如何利用音樂治療「選擇性緘默症」

我很高興能在朋友的力薦和陪伴下，有機會學習這個課程。對於一個不喜歡讀書的我來說，是一個毅力的考驗。幸好，除了第一個單元比較學術性及沉悶外(或許是整個課程的熱身)，其餘的我都會期盼星期一的來臨，尤其是單元二至單元六！綜觀整個課程的設計，既學術性，又實用 – 從最基本的 “甚麼是音樂治療” 到 “腦神經音樂治療”，當中不但反映出這課程的專業性，更是彭老師經過多年來的學習教授和實戰中所得出來的寶貴成果。令我們明白到不單要有知識和理論，擁有多少張彈奏樂器的 “沙紙”，更重要的還是怎樣把兩者結合之餘，再配合一些治療的技巧和活動的設計及訓練，讓我們逐步地認識，嘗試，掌握及運用，從而更有效地去幫助那些有需要的小朋友。若要我選出最喜愛的單元，我會選擇單元三和單元四。一個是自己喜歡的敲擊樂，另一個則是治療技巧的運用 – 縱然每堂都要戰戰兢兢的做實習；不然，老師怎能透過它去給我們寶貴的矯正和意見，使我們更能明白和有效地運用呢？！若要問對課程有甚麼提議和改善的地方。

第一，我想可以把 “怎樣用音樂治療去改善讀寫障礙” 這個課題納入課程中。因為越來越多人，不論是小朋友或成年人都發現有這個毛病！其次是能否把那些2.5小時的課堂調整至2小時呢？嘻嘻！！老實說，這課程對於我來說是一門嶄新的學問和就以上所提及，是我一個毅力的考驗。基本上沒有甚麼特別的期望；但經歷了一整年的學習和實習，“甚麼是音樂治療？” “音樂真的能帶進治療中?” “音樂治療的威力” 常走進我的思緒中。

越學習／實習，越想學習／實習更多；越體驗到它的威力，越想去利用它來幫助有需要的人；儘管要花的心力有多少，所需要的時日有多長，只要見到受助的人有一丁點兒的進步，已開心不已和也是值得的！當提到實習，一幅既喜且悲的圖畫常縈嬈在腦間，就是父母們不但鍥而不捨的為子女四出奔走，尋找或報讀一些希望能改善他們智能和行為的課程；有些還放棄了工作，犧牲他們私人的時間去專一陪伴子女學習，萬事都以他們為先…… 因此，音樂治療的出現，或多或少都會帶給他們另一條出路！

自己能有幸地藉著八堂音樂治療的實習，經驗到受助的小朋友在語言和行為上有顯著的進步時，不但心底裡替父母們高興，還真的特顯出音樂治療的威力！讓我更想去追求，鑽研這學問，並希望能繼續有機會去幫助有需要的人。最後，我在此多謝彭老師盡心的教導和坦誠的指教；使我們獲益良多！

課程的設計把我們這十二隻 “嘩鬼” 由從不相干到渾成一體，把 “三最” – 最活潑、最有趣、最 “唔停口” 顯露無遺；但我相信阿Sir大人不記小人過，一定會不介意的…… 哈哈！！

從腦海中出現音樂治療一個詞彙，到現在試過落地實行原來當中相距甚遠，比想象中更為困難。面對人的工作，要有仔細的觀察；懂得找出問題所在；發現對方的需要，而設計音樂活動，按對象程度定治療目標；按步驟去做治療；控制環境，自己及小朋友的情緒；臨場時計劃控制，調動；之後要分析治療過程中的情況，對象的表現，程度作出相應的調節，無論是音樂活動，帶領技巧，場地等；到最後評估治療後果，要掌握得好，有一定難度，不過非常有挑戰性。第一個單元是讀得比較輕鬆的一個，因為之前完成了一個基本概念的課程，知道什麼是音樂治療，實際的應用層面等等。

另外有錄影的片段，更加深，鞏固已有的概念。在第二，第三個單元裡，我學了最想學的兩種樂器，非洲鼓與結他。練習過程是痛苦的不過知道沒有任何學習是有捷徑。雖然一直有學鋼琴，不過並沒有認真面對自己處理拍子的問題，所以更加希望籍學習打鼓去改善。在每個單元短短的六節課堂，較容易明白的簡單速成技巧，學的似模似樣，很有成功感。體會到，勇於面對弱點，才是學習的第一步。到第四，五個單元裡，真正到了要學習的重點開始。學習行為分析，對策，治療技巧，透過每堂同學輪流出來模擬的示範，實習，真的能夠幫助掌握，而且透過討論也發現自己的盲點。這些都對我教導或與孩子相處時有很多正面且實用的幫助，另外，認識不同樂器帶出不同的活動性質，了解每個活動背後都有治療目的，覺得非常有趣。到最後評估與實習的單元，真真正正面對實戰，發覺自己雖然學習了技巧，卻仍然會犯一般的錯誤。早前有嘗試擔任做治療師的助手，學習嘗試去觀察小朋友的表現，但只能作出一些表面的評估，而且不懂分析。

通過學習，可以有系統地去處理觀察到的情況，然後嘗試去分析，按他們各人的需要去編排治療的計劃。相對比起之前有一堆資料，不知道怎樣去分析處理，現在更有系統地進行觀察。課堂上，有關於治療過程的錄影，例子，對學習很有幫助。多謝老師在這段時間分享了很多寶貴的經驗。如果情況許可的話。請老師把其他治療師的治療個案錄影在堂上作學術分享。可以讓我們知道每個治療師面對不同的對象是有那些特別的技巧。

從這一年的學習中，對自己發現了很多。年少時並不知道自己也面對專注力不足，社交情緒，學習障礙等的問題，加上家庭沒有正面的思想灌輸，家人以為只是懶，無俾心機，自己就渾渾噩噩的過去便算，所以要到自己長大了有意識，才知道需要去改變。學習過程中去認識，感受有這些問題的難處，痛苦，然後懂得分析，知道可以透過音樂訓練去改善，與其說是透過把學懂的知識幫助別人，其實自己先幫助自己。完成課程後，覺得比預期中得著得多，基本知識，治療技巧要去學習，但是自己更加對特殊小朋友的需要及治療的態度有更積極，正面的了解和觀念。

明白音樂治療不是短時間能收取果效，這與現今社會講求快速成效，並且要從家長期望要求中取得平衡，更加要經過訓練與累積經驗。在未來的日子仍然希望向作為一位音樂治療師的工作為目標。雖然礙於本身的條件，學歷未到一定水平，這條路並不容易走，不過還是覺得是一個正確的選擇。

看到小朋友有快樂的笑容，面對問題是有同行者陪伴的滿足，這對我來說，是值得去不斷追求的。後衷心向彭老師說聲，謝謝！謝謝你的寶貴教導！

經過了七節的治療後，我看到音樂對兒童的影響力。每一次的治療中，彬彬(假名)都表現喜悅及投入，無論我預備了什麼活動或樂器，甚至玩相同的活動她都同樣表現雀躍。我認同音樂能帶給人快樂，亦能令人感覺輕鬆，在音樂中能巧妙地獲得不同的技巧、能力提升，相比於刻板的訓練更為有趣、吸引。完成實習後，我看到音樂對彬彬的轉變，無論是她在音樂方面的認知、她對音樂的投入感、或是她手眼協調及專注力方面都同樣有明顯的進步，這是令人安慰的。但同樣地，由於彬彬一直同時接受坊間的腦神經訓練，因此彬彬的進步究竟是因音樂對她產生的影響，又或是訓練對她的能力提升起了作用，是一個解不開的謎，因此，我個人在是次音樂治療上的角色、技巧成熟度都未能完全反映出來。有關音樂治療這個課程，個人認為很實用，從不同課節中我獲得了音樂的基本知識及有關腦神經的系統結構，亦學習到不同的音樂治療技巧。當中個人認為最有價值的是課堂上的模擬角色扮演，透過課節上的模擬實踐，我能看到各個同學在設計活動及帶活動時的技巧，一方面能學習別人的優點，同時亦可避免犯同樣的錯誤，是個活生生的例子。而當中較難的則是腦神經學音樂治療課程，由於內容較深，因次較難理解及記憶。經過了音樂治療課程後，改變了我對個人將來發展的看法，我期望將來亦可以嘗試從事音樂治療或幼兒的工作，透過音樂幫助更多有需要的幼兒。

這個課程對於我來說是新的學問及知識，因此在每個module我都覺得很有趣味及開闢了很多對這類知識的領域。在每個課程單元安排上，老師都是經過嚴謹的舖排及預備，作為學生的我也獲益良多。從第一個單元學習理論，而第二、三單元學習樂器，及至四、五、六單元是學習技巧及活動訓練，這些課程安排可以使我們逐步認識。因此在運用上更有效地使用及更容易掌握如何安排治療活動給有須要的小朋友，而最後一個單元腦神經音樂治療更加可以証實音樂治療的功效及權威。我對這個課程是一無所知到現在認識到更多這方面的知識，而發現這個課程的實用性及有效性。雖然在實習過程遇到很多問題，但老師給我們的意見，使我們得著很大的裨益。這個課程開啟了我對音樂治療更多的了解及確認音樂對人類的重要性，特別對於腦部有殘缺的人更是重要。因此我會繼續增進對這個範圍的學問及將這個治療推介給有須要的人。我十分喜歡將音樂治療所學習到的來幫助有須要的人，有很多腦部殘缺的人若得不到適合的治療而可能會導致它們會悲慘終老或家庭悲劇。因此，我們這班有健康及幸福的人，不是更要帶給它們多一點的幸福嗎！最後，這班同學帶給我很多的歡樂及互相學習的機會在這個香港社會追求物質及行樂的心態，但她們充滿憐憫的心懷，帶著使命讓有須要的人能得到幫助，真是難能可貴！有些同學更繼續鑽研這個學問，可能會往外地進修，努力向著目標進發。但願她們能學成歸來，使更多有須要的人能得到更大幫助。還有要多謝彭老師的教導及容忍，循循善誘及清楚的教導使我們這班同學得著莫大的益處。因此我也介紹這個課程給身邊的朋友，希望能將這個課程有更大發展。

My comment on the program is positive. I gained much in each module of the program.For module 1, I got an overview of what music therapy is. This helped me in starting to know the profession. The suggestion of “techniques” for different objectives gave me the linkage between music and special education training. The instruments introduced were new to me.

Module 1 was a good start.I had longed-for module 2 for a long time as I always enjoy listening to guitar. Attending to this module was one of the reason for me to join the program. I acquired basic skills (indeed very basic) for playing guitar. Every session in this module was peaceful for me, especially after a whole-day work. This was also a stepping stone to carry out a session with music. By the way, although blues is seldom used in sessions with kids, I do like that part.Module three was another module I like. Djembe is cool. I like the way Mr. Pang taught: start from the very beginning and practice a lot.

The Clave beat is difficult but I enjoyed a lot. Playing djembe with classmates using different grooves gave me sense of fulfillment.Module 4 gave me an important reminder: reinforcement is critical in special education. As a speech therapist, I am quite familiar with the behavioural management techniques Mr. Pang mentioned in my professional training course. However, for me, sometimes they are not clinically well used. This module helped me re-organize the framework of behavioural management and evaluate my clinical skills. After this module, I see reinforcement as a crucial part in my treatment sessions. It also stimulated my thinking on behavioural management.The accompaniment skills learnt in module 5 were useful as it provided the activity repertoire of music therapy for our reference. I had a general idea of what is like in a music therapy session. On the other hand, I think the layout of the handout can be more organized so that we can check the activities more easily.Like module 4, I am also quite familiar with the skills introduced in module 6. It gave a revision on goal setting and evaluation of treatment effectiveness.In module 7, I learnt more about sensorimotor training. I will investigate this area more.When it comes to the practicum part, I think the feedback sessions were great. Videotaping two sessions was appropriate. Feedbacks given by Mr. Pang were useful.

As a speech therapist and music lover, I would like to integrate music into my treatment sessions. I can see the effectiveness of the use of music on kids. Music makes kids happy, improves their attention and learning motivation. They can be a better learner in the presence of music. Some children who are pre-verbal can be stimulated by music and start to vocalize. When they know to vocalize they start to develop their language skills. Music is magical. All in all, the course fulfilled my expectation. It improves me in terms of personal and professional development.

這個音樂治療專業証書課程，令我獲益良多，不但增加了我對音樂治療的認識，更令我改變了一些想法：「得到並不是必然的。」在這個課程中，實習對於我來說是最有意義的，不但可實踐所學，而且還可從中學習。實習回應課也是一個非常實用的課堂，除了可以按彭先生的專業意見改進自己的實習技巧外，還可從其他同學的實際錄影帶中學習一些自己未必能接觸的事，從中擴闊自己的眼界和累積更多實戰經驗。

課程中的每一個課題都有其用處。在全個課程中，我最感興趣的就是腦神經學這課，因為平常很少機會接觸這類的課題。腦神經學是一門很高深的學問，「腦神經」是一種非常神秘的東西，很難以單一的想法去概括它。很高興自己能認識這種音樂治療去協助另一類的對象。完成整個課程後，我更加喜愛音樂，因為我可以用另外一個角度理解音樂。我覺得自己可以以音樂治療去幫助一些平常被人遺棄或歧視的一群，令我的存在更加有價值。我更希望我能在向此方向發展，協助更多的弱勢社群，令他們得到幫助。

Module 1- Music Therapy for children with special needs
This was a very clear and precise introduction to music therapy. Not only concepts of Behavioral Music Therapy and use of music in different areas of development were introduced in a very interesting manner, different important techniques such as FITB, MIT, patschen, Pang’s body signs for solfege and vocal training etc. were also presented clearly. It was interesting to watch some video clips to have an idea of what music therapy was like.

Module 2- Guitar
Although it was not my first time to learn guitar (I used to play classical guitar), I had not played it for quite a while and this quick start course refreshed my memory and the teaching of different strumming techniques was very practical. I particularly liked the part we learned how to play blues and improvise using the pentatonic scale.

Module 3- Djembe
This module was really fun and I enjoyed it very much. The improvisation practices before each lesson were good to practise musicianship skills. Having different groups playing different rhythms at the same time was great fun.

Module 4- Practicum course
This module was very practical because it did not only introduce different behavioral techniques, but it also gave all the students chances to practise using those techniques in class. The use of Q-chord and repertoire of children’s songs in the handbook were also very useful.

Module 5- Music Activity Repertoire
This was another very practical module to give us an idea of the music activities and teaching procedures we could use in therapy sessions. It was good to have opportunities to think of music activities ourselves and to practise using them in class. The assignments to write solfege to vocabularies, lyrics to simple melodies and a a30-minute session plan were all essential for practicing my skills.

Module 6- Case Analysis & Assessment
It was interesting and practical to know about available assessments for children with special needs. The concepts of pinpoint and consequate were significant when practicing music therapy. They were clearly presented and the assignments reinforced my learning. It was also beneficial to watch and analyze a case presented by Mr. Pang.

Module 7- Neurological Music Therapy
This was a very interesting module to learn more about different functions of different parts of the brain and different techniques used in neurologic music therapy. I was fascinated when I watched the video clips showing how patients suffering from stroke and Alzheimer’s disease perform in NMT sessions. I could see the power of music working for those undergoing rehabilitation.

Module 8- On-site Practicum
These were very practical and helpful sessions to apply what I learnt in the course in giving therapy sessions to a child with special needs. Prior to each session, I had to think and plan carefully about the music activities, teaching procedures and behavioral techniques I had to use to suit the child’s level and needs. I had to think about the sequence of activities to make the flow of the session smoother. During the sessions, I had to react and respond quickly to the child’s behavior and executed different behavioral techniques to help the child succeed in the tasks.

Module 9- Feedback sessions
These sessions were very significant and helpful to help me improve my skills. It was also a good opportunity to watch what other classmates were doing and learned from their experiences.On the whole, I think the program was very practical and each part of it was important and essential for practicing music therapy. It would be even better if I had practicum sessions with another child to gain more experience in teaching children with different needs and dealing with different kinds of behavioral problems.I think my expectation of the program is fulfilled in many ways. It gave me what exactly I needed to know to use music in therapy . It has broadened my knowledge of the subject and increased my interest in pursuing to be a person to use music to help people with special needs.

First of all, I would like to thank Mr. Pang and all the classmates for all the wonderful Wednesday night classes together. Classes are full are laughers, giggles…… which are fun and very enjoyable.Music is a universal language that no one can deny. Music also has its special power and magic on everyone in the world. As a music lover for me, before I participate this course, I can’t think of how music is being used to be as a therapy to help people who are in need. Indeed, I go for this course because I can study with my friend, Ka Nam again, whom is my university classmate, almost 10 years ago. What’s more, I can have an in depth understanding about music therapy, which I was longed to study before.

The whole course is much better than I expected. First of all, I can have an overview and introduction about the profession of Music Therapy from Module 1. In Module 2 and 3, I can learn playing guitar, Djembe and percussion, which help me in the field of music therapy. They are necessary for music therapists. Although I want to learn guitar for a long time, I think because of this course, it is a good time for me to learn guitar and enjoy it! It’s really cool! In Module 4, I can learn how to face client with different theories, such as reinforcement and behavioral management. In module 5, accompanying skills and planning of various music activities can be learnt. In Module 6, I can know more about how music therapists write goals and pinpoints. For Module 7, I can know more about Neurology Music Therapy. Module 8 and 9 are the most vital parts of the whole course: practicum and the feedback session. This allows me to put what I have learnt into the real life and have a taste of music therapist. Theory is always easy, but when come to the practicum part, it is very difficult. All the tasks I have to plan carefully because my client is a serious mentally retarded child, so school visit and sit-in class have to be done before practicum. All these experiences are valuable and worth learning.

The program can fulfill my expectations. This lets me understand more about music therapy and allows me to practice using what I have learnt during this course. Though I seldom face SEN children in daily life, the theories like behavioral-management and task analysis, are very useful and practical to my piano teaching. Before studying this course, I perceive music as my interest to enjoy, appreciate and I treat it as a life-long career, but now I perceive music also as an efficient tool to help people in need as well.

Last but not least, I am honored to be in part of the class. Though the class is at night time, it is enjoyable, pleasure and relax from hectic work. I hope that I can gain more experience in helping people by means of music and can further studies music therapy in the coming future. Thank you everyone in this class again, especially Mr. Pang!

「音樂」是很一種很奇妙的東西。不論老幼、不論智能高低，我們都可以接收到這東西。修讀了該音樂治療課程後，每個單元均給我很多新鮮感及啟發了很多，使我對「音樂」有更多領會。過往我曾當一位普通的音樂老師，上堂落堂，唱唱歌，玩玩樂器。修讀這課程後，回想當時的我，實在錯過了很多啟發小朋友的機會。現在的我，每天要面對一群有特殊學習需要的小朋友，自覺對這方面的認識有不足，故不斷學習有關之輔導理論。我自參加這課程，於彭嘉華先生帶領下，不但使我對有特殊學習需要的小朋友加深認識外。日後，我在面對有特殊學習需要的小朋友時，也能把在課程中學過的技巧，不斷嘗試實踐於工作上，如「工序分析」、「評估當事人能力」等，務求每次我在輔導的環節上能有計劃地使當時人達到目標，使當事人可以籍此循序漸進，見其能遞升自我能力，包括：語言能力、肌能能力、認知能力及改善他門的社交技巧等。

尤以患有自閉症的當事人（小朋友），運用了「音樂治療技巧」後，他們透過「音樂」的刺激下，果效確實令我鼓舞，使我增添不少信心面對這些可愛的小朋友（自閉症學童），不再覺得他們不能溝通，不能理解了。隨即，我便急不及待地向同事們推介該課程及「音樂治療技巧」，特別是那些前線的音樂老師，免得錯失運用「音樂」的好機會，使小朋友能發揮自我能力。另一方面，我能在短短的課程可以學會彈結他和打非洲鼓，實在興奮不已。不過在這希望彭嘉華先生能把課程延長，尤其「結他」和「非洲鼓」的單元，當中利用solfege配以語言發音練習的方法，亦希望彭先生能多附筆記，方便練習。

我用solfege配以日常用語的方法引導有語障的當事人，果效亦見顯著，可使有時配錯solfege，使自己的音準也出現問題呢！弄得笑話百出！總括來說，這課程帶給了我很多，多看了音樂會，多接觸不同的輔導技巧，多用音樂在我的輔導工作上。同時，很欣賞彭先生的課程設計及課堂投入的指導，使每晚的課堂充滿愉快的氣氛。放工後，雖然拖著疲倦的身軀，我也不想錯失一課，匆匆忙忙地趕到也是值得的。

一直都有留意有關的音樂治療的課長及相關資料，於大學時亦學習心理及相關的行為主義，故此也明白到音樂治療的成效。作為特殊學校的音樂老師希望藉著學習音樂治療的概念了解不同的技巧、策略、實踐於音樂課堂中，讓我們透過音樂活動來處理小朋友不同的學習需要。回顧這一年，在課堂上所學習的技巧、對我在教學上有很大的幫助。我很欣賞課程分不同單元的設計，讓學員對每個學習範疇、理論及實踐有更充分的掌握。

Module 1: Music Therapy & Children with Special Needs
透過這課題讓我有更清晰及初步了解整個課程所學，從不同的理論及範疇了解行為音樂治療如何應用在有特殊需要的小朋友身上。一個課程概覽，讓我更期待其他單元的學習。

Module 2: Guitar
這個單元對我有很大的得著，讓我在工作上及課堂教學上給予學生很大的新鮮感，學習結他讓我了解到結他是音樂治療中一項重要的工具。從「零」去到現在，我帶著結他和學生一起上課，和學生的距離拉近了。學生亦很喜歡，並主動接觸結他，投入課堂學習。在這個單元學習的結他技巧，很實用！如果單元學習時間多些，我們的彈奏技巧可以更鞏固。

Module 3: Improvisation Skills, Djembes (African drum) and Percussions
學習非洲鼓及即興創作，對我是新的嘗試。課堂中所學習的技巧及節奏，讓我對非洲鼓的演奏有基本的掌握。最開心是和班中的同學一起即興演奏，好好玩!Module 4: Music Therapy & Children with Special Needs – Practicum course
這單元是講解不同的行為治療技巧。雖然在大學修讀心理學時已掌握基本的概念，但透過課程中實踐及導師即時的指導，真的十分有用。這個單元亦給予我很多反思的機會，了解到日常教學的不足，可能當我在教學時需要針對學生的不同需要。提供更多的調適，亦需要給予學生多些讚賞及鼓勵，讓我的教學技巧都有所改善和提升。

Module 5: Music Activity Repertoire and Accompaniment Skills
這單元是教授不同的音樂活動，針對不同的樂器，如鼓、Qchord、1鈴等，讓我們學習編寫及設計音樂課堂活動。筆記的設計很實用，給予我很多資料作參考。除了沿用已有的課程設計外，可因應學生的不同需要加以改量。
此外，每堂的功課，使我有更多實習的機會，可以即時知道在教學及治療過程中應該注意的地方，令我於實習及設計課堂時有更多的把握和自信。

Module 6: Assessment and Case Analysis
這單元讓我們認識不同的評估工具，從不同的範疇，如社交、言語、肌能、認知等，來了解特殊需要小朋友的問題從而給予他們合適的治療。此外，亦教授我們如何編寫治療項目、目標及準則。其實要編寫一份好的評估報告，並不是一件容易的事，真的要好好訓練一下!

Module 7: Neurologic Music Therapy (NMT)
這課題雖然在讀大學時有初步的認識，但在我們工作及實習中較少接觸，不過腦神經學音樂治療確實令我看見它奇妙的一面。從課堂中欣賞的一些治療影片，可看到音樂怎樣幫助患有腦部問題的病人。當中所講解的概念有些難，但都給我對這項治療有更多的認識。

Module 8&9: On-site Practicum & Practicum Briefing and Feedback Sessions
通過8次的治療實習及錄影片段分享及導師回應，讓我更了解自己的不足，可以怎樣改善和進步。與其他同學的討論，令我們可以互相學習，給取和累積不同的經驗。假如實習時間長些，治療效果會好些。

總括來說，這一年的課程，真的讓我獲益良多。對我在日常的音樂教學上有很大的幫助。由於我主要教導中度智障的小朋友，經過這年的訓練，真的改善了我的教學技巧，從學生的課堂上可以看見學生的表現及投入音樂活動的程度有明顯的提升。這間接提升了我教學的信心，花多了心思去設計和準備課堂活動。

I have to say I am learning less than the course has taught. Module one is impressive , I did not realize the power of music through research and proof, and I did not know the practicality of behavioral approach I look forward to know. The module gave me the motivation to know.The guitar course also illustrated to me the step by step teaching method and the meaning of task analysis. This is more important than what song s and chords we can learn in 8 lessons. I enjoyed the music and also appreciated the number of cantonese songs written merely for the children in needs. Djembe gave me some difficult times, though the exercises itself were not too complicated, I wish I know more the fun of it by applying drum playing to the ones needed.Module 4 and 5 are the most useful modules, though one never know until we have to go to the practicum sessions. The skills and activities are designed and taught from the simplest to the most complicated, they were clearly illustrated and can be applied according to the levels of the children. The more we use, the more we know. Module 6 is something for extension, music therapy is a multi-discipline profession, one cannot do it without the medical knowledge and knowledge of the origin of physical discrepancies in the clients. Module 7 gave us some ideas what the real situation would like, module 8 wraps and makes us understand why we need to take the previous 7 modules. So, the design of the modules are complete indeed, and no matter how unclear and unconscious we were in the previous modules, on the practicum, we will all wake up.My expectation of the program is fulfilled in the following ways. Firstly , it is the understanding of behavioral approach in theory and practice. I have doubts in behavioral approach before, thinking that it is mechanical and inhumane, and clients only learn skills superficially and not solving their root problem if it is emotional problem. Yet after the practicum sessions, one believes most emotional problems can also be solved by behavioral ways provided it is done correctly. Secondly, the practicum also teaches me to be proactive instead of passive, to be consistent than to be arbitrary, these changes my whole attitude in the session making the situation turns from losing to winning. Also, the practicum also teaches me that changes often made in the small and basic things, not in the big and things we see on the surface.I would like to use what I learn in the volunteering work I do. I believe this can help the people in need both physically and psychologically. I wish I can be more sensitive and cautious for their needs.Thank you again for your teaching and experience shared. The course provides me a very thorough knowledge base as well a right attitude for music therapy. God blesses you and your work.

I have gained a lot in the course, and I found that music therapy is extremely useful in teaching children. I use the techniques very often in my every day language therapy sessions. And my clients do learn more from me!

First of all, I want to thanks all my teacher and classmates that provided me many happy Monday nights. I do enjoy learning music with you all!In my opinion, the overall professional certificate in Music Therapy course is much better than I expected. First of all, I can understand more about the basic definition of Music Therapy from module one. Besides, I can learn playing different kinds of musical instruments which help me in the field of music therapy, for example: guitar, djembe and percussions etc. which is necessary for music therapists and suits my interests as well. Also I can know more ways about how to face children such as using reinforcement suitably and the ways to plan different interesting music activities to our children. In module six, I can know more about how a therapist writes goals and pinpoints etc. to help a child with special needs. For module seven, can broaden my studies in the professional aspects especially for the seriously injured patients.

For the most important part in the course is that, the practicum and the feedback sessions I had. This allows me to put what I have learnt into the real life and practicing as a music therapist. I do have a memorable time with my client and learning time within this year, which is worth spending time on it. Although the course is already good enough from my point of view, if the course can last longer and every module can discuss the subject deeper, we must have gain more within the course.The program do fulfilled my expectations as I have mentioned above. This let me understand more about music therapy and allow me to practice using what I have learnt inside the classroom. This is really valuable and worth learning I think. Apart form that, the time that all classmates discussing and learning together is my treasure time. I know many people that love music as well.

Every time when we have class, I do enjoy very much although the class held every working night.After studied this program, my knowledge base for music therapy is being enriched. My attitude for using music activities to help children with special needs is even more open as I understand how to get good use of music to raise children’s interest in learning.As I love music so much, I do hope that I can use music to facilitate change in people who are in need. I am now working as a special child care worker and cooperating with different therapist to help train children who are in need. I discovered that different therapists use different tools to help them. Music is one of the efficient tools to help children learn I think. Every child loves music, and music is a kind of language that all of us can use for communicate. As a whole, I do want to be a registered music therapist one day!Last but not least, I am planning to further my study in Music Therapy in the coming year. I hope that I can gain more experience in helping people in need by using music!

音樂是上天給予人的極大恩賜，能夠學習音樂已覺是受了恩寵，可以用自己喜愛的音樂去幫助別人更是夫復何求。

自己想：要到外國進修音樂治療應該是這輩子也不能實現的事，但在香港能找到這個最豐富的課程，所以萬不能錯過。這個課程對自己最大的影響是思想方面，因為經過實習，體會是要有十分清醒的頭腦，隨時知道自己在做什麼及背後的理念，而行為訓練的實踐更需要隨時應變。能夠做一份與音樂有關的工作一直是自己的夢想，透過實習將自己擅長的結他奇妙地成為幫助別人的工具，好像把夢想拉近一點點。最後不得不衷心多謝彭先生將自己多年的經驗整合，毫不保留與我們分享。

時間過得很快，音樂治療（特殊兒童需要）証書課程已經完結，經過一年多的理論和實習課後，我覺得這課程很實用，而且容易明白。我是一位老師，在一間傳統小學任教，學校雖然有特殊需要的學生，但並不是太多，而且主要是讀寫障礙的學生，很少是自閉症或智力有問題的學生，但看到香港越來越多兒童的發展受障礙，所以更想對這方面有更多的認識，將來有機幫助有需要的兒童。

幾年前已聽過音樂治療，但不知道其中的內容，現在我明白了，音樂治療是一門以音樂和音樂活動為本的專業治療，使人達到情緒、智能、社交、溝通、肌能和心理等方面的治療目標。我雖然唸教育，但很少接觸特殊兒童，所以不清楚他們的特殊需要，經過此課程後，我開始對他們有更多的認識，更加了解他們，最少我知道音樂活動能遞供兒童多方面的刺激：玩的快樂經驗、促進社交行為、自我表達、溝通和身體上的發展、幫助說話及語言的技巧。

有智不足，發展障礙及學習障礙的孩童通常對音樂的反應很好，而且有很大的吸引力，而他們從中所學到的，更超乎我所想所求。音樂真的很神奇，簡單的技巧能幫助孩童的發展，我很想把這一點繼續延續下去，讓有需要的人得到幫助。說到延續，我知道是有困難的，因為完成課程並不代表我們是一位音樂治療師，只是多一門途徑去幫助別人。完成這個課程後，我對特殊教育感到興趣，或者有一天我會到特殊學校任教，我相信在那個時候我便可以把現在所學的技巧發揮，為他們服務。

是次專業證書課程的內容都是合乎我的期望，我能夠學習音樂治療的知識、技能和態度。在知識方面，在單元（四）、（五）及（七）學會了音樂治療活動的基本知識、參考的治療活動。在技能方面，在單元（二）及（三）學習了彈結他和打非洲鼓的技巧，能讓我具備更多的技能為幼兒締造更豐富的音樂環境。至於態度方面，在單元四也了解到要當上一名音樂治療師的標準，同時也讓作為老師的我有所目標。透過進修此課程，令我對自己的教學有更多的回顧及反思的機會。如：在掌握課堂管理方面，提醒自己要多讚賞幼兒，並要運用正面的語句，建立和諧的學習氣氛。此外，透過學習「工序分析」的方法，有助我應用於設計教學計劃，並對一些能力較弱的幼兒作出調節，協助他們適應學習的過程。最後，在未來的日子，我希望再有機會嘗試為特殊幼兒設計教學計劃，並嘗試帶領有關活動，以增加對帶領音樂治療活動的知識及技巧，獲取豐富的經驗。

My favourite modules in the course are Music Activity Repertoire and Accompaniment Skills and NMT. There were loads of activities and techniques I can apply, and the explanation and theory behind supporting the activities make the treatment application much more clearly goal-directed i.e. no more ‘to improve attention’ kind of vague and non-measureable goals. Before the course, I have read some ABA materials but module 4 Music therapy and Children with Special Needs had explained ABA techniques in a simple, easy to understand and practical way. It has reminded me lots of important details like catching the ‘right response’ to reward and ‘only reward the correct response’. Amazingly it even make parenting much easier! The assessment and case analysis module have also stressed on the importance of setting measurable goal which is highly important for evaluating the treatment progress. Also I like how it guided us to actually analyze the cause and core problems behind the manifested behaviors. Of course the last feedback module is very important to bring the theory and knowledge into practice. Peer observation and feedback from Mr. Pang help to bring attention into practical details when carrying out the activities.I really enjoyed the whole course as all the materials are well prepared, Mr. Pang also taught in a fun way using lots of practical examples.

The only things I wish I could learn more from this course, is the techniques to teach children with special needs to play the African Drum as I am still not too confident and also not sure where to start to teach them to play, and also more techniques to use for children older than preschool age o higher functional levels to sing, as most of the activities and songs covered in the course targeted towards younger children.

My expectation on the program has mostly been fulfilled. I have learned lots of activities some theory behind ABA method, music therapy, neurological changes behind the therapy and some simple African drum and guitar techniques. However I have to actually apply the activities to different clients in individual and group settings to be able to choose the right activities and handling methods, and even raise some more questions I am sure I can learn even more from Mr. Pang.

I really appreciate how the program changes my knowledge in how music can help children MORE than using traditional training methods. The way it can be repeated without boredom, the way the rhythm helps the coordination and memory, how it can motivate people, how it stimulates speech using an alternative pathway in the brain. They are very amazing tools to help children, or even anyone, with special needs. I truly enjoy to help people using these techniques, I am a music player, and an occupational therapist, but never knew how to combine these abilities to help my son and other people in need. Pure music was more for leisure e.g. teaching people to play piano. Pure OT in motor training, especially in fine and gross motor training exercises can be a bit boring at times. Combining music with training is much more fun and motivating for repetitions. Also it helps the accuracy and control as it adds the factor of ‘speed’ to the training. One more important thing too, is now I am more confident in adding cognitive and speech components into my treatment plans as there were many activities I have learned in the course to use to improve these areas for clear goals.

I want to say a big thank you for teaching and organizing this course, as a mother of a special needs child and a therapist. As time goes by, I start to realize the mothers are the most important teacher for their children. Because they are the ones spending the most time with their children with special needs, especially for those who cannot really find a place in any schools in Hong Kong. During the waiting period, with this extra knowledge, my son can benefit a lot. Honestly 90% of the speech therapists we have seen could not help my son. (It seems like his condition is particularly poor especially with his weak attention, masking his true word-finding issues) Only a couple of very experienced ones managed to advice me some techniques which are actually useful. But so far the MIT and fill-in-the –blanks are two of the few best-working techniques. Through some other music activities, I could actually see his true ability as it is more relaxing and motivating! In the future I will keep reviewing the materials and trying out the other techniques. Hopefully if you have any updated workshops, please do let us know and I will definitely be interested to join. Thank you Mr. Pang!

起初報讀這個課程，只是懷著一份好奇心。音樂治療究竟是什麼？課程安排很好，有理論、舉例示範及實習時間都恰到好處。雖然整個課程為期一年，但要認真了解內容，亦覺趕了一點，有像上了個濃縮課程。整體來說，都滿足了當初的好奇心：如音樂治療可用在那一處、對象、技巧、原理；如何設計治療課程、如何評估對象及技巧運用等等。

這課程令我明白，治療師需要很好的音樂技巧去做出優質的音樂。不論是唱歌、說話、彈奏都要協調及清晰，是一個訓練應變要快的課程。另外，更迫使自己要好好練習樂器，特別是結他。當中，人的聲音是一件好用的樂器；在知識上，對大腦的構造與認識深了；在治療中，不同樂器的運用，針對不用的治療目的，有較寬的認識；而當中應變與觀察是最花心思。一件簡單的樂器亦有他的價值和用途，而不只是用來發聲。另外亦對人生有新的啟發。

在上堂時只是聽，頭腦上的認同，音樂的神奇功能；當實習期間親身經驗到音樂旋律、拍子、樂器、律動的威力。很高興通過這課程有機會嘗試運用音樂給一些特殊小朋友治療的機會，讓小朋友在說話的表達能力和學習專注上有明顯的改善，感到很有意義。

最後要多謝彭先生的教導，與我們分享他多年累積的寶貴治療技巧及經驗。在實習期間給予很多寶貴的建議及鼓勵，才能順利完成。

Being a music lover and a health care worker, music therapy appears to be very tempting at all times. The lack of formal music therapy course and registration in Hong Kong keeps me away from the field for decades. Thanks to the commencement of this Professional certificate course, which provided me a precious opportunity to be exposed to the field and explore more about music therapy. This is a very comprehensive course which comprises of theories and practical components. The final practicum module is especially useful in bridging the learnt theories and practice.

Mr. Pang is kind enough to share his professional knowledge and experience with us, who plays the visual recordings of his music therapeutic sessions on children with special needs in class. He also demonstrates different techniques in handling different skills. This is truly beneficial to us, for we can learn by observations in the first place, and internalize what we have seen to generate new music activities which are well-suited to our clients. We can also compare our plans with his, so that we can know what we are deficient in.The interactive mode of teaching and learning makes the class more interesting, and we are able to share our experience and thoughts with on another, in exchange of instant feedback from our teacher. The practical modules, which include guitar and djembe skills, are especially helpful being powerful tools in drawing our targets’ attention and concentration.The experience in the practicum is even more fruitful as we can use all we have learnt in the course, and try to apply the theories into practice, adding the component to react spontaneously with regards to the response of our client. It is encouraging to see our client grow and change positively after a few sessions of training held by ourselves.

Furthermore, it is surprising that the coordinator of the center of practicum reveals her will in recommending us to be their part-time tutors in therapeutic music activities, disregarding our experience, though subject to approval by their head office.The practicum evaluation session at the beginning of our practicum gives us ample room to improve and the directions given by Mr. Pang enlightened our minds. I very much agree with a comment made by Mr. Pang during the practicum evaluation session that it is worthy to work on musical expressions. Music is a universal language, and is a very impressive weapon in behavioral therapy like ours. Music expressions should be extravagant and attractive enough so that ultimate behavioural changes can be made. Moreover, if we are on our best at each music therapy session, there is nothing to regret. Our client should be able to gain something valuable our of the therapy session, and this is just the same for us.I am a volunteer of a creative music group in Agency for Volunteer Service, targeted on underprivileged children with physical/mental impairment or those coming from a low-income or single family, as well as those new immigrants. The contents of the course equip me to be an all-rounded volunteer, that I become more confident in planning and conducting music activities nowadays.

Moreover, I have just discovered that there is a Saturday Service for autistic children in my church. I am thankful for being gifted with the knowledge for serving God and those autistic children and family.After all, this is a very practical course. I would appreciate more if all reading materials can be written in English, or bilingually; as it would be quite difficult for us to relate some learnt English terms with novel Chinese ones in some modules. Further, if the course can be more generally recognized and if it can be converted to a music therapy course of a higher level, this would be even more valuable and attractive to students like myself. Finally, it would be even more appreciative, if working opportunity or research activity to be done in partnership with Pang’s Music Therapy Centre can be arranged.

I was a nurse and I have long been thinking of applying music in curing people. I witness the limitations of physical treatments. I realize patients, actually everyone, need psychological comfort besides physical treatments. It is my honour to be in part of the class. I enjoyed this professional certificate in music therapy (children with special needs) program much. It is really a pleasure to relax from busy and hectic work, especially in Hong Kong , in a week. I usually feel so tired and exhausted on Mondays, but surprisingly I didn’t feel so on every class, which is on Mondays. I have a lot of time with laughter at class. Playing music in a group is particularly fun. Moreover, the course recalls me a lot of good memories learning music in the past when I was small. I like life with music.

I gain more than expected from this certificate course. I learn more underlying theories as well as practical skills in a music therapy sessions. It is always said that music is a universal language and I sincerely perceive that is correct. Music has its special magic on everyone in the world. Therefore, I would love to apply music to people who are in need, though I may still need a long way in practicing my skills on real cases.

Again, it is my honour to be able to join the course this year. Moreover, it is really pleasant to learn and play music with a group of friends who are enthusiastic in music as well. By the way, if the center or any organization needs nursing professionals, I would not hesitate to help.

Thank you very much for all your hard work and fun which have been brought to us. The happy memories will be sustained in my life forever.

大學畢業後，自從一次在電視上看過有關音樂治療的片段後，就很想對這一課題有進一步的瞭解。曾經參加過一些幾小時「體驗」課程，但感受不深，甚至懷疑「音樂治療真的有用嗎」﹖一直很想能找到一個較為全面的課程來解答我這些的疑問。在等待了整整兩年的「額滿」之後，我終於在去年能夠報讀彭氏音樂治療中心的該課程，有機會較為詳細和深入地去了解何為「音樂治療」。

單元一 “Music Therapy & Children with Special Needs” 非常簡明扼要地介紹了音樂治療的理念、對象、基本技巧及音樂對人，特別是兒童言語、肌能、認知和社會方面發展的影響，令我對音樂治療有了更清晰和準確的認識。結他是我非常希望學習的其中一樣樂器，兒時也曾經學過幾小時，但最終也無疾而終。

單元二的QuickStart Guitar除了讓我可以學習到結他最基本的彈奏方法，和弦，還竟可令我在短短的幾堂後就能夠自彈自唱的一些簡單的兒歌和流行曲，實在非常神奇！

我曾經學習過三個月的爵士鼓，很享受節奏帶來的歡快感覺，所以我很喜歡單元三的Djembe學習，特別是學員們分組打不同的節奏，卻帶出非常和諧的合奏，讓我沉醉當中。而且Djembe的基本打法，也啟發我在帶領學生演奏其他樂器 ( 如搖鼓 ) 時能夠造出更具變化的音色。

單元四 ”Practicum Course” 進一步教授不同的行為技巧，也提供機會讓學員嘗試運用，令我們可以互相學習之餘，也為之後的實習打好基礎。其中的技巧，特別是行為定律: Antecedance – Behavior – Consequence ，我也嘗試運用在平常教學中，收效也不少。

單元五 ”Music Activity Repertoire & Accompaniment Skills” 中列舉了多種的治療活動，也啟發了我們因應不同的治療目標設計更多的活動，更開始嘗試去計劃一個治療程序，將過往幾個單元的知識融會其中。

單元六 ”Case Analysis & Assessment” 是一個非常有用的單元，因為我們可學習到評估的方法，以及如何設定更準確的治療目標和行為準則。在提升我們觀察、分析的能力之餘，也可以幫助我們設計更有效的治療程序。

單元七 ”Neurologic Music Therapy” 讓我對大腦結構和功用認識加深外，還不得不驚嘆於音樂的奇妙作用，同時也很佩服和感激這些醫生、治療師等能夠研究和設計出這麼有效的治療活動，幫助到有不同需要的人。