HomePsychology and Education: A Multidisciplinary Journalvol. 44 no. 8 (2025)

Observation and Experiences of Music Therapy on the Social Communication Skills of Adolescents with Autism Spectrum Disorder

Ievenrey Agustin

Discipline: Education

 

Abstract:

This study evaluates the impact of music therapy on enhancing social communication skills in adolescents with autism spectrum disorder (ASD) within a school setting. Using a narrative analysis methodology, in-depth interviews were conducted with five inclusive teachers at Al Ghad Charter School, Mohamed bin Zayed, Abu Dhabi, who documented their observations during music therapy sessions. These teachers provided detailed narratives of their experiences, capturing the interactions, behaviors, and responses of adolescents with communication disorders. The study utilized thematic and narrative analysis to interpret the collected data, revealing significant improvements in student engagement, emotional expression, and communication skills through tailored strategies such as visual supports, personalized sessions, and adaptive technologies. The findings align with the Heuristic Working Factor Model for Music Therapy by Thomas Hillecke (2005), which posits that music therapy enhances social communication skills through attention, emotion, cognition, and communication modulation. However, the study also identifies practical challenges, including the need for specialized training and resources, underscoring the importance of structured, evidence-based approaches. Conducted in Al Ghad Charter School, which offers a diverse curriculum and inclusive education, the research highlights the potential of music therapy as an effective intervention despite varying teacher perspectives and constraints. The study recommends further professional development, tailored instructional tools, and collaboration between educators and music therapy practitioners to optimize the therapeutic outcomes for students with ASD.



References:

  1. Accordino, R., Comer, R., & Heller, W. B. (2007). Searching for music’s potential: A critical examination of research on music therapy with individuals with autism. Research in Autism Spectrum Disorders, 1(1), 103-112. http://doi.org/10.1016/j.rasd.2006.08.002
  2. Aigen, K. (2014). Music therapy and technology: A review of research and applications. Music Therapy Perspectives, 32(1), 23-29. doi:10.1093/mtp/miu012
  3. Al-Abbady, K., Hessian, H. Y., & Alaam, M. W. (2017). Prevalence, trend, determinants, and prediction of autism spectrum disorders among Dubai population, diagnostic and management contexts. Ped Health Res, 2(2), 2.
  4. American Music Therapy Association. (2014). What is music therapy? Retrieved from https://www.musictherapy.org/about/musictherapy/
  5. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: American Psychiatric Association.
  6. Bauminger, N., & Shulman, C. (2003). The development and maintenance of friendship in high-functioning children with autism: Maternal perceptions. Autism, 7(1), 81-97. https://doi.org/10.1177/1362361303007001007
  7. Bieleninik, Ł., Geretsegger, M., Mossler, K., Assmus, J., Thompson, G., Gattino, G., & Gold, C. (2017). Effects of improvisational music therapy vs enhanced standard care on symptom severity among children with autism spectrum disorder: The TIME-A randomized clinical trial. JAMA, 318(6), 525-535.
  8. Bradt, J., & Dileo, C. (2014). Music interventions for mechanically ventilated patients. Cochrane Database of Systematic Reviews, 2014(12). doi:10.1002/14651858.CD006902.pub3
  9. Bradt, J., & Dileo, C. (2014). Music interventions for mechanically ventilated patients. Cochrane Database of Systematic Reviews, 2014(12). https://doi.org/10.1002/14651858.CD006902.pub3
  10. Campbell, D. T., & Stanley, J. C. (1963). Experimental and quasi-experimental designs for research. Houghton Mifflin Company.
  11. Diamond, K. (2000). Music therapy and autism. Retrieved from http://www.ulst.ac.uk/papa/music.htm
  12. Fraenkel, J. R., Wallen, N. E., & Hyun, H. H. (2011). How to design and evaluate research in education. McGraw-Hill.
  13. Geetha, B., Sukumar, C., Dhivyadeepa, E., Reddy, J. K., & Balachandar, V. (2018). Autism in India: A case-control study to understand the association between socio-economic and environmental risk factors. Acta Neurol Belg, 118(3), 361-369. https://doi.org/10.1007/s13760-018-01057-4
  14. Geretsegger, M., Elefant, C., Mössler, K. A., & Gold, C. (2014). Music therapy for people with autism spectrum disorder. Cochrane Database of Systematic Reviews, (6). doi:10.1002/14651858.CD004381.pub3
  15. Geretsegger, M., Elefant, C., Mössler, K. A., & Gold, C. (2017). Music therapy for people with autism spectrum disorder. Cochrane Database of Systematic Reviews, (6). https://doi.org/10.1002/14651858.CD004381.pub3
  16. Geretsegger, M., Holck, U., & Gold, C. (2014). Randomized controlled trial of improvisational music therapy’s effectiveness for children with autism spectrum disorders (TIME-A): Study protocol. BMC Pediatrics, 14(1), 1-12.
  17. Golan, O., Baron-Cohen, S., & Hill, J. J. (2007). The Cambridge Mindreading (CAM) Face-Voice Battery: Testing complex emotion recognition in adults with and without Asperger syndrome. Journal of Autism and Developmental Disorders, 37(6), 1096-1106. https://doi.org/10.1007/s10803-006-0252-7
  18. Hall, L. J. (2009). Autism Spectrum Disorders: From theory to practice. New Jersey: Pearson Education, Inc.
  19. Hargreaves, D. J., & North, A. C. (2017). The benefits of adaptive musical instruments for engagement in music therapy. Journal of Music Therapy, 54(2), 215-230. doi:10.1093/jmt/thx008
  20. Hwang, Y. S., & Salend, S. J. (2022). Communication Challenges and Social Integration in Educational Settings: Implications for Practice. Journal of Special Education, 56(1), 45-59. doi:10.1177/00224669211067899
  21. Johnson, R. B., & Christensen, L. (2014). Educational research: Quantitative, qualitative, and mixed approaches. Sage publications.
  22. Johnston, D., Egermann, H., & Gavin, K. (2018). Innovative computer technology in music based interventions for individuals with autism moving beyond traditional interactive music therapy techniques. Cogent Psychology, 5, 1-18. https://doi.org/10.1080/23311908.2018.1554773
  23. Kern, P., Wolery, M., Aldridge, D., & Schwartz, I. (2007). Use of songs to promote independence in morning greeting routines for young children with autism. Journal of Autism and Developmental Disorders, 37(7), 1264-1271.
  24. Kim, J., & Wigram, T. (2008). The effects of improvisational music therapy on joint attention behaviors in autistic children: A randomized controlled study. Journal of Autism and Developmental Disorders, 38(9), 1758-1766.
  25. Klin, A., Jones, W., Schultz, R., & Volkmar, F. (2002). The enactive mind, or from actions to cognition: Lessons from autism. Philosophical Transactions of the Royal Society B: Biological Sciences, 358(1430), 345-360. https://doi.org/10.1098/rstb.2002.1199
  26. LaGasse, A. B. (2014). Effects of a music therapy group intervention on enhancing social skills in children with autism. Journal of Music Therapy, 51(3), 250-275.
  27. LaGasse, A. B., & Hardy, M. W. (2022). Enhancing social communication in children with Autism Spectrum Disorder through music therapy: A multi-site study. Frontiers in Psychology, 13, 904567. doi:10.3389/fpsyg.2022.904567
  28. LaGasse, A. B., Thaut, M. H., Gaunt, R. A., Kirk, S. G., & Schneck, C. (2014). The effects of music therapy on interactions between children with autism and their typically developing peers. Journal of Music Therapy, 51(4), 313-334. https://doi.org/10.1093/jmt/thu027
  29. LaGasse, A.B., Themelis, K., & Lineberger, R. (2014). Effects of music therapy on health and well-being in children and adolescents with autism spectrum disorder: A randomized controlled trial. Journal of Music Therapy, 51(4), 310-332.
  30. Landa, R. J. (2018). Diagnosis of autism spectrum disorders in the first 3 years of life. Nature Reviews Neurology, 14(5), 292-298. https://doi.org/10.1038/nrneurol.2018.49
  31. Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55(1), 3-9.
  32. McCormick, K., et al. (2021). The impact of visual supports on student engagement and communication in educational settings. Journal of Special Education Technology, 36(3), 213-225.
  33. McFerran, K. S., & Shoemark, H. (2013). Music therapy for children and adolescents with autism spectrum disorders: A systematic review. Journal of Music Therapy, 50(1), 40-63.
  34. Metzger, J., & McLennan, J. D. (2021). The effects of music therapy on emotional regulation, communication skills, and classroom behavior in children with special needs. Journal of Music Therapy, 58(2), 123-145. https://doi.org/10.1093/jmt/thab004
  35. Mitchell, C., & O’Connor, D. (2023). Emotional Expression and Social Engagement: Understanding Communication Challenges in Educational Settings. Educational Psychology Review, 35(2), 243-258. doi:10.1007/s10648-023-09745-0
  36. Nation, K., & Penny, S. (2019). Social communication in autism spectrum disorder: From molecules to behaviour. Journal of Neurodevelopmental Disorders, 11(1), 1-3. https://doi.org/10.1186/s11689-019-9297-2
  37. Scheuermann, B., & Webber, J. (2002). Autism: Teaching does make a difference. Toronto: Wadsworth Group.
  38. Sharda, M., Tuerk, C., Chowdhury, R., Jamey, K., Foster, N. E. V., & Hyde, K. L. (2023). The impact of music therapy on verbal and non-verbal communication in children with Autism Spectrum Disorder: A randomized controlled trial. Journal of Autism and Developmental Disorders, 53(4), 1783-1795. doi:10.1007/s10803-022-05679-0
  39. Sharma, S. R., Gonda, X., & Tarazi, F. I. (2018). Autism Spectrum Disorder: Classification, diagnosis, and therapy. Pharmacology & Therapeutics, 190, 91-104. https://doi.org/10.1016/j.pharmthera.2018.05.007
  40. Silverman, M. J., & Acker, M. A. (2014). Music therapy and emotional expression: A review of research. Journal of Music Therapy, 51(3), 327-357. https://doi.org/10.1093/jmt/thu018
  41. Simpson, R. L., Smith Myles, B., Sasso, G. M., & Kamps, D. M. (1991). Social skills for students with autism. Virginia: The Council for Exceptional Children Publication.
  42. Singleton, R. A., & Straits, B. C. (2010). Approaches to social research. Oxford University Press.
  43. Sorel, R., Hernandez, M., & Lee, J. (2023). The Impact of Resource Availability on Music Therapy in Educational Settings: A Quantitative Analysis. Journal of Educational Psychology and Therapy, 45(2), 112-130.
  44. Staum, M. J. (2000). Music therapy and language for the autistic child. Silver Spring, MD: National Association for Music Therapy.
  45. Tamtam, D. (2003). The challenge of adolescents and adults with Asperger syndrome. Child Adolescence and Psychiatric Clinics of North America, 12, 143-163.
  46. Thompson, G., & McFerran, K. S. (2015). “We’ve got a special connection”: Qualitative analysis of descriptions of change in the parent-child relationship by mothers of young children with autism spectrum disorder. Nordic Journal of Music Therapy, 24(1), 3-26. https://doi.org/10.1080/08098131.2014.894296
  47. Whipple, J. (2004). Music in intervention for children and adolescents with autism: A meta-analysis. Journal of Music Therapy, 41(2), 90-106.
  48. Williams White, S., Keonig, K., & Scahill, L. (2006). Social skills development in children with autism spectrum disorders: A review of intervention research. Journal of Autism and Developmental Disorders, 37, 1858-1868.