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A Qualitative Exploration of Music Therapist Beliefs, Education, and Uses of Hip Hop in Clinical Practice 音乐治疗师的信念、教育和嘻哈在临床实践中的应用的定性探索
IF 1.2 Q4 REHABILITATION Pub Date : 2023-04-29 DOI: 10.1093/mtp/miac011
Kailey S Campbell
The purpose of this qualitative study was to explore music therapists’ beliefs, education, and uses of Hip Hop in clinical work through interviews with board-certified music therapists who incorporate elements of Hip Hop into their work. Specifically, the researcher sought to ascertain how music therapists use elements of Hip Hop culture in clinical practice, the training and education these music therapists received about Hip Hop culture, and the suggestions they have for professional and preprofessional music therapists who wish to incorporate elements of Hip Hop into their clinical work. Participants were board-certified music therapists who incorporate elements of Hip Hop into their work. These participants have either written scholarly, given presentations or contributed to the music therapy body of knowledge in this area through trainings such as continuing music therapy education courses or in-services. Participants completed semi-structured interviews that were recorded, transcribed, and coded. Four themes with eleven subthemes emerged. The themes included (a) motivations for incorporating Hip Hop (subthemes: responding to service users’ musical preference, and cultural responsiveness), (b) therapeutic goals in music therapy (subthemes: emotional processing, self-expression, and group support), (c) how participants learned about Hip Hop (subthemes: self-study, wisdom from service users, personal, and/or cultural connections), (d) recommendations from participants (subthemes: seek supervision, commit to reflexivity, and seek deeper knowledge). Implications gleaned from this study include the need for better university education in this area that centers cultural responsiveness and authenticity and issues of access in music therapy for service users, clinicians, and academics in the field.
本定性研究的目的是探讨音乐治疗师的信念,教育和嘻哈在临床工作中的应用,通过采访委员会认证的音乐治疗师,他们将嘻哈元素融入他们的工作中。具体来说,研究人员试图确定音乐治疗师如何在临床实践中使用嘻哈文化的元素,这些音乐治疗师接受过关于嘻哈文化的培训和教育,以及他们对希望将嘻哈元素纳入临床工作的专业和专业前音乐治疗师的建议。参与者是经过认证的音乐治疗师,他们将嘻哈元素融入到他们的工作中。这些参与者要么撰写学术论文,发表演讲,要么通过继续音乐治疗教育课程或在职培训,为该领域的音乐治疗知识体系做出贡献。参与者完成了记录、转录和编码的半结构化访谈。出现了四个主题和十一个副主题。这些主题包括(a)融入嘻哈的动机(副主题:回应服务使用者的音乐偏好和文化响应),(b)音乐治疗的治疗目标(副主题:情绪处理,自我表达和团体支持),(c)参与者如何学习嘻哈(副主题:自学,服务使用者的智慧,个人和/或文化联系),(d)参与者的建议(副主题:寻求监督,致力于反思,并寻求更深入的知识)。从这项研究中收集到的启示包括需要在这一领域更好的大学教育,以文化响应性和真实性为中心,并为服务用户、临床医生和该领域的学者提供音乐治疗的访问问题。
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引用次数: 0
The Risk Mitigation Decision-Making Model for Music Therapy Services During the Covid-19 Pandemic 新冠肺炎大流行期间音乐治疗服务的风险缓解决策模型
IF 1.2 Q4 REHABILITATION Pub Date : 2023-04-28 DOI: 10.1093/mtp/miac015
Rachelle Morgan, D. Knott
When the Covid-19 pandemic began, music therapists moved quickly to adapt services across many clinical settings. Many music therapists shifted their service delivery model to telepractice. Music therapists also worked to adapt in-person services to integrate the emerging risk mitigation strategies required or recommended by various public health bodies and healthcare organizations. When public health circumstances are changing rapidly, how do music therapists make decisions regarding service delivery and risk mitigation, while balancing the requirements of public health directives and organization policies? Considering evidence-based practice and ethical thinking, we propose a risk mitigation decision-making model for providing clinical music therapy services during the Covid-19 pandemic. We consider the intersection of public health guidelines and orders, service delivery options (i.e. telepractice), and risk mitigation strategies for in-person services. Case studies follow, as well as discussion of how to use this model in future public health crises.
当新冠肺炎大流行开始时,音乐治疗师迅速采取行动,在许多临床环境中调整服务。许多音乐治疗师将他们的服务提供模式转变为远程实践。音乐治疗师还努力调整面对面服务,以整合各种公共卫生机构和医疗保健组织要求或建议的新兴风险缓解策略。当公共卫生环境迅速变化时,音乐治疗师如何在平衡公共卫生指令和组织政策要求的同时,就服务提供和风险缓解做出决定?考虑到循证实践和伦理思维,我们提出了一个风险缓解决策模型,用于在新冠肺炎大流行期间提供临床音乐治疗服务。我们考虑公共卫生指南和命令、服务提供选项(即远程实践)以及面对面服务的风险缓解策略的交叉点。随后进行了案例研究,并讨论了如何在未来的公共卫生危机中使用这种模式。
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引用次数: 0
Genre-Bending: A Discourse on Globalization and Culture with Implications for Music Therapy 流派弯曲:全球化与文化的话语与音乐治疗的启示
IF 1.2 Q4 REHABILITATION Pub Date : 2023-04-15 DOI: 10.1093/mtp/miad004
Gabrielle Banzon, Hakeem Leonard
Genre-bending is an evolving term that indicates the tendency for musical and cultural elements to interact with each other, often defying previously established genre distinctions. Evolutions of technology have expanded the way music is both created and consumed, and together with globalization, has shaped the development of a global music landscape. Hybrid elements and dynamics of music and culture have important implications for the development and exchange of musical identities outside of and within music therapy. In this article, there is a brief review of the digitalization of music technology related to consumers and curators. We highlight how digitalization and globalization have increased access through media democratization and afforded a global digital agency. This agency is explored with both the access and engagement of consumers, and the impact on curation by music creators. Those introductory elements are used for grounding the article’s main idea of genre-bending; including what it is, the ways it functions in popular music today, sociocultural and relational elements, and implications for music therapy. As part of this discourse, we highlight how the global music landscape has encouraged diverse music tastes and normalized inclusive engagement, and the subsequent importance of understanding individuals as being situated through multicultural music personhood. These shifts shape the intersubjective meaning making between therapist and client, impacting musical identities. The article concludes by delving into the ways these realities influence how music therapists hold space for curation, clients’ resources, and cultural assets through hybrid therapeutic dynamics.
“流派弯曲”是一个不断发展的术语,指的是音乐和文化元素相互影响的趋势,通常无视先前建立的流派区分。技术的发展扩展了音乐的创作和消费方式,并与全球化一起塑造了全球音乐格局的发展。音乐和文化的混合元素和动态对音乐治疗内外音乐身份的发展和交流具有重要意义。在这篇文章中,简要回顾了与消费者和策展人相关的音乐技术数字化。我们强调数字化和全球化如何通过媒体民主化增加了获取机会,并提供了一个全球数字机构。该机构探索了消费者的接触和参与,以及音乐创作者对策展的影响。这些介绍性的元素是用来奠定文章的主要思想流派弯曲;包括它是什么,它在当今流行音乐中的作用方式,社会文化和关系因素,以及对音乐治疗的影响。作为本文的一部分,我们强调了全球音乐格局如何鼓励多样化的音乐品味和标准化的包容性参与,以及随后通过多元文化音乐人格来理解个人的重要性。这些转变塑造了治疗师和客户之间的主体间意义,影响了音乐身份。文章最后深入探讨了这些现实如何影响音乐治疗师如何通过混合治疗动态为策展、客户资源和文化资产保留空间。
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引用次数: 0
Integrative Review of Introductory Guitar Teaching Research and Recommendations for Music Therapy Education 《吉他导论》教学研究综述及音乐治疗教育建议
IF 1.2 Q4 REHABILITATION Pub Date : 2023-04-13 DOI: 10.1093/mtp/miad006
Livia S. Umeda, Abbey L. Dvorak
Guitar is a primary clinical instrument for many music therapists; however, minimal research focuses on effective guitar teaching methods (GTMs) in music therapy education. The purpose of this integrative review was to synthesize and critically evaluate the existing literature on GTMs to develop recommendations for music therapy guitar education. The research questions included: (a) What are the characteristics (i.e. participants, study design, teaching method, course type, dosage) of studies using GTMs in music therapy education and training? (b) What are the measures, outcomes, and de/limitations from GTMs studies in music therapy education? Three studies met the criteria. These studies included GTMs of behavioral contracting, audio and video modeling, and learning music “by ear.” Studies indicated that (a) playing “by ear” may improve student musicianship, (b) experienced instructor modeling improves learning, (c) evaluation could include accuracy behavioral markers, and (d) experiential and social learning benefit students in introductory guitar courses. Implications for music therapy education and training and recommendations for further research are discussed.
吉他是许多音乐治疗师的主要临床乐器;然而,很少有研究集中在有效的吉他教学方法(GTMs)在音乐治疗教育。本综合回顾的目的是综合和批判性地评估现有的GTMs文献,以提出音乐治疗吉他教育的建议。研究问题包括:(a)使用GTMs进行音乐治疗教育和培训的研究的特点(即参与者、研究设计、教学方法、课程类型、剂量)是什么?(b) GTMs研究在音乐治疗教育中的措施、结果和局限性是什么?三项研究符合标准。这些研究包括行为收缩的GTMs,音频和视频建模,以及“凭耳”学习音乐。研究表明:(a)“凭耳弹奏”可以提高学生的音乐水平,(b)经验丰富的教练模型可以提高学习效果,(c)评估可以包括准确性行为标记,以及(d)体验和社会学习对吉他入门课程的学生有益。讨论了音乐治疗教育和培训的意义以及进一步研究的建议。
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引用次数: 0
The Voice Essential: Exploring Oral Traditions in the Study of Vocal Improvisation 声音的本质:探索声乐即兴创作研究中的口头传统
IF 1.2 Q4 REHABILITATION Pub Date : 2023-04-13 DOI: 10.1093/mtp/miad009
John Mondanaro, Emily Nicholas-Curnutte
The voice—from the utility of oral traditions to the pedagogy of singing as performance—is essential to the human experience, yet its use of it has become the narrow purview of those privileged enough to study or make a career out of teaching or performing. In this article, the authors lend unique perspectives on the voice as an instrument of tremendous capacity by providing a lens on its utility in oral traditions. Lullaby, chants, work songs, and vendor songs as specific oral traditions offer entry points to understanding vocal utility that synthesizes both practicalities with aesthetics. Their study within the context of vocal improvisation offers much value to those seeking an understanding of the voice’s potential and for those whose access and comfort with their own voice has been diminished. Such liberation afforded by the exploration of these oral traditions can inform the work of music therapists, voice coaches, students, and everyday singers.
声音——从口头传统的运用到作为表演的歌唱教学法——对人类的体验是必不可少的,然而,声音的使用已经成为那些有幸学习或以教学或表演为职业的人的狭隘范围。在这篇文章中,作者提供了独特的视角,声音作为一个巨大的能力的工具,提供了一个镜头,它在口头传统的效用。摇篮曲、圣歌、工作歌曲和小贩歌曲作为特定的口头传统,为理解综合了实用性和美学的声乐效用提供了切入点。他们在声乐即兴创作背景下的研究为那些寻求理解声音潜力的人以及那些对自己声音的接触和舒适已经减少的人提供了很多价值。对这些口头传统的探索所带来的这种解放可以为音乐治疗师、声音教练、学生和日常歌手的工作提供信息。
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引用次数: 0
Sociocultural identities in music therapy 音乐治疗中的社会文化身份
IF 1.2 Q4 REHABILITATION Pub Date : 2023-04-12 DOI: 10.1093/mtp/miac029
Gabrielle Banzon
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引用次数: 1
An Exploration of Accessibility to Trauma-Focused Education and Knowledge Among Music Therapists 音乐治疗师对创伤教育和知识的可及性探索
IF 1.2 Q4 REHABILITATION Pub Date : 2023-04-04 DOI: 10.1093/mtp/miad005
Christopher Beach
A substantial number of children and adults in American society have been exposed to violence, marginalization, prejudice, or other traumatic experiences. Thus, it is imperative that those in helping professions have adequate training and resources to recognize and respond to the signs, symptoms, and risks of trauma. Like other helping professionals, music therapists are increasingly called to recognize the impact trauma can have on the communities they serve, but little is known about music therapists’ knowledge and awareness of trauma concepts. A survey was distributed to all board-certified music therapists in the United States that sought to examine the accessibility of educational and professional trainings related to trauma, as well as self-perceived competency in working with service users who have experienced trauma. Of the 8,602 emails distributed (CBMT), 958 different responses were returned, 945 of which consented to participate for a 10.9% response rate. Results indicated a substantial interest in trauma work among music therapists (88.04%); however, almost half of respondents (48.86%) have indicated a lack of access to these trainings for any given reason, leading to limited self-perceived competency in trauma work. This limitation in self-perceived competency in trauma work might exist due to a lack of consistent education and training provided to music therapists, regardless of the mode of education. By not addressing this gap in the profession, harm might be done to those who utilize music therapy services. A breakdown of conglomerate music therapist trauma-specific knowledge is provided, along with identified areas of trauma-concept interest.
美国社会中有相当数量的儿童和成人遭受过暴力、边缘化、偏见或其他创伤经历。因此,帮助专业人员必须有足够的培训和资源来识别和应对创伤的迹象、症状和风险。像其他帮助专业人士一样,音乐治疗师越来越多地被要求认识到创伤对他们所服务的社区的影响,但人们对音乐治疗师的知识和对创伤概念的认识却知之甚少。一项调查被分发给了美国所有获得委员会认证的音乐治疗师,旨在检查与创伤有关的教育和专业培训的可及性,以及与经历过创伤的服务使用者一起工作的自我认知能力。在分发的8,602封电子邮件(CBMT)中,收到了958份不同的回复,其中945份同意参与,回复率为10.9%。结果显示,音乐治疗师对创伤工作有很大的兴趣(88.04%);然而,几乎一半的受访者(48.86%)表示,由于某种原因缺乏这些培训,导致他们在创伤工作中的自我认知能力有限。这种在创伤工作中自我感知能力的限制可能是由于音乐治疗师缺乏一致的教育和培训而存在的,无论教育模式如何。如果不解决这个行业的差距,可能会对那些使用音乐治疗服务的人造成伤害。提供了综合音乐治疗师创伤特定知识的细分,以及确定的创伤概念兴趣领域。
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引用次数: 0
Comparison Between Neuroscience- and DIRFloortime®-Informed Approaches Within Music Therapy: A Descriptive Case Study 音乐治疗中神经科学和DIRFloortime®知情方法的比较:描述性案例研究
IF 1.2 Q4 REHABILITATION Pub Date : 2023-03-30 DOI: 10.1093/mtp/miad007
H. Shinn, A. LaGasse
Music therapists practice from different clinical approaches; however, these approaches have not been compared in a research study. The purpose of this descriptive case study was to examine differences in behaviors for one participant on the autism spectrum and their therapist practicing from two different clinical approaches. We examined five videos where treatment was delivered in a neuroscience-informed approach and five videos in a DIRFloortime®-informed approach. We used observational behavioral coding for three nonmusical social skill behaviors, three musical social skill behaviors, and four therapist behaviors. We also examined the presence of critical elements of each approach within the videos. Results indicated that the therapist overall showed the critical elements for each approach within the examined videos. Targeted participant social behaviors were present in each of the approaches; however, the manner in which they were facilitated was different. Descriptive statistics and visual analysis were used to show similarities and differences between the approaches. Further studies are needed to explore different approaches in music therapy clinical practice.
音乐治疗师从不同的临床方法进行练习;然而,这些方法尚未在研究中进行比较。这个描述性案例研究的目的是研究自闭症谱系的一个参与者和他们的治疗师在两种不同的临床方法下的行为差异。我们检查了5个视频,其中以神经科学为指导的方法进行治疗,5个视频以DIRFloortime®为指导的方法进行治疗。我们对三种非音乐社交技能行为、三种音乐社交技能行为和四种治疗师行为进行了观察性行为编码。我们还检查了视频中每种方法的关键元素的存在。结果表明,治疗师在检查的视频中总体上展示了每种方法的关键要素。目标参与者的社会行为存在于每种方法中;然而,促进他们的方式是不同的。使用描述性统计和可视化分析来显示方法之间的异同。需要进一步的研究来探索不同的音乐治疗方法在临床实践中的应用。
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引用次数: 0
Therapeutic Group Singing for Individuals with Parkinson’s Disease: A Conceptual Framework 帕金森病患者的治疗团体歌唱:一个概念框架
IF 1.2 Q4 REHABILITATION Pub Date : 2023-03-22 DOI: 10.1093/mtp/miad008
Sun Joo Lee, Abbey L. Dvorak
Parkinson’s disease (PD) is a complex, progressive, and degenerative neurological disorder. With millions affected worldwide, music therapists may have the opportunity to work with individuals with PD and their families. To better understand biological, psychological, and social factors associated with PD, and the interactions between these three systems, researchers encourage a biopsychosocial approach. A biopsychosocial approach supports the idea that biological, psychological, and social systems influence and interact with each other, affecting overall health and quality of life. Music therapy affects biopsychosocial functioning through the use of evidence-based music interventions. One such music therapy intervention supported in the literature for use with individuals with PD and their families is therapeutic group singing. However, this research evidence is diverse and complex. Thus, the purpose of this paper is to present a conceptual framework of the biopsychosocial approach in music therapy focused on therapeutic group singing for individuals with Parkinson’s disease (PD). Our aims include: (1) identifying biopsychosocial (i.e., physical, psychological, and social) factors associated with PD, (2) presenting evidence-based outcomes of therapeutic group singing on biopsychosocial functioning, and (3) crafting a conceptual framework to consolidate evidence about therapeutic group singing as an effective intervention for this population. Research outcomes from various studies demonstrate benefits in biological, psychological, and social functioning from therapeutic group singing interventions. Overall, evidence suggests that therapeutic group singing – as visualized in the conceptual framework – is an effective intervention to address biopsychosocial functioning for individuals with PD and their families.
帕金森病是一种复杂的、进行性的、退行性的神经系统疾病。随着全球数百万人受到影响,音乐治疗师可能有机会与帕金森病患者及其家人合作。为了更好地了解与帕金森病相关的生物、心理和社会因素,以及这三个系统之间的相互作用,研究人员鼓励采用生物-心理-社会方法。生物-心理-社会方法支持这样一种观点,即生物、心理和社会系统相互影响和互动,影响整体健康和生活质量。音乐治疗通过使用循证音乐干预来影响生物心理社会功能。文献中支持的一种用于帕金森病患者及其家人的音乐治疗干预措施是治疗性集体唱歌。然而,这项研究的证据是多样化和复杂的。因此,本文的目的是提出一个音乐治疗中的生物心理社会方法的概念框架,重点是帕金森病(PD)患者的治疗性集体演唱。我们的目标包括:(1)确定与帕金森病相关的生物心理社会(即身体、心理和社会)因素,(2)提出治疗性集体唱歌对生物心理社会功能的循证结果,以及(3)制定一个概念框架,以巩固治疗性集体演唱作为对该人群有效干预的证据。各种研究的研究结果表明,治疗性集体唱歌干预对生物、心理和社会功能有好处。总体而言,有证据表明,治疗性集体唱歌——如概念框架中所示——是解决帕金森病患者及其家人生物心理社会功能的有效干预措施。
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引用次数: 0
Undergraduate Music Therapy Students’ Perspectives on Curricular Self-Experiences 本科音乐治疗学生的课程自我体验观
IF 1.2 Q4 REHABILITATION Pub Date : 2023-03-22 DOI: 10.1093/mtp/miad002
Courtney Belt
Experiential learning is a key component of the education and training of music therapists in the United States. Currently, there is limited peer-reviewed, English-language literature that explores undergraduate student perspectives of curricular self-experiences. The purpose of this study is to help fill this gap and better understand undergraduate music therapy students’ experiences of participating in curricular self-experiences in order to inform best practices for implementation. Three recent graduates of a music therapy program engaged in semi-structured, individual interviews. Interview transcripts were analyzed using the process of Interpretative Phenomenological Analysis. Group superordinate themes emerged from the research question and subquestions about benefits and drawbacks of curricular self-experiences and what facilitated or impeded students’ participation. Participants identified empathy and skill development as benefits and that peer relationships and clear expectations facilitated participation. They also identified vulnerability and boundaries as drawbacks, and that professor/student relationships and cohort interactions impeded participation. Findings from this study highlight shared experiences among students and provide concrete examples of what educators should consider when designing curricular self-experiences.
体验式学习是美国音乐治疗师教育和培训的重要组成部分。目前,只有有限的同行评审的英语文献探讨本科生对课程自我体验的看法。本研究的目的是帮助填补这一空白,更好地了解本科生音乐治疗学生参与课程自我体验的经历,以便为实施最佳实践提供信息。三名音乐治疗项目的应届毕业生参加了半结构化的个人面试。访谈记录采用解释现象学分析法进行分析。小组上级主题出现在研究问题和关于课程自我体验的利弊以及是什么促进或阻碍了学生的参与的子问题中。参与者认为同理心和技能发展是有益的,同伴关系和明确的期望有助于参与。他们还指出,脆弱性和界限是缺点,教授/学生关系和群体互动阻碍了参与。这项研究的结果突出了学生之间的共同经历,并提供了教育工作者在设计课程自我体验时应该考虑的具体例子。
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引用次数: 0
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Music Therapy Perspectives
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