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Music, Speech & Hearing: A New Approach to Rehabilitation

The author covers principles learned in his own exodus from communicative handicap to expressive wholeness, relating the remarkable relationship between music and language for the benefit of all.  Reader inquiries may be directed to "Contact Us" or faxed directly to 719-676-6882.

Note: A fuller treatment of this topic, complete with illustrations is available in Appendix A of Dr. Chartrand's textbook HEARING INSTRUMENT COUNSELING, 2nd ed., International Institute for Hearing Instruments Studies: Livonia, MI, 1999.

MUSIC, SPEECH & HEARING

By
Max S. Chartrand, M.A.,
DigiCare Hearing Research & Rehabiliation

INTRODUCTORY NOTE: The following is a treatment of a counseling concept developed by the author over the past twenty years, which combines music, speech, and hearing in aural habilitation and rehabilitation. In lecture format it becomes a vivid and descriptive presentation for both hearing health professionals and hearing impaired persons alike. Joined with a live musical presentation, the lecture on which the following is based has been given to hundreds of audiences throughout North America over the past 20 years. This treatise represents the rationale behind the concept and serves only as a partial treatment of the subject matter.


BREAKING DOWN COMMUNICATIVE BARRIERS

Throughout the ages, languages have been as varied as its cultures and traditions, and while it binds whole societies together it stands as an almost impenetrable barricade between people of various lands and, often, people under the same national banner. However, people in the same household, who otherwise may not convey clearly intentions, motivations, and aspirations, can be bound in mutual understanding through music.
When a person enters into the netherworld of hearing impairment they essentially find themselves, to varying degrees, in a strange land filled with people for which everyday communication is challenging. As their hearing loss progresses, the gulf widens, and they find one day that they must make some substantial adjustments in their life: hearing aids, speech reading, counseling, assistive listening devices, and the like.
But, although those connective components help, they don’t meld life together, joining hearts, binding special moments, softening the rough edges of a life filled with deadlines and compulsion. The nuances of speech often betray the syntactical message, the tone of one’s voice representing the warmth (or lack) of expression, while the attendant embellishments of verbal colorization adds depth and drama. Removing, then, the abstract code of language, one will still find a wealth of communication occurring that, in its self, is the heart and soul of language for those that will recognize and respond to its clues.

MUSIC: THE UNIVERSAL LANGUAGE

That is where music comes in: melody, timing, emotion, dynamics, harmony, all wrapped into the most complete form of language that breaks down barriers not only of societies and cultures but also between communities and individuals. Music, therefore, is known as the universal language, understood by all people in all cultures everywhere. It is indeed the language of action, motion, feeling, emotion, stimulation, and creativity. And it is the one door left open by Providence for the benefit of not only hearing persons but also those with little hearing. One does not need to know Spanish to appreciate, feel or understand Spanish music. Nor does one need to know French, Italian, or English to blend together understandings and feelings communicated in the foreign mode. Here’s the point: Of all the methods of communication which can potentially assist the hearing impaired, the development of musical skills and musical appreciation can have the greatest impact on the problems encountered as a result of hearing impairment.

OVERVIEW OF REHABILITATIVE BENEFITS

Over the course of a career in music that spans over three decades, most of that in the educational and professional realm, the author has uncovered a number of therapeutic benefits from music for the benefit of the communicatively impaired. Here are some of those discoveries:

1. Voice inflection. Probably no one noticeable facet of those suffering from long-standing hearing impairment is more prominent that the lack of inflection in their speaking voice. Their lack of vocal inflection, the rise and fall of the voice that add expression and meaning immediately sets them apart. The voice that speaks should be perceived as a musical instrument putting on a musical performance. The vocal instrument that has not developed more than a couple of notes plays a boring, repetitive melody with which few people will find pleasant. Music is full of inflection, its very rises and falls representing the waves and valleys of life itself. Listen to the babble of the crowd, the chorus of frogs on the pond, the swarm of locusts in the trees, the interchange of greetings between friends; they’re all symphonies!

2. Structure and development. Language is structured to convey interlocking parts of its message. The smallest components are comparable to the components of melody, the larger components of whole conversations reflecting the development of entire musical productions. Structure is what lends credence to the message, organizes it for all to join in and become a part of its form.

3. Spontaneity. The exchange of friendly greetings, the punchline of humor, the lightening of a burdensom moment, the sharing of mutual feeling all rely entirely upon timing and spontaneity. Music is one continuous spontaneous flow of notes or it is not music. The more whistleable a note, the more spontaneous its components. Remove spontaneity from communication, as from music, it becomes awkward, laden with disjointed configurations, bringing discomfort to both the giver and the receiver. It ceases to bring communication but languishes in the stress and strain of churlish uneasiness.

4. Being Alive! Comparing music to the English language is like comparing poetry to prose; the messages is still there, just a little larger than life. In syntax the similarities abound, the nuances vary slightly. Anyone that will learn music, hearing and non-hearing, will communicate better in speech as well . . . without music, however, speech is nearly impossible to convey, and nearly as impossible to receive. Music makes life alive! It puts the mundane on the stage, sets the lights aglowing, framing it with flourishing color and dazzling backdrops!

Harmonics and hearing. We are consciously aware of the fundamental frequencies of a musical instrument or voice, yet it is the subconscious awareness of the eminating harmonics that give us both aesthetic appreciation of its beauty and abstract identification of its message. Harmonics, given birth via their corresponding fundamental tones, have the most uncanny ability to seek out (or reidentify) their fundamental parent, strengthening and deepening the fundamental’s timbre. Therefore, when harmonics are absent in hearing, much of the true message is lost in the bland, colorless maze of competing fundamentals. The challenge to the hearing aid profession has been to amplify and preserve those harmonics in a way that restores the brilliance and color in music, speech, and life overall.

MUSIC VS SPEECH-LANGUAGE

Many subcomponents of music and speech are directly comparative. For instance, the smallest component of music is called the note, made up of an attack, a sustained tone, and a release. In the English Language we have the syllable, usually made up of three phonetic parts, called phonemes, a beginning consonant, a vowel, and a closing consonant.


See figure 9.1 below:


The next stage of subcomponents between music and speech is the smallest meaningful combination of notes and syllables. In music it is called the motive of the song—usually no more than two, three, or four notes—which comprise the main ingredient of a melody. Because of the clearly identifiable nature of the motive, whole


Note ~~ syllable



Fig. 9.1




radio shows have been formed around “name that tune” contests where only two, three, or four notes of a piece are played, kicking off a flurry of calls from listeners who try to be the first to name the tune based on the motif! (See figure 9.2 below and see if you can name the tune).
In speech, the equivalent of the musical motive is the subject of a given communication, which usually can be described in one, two, or three words. It is the subject of discussion that lends identification and commonality between the communicating parties. For instance, if one were to talk about baseball, many persons of diverse backgrounds will likely be able to carry on an intelligent discussion with the original subject remaining intact until a new subject is introduced. The same may be said of other common subjects such as weather, sports, politics, religion, law, etc. What we have here are a myriad of subjects which can be broken down into further endless subjects as the microscopic counterparts of the broader subjects. Such is the nature of research which may start, for instance, with the broad subject of biology, then breaking into a host of specialty areas, examining first species, then cellular, molecular, and, finally, atomic structure. Music has the same capacity for endless possibilities in its motifs.
This concept may be beneficial to the hearing impaired peron by virtue of the fact that if, when they join in on a discussion, they will ascertain the subject or topic, many other details may then be deducted, expected, second-guessed, and anticipated. For instance,





Motive~~subject




Fig 9.2


if one were to hear the name of a political candidate-—he speaker's position on the favorability/unfavorability on this candidate not yet clear—the impaired person must then detect in the conversation whether the person is for or against the candidate before they join in. Either position must be determined by the listener before offering input or some embarrassing moments may encumber the conversation. Once the subject and its relative direction is ascertained, therefore, the impaired person may more confidently participate in the interchange.

PHRASING: Music and Speech Similarities

Now, we get into the next stage of comparison between music and speech which involves advancing the topic into discussion, or the motive into melody. The melody is formed by a combination of motives, semi-phrases, and phrases. There are two types of phrases that are applicable to our analogy here: the antecedent phrase and the subsequent phrase. The antecedent asks the question, beginning at the tonic (I) of the key and ends on the dominant (V) of the key, while the subsequent phrase usually begins on the dominant and winds its way back down to the tonic. See figure 9.3 below.

In speech, it is a little simpler to explain because antecedent-subsequent phrasing is comprised basically of a question-answer format. The inflection of the voice asking the question starts at its resting tonal position working its way toward a higher plane, leaving a feeling of anticipation, expectation, or non-finality. The listener knows a response is expected because of the inflection, not necessarily because of the syntax of the message. In fact, most foreign languages rely upon inflection, not syntatic conjugation to convey a question.

Example: “You are going to the store?” versus the English version of, “Are you going to the store?” which is not quite as inflected at the end of the sentence as the foreign example. The answer, then, picks up where the question leaves off and makes a trial of finality back to vocal resting position.




(Antecedent Phrase? Subsequent Phrase Diagram)


Figure 9.3

One of the most effective imagery factors of the above concept is that the hearing impaired may know that a question is being asked by voice inflection and pitch without actually discerning the individual words. Placed into a circumstantial context they may also have a clue as to what is being asked, and therefore can formulate an answer. On a speech therapy level, the impaired person may utilize this concept in their own voice, practicing inflection to convey phrasing in verbal communication. Three effective exercises that will help improve anyone’s communication ability, especially those with limited ability:
1. Practice reading aloud stories of fiction and adventure, mimicking the types of voices that fit the characters of the story. Be dramatic. (Have a child listen if it will help!)

2. More a tuned to the musical concept: while listening to the radio or stereo, practice singing aloud, mimicking the voice of the soloist. Imagine that you are the soloist!

3. While listening to others talk, close your eyes and concentrate on the inflection in their voices. Try to make the inflection in your own voice more interesting.


DEVELOPMENT: 3X

As in all forms of communication, there is a natural unspoken inclination toward an orderly development. Salespeople call it a presentation, the clergy call it a sermon, school teachers call it a lesson, and friends call it a discussion. In music it is called a symphony, concerto, concertino, etc. The process of developing these entities is made up of three main parts:

I. Theme (or statement of melody, lesson, sermon, etc.)

II. Embellishment (or development of the theme)

III. Recapitulation (brief repeat of the theme for finality)

As the hearing impaired person enjoins a conversation, there is often anxiety associated with the effort. That anxiety is based upon the false assumption that their chance to participate will be gone and past by the time they have figured out the nature of the discussion. Since music is structured by form even more noticeably than speech, the person who develops a deeper understanding and appreciation for music will thereby learn (subconsciously) this organizational sequence. Furthermore, they’ll realize, as they join in a conversation, that if they miss the point the first time around, there will always be the second opportunity (in the embellishment) where, incidentally, most participants join in. And finally, if that is missed, the conversation may be enjoined in the final recap.


COMPARISON GO ON...

Comparisons abound between music and speech, providing the user of this concept with valuable means of compensation in speech understanding and increased speech communication ability. Several comparative factors exemplifying the similarities of music and speech are as follows:

1. Style: In speech, style is often associated with vocabulary, colloquiality
(accent), the use (or non-use) of vernacular terminology, metaphorical treatment, and subject matter. The style often predetermines how the listener will receive the message. In music, likewise, one cannot help but “tap their toe” during a Dixieland style piece, or weep in a touching love ballad, or get their blood flowing with a good German polka. While in music the style is more vivid, whereas it would be difficult to convincingly croon a love song to a Dixie beat, or share lively humor in a slow moving ballad, likewise would the mismatch of style-to-message create communicative havoc in speech.

2. Dynamics: Just as a personal message is spoken softly, the soft melody pulls our attention to it by its unintrusive flow. Its softness causes the heart to yield, the ear to listen closely. However, the message of great intensity becomes a somewhat public announcement to anyone who happens to be in earshot, the louder, bolder music imposing its presence upon the involuntarily yielding audiences. Dynamics are the loudness factors of both music and speech, lending further definition not only in message, but in the implied size of the audience.


3. Timbre: as one listens to a voice, certain characteristics are, at once, identified. So vivid are perceptions of timbre in voice, society has categorically stereotyped personality, profession, and even physical characteristics of the speaker. The nasal of the phone operator, the bruskness of the jailmaster, the smoothness of the salesman, the resonance of the radio announcer, the bravado of the ringmaster, all emanate from our interpretation of the resonant characteristics known as timbre.

Accordingly, one may identify the difference in timbre between the oboe and the clarinet, the trumpet and the violin, although, for the most part, these instruments share similar frequency ranges. The bass viol can be easily discerned from the tympani and the tuba. The trombone stands out as an instrument toward nasality in the voice, the muted trumpet even more so. The French Horn, covered by the hand in bell, provides a splendorous depth to an otherwise reverberate mid-range; the guitar, the brashness of youth; the flute, the lightness of an angel; and the organ, the mixed resonance of the human chorus.

4. Tempo: In speech, a fast tempo of delivery usually indicates excitement, impatience, and believeability. The importance of each word is outweighed by the total message, effects taking precedence over substance, in some cases. The slow spoken voice stresses the vowel sounds of speech and subdues the stacatto of the consonants. In music the fast tempo has earned the upbeat reputation, while the slow tempo lends greater importance to each individual note, sustained tones almost gaining a life all their own, while a moderate tempo is overshadowed by both the melody and accompaniment.


5. Articulation. Verbal communication is defined in stops, plosives, liquids, nasals, and fricatives, all speech sounds that we call consonants. Without these defining sounds the English language, which consists of approximately 80% consonants, and 20% vowels, would be reduced to a dictionary of the miniscule size of the Polynesian languages. In music, articulation is one of the most critical skills to master for the serious student. The legato of the lullaby, the accent (sforzando etc.) of the Sousa march, the stacatto of the polka, and a combination of all three for every type of musical message.

As a Counseling Concept

Others before this author have strived to quantify and technically explain the uncanny similarities between music and speech, only to find that to effectively apply that information would be most complex and cumbersome for the student whose objective is simply communicative rehabilitation. Indeed the treatment of this topic herein, however superficial, represents the basic substance of comparisons for most people to understand without an advanced knowledge of either music or language. The experiences of this author and many of his students over the past two-and-a-half decades have provided substantial evidence that rehabilitation through the music/speech concept is in the doing not in the acquiring of knowledge. Hence, is this author’s contention that by exposure to music, developing talent and appreciation, many communicatively impaired individuals can overcome their handicap to a substantial degree.
The following represents some basic counseling pointers that will provide the “therapeutic” backdrop for the hearing impaired in obtaining the skills and benefits of music:

1. Develop musical skills. Choose a musical instrument, the piano, organ, guitar, clarinet, trumpet, saxophone, violin, you name, it even voice! Sign-up for private or group lessons, practice daily or as often as possible. Or, at the very least, start a serious collection of musical recordings, obtain a high quality stereophonic system, and enjoy listening to and feeling with the music . . . let it be part of your life!

2. Join the band or choir. In nearly every town and city there is at least a church or community choral group, a concert band or orchestra. Learning to play with others develops harmonious spontaneity literally! Blending with others is like joining a conversation . . .

3. Stretttccchhh by joining self-help groups. In every city is a Toastmaster’s Club, for instance, that provides free opportunity for men and women to learn improved speaking skills. Then, there are other groups that stress opportunities of participation which, although communication skills may not be their actual purpose, can help the impaired individual join in with an appreciative group of peers for better interpersonal skills.


Summary

Language is acquired more by subconscious than conscious effort. Music happens to be its highest form, understood by all, providing the standard by which all effective communication may be measured. Effective communication is what creates and produces and invents. It smoothes over the rough edges of a harsh world and brings peace and understanding between people. The scientific and educational achievements of a civilization can often be measured by the capacity of its language to communicate the intricate parts of discoveries, observations, and quantifications.
Moreover, the effective hearing health professional is actually involved in the communication field. The growing and expanding group of communicatively impaired individuals in a world that increasingly requires heightened communicative skills for survival, progress, and happiness needs every opportunity to join back into the world of communication, even though indirect means facilitate it. The message is loud and clear, everyone everywhere, hearing and non-hearing alike, can improve their ability to speak and understand by making music a part of their life!

 

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