Pub Date : 2019-09-26DOI: 10.1177/1359457519878613
Luke Annesley
This article explores distinctions between different approaches to music therapy and how these distinctions might be relevant to clinical practice. The article adopts an exploratory subjective stance, with the author exploring the relevance of a perceived distinction between ‘music-centred’ and ‘psychodynamic’ music therapy, as described in the literature, to their own clinical practice. A series of clinical vignettes, taken from work with children and young people, are used to illustrate the influence of both psychodynamic and music-centred theories on clinical practice in context. An integrative client-centred approach is proposed, where psychodynamic thinking and music-centred ideas can be incorporated as needed, according to the individual needs of each client.
{"title":"Two kinds of music therapy: Exploring ‘genre’ in the context of clinical practice","authors":"Luke Annesley","doi":"10.1177/1359457519878613","DOIUrl":"https://doi.org/10.1177/1359457519878613","url":null,"abstract":"This article explores distinctions between different approaches to music therapy and how these distinctions might be relevant to clinical practice. The article adopts an exploratory subjective stance, with the author exploring the relevance of a perceived distinction between ‘music-centred’ and ‘psychodynamic’ music therapy, as described in the literature, to their own clinical practice. A series of clinical vignettes, taken from work with children and young people, are used to illustrate the influence of both psychodynamic and music-centred theories on clinical practice in context. An integrative client-centred approach is proposed, where psychodynamic thinking and music-centred ideas can be incorporated as needed, according to the individual needs of each client.","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519878613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44422629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-16DOI: 10.1177/1359457519874443
Donald Wetherick
Ansdell’s ‘Winds of Change’ paper articulated a distinction in UK music therapy between established ‘consensus’ practice drawing on psychotherapeutic principles and developing or previously hidden ‘community music therapy’ practices based on ecological or social-psychological principles. Writing that addresses different theoretical positions in music therapy (meta-theory) exists from European and American perspectives but far less from a UK perspective. This article considers the view that UK music therapy writing in general has continued along one or other of these paths and that there has been relatively little exchange between them; indeed, that UK music therapists tend to ‘talk past each other’. To explore the matter systematically, this article takes a critical discourse analysis approach to analysing three recent music therapy book reviews. Critical discourse analysis was chosen to identify underlying assumptions (‘ideologies’) that shape thinking and practice, as revealed by language use. Book reviews were identified as texts where reviewers typically engage with authors from different perspectives and in doing so offer potentially rich material for such analysis. The analysis identifies ways in which UK music therapy writing shows signs of stress across a divide between ecological and psychodynamic approaches, with reviewers going to some lengths to reconnect these different positions and so unify a discourse within which ‘fault-lines’ are present. It is suggested that, in the United Kingdom at least, ecological and psychodynamic music therapy writing are becoming more separated as discourses, with a lack of integrated meta-theoretical discussion or examples of shared practice. This inhibits coherent development of the discipline and the effective training of future practitioners. A case is made for greater integration in music therapy writing through both developments in meta-theory and by practitioners sharing examples of cross-theoretical practice.
{"title":"Are UK music therapists talking past each other? A critical discourse analysis of three book reviews","authors":"Donald Wetherick","doi":"10.1177/1359457519874443","DOIUrl":"https://doi.org/10.1177/1359457519874443","url":null,"abstract":"Ansdell’s ‘Winds of Change’ paper articulated a distinction in UK music therapy between established ‘consensus’ practice drawing on psychotherapeutic principles and developing or previously hidden ‘community music therapy’ practices based on ecological or social-psychological principles. Writing that addresses different theoretical positions in music therapy (meta-theory) exists from European and American perspectives but far less from a UK perspective. This article considers the view that UK music therapy writing in general has continued along one or other of these paths and that there has been relatively little exchange between them; indeed, that UK music therapists tend to ‘talk past each other’. To explore the matter systematically, this article takes a critical discourse analysis approach to analysing three recent music therapy book reviews. Critical discourse analysis was chosen to identify underlying assumptions (‘ideologies’) that shape thinking and practice, as revealed by language use. Book reviews were identified as texts where reviewers typically engage with authors from different perspectives and in doing so offer potentially rich material for such analysis. The analysis identifies ways in which UK music therapy writing shows signs of stress across a divide between ecological and psychodynamic approaches, with reviewers going to some lengths to reconnect these different positions and so unify a discourse within which ‘fault-lines’ are present. It is suggested that, in the United Kingdom at least, ecological and psychodynamic music therapy writing are becoming more separated as discourses, with a lack of integrated meta-theoretical discussion or examples of shared practice. This inhibits coherent development of the discipline and the effective training of future practitioners. A case is made for greater integration in music therapy writing through both developments in meta-theory and by practitioners sharing examples of cross-theoretical practice.","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519874443","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47284586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-15DOI: 10.1177/1359457519842508
J. Strange
{"title":"Text Watch","authors":"J. Strange","doi":"10.1177/1359457519842508","DOIUrl":"https://doi.org/10.1177/1359457519842508","url":null,"abstract":"","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519842508","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44740800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-10DOI: 10.1177/1359457519841906
Maybelle Swaney
This article presents an improvisational approach to insight-oriented therapy in music therapy with a woman with severe cognitive impairments following haemorrhagic stroke. Analysis of five clinical excerpts across 40 sessions demonstrates how a prepared improvised musical experience can facilitate meaningful self-exploration in dialogue, leading to a renewed self-identity in life after brain injury. The therapist’s reflective processing is integral to the therapeutic outcomes; these are examined alongside the casework material. This article suggests that insight-oriented musical experiences may be one way of supporting the emotional health of individuals living with the enduring consequences of severe brain injury in slow-stream rehabilitation or long-term neurological care.
{"title":"Towards a state of play: A case study exploring insight-oriented musical experiences with a woman with severe brain injury","authors":"Maybelle Swaney","doi":"10.1177/1359457519841906","DOIUrl":"https://doi.org/10.1177/1359457519841906","url":null,"abstract":"This article presents an improvisational approach to insight-oriented therapy in music therapy with a woman with severe cognitive impairments following haemorrhagic stroke. Analysis of five clinical excerpts across 40 sessions demonstrates how a prepared improvised musical experience can facilitate meaningful self-exploration in dialogue, leading to a renewed self-identity in life after brain injury. The therapist’s reflective processing is integral to the therapeutic outcomes; these are examined alongside the casework material. This article suggests that insight-oriented musical experiences may be one way of supporting the emotional health of individuals living with the enduring consequences of severe brain injury in slow-stream rehabilitation or long-term neurological care.","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519841906","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44833552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-05DOI: 10.1177/1359457519840131
Stine Camilla Blichfeldt-Ærø, Gro Trondalen, S. Halvorsen
This article presents and discusses a clinical music therapy protocol for use during an invasive cardiac procedure and the theoretical rationale behind it. The protocol was developed for a specific invasive cardiac procedure performed transvenously with local anaesthesia: cardiac implantable electronic device lead extraction. The music listening intervention presented in the protocol aims to optimise stress and pain management for patients through patient involvement, communication, individualised music listening and relaxation techniques. The Music Therapist remains present throughout the peri-operative phase (in the operating theatre during the operation). The music is chosen from a limited set of prepared playlists through a process involving assessment and patient preference. Biological, psychological and social components are integrated into the protocol, which is also informed by the theory of music therapy as procedural support, the neuromatrix theory of pain and receptive music therapy techniques. The protocol was developed to be standardised for implementation into the existing medical procedure, yet flexible enough to meet individual patient needs. It is the cornerstone of the research protocol of an ongoing randomised controlled trial at the Department of Cardiology at Oslo University Hospital Ulleval. Results of the randomised controlled trial, focussing on quantitative efficacy outcomes, are expected in 2020.
{"title":"Facilitated music listening: Music therapy in an invasive cardiac procedure","authors":"Stine Camilla Blichfeldt-Ærø, Gro Trondalen, S. Halvorsen","doi":"10.1177/1359457519840131","DOIUrl":"https://doi.org/10.1177/1359457519840131","url":null,"abstract":"This article presents and discusses a clinical music therapy protocol for use during an invasive cardiac procedure and the theoretical rationale behind it. The protocol was developed for a specific invasive cardiac procedure performed transvenously with local anaesthesia: cardiac implantable electronic device lead extraction. The music listening intervention presented in the protocol aims to optimise stress and pain management for patients through patient involvement, communication, individualised music listening and relaxation techniques. The Music Therapist remains present throughout the peri-operative phase (in the operating theatre during the operation). The music is chosen from a limited set of prepared playlists through a process involving assessment and patient preference. Biological, psychological and social components are integrated into the protocol, which is also informed by the theory of music therapy as procedural support, the neuromatrix theory of pain and receptive music therapy techniques. The protocol was developed to be standardised for implementation into the existing medical procedure, yet flexible enough to meet individual patient needs. It is the cornerstone of the research protocol of an ongoing randomised controlled trial at the Department of Cardiology at Oslo University Hospital Ulleval. Results of the randomised controlled trial, focussing on quantitative efficacy outcomes, are expected in 2020.","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519840131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43947042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-21DOI: 10.1177/1359457519837579
J. Tomlinson
{"title":"Book Review: Stuart Daniel and Colwyn Trevarthen, Rhythms of Relating in Children’s Therapies: Connecting Creatively with Vulnerable Children","authors":"J. Tomlinson","doi":"10.1177/1359457519837579","DOIUrl":"https://doi.org/10.1177/1359457519837579","url":null,"abstract":"","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519837579","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46512085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-19DOI: 10.1177/1359457519834533
Jenny Kirkwood, L. Graham-Wisener, T. McConnell, S. Porter, J. Reid, Naomi A. Craig, Conall Dunlop, C. Gordon, Daniel Thomas, Jo Godsal, Aisling Vorster
This article presents the treatment manual developed during the MusiQual feasibility study carried out in Belfast by Queen’s University Belfast, Every Day Harmony Music Therapy, and Marie Curie Northern Ireland. The MusiQual study considered the feasibility of a multicentre randomised trial to evaluate the effectiveness of music therapy in improving the quality of life of hospice inpatients (protocol: McConnell et al. results: Porter et al.). The procedures in the manual are based fully on those implemented by the Music Therapists during the feasibility study, and it also incorporates the theoretical model defined and published following the realist review of the literature (McConnell and Porter). The manual is presented in the format in which it would be used in the potential future phase III multicentre randomised control trial. It represents a flexible approach to provide enough scope for practicing therapists to adapt their interventions to individual clients as is best practice in music therapy. It aims to provide stable guidelines both to ensure treatment fidelity in a future trial of music therapy for palliative care inpatients and to act as a relevant guide for Music Therapists practicing in this field.
{"title":"The MusiQual treatment manual for music therapy in a palliative care inpatient setting","authors":"Jenny Kirkwood, L. Graham-Wisener, T. McConnell, S. Porter, J. Reid, Naomi A. Craig, Conall Dunlop, C. Gordon, Daniel Thomas, Jo Godsal, Aisling Vorster","doi":"10.1177/1359457519834533","DOIUrl":"https://doi.org/10.1177/1359457519834533","url":null,"abstract":"This article presents the treatment manual developed during the MusiQual feasibility study carried out in Belfast by Queen’s University Belfast, Every Day Harmony Music Therapy, and Marie Curie Northern Ireland. The MusiQual study considered the feasibility of a multicentre randomised trial to evaluate the effectiveness of music therapy in improving the quality of life of hospice inpatients (protocol: McConnell et al. results: Porter et al.). The procedures in the manual are based fully on those implemented by the Music Therapists during the feasibility study, and it also incorporates the theoretical model defined and published following the realist review of the literature (McConnell and Porter). The manual is presented in the format in which it would be used in the potential future phase III multicentre randomised control trial. It represents a flexible approach to provide enough scope for practicing therapists to adapt their interventions to individual clients as is best practice in music therapy. It aims to provide stable guidelines both to ensure treatment fidelity in a future trial of music therapy for palliative care inpatients and to act as a relevant guide for Music Therapists practicing in this field.","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519834533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65581140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-15DOI: 10.1177/1359457519834302
R. Melhuish, M. Grady, A. Holland
Mindsong brings music therapy to people with dementia across Gloucestershire. In 2016, it was part of an innovative co-production project funded by NHS Gloucestershire Clinical Commissioning Group that offered music therapy to people with advanced dementia and ‘challenging’ behaviour. Music therapy was used at times of crisis with couples in the domiciliary setting and the hardest to reach residents at a dementia specialist care home. Positive outcomes included improvements in well-being, mood, engagement and behaviours. Working with client and carer together resulted in increased carer resilience despite complex challenges. Collaborative working maximised results to the benefit of clients and those who care for them. This article focuses on work in the domiciliary setting.
{"title":"Mindsong, music therapy and dementia care: collaborative working to support people with dementia and family carers at home","authors":"R. Melhuish, M. Grady, A. Holland","doi":"10.1177/1359457519834302","DOIUrl":"https://doi.org/10.1177/1359457519834302","url":null,"abstract":"Mindsong brings music therapy to people with dementia across Gloucestershire. In 2016, it was part of an innovative co-production project funded by NHS Gloucestershire Clinical Commissioning Group that offered music therapy to people with advanced dementia and ‘challenging’ behaviour. Music therapy was used at times of crisis with couples in the domiciliary setting and the hardest to reach residents at a dementia specialist care home. Positive outcomes included improvements in well-being, mood, engagement and behaviours. Working with client and carer together resulted in increased carer resilience despite complex challenges. Collaborative working maximised results to the benefit of clients and those who care for them. This article focuses on work in the domiciliary setting.","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519834302","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65581077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-13DOI: 10.1177/1359457519837578
Jennifer French
{"title":"Book Review: Amelia Oldfield and Mandy Carr (eds), Collaborations Within and Between Dramatherapy and Music Therapy: Experiences, Challenges and Opportunities in Clinical and Training Contexts","authors":"Jennifer French","doi":"10.1177/1359457519837578","DOIUrl":"https://doi.org/10.1177/1359457519837578","url":null,"abstract":"","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519837578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47588359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.1177/1359457519844139
{"title":"Erratum: Jane Edwards (ed.), The Oxford Handbook of Music Therapy","authors":"","doi":"10.1177/1359457519844139","DOIUrl":"https://doi.org/10.1177/1359457519844139","url":null,"abstract":"","PeriodicalId":42422,"journal":{"name":"British Journal of Music Therapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1359457519844139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65581226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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