Al Gould

Therapeutic Music for Healthcare














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I bring many years of professional experience to my work.  In my daily healthcare facility visits, I play guitar, violin, piano and sing a large variety of standards, showtunes, familiar sing-a longs, ethnic music of many kinds and a great number of pieces from the classical repertoire.  

My approach to both short-term rehab patients and longer term nursing home or assisted living facilty residents is casual and intimate with lots of improvisation and humor, nostalgia and general banter.  I often play music trivia games with the group in an attempt to jog the individual and collective memory banks.  There is always an emphasis on projecting a positive stance in front of the audience.  I generally attempt to get close enough to each individual to make a connection that positively affects each person's daily experience.  During rehab-oriented room visits, I try to get patients to describe their musical experiences or musical memories of family members, or simply encourage the associations that the musical interlude brings. 

Reactionary behavior on the part of individuals is generously tolerated or incorporated into the ongoing and evolving framework of the show or room visit.  I try to make close eye contact in order to let each member of my audience or rehab patient know there's a real experience going on.  I attempt to stimulate each individual with soothing auditory stimuli, sometimes directing tones, harmonics or parts of tunes to them alone, especially the hearing or vision impaired.  Non-sensical and non-linear statements are treated with absolute credibility, anger is acknowledged and respected, and laughter and activity involving rhythm and dance are encouraged.  Repetition of words, phrases and requests for tunes from residents with significant dementia are treated seriously and with deference. 

Since there is no expectation for the residents to respond in a programmed fashion, they inevitably make the show just by being themselves and doing just what they do.  My success rate is significant; I perform at over 85 health care facilities all over metropolitan Boston, most of them regularly since 1993. 
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