Browsing by Subject "Severe multiple disabilities"

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    Musicoterapia, identidad cultural y regulación conductual en multidiscapacidad severa: la identidad musical como eje terapéutico en un estudio de caso único
    (Universidad de Murcia: Servicio de Publicaciones, 2026) Cruz-Chamorro, Felipe; García-Rodríguez, María; Sin departamento asociado
    Music therapy for people with severe multiple disabilities lacks individualized longitudinal studies that integrate behavioral regulation, communication, physical variables, and cultural identity. Music, especially when linked to the participant’s identity, can act as a mediator of self-regulation, active participation, and so-cial interaction. A single case study was conducted with a young Roma man with severe multiple disabilities. The intervention consisted of eight individual music therapy sessions, organized into three evolutionary phases. Culturally significant musical stimuli (flamenco, religious music, and structured songs) and different instru-ments (percussion, piano, and guitar) were used. The variables were recorded through videoassisted observation and analyzed using descriptive and inferential methods, complemented by qualitative analysis. High attendance throughout the sessions and a predominance of sitting time were observed, suggesting adequate behavioral and postural regulation.Body stability was significantly associated with higher levels of communicative interaction. Throughout the process, there was a musical progres-sion from percussion to piano and a con-solidation of flamenco as an identity axis, along with a progressive reduction in ex-ternal self-regulation supports. Individualized and culturally sensitive music therapy promoted self-regulation, communicative participation, and autonomy, highlighting the value of musical identity as a central therapeutic element.