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Music Therapy Perspectives最新文献

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Music Therapy Program Development for Pediatric Patients in a Medical Facility Awaiting Behavioral/Mental Health Placement 为等待行为/心理健康安置的医疗机构中的儿科患者开发音乐治疗计划
IF 1.2 Q4 REHABILITATION Pub Date : 2022-03-23 DOI: 10.1093/mtp/miac010
Sarah McWaters, Margaret A Gettis, J. Bourne
There is a growing need for support and treatment of individuals experiencing a mental health crisis, especially among the pediatric population. Pediatric patients in need of psychiatric stabilization have little access to supportive services during interim hospitalizations prior to psychiatric admission. The purpose of the evidence-based practice project was to assess if music therapy was an effective intervention to support pediatric behavioral/mental health (BMH) patients awaiting medical stabilization and psychiatric placement. Music therapy services were offered, consisting of interventions to promote positive coping and normalization and to decrease anxiety and behavioral outbursts in pediatric BMH patients. Pre- and post-behavioral states and characteristics of engagement demonstrated a beneficial change after the music therapy session(s) as evidenced by 88.5% of recorded patients reaching a positive behavioral state and 86.9% demonstrating a higher level of engagement. Music therapy was an effective intervention to support pediatric BMH patients awaiting medical stabilization and placement. The availability of music therapy services for BMH patients can produce positive effects for patients, families, and medical staff.
对经历心理健康危机的个人的支持和治疗需求越来越大,尤其是在儿科人群中。需要精神稳定的儿科患者在入院前的临时住院期间几乎无法获得支持性服务。循证实践项目的目的是评估音乐治疗是否是支持等待医疗稳定和精神病安置的儿童行为/心理健康(BMH)患者的有效干预措施。提供音乐治疗服务,包括促进儿童BMH患者积极应对和正常化以及减少焦虑和行为爆发的干预措施。音乐治疗后,行为前和行为后的状态和参与特征发生了有益的变化,88.5%的记录患者达到了积极的行为状态,86.9%的患者表现出了更高的参与水平。音乐治疗是支持等待医疗稳定和安置的儿科BMH患者的有效干预措施。为BMH患者提供音乐治疗服务可以对患者、家人和医务人员产生积极影响。
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引用次数: 1
From the Editor 来自编辑
IF 1.2 Q4 REHABILITATION Pub Date : 2022-03-23 DOI: 10.1093/mtp/miz013
Laura Beer
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引用次数: 0
Survey of Current Financial Needs of Undergraduate Music Therapy Students 音乐治疗专业大学生财务需求现状调查
IF 1.2 Q4 REHABILITATION Pub Date : 2022-03-23 DOI: 10.1093/mtp/miac005
Austin C Thorn, Dawn A Iwamasa, Lori F Gooding
Students attending college rely on a variety of social and financial resources to cover the personal and academic costs of higher education. The most common tool for students is financial aid, which may include loans, needs-based grants, and work–study. Federal financial aid is designed to increase accessibility for individuals to pursue a college degree and is generally determined by their family’s assets or socioeconomic status. Research has suggested positive and negative relationships between students’ socioeconomic status and their academic outcomes. As this relationship has yet to be explored in music therapy, the primary purpose of this study was to explore the current financial needs and economic diversity of American undergraduate music therapy students. A survey was sent in April of 2020 for dissemination to undergraduate music therapy majors. Students from across the United States (n = 346) completed the questionnaire. Key findings included (a) most music therapy students (61.7%) took out student loans during the 2019–2020 academic year and expect substantial levels of debt upon graduation (>$10,000); (b) about one-third (34.4%) of respondents received the Pell Grant, a needs-based grant, in the past year; (c) a considerable majority (77.5%) were employed during school; and (d) 97% of students received additional financial assistance from their families. This study also compared the needs between BIPOC (Black, indigenous, people of color) and white students. Implications of findings as they relate to music therapy education and further research regarding the financial need and socioeconomic status are also discussed.
上大学的学生依靠各种社会和经济资源来支付高等教育的个人和学术费用。对学生来说,最常见的工具是经济援助,包括贷款、助学金和勤工俭学。联邦财政援助旨在增加个人获得大学学位的机会,通常由其家庭资产或社会经济地位决定。研究表明,学生的社会经济地位与他们的学业成绩之间存在正相关关系和负相关关系。由于这种关系在音乐治疗中尚未被探讨,因此本研究的主要目的是探讨美国音乐治疗本科学生当前的经济需求和经济多样性。2020年4月,向音乐治疗专业的本科生发送了一份调查问卷。来自美国各地的学生(n = 346)完成了问卷调查。主要发现包括:(a)大多数音乐疗法学生(61.7%)在2019-2020学年期间申请了学生贷款,预计毕业后债务水平将达到相当高的水平(10万美元);(二)过去一年,约三分之一(34.4%)的回应者曾获“佩尔助学金”(一项以需要为本的助学金);(c)相当多数(77.5%)是在校期间受雇;(d) 97%的学生从家庭获得额外的经济资助。本研究还比较了BIPOC(黑人、土著、有色人种)和白人学生的需求。研究结果的含义,因为他们涉及音乐治疗教育和进一步的研究有关经济需求和社会经济地位也进行了讨论。
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引用次数: 0
Telehealth Music Therapy Services in the United States With Older Adults: A Descriptive Study 美国老年人远程健康音乐治疗服务的描述性研究
IF 1.2 Q4 REHABILITATION Pub Date : 2022-01-03 DOI: 10.1093/mtp/miab028
Lindsey A Wilhelm, K. Wilhelm
In response to the COVID-19 pandemic, many music therapists in the United States turned to telehealth music therapy sessions as a strategy to continue services with older adults. However, the nature and perception of telehealth music therapy services for this age group are unknown. The purpose of this study was to describe music therapy telehealth practices with older adults in the United States including information related to session implementation, strengths and challenges, and adaptations to clinical practice. Of the 110 participants in the United States who responded to the survey (25.2% response rate), 69 reported implementing telehealth music therapy services with older adults and responded to a 32-item survey. Quantitative and qualitative analyses were conducted. Results indicated that while all participants had provided telehealth music therapy for no more than 6 months, their experiences with telehealth varied. Based on participant responses, telehealth session structure, strengths, challenges, and implemented changes are presented. Overall, 48% of music therapists reported that they planned to continue telehealth music therapy with older adults once pandemic restrictions are lifted. Further study on the quality, suitability, and acceptability of telehealth services with older adults is recommended.
为了应对新冠肺炎疫情,美国许多音乐治疗师转向远程健康音乐治疗课程,作为继续为老年人提供服务的策略。然而,这一年龄段的远程健康音乐治疗服务的性质和认知尚不清楚。本研究的目的是描述美国老年人的音乐治疗远程健康实践,包括与课程实施、优势和挑战以及对临床实践的适应相关的信息。在美国接受调查的110名参与者中(25.2%的应答率),69人报告对老年人实施了远程健康音乐治疗服务,并对32项调查做出了回应。进行了定量和定性分析。结果表明,虽然所有参与者提供远程健康音乐治疗的时间不超过6个月,但他们的远程健康体验各不相同。根据参与者的反应,介绍了远程医疗会议的结构、优势、挑战和实施的变革。总体而言,48%的音乐治疗师表示,一旦疫情限制解除,他们计划继续对老年人进行远程健康音乐治疗。建议对老年人远程医疗服务的质量、适用性和可接受性进行进一步研究。
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引用次数: 7
Music Therapy Pre-internship Education and Training: Support for a Methods-Based Approach 音乐治疗实习前教育和培训:支持基于方法的方法
IF 1.2 Q4 REHABILITATION Pub Date : 2021-12-29 DOI: 10.1093/mtp/miab026
Susan C. Gardstrom, James Hiller, A. Heiderscheit, Nancy L Jackson
As music therapists, music is our primary realm of understanding and action and our distinctive way of joining with a client to help them attain optimal health and well-being. As such, we have adopted and advocate for a music-focused, methods-based (M-B) approach to music therapy pre-internship education and training. In an M-B approach, students’ learning is centered on the 4 music therapy methods of composing, improvising, re-creating, and listening to music and how these music experiences can be designed and implemented to address the health needs of the diverse clientele whom they will eventually encounter as practicing clinicians. Learning is highly experiential, with students authentically participating in each of the methods and reflecting on these self-experiences as a basis for their own clinical decision-making. This is differentiated from a population based (P-B) approach, wherein students’ attention is directed at acquiring knowledge about the non-musical problems of specific “clinical populations” and the “best practice” music interventions that are presumed to address these problems. Herein, we discuss both approaches, identifying the limitations of a P-B perspective and outlining the benefits of an M-B curriculum and its relevance to 21st-century music therapy practice.
作为音乐治疗师,音乐是我们理解和行动的主要领域,也是我们与客户联系的独特方式,帮助他们获得最佳健康和福祉。因此,我们采用并倡导以音乐为重点、基于方法(M-B)的音乐治疗实习前教育和培训方法。在M-B方法中,学生的学习集中在作曲、即兴创作、再创作和听音乐的4种音乐治疗方法上,以及如何设计和实施这些音乐体验,以满足他们作为执业临床医生最终会遇到的不同客户的健康需求。学习是高度体验式的,学生真正参与每一种方法,并将这些自我体验作为自己临床决策的基础。这与基于人群的(P-B)方法不同,在该方法中,学生的注意力集中在获取有关特定“临床人群”的非音乐问题的知识,以及被认为可以解决这些问题的“最佳实践”音乐干预措施。在此,我们讨论了这两种方法,确定了P-B视角的局限性,并概述了M-B课程的好处及其与21世纪音乐治疗实践的相关性。
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引用次数: 2
Professional Identity Formation of Early Career Music Therapists 早期音乐治疗师职业身份的形成
IF 1.2 Q4 REHABILITATION Pub Date : 2021-12-29 DOI: 10.1093/mtp/miab024
Cassandra Byers, Anthony Meadows
In this study, 15 early career music therapists were interviewed about their academic, clinical, personal, and early professional experiences to define the key characteristics of their professional identity formation. Subsequent analysis of these data revealed that for these music therapists, early career identity formation was characterized by 3 developmental tasks: (1) formulating a professional identity, (2) identifying and practicing a preferred working style, and (3) moving from a single approach to practice and drawing from a variety of theories and approaches. Furthermore, their early career identity formation was characterized by 4 sequential subphases: (1) openness to change, (2) experiencing complexity, (3) freeing up, and (4) increased confidence. Barriers to healthy identity formation were also discussed. Implications for education and training, along with the importance of facilitating mentorship opportunities for early career professionals, were proposed to connect the findings to academic and professional life.
在这项研究中,15名早期职业音乐治疗师接受了采访,了解他们的学术、临床、个人和早期职业经历,以确定他们职业身份形成的关键特征。随后对这些数据的分析表明,对于这些音乐治疗师来说,早期职业身份形成的特点是3项发展任务:(1)形成职业身份,(2)识别和实践首选的工作风格,以及(3)从单一的方法走向实践,并借鉴各种理论和方法。此外,他们早期的职业认同形成有4个连续的亚阶段:(1)对变化的开放性,(2)经历复杂性,(3)解放,(4)增强信心。还讨论了健康身份形成的障碍。为了将研究结果与学术和职业生活联系起来,提出了对教育和培训的影响,以及为早期职业专业人士提供辅导机会的重要性。
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引用次数: 0
Adolescents on the Autism Spectrum: Music Therapists’ Work with Speech-Language Pathologists 自闭症谱系中的青少年:音乐治疗师与言语语言病理学家的合作
IF 1.2 Q4 REHABILITATION Pub Date : 2021-12-29 DOI: 10.1093/mtp/miab019
A. Guerriero, Mara E. Culp, Lisa Pierce-Goldstein
Adolescents on the autism spectrum may experience challenges with multiple domains of communication that impact their quality of life. Both music therapists and speech-language pathologists (SLPs) implement activities to address these challenges. Empirical evidence suggests that incorporating music into treatment can be an effective way to improve communication. The purpose of this article is to provide suggestions for music therapists assisting adolescents on the autism spectrum to improve their communication skills and ways to collaborate with SLPs in doing so. In this paper, we discuss interprofessional collaborative models (e.g., interdisciplinary, transdisciplinary) and competencies (e.g., coordination, adaptability), as well as music-based clinical experiences that appeal to adolescents, and target improvement of communication skills for learners with complex communication needs.
自闭症谱系的青少年可能会在影响他们生活质量的多个沟通领域遇到挑战。音乐治疗师和言语语言病理学家(SLP)都开展活动来应对这些挑战。经验证据表明,将音乐融入治疗是改善沟通的有效方法。本文的目的是为帮助自闭症谱系青少年的音乐治疗师提供建议,以提高他们的沟通技能以及与SLP合作的方式。在本文中,我们讨论了跨专业合作模式(如跨学科、跨学科)和能力(如协调性、适应性),以及吸引青少年的基于音乐的临床体验,并有针对性地提高有复杂沟通需求的学习者的沟通技能。
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引用次数: 0
Unhoused Persons: Perspectives on Perceived Benefits of Music Therapy 无人居住的人:音乐治疗的感知益处
IF 1.2 Q4 REHABILITATION Pub Date : 2021-12-20 DOI: 10.1093/mtp/miab025
Katie Lahue
There is limited literature to support the use of music therapy with unhoused persons and more research is needed to deepen the understanding of music therapy with this population. This researcher aimed to gather information from music therapists who work with unhoused persons to gain more perspective on the perceived benefits of the music therapy treatment process. Three music therapists were interviewed; interviews were then transcribed and coded to find themes regarding perceived benefits of music therapy with unhoused persons. The four themes derived from the data were increased resilience factors, facilitating connections, creating a safe space, and increased expression. Findings support music therapy attending to many levels of human need for unhoused individuals. These findings can be used as recommendation for practice and program development for the use of music therapy with unhoused persons and also point to a need for more research to understand the benefits of specific music therapy techniques and treatment methods with unhoused persons and subgroups of the unhoused community.
支持对无家可归者使用音乐疗法的文献有限,需要更多的研究来加深对这一人群的音乐疗法的理解。本研究旨在从音乐治疗师那里收集信息,他们与无家可归的人一起工作,以获得更多关于音乐治疗治疗过程的感知益处的观点。采访了三位音乐治疗师;然后对访谈进行转录和编码,以找到关于对无家可归者进行音乐治疗的感知益处的主题。从数据中得出的四个主题是增加弹性因素、促进联系、创造安全空间和增加表达。研究结果支持音乐疗法在许多层面上满足了无家可归者的需求。这些发现可以作为对无家可归者使用音乐治疗的实践和项目开发的建议,也指出需要进行更多的研究,以了解特定的音乐治疗技术和治疗方法对无家可归者和无家可归者社区的亚群体的好处。
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引用次数: 1
Defining the Therapeutic Singing Voice: Further Examination of the Everyday Singing Practices of Music Therapists 定义治疗性歌声:音乐治疗师日常歌唱实践的进一步检查
IF 1.2 Q4 REHABILITATION Pub Date : 2021-12-09 DOI: 10.1093/mtp/miab023
Martina C Bingham, Elizabeth K Schwartz, Anthony Meadows
Twelve music therapists were observed working clinically in 3 to 5 of their music therapy sessions and subsequently interviewed about their clinical work in order to further examine and define the essential characteristics of therapeutic singing in music therapy clinical practice. Observational and interview data were analyzed separately using procedures consistent with qualitative content analysis and then integrated to provide a comprehensive picture of these singing practices. Analysis of these data revealed 3 interrelated dimensions of therapeutic singing that were integrated into the larger realization of therapeutic singing: (1) foundational vocal skills, (2) vocal engagement, and (3) authenticity. Implications for the education and training of music therapy students, vocal health, and a reevaluation of the American Music Therapy Association’s competencies contextualize these findings for the profession as a whole.
研究人员对12位音乐治疗师进行了3到5次的临床音乐治疗,并对他们的临床工作进行了访谈,以进一步研究和定义音乐治疗临床实践中治疗性歌唱的基本特征。观察和访谈数据分别使用与定性内容分析一致的程序进行分析,然后进行整合,以提供这些歌唱实践的全面图景。对这些数据的分析揭示了治疗性歌唱的三个相互关联的维度,这些维度被整合到治疗性歌唱的更大实现中:(1)基本的声乐技巧,(2)声乐参与,(3)真实性。对音乐治疗学生的教育和培训、声音健康的影响,以及对美国音乐治疗协会能力的重新评估,将这些发现作为整个行业的背景。
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引用次数: 2
The Effect of Music Therapy on Perceived Parental Stress in Perinatal Care: An Exploratory Study 音乐治疗对围产期护理中父母压力感知的影响:一项探索性研究
IF 1.2 Q4 REHABILITATION Pub Date : 2021-11-17 DOI: 10.1093/mtp/miab016
Jenna Bollard-Marcovitz, R. Tachdjian, Esteban Roa, Luisa Flores, Scott Brown, Amira Gill, Chelsea Brown, Eiress Wicks, H. Danelyan, Mint Tan, Grace Pak, Bethany Pincus, Julia Petrey-Juarez
The perinatal experience contains many stressors that can impact parental mental health. We examined the integration of music therapy (MT), an evidence-based health profession, and its stress reduction role in parents during their inpatient maternity and neonatal intensive care unit (NICU) experience. The Perceived Stress Scale (PSS) and Stress Numeric Rating Scale (SNRS-11) were used to measure stress reduction in 34 maternity and NICU parents (17 maternity patients and 17 NICU parents). Participants included parents on the antepartum unit (expecting parents on bedrest), laboring parents, pre-operation parents before cesarean delivery, parents of full-term healthy infants on the postpartum unit, and parents of premature infants on the NICU. Results were calculated based upon number of sessions rather than total number of participants and indicated that after one MT session, a 50% reduction in the SNRS-11 was measured in NICU and antepartum parents. The PSS score demonstrated a more modest stress reduction in the NICU parents but failed to achieve a statistically significant decrease in the maternity group. Findings were in line with existing literature in MT-associated stress reduction levels and may be integrated as part of an ongoing continuity of care during pregnancy, delivery, and NICU hospitalization. Earlier screening for stress may benefit parents during their perinatal hospital stay. Further research exploring the benefits of MT, as part of continuum of care and stress management for the inpatient perinatal parent population, may encourage the inclusion of MT services and improve quality of care.
围产期的经历包含许多可以影响父母心理健康的压力源。我们研究了音乐疗法(MT)的整合,一种基于证据的健康专业,以及它在父母住院产科和新生儿重症监护病房(NICU)期间的减压作用。采用感知压力量表(PSS)和压力数值评定量表(SNRS-11)对34名产妇和新生儿重症监护病房父母(17名产妇和17名新生儿重症监护病房父母)的压力减轻程度进行测量。参与者包括产前病房的父母(卧床的待产父母)、分娩父母、剖宫产前的术前父母、产后病房足月健康婴儿的父母以及新生儿重症监护病房早产儿的父母。结果是根据会话数而不是参与者总数来计算的,并表明在一次MT会话后,NICU和产前父母的SNRS-11降低了50%。PSS评分显示新生儿重症监护室父母的压力减轻程度较为温和,但在产妇组没有达到统计学上显著的降低。研究结果与mt相关的压力降低水平的现有文献一致,可以作为妊娠、分娩和新生儿重症监护病房住院期间持续护理的一部分。在围产期住院期间,早期的压力筛查可能对父母有益。进一步的研究探索MT的好处,作为住院围产儿父母群体连续护理和压力管理的一部分,可能会鼓励MT服务的纳入并提高护理质量。
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引用次数: 2
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Music Therapy Perspectives
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