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Music Therapists’ Experiences of Therapeutic Relationships with Clients with Marginalized Gender Identities and Sexual Orientations 音乐治疗师与边缘化性别认同和性取向客户的治疗关系体验
IF 1.2 Q4 REHABILITATION Pub Date : 2022-09-01 DOI: 10.1093/mtp/miac026
Sarah Biedka
This phenomenological inquiry investigated the ways in which music therapists perceive and discuss their music therapy relationships (MTRs) with people with marginalized gender identities and sexual orientations. Five participants completed semi-structured interviews that were transcribed and analyzed with reflexive emphasis on member checking and data triangulation. First-level analysis utilized values coding and second-level analysis refined values themes to distill individual participant essences (Saldaña, 2016). The coding manual for qualitative researchers. SAGE). Subsequent horizontalization across participants was then used to discern collective participant essences (Saldaña, 2016). The coding manual for qualitative researchers. SAGE). Critical feminist, queer, disability, anti-oppressive, and humanist theory lenses shaped the foundation and perception of the project with particular attention to intersectionality, intersubjectivity, and power dynamics in relationships. Findings included commentary on MT/client identities and balance in relationships; contextual influences on MT processes; necessity of cultural humility (CH) and cultural sustainability (CS) and respect for identity complexity; and the role of implicit/explicit communication in MTRs. Crucially, participants and the researcher endorse a non-clinical view of people with marginalized gender identities and sexual orientations, and the researcher urges introspection regarding identity, supervision, and the space that MTs and clients occupy within the MTR construct. Discussion, recommendations for future research and applications to MT theory, research, and practice are provided.
这项现象学调查调查了音乐治疗师感知和讨论他们与边缘化性别认同和性取向人群的音乐治疗关系的方式。五名参与者完成了半结构化访谈,这些访谈被转录和分析,并强调成员检查和数据三角测量。一级分析利用价值观编码和二级分析提炼价值观主题来提取个体参与者的本质(Saldaña,2016)。定性研究人员的编码手册。鼠尾草)。随后,参与者之间的水平化被用来辨别集体参与者的本质(Saldaña,2016)。定性研究人员的编码手册。鼠尾草)。批判的女权主义、酷儿、残疾、反压迫和人道主义理论镜头塑造了该项目的基础和看法,特别关注交叉性、主体间性和关系中的权力动态。调查结果包括对MT/客户身份和关系平衡的评论;语境对机器翻译过程的影响;文化谦逊(CH)和文化可持续性(CS)的必要性以及对身份复杂性的尊重;以及隐性/显性沟通在中期审查中的作用。至关重要的是,参与者和研究人员赞同对具有边缘化性别认同和性取向的人的非临床观点,研究人员敦促对身份、监督以及MTs和客户在MTR结构中占据的空间进行反思。对MT理论、研究和实践的未来研究和应用进行了讨论,提出了建议。
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引用次数: 0
Voices of Change: Learning from the Lived Experiences of Minoritized Music Therapists 变革之声:学习未成年音乐治疗师的生活经验
IF 1.2 Q4 REHABILITATION Pub Date : 2022-09-01 DOI: 10.1093/mtp/miac027
Sangeeta Swamy, Adenike Webb
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引用次数: 3
Understanding the Experience of Discussing Race and Racism During Clinical Supervision for Black Music Therapy Students 理解黑人音乐治疗学生在临床监督中讨论种族和种族主义的经验
IF 1.2 Q4 REHABILITATION Pub Date : 2022-09-01 DOI: 10.1093/mtp/miab027
Janae Phaedra Imeri, J. Jones
The experiences of Black music therapy students discussing race and racism in clinical supervision were explored in this study. Participants included 5 Black music therapy students with at least one semester of supervised fieldwork. Recruitment occurred through varied methods utilizing professional networks and snowballing. Data included written survey responses and individual interviews. Utilizing a thematic analysis approach, researchers reviewed that each participant’s dataset generated preliminary codes. Next, researchers grouped codes and compared groupings across datasets. Researchers reached an agreement on 7 themes. Theme 1 addressed the immense vulnerability it takes for Black students to discuss race in and out of supervision. Theme 2 described defensive behaviors from white supervisors, staff members, and peers in response to discussing race. Theme 3 revealed the significance of validating that racism happens to Black students. Theme 4 noted the power supervisors wield over Black students, the privilege white supervisors possess, instances of racism from supervisors, and retaliation from supervisors in response to conversations of race. Theme 5 uncovered a pattern of white supervisors “acknowledging” their privilege and not acting on this self-discovery. Theme 6 examined participants’ feeling like an outsider and supporting themselves in their education. Theme 7 addressed exasperation due to an unchanging oppressive system. Findings connect to the emerging literature on culturally responsive supervision, provide new insights into the supervision of Black music therapy students, and identify the need for change.
本研究探讨了黑人音乐治疗学生在临床监督中讨论种族和种族主义的经历。参与者包括5名黑人音乐治疗学生,他们至少有一个学期的现场监督。招聘是通过利用专业网络和滚雪球的各种方法进行的。数据包括书面调查答复和个人访谈。利用主题分析方法,研究人员审查了每个参与者的数据集生成的初步代码。接下来,研究人员对代码进行分组,并在数据集之间进行分组比较。研究人员就7个主题达成一致。主题1阐述了黑人学生在监督内外讨论种族问题时所面临的巨大脆弱性。主题2描述了白人主管、工作人员和同龄人在讨论种族问题时的防御行为。主题3揭示了验证种族主义发生在黑人学生身上的重要性。主题4指出了主管对黑人学生行使的权力,白人主管拥有的特权,主管的种族主义事件,以及主管对种族对话的报复。主题5揭示了白人主管“承认”自己的特权而不根据这种自我发现采取行动的模式。主题6考察了参与者作为局外人的感觉以及在教育中对自己的支持。主题7谈到了由于一成不变的压迫制度而引起的愤怒。研究结果与新兴的文化响应监督文献相联系,为黑人音乐治疗学生的监督提供了新的见解,并确定了变革的必要性。
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引用次数: 0
We are what we listen to: The impact of music on individual and social health 我们是我们所听的:音乐对个人和社会健康的影响
IF 1.2 Q4 REHABILITATION Pub Date : 2022-08-31 DOI: 10.1093/mtp/miac018
P. Nolan
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引用次数: 0
Guided Imagery and Music in Patients With Chronic Daily Headache: A Pilot Study 引导图像和音乐在慢性头痛患者中的应用:一项初步研究
IF 1.2 Q4 REHABILITATION Pub Date : 2022-08-23 DOI: 10.1093/mtp/miac025
M. Smyrnioti, C. Arvaniti, G. Kostopanagiotou, C. Batistaki
Chronic daily headache (CDH) is a challenging condition that significantly affects functionality and quality of life. We wish to examine how patients suffering from persistent CDH respond to sound, in order to explore Guided Imagery and Music (GIM) as an alternative psychotherapeutic approach to pain. This is a mixed-methods study combining a quasi-experimental design with a matched comparison group and a case-series design. Initially, nine patients suffering from CDH and nine chronic pain patients received an individual, structured GIM session. Six CDH patients proceeded to receive eight GIM therapy sessions within 4–6 months. Levels of pain, depression, stress, and psychopathology traits were assessed pre- and postintervention. Patients suffering from CDH perceived music differently and had different types and qualities of imagery, compared with the comparison group. CDH patients post-intervention showed notable clinical improvement in anxiety and depression levels, overall distress and psychopathology symptoms, and number and duration of crises and frequency of visits to the Pain Clinic, 6 months postintervention. GIM therapy as an adjacent form of treatment can have a positive impact on psychological comorbidity, number and duration of pain episodes, and patient dependency on the Pain Clinic staff. It is suggested by the findings that (a) music and sound may instigate different paths of neural activation in patients suffering from CDH and that (b) GIM can be a powerful therapeutic tool for personal growth and self-actualization. With this pilot study, we hope to inform future research on CDH and introduce GIM as a way of achieving neuromodulation.
慢性每日头痛(CDH)是一个具有挑战性的条件,显著影响功能和生活质量。我们希望研究患有持续性CDH的患者对声音的反应,以探索引导图像和音乐(GIM)作为疼痛的另一种心理治疗方法。这是一项混合方法的研究,结合了准实验设计与匹配的对照组和病例系列设计。最初,9名CDH患者和9名慢性疼痛患者接受了单独的、有组织的GIM治疗。6例CDH患者在4-6个月内接受了8次GIM治疗。在干预前后评估疼痛、抑郁、压力和精神病理特征的水平。与对照组相比,CDH患者对音乐的感知不同,意象的类型和质量也不同。干预后6个月,CDH患者在焦虑和抑郁水平、总体痛苦和精神病理症状、危机次数和持续时间以及疼痛诊所就诊频率方面均有显著改善。GIM治疗作为一种相邻的治疗形式,可以对心理合并症、疼痛发作次数和持续时间以及患者对疼痛诊所工作人员的依赖产生积极影响。研究结果表明:(a)音乐和声音可能激发CDH患者不同的神经激活途径,(b) GIM可以成为个人成长和自我实现的有力治疗工具。通过这项初步研究,我们希望为未来的CDH研究提供信息,并将GIM作为实现神经调节的一种方式。
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引用次数: 1
The Use of Preferred Music to Improve the Sleep Quality of a High School Athlete with Post-Concussion Syndrome 运用偏好音乐改善高中运动员脑震荡后综合征的睡眠质量
IF 1.2 Q4 REHABILITATION Pub Date : 2022-07-07 DOI: 10.1093/mtp/miac007
Rebekah Smith, Deborah Layman
Difficulty sleeping is a common long-term complaint for those who have experienced head trauma and brain injury (Hvingelby, 2020). A lack of sleep can lead to neurological dysfunction and reduce the ability to regulate thinking and behavior (Tan, 2004). Music therapy can promote sleep quality and may be an effective, safe, and affordable treatment for those with sleep problems (Kavurmaci et al., 2020). This study aimed to examine the use of preferred music to improve the self-reported sleep quality, pain, and mood of a high school athlete with post-concussion syndrome. A single-subject, quasi-experimental design was used to examine the use of a preferred music playlist to promote relaxation and sleep in conjunction with weekly live music therapy telehealth sessions. Results indicated an increase in relaxation and ability to sleep, along with improved mood and decreased pain. The results of this study suggest that music therapy may be helpful in addressing pain, mood, and sleep quality in individuals who have experienced concussions.
对于那些经历过头部创伤和脑损伤的人来说,睡眠困难是一种常见的长期抱怨(Hvingelby, 2020)。睡眠不足会导致神经功能障碍,降低调节思维和行为的能力(Tan, 2004)。音乐疗法可以提高睡眠质量,对于有睡眠问题的人来说,音乐疗法可能是一种有效、安全和负担得起的治疗方法(Kavurmaci等人,2020)。这项研究的目的是检查使用喜欢的音乐,以改善自我报告的睡眠质量,疼痛和情绪的高中运动员脑震荡后综合症。采用单受试者准实验设计,结合每周现场音乐治疗远程医疗会议,研究了首选音乐播放列表促进放松和睡眠的使用。结果表明,放松和睡眠能力增加,情绪改善,疼痛减轻。这项研究的结果表明,音乐疗法可能有助于缓解脑震荡患者的疼痛、情绪和睡眠质量。
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引用次数: 0
The Impact of a Music Therapy Support Group on Perceived Stress, Anxiety, and Depression in Long-Term Caregivers: A Pilot Study 音乐治疗支持小组对长期护理人员感知压力、焦虑和抑郁的影响:一项试点研究
IF 1.2 Q4 REHABILITATION Pub Date : 2022-07-06 DOI: 10.1093/mtp/miac019
Jennifer G Denk
Family members caring for loved ones with Alzheimer’s disease, Parkinson’s disease, or dementia have described elevated levels of stress, anxiety, or depression. Studies have reported the effectiveness of support groups for caregivers in addressing these symptoms. The purpose of this pilot study was to examine the impact of a music therapy support group on the perceived stress, anxiety, and depression of caregivers of loved ones with Alzheimer’s disease, Parkinson’s disease, or dementia. Four female adults (n = 62.50 years, SD = 14.15) participated in multiple music therapy support group sessions. Participants completed 3 visual analog scales rating perceived stress, anxiety, and depression at the beginning and end of each session. Results showed trends of stress, anxiety, and depression ratings decreasing from pre- to post-session in all but one session, in which pretest scores for depression were 0 and remained unchanged. Following the completion of the final music therapy support group, 2 participants engaged in a focus group which yielded 2 themes pertinent to the study purpose: receiving support from group members, and personal support strategies employed outside of the music therapy support group sessions. Focus group and pre- and post-session results support the potential benefit of a music therapy support group on acute feelings of stress, anxiety, and depression in long-term caregivers. Due to the low number of participants, these findings suggest that additional investigations are necessary to adequately establish the effectiveness of a music therapy support group for caregivers of loved ones with Alzheimer’s disease, Parkinson’s disease, or dementia.
照顾患有阿尔茨海默病、帕金森病或痴呆症的亲人的家庭成员描述了压力、焦虑或抑郁水平的升高。研究报告了护理人员支持小组在解决这些症状方面的有效性。这项试点研究的目的是检验音乐治疗支持小组对阿尔茨海默病、帕金森病或痴呆症亲人的照顾者感知的压力、焦虑和抑郁的影响。四名成年女性(n=62.50岁,SD=14.15)参加了多次音乐治疗支持小组会议。参与者在每节课开始和结束时完成了3个视觉模拟量表,对感知的压力、焦虑和抑郁进行评分。结果显示,除了一个疗程外,所有疗程的压力、焦虑和抑郁评分都有从疗程前到疗程后下降的趋势,其中抑郁症的测试前得分为0,保持不变。在完成最后一个音乐治疗支持小组后,2名参与者参加了一个焦点小组,该小组产生了与研究目的相关的2个主题:接受小组成员的支持,以及在音乐治疗支持组会议之外使用的个人支持策略。焦点小组和治疗前后的结果支持音乐治疗支持小组对长期护理人员的急性压力、焦虑和抑郁感的潜在益处。由于参与者人数较少,这些发现表明,有必要进行额外的调查,以充分确定音乐治疗支持小组对阿尔茨海默病、帕金森病或痴呆症亲人护理人员的有效性。
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引用次数: 1
Retinopathy of Prematurity Screening Exams, Adverse Events, and Music Therapy: A Case Series 早产儿视网膜病变筛查、不良事件和音乐治疗:一系列病例
IF 1.2 Q4 REHABILITATION Pub Date : 2022-07-02 DOI: 10.1093/mtp/miac022
Susan Bakouros, Kristin A. Rarey, J. Evered
Preterm (PT) infants are routinely screened for retinopathy of prematurity (ROP). After ROP screening exams, PT infants are at risk for adverse events (AEs), including apnea and bradycardia (ABD), respiratory decompensation, infection, and gastrointestinal complications. Music therapy (MT) has been shown to improve overall physiologic stability in PT infants in the neonatal intensive care unit (NICU). In this case series, a board-certified music therapist used a music therapy protocol during 47 ROP screening exams. The study’s purpose was to explore the potential effects of NICU MT on AEs linked to ROP screening. No infant had any respiratory decompensation, new infection, or other complications. The rate of ABD after screening exams was low. MT during ROP screening appears safe and feasible. We hypothesize that MT might prevent ABD associated with ROP screening, a theory that could be effectively studied in a randomized controlled trial.
早产儿(PT)定期接受早产儿视网膜病变(ROP)筛查。ROP筛查检查后,PT婴儿有发生不良事件(AE)的风险,包括呼吸暂停和心动过缓(ABD)、呼吸失代偿、感染和胃肠道并发症。音乐治疗(MT)已被证明可以改善新生儿重症监护室(NICU)PT婴儿的整体生理稳定性。在这个案例系列中,一位获得董事会认证的音乐治疗师在47次ROP筛查中使用了音乐治疗方案。本研究的目的是探讨新生儿重症监护室MT对ROP筛查相关AE的潜在影响。没有婴儿出现任何呼吸系统失代偿、新感染或其他并发症。筛查后ABD发生率较低。ROP筛查期间的MT似乎是安全可行的。我们假设MT可能预防与ROP筛查相关的ABD,这一理论可以在随机对照试验中得到有效研究。
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引用次数: 0
Virtual Course-Based Undergraduate Research Experience (CURE) During the COVID-19 Pandemic COVID-19大流行期间基于虚拟课程的本科生研究体验(CURE
IF 1.2 Q4 REHABILITATION Pub Date : 2022-06-30 DOI: 10.1093/mtp/miac012
Eugenia Hernandez-Ruiz, Abbey L. Dvorak, Celeste Alderete
Translation of research to practice is essential for competent practitioners but requires skills and experience in reading and understanding research. Course-based undergraduate research experiences (CUREs) may be a means of developing research skills for all students in a course. For successful CUREs, faculty evaluate students’ research skill development and decide on a project that appropriately promotes student learning. In this case, we chose an open-ended project. We then evaluated the experiences of music students (music therapy, music performance, and music digital media) as they participated in a virtual CURE during the COVID-19 pandemic. Results of a sequential explanatory mixed-methods design with two surveys and open-ended responses of the whole group (n = 22) and a focus group with a volunteer subsample of students (n = 7) indicated important gains in understanding research articles, writing a scholarly paper, understanding the relevance of research to their coursework, and developing communication and teamwork skills. Student suggestions for improvement included clarification of the expectations and timelines, particularly in a virtual setting, and better distribution of effort during the semester. Overall, a virtual CURE may support student research skill development and help them become more effective research consumers.
将研究成果转化为实践对于有能力的实践者来说是必不可少的,但需要阅读和理解研究成果的技能和经验。基于课程的本科生研究经历(CUREs)可能是培养课程中所有学生研究技能的一种手段。对于成功的CUREs,教师评估学生的研究技能发展,并决定一个适当促进学生学习的项目。在这种情况下,我们选择了一个开放式的项目。然后,我们评估了音乐学生在COVID-19大流行期间参加虚拟治疗的经历(音乐治疗、音乐表演和音乐数字媒体)。顺序解释性混合方法设计的结果表明,在理解研究论文、撰写学术论文、理解研究与课程作业的相关性以及发展沟通和团队合作技能方面,有两个调查和开放式回答的整个小组(n = 22)和一个有学生志愿者子样本的焦点小组(n = 7)的重要收获。学生对改进的建议包括澄清期望和时间表,特别是在虚拟环境中,以及在学期中更好地分配精力。总的来说,虚拟CURE可以支持学生的研究技能发展,并帮助他们成为更有效的研究消费者。
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引用次数: 0
Shifting the Focus to Teachers: A New Approach for Music Therapists Working in Schools 将焦点转移到教师身上:音乐治疗师在学校工作的新方法
IF 1.2 Q4 REHABILITATION Pub Date : 2022-06-27 DOI: 10.1093/mtp/miac020
Megan E. Steele, K. Mcferran, A. Crooke
This paper presents a new approach for music therapists in schools wishing to support the work of teachers. This music therapy approach is underpinned by theoretical resources drawn from community music therapy and a critical inclusive approach to education. Illustrative examples of the first authors’ music therapy practice as part of a teacher professional learning program, Music for Classroom Wellbeing, are offered. Two practice principles, “focus on the teacher” and “enable sharing,” are presented to provide a framework for music therapists striving to support teachers. Following these principles may allow teachers to grow their musicality, teaching, and self-care practices. This paper concludes with implications of reframing the focus of music therapy practice with teachers for other music therapists working in the current performance-driven schooling system.
本文为希望支持教师工作的学校音乐治疗师提供了一种新的方法。这种音乐治疗方法的基础是来自社区音乐治疗的理论资源和一种关键的包容性教育方法。第一作者的音乐治疗实践作为教师专业学习计划的一部分,音乐为课堂健康,提供了说教性的例子。两个实践原则,“关注教师”和“允许分享”,提出了一个框架,为音乐治疗师努力支持教师。遵循这些原则可以让教师提高他们的音乐才能、教学能力和自我照顾能力。本文总结了与教师一起重构音乐治疗实践的重点对在当前以表演为导向的学校系统中工作的其他音乐治疗师的启示。
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引用次数: 0
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Music Therapy Perspectives
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