health)
• 5,500 journals indexed/17 million citations
• PSYCHINFO 2,150 journals indexed/ 2.6 million
  citations
• SCOPUS (overlaps PUBMED with international
  journals) 16,000 journals indexed/ 36 million
  citations
• OVID Medline 4600 journal indexed, 13 million
  citations
• CINAHL (cumulative index of Nursing and 17 Allied
  Health disciplines) 2900 journals indexed/

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Searching key databases

• PUBMED 13
• PSYCHINFO0
• SCOPUS 26
• OVID 4
• CINAHL 20

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Database and literature results

• Music is a key intervention in working with all
  populations in maximizing coping with suffering/
  promotion of hope/increased comfort/ reduction of
  anxiety, pain and isolation/ facilitations
  communication with loved ones/ increasing
  potential for a peaceful death

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• Americans spend more money on music than they do
  on prescription drugs or sex.
• Huron, D. Is music an evolutionary adaptation?
  Annals of the NY Academy of Sciences, 93051,
  2001.

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Two key neuroscientist to know
Oliver Sachs
Daniel Levitin
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Music processing in the brain
Motor cortex Sensory Cortex Auditory
Cortex Prefrontal Cortex Visual Cortex Corpus
Collosum Hippocampus Nucleus Accumbens Amygdala
Love
Religion
Knowledge
Comfort
Friendship
Joy
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• Music, uniquely among the arts, is both
  completely abstract and profoundly emotional. It
  has no power to represent anything particular or
  external, bit it hs a unique power to express
  inner states or feelings. Music can pierce the
  heart directly it needs no mediation.
• Oliver Sachs, Musicopilia, 300-301

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Lucas Spiritual Assessment Model The
Discipline for Pastoral Care
NEEDS/HOPES RESOURCES
SPIRITUALPROFILE CONCEPT OF HOLY
MEANING ULTIMATE HOPES
COMMUNITY
MEASUREMENT
SPIRITUAL INTERVENTIONS
DESIRED CONTRIBUTING OUTCOME(S)
PLAN
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Sarahs musical vignetteThe story of Oscar

• By His grace I shall not fail, for my anchor
  holds

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Terrys musical vignetteThe story of Doris

• Oh, where are you going, little bird?

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A shared storyMusical resurrection

• Because He lives

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What are your musical vignettes?

• End of life
• Family ministry
• Group settings
• Psychiatry
• Agitated patient
• Anxious patient
• Anticipatory grief
• Bereavement

• Dementia
• Staff relationships
• Self as instrument
• Funerals
• Pediatrics
• Rehabilitation
• Neurology
• Times of celebration

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• You gotta sing when the Spirit says sing (2x)
• When the Spirit says sing, you gotta sing right
  along
• You gotta sing when the Spirit says sing
• You gotta shout when the Spirit says shout (2x)
• When the Spirit says shout, you gotta shout right
  along
• You gotta shout when the Spirit says shout
• You gotta pray when the Spirit says pray (2x)
• When the Spirit says pray, you gotta pray right
  along
• You gotta pray when the Spirit says pray