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Music moves – Ettlingen dementia study: Protocol of a pragmatic randomised controlled trial 音乐运动——Ettlingen痴呆症研究:一项实用的随机对照试验方案
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-02-15 DOI: 10.1080/08098131.2022.2028885
Elsa A. Campbell, T. Wosch
ABSTRACT Introduction Systematic reviews have shown the effectiveness of music in reducing the behavioural and psychological symptoms of dementia (BPSD). Effects of active (i.e. singing) compared to receptive (including vibroacoustic therapy) individual music therapy methods for specific BPSD/dementia sub-types are unclear, for example, that receptive methods (i.e. vibroacoustic therapy) increase parasympathetic responses and active music therapy improves cognitive and emotional functioning. Method A three-armed pragmatic randomised controlled trial will be conducted with German care home residents with dementia. Residents (N = 75) randomly assigned to the two intervention groups (individual active music therapy or individual vibroacoustic therapy) will receive two sessions/week for six weeks plus standard care. The control group will receive only standard care during data collection. The Neuropsychiatric Inventory-Nursing Home will assess BPSD; secondary outcomes include depression, quality of life, activities of daily living, health economy and musical engagement. Outcomes are measured at baseline, post-intervention (6 weeks), and 12-weeks post randomisation. MMSE is used as a screening measure. We hypothesise that individual active music therapy and individual vibroacoustic therapy will reduce BPSD significantly more than standard care. Secondary hypo-theses are increased quality of life and musical engagement and decreased depressivity and health resource usage. Discussion A greater relaxation response is expected in the receptive arm due to the massage-like vibration. Increased cognitive clarity and reduced depression are expected in the active arm. The trial is registered with the German Clinical Trials Register (DRKS00023233).
系统综述显示音乐在减少痴呆(BPSD)的行为和心理症状方面的有效性。对于特定的BPSD/痴呆亚型,与接受性(包括振动声疗法)个体音乐治疗方法相比,主动(即唱歌)的效果尚不清楚,例如,接受性方法(即振动声疗法)增加副交感神经反应,主动音乐疗法改善认知和情绪功能。方法对德国老年痴呆症患者进行三臂随机对照试验。居民(N = 75)被随机分配到两个干预组(个体积极音乐治疗或个体振动声治疗)将接受每周两次的治疗,为期六周,外加标准治疗。对照组在数据收集期间只接受标准护理。神经精神病学量表-疗养院将评估BPSD;次要结果包括抑郁、生活质量、日常生活活动、健康经济和音乐参与。在基线、干预后(6周)和随机化后12周测量结果。MMSE被用作筛选措施。我们假设个体主动音乐治疗和个体振动声治疗比标准治疗更能显著减少BPSD。次要假设是提高生活质量和音乐参与,减少抑郁和健康资源的使用。由于类似按摩的振动,预期接受臂会有更大的松弛反应。预期在主动组中认知清晰度增加,抑郁减少。该试验已在德国临床试验注册中心(DRKS00023233)注册。
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引用次数: 1
The Music Therapy Studio: Empowering the soul’s truth 音乐治疗工作室:赋予灵魂真理力量
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-02-15 DOI: 10.1080/08098131.2022.2033816
Jesse Asch-Ortiz
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引用次数: 0
Shaping the digital space: Exploring relationships in online music therapy session delivery 塑造数字空间:探索在线音乐治疗课程交付中的关系
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-02-07 DOI: 10.1080/08098131.2022.2026453
K. Devlin
ABSTRACT Introduction COVID-19 challenged music therapists to provide services in a range of virtual formats, including synchronous and asynchronous session delivery. While models of telehealth delivery and essential technology skills have been discussed in recent literature and professional development courses, the ways in which the client--therapist relationship has been impacted have not been fully explored. Method Reflective vignettes shaped by the author’s lived experience explore this impact in the context of collaboration with two therapy participants in different formats: (a) live Zoom music therapy sessions with a neurodivergent child, and (b) pre-recorded music therapy sessions focused on recreating improvisational experiences for/with an autistic child. Results Narrative storytelling highlights the author’s experience navigating three phases of deepening virtual connections over time, which include exploration of online delivery challenges such as technological problems, development of skills for video creation, and translating in-person experiences into online formats. Discussion Vignettes contextualize session events within the author’s practice of telehealth and the ways these practices compare with pre-COVID sessions. Throughout this narrative, the power of technology to expand and limit the author’s ability to co-construct meaningful therapeutic musical encounters is discussed.
COVID-19挑战了音乐治疗师提供一系列虚拟格式的服务,包括同步和异步会话交付。虽然在最近的文献和专业发展课程中讨论了远程医疗服务模式和基本技术技能,但尚未充分探讨客户-治疗师关系受到影响的方式。方法由作者的生活经历塑造的反思性小插曲在与两个不同形式的治疗参与者合作的背景下探讨了这种影响:(a)与神经分化儿童的现场Zoom音乐治疗课程,以及(b)预先录制的音乐治疗课程,重点是为自闭症儿童重现即兴体验。叙述性故事强调了作者在三个阶段的经验,即随着时间的推移,深化虚拟联系,包括探索在线交付的挑战,如技术问题,视频创作技能的发展,以及将亲自体验转化为在线格式。讨论小片段将作者远程医疗实践中的会话事件以及这些实践与covid前会话的比较方式置于背景下。在整个叙述中,技术的力量扩展和限制了作者共同构建有意义的治疗音乐遭遇的能力。
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引用次数: 2
Understanding awareness of music therapy in parents of children with special needs in India: A survey study 了解音乐治疗在印度特殊需要儿童家长中的意识:一项调查研究
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-02-01 DOI: 10.1080/08098131.2021.1955949
R. R. Karulkar, D. Gunjawate, Sumathy Sundar
ABSTRACT Introduction Music therapy (MT) services for children with special needs in India are limited. Understanding the current level of parental knowledge of music therapy and their willingness to include it in a child’s habilitation program may ascertain the need for parent education and could help to make music therapy feasible and accessible to Indian parents. Hence, a preliminary survey was undertaken to investigate various aspects of parental awareness about music therapy. Method Twenty-one item self-report questionnaire was developed and validated. The questionnaire was administered to 80 parents residing in various cities of Maharashtra who had children with special needs who were being administered therapies other than music therapy. The parents had a minimum education of 10th grade with proficiency in English. Results Statistical analysis revealed that parents had some level of pre-existing knowledge about music therapy and were willing to include music therapy in their child’s treatment. Parents with higher educational levels and annual family income were significantly more aware of the term music therapy. Parents who had heard of music therapy were more likely to include music therapy in their child’s habilitation. Motivations that drew parents’ willingness have been described in detail. Discussion Parents of children with special needs in urban parts of Maharashtra are positively inclined towards music therapy. They are willing to include music therapy in their child’s habilitation provided the structure of these services to complement their needs. Nevertheless, there remains a need for increasing awareness about the versatility and the scope of music therapy.
在印度,为有特殊需要的儿童提供的音乐治疗(MT)服务是有限的。了解当前父母对音乐疗法的知识水平,以及他们将音乐疗法纳入孩子的康复计划的意愿,可以确定父母教育的必要性,并有助于使音乐疗法对印度父母来说是可行的和可接受的。因此,我们进行了一项初步调查,以调查父母对音乐治疗的各个方面的认识。方法编制21项自述问卷并进行验证。调查问卷被发给了居住在马哈拉施特拉不同城市的80对父母,他们的孩子有特殊需要,正在接受音乐治疗以外的治疗。父母的最低教育程度为10年级,精通英语。结果统计分析显示,家长对音乐治疗有一定程度的认知,并愿意将音乐治疗纳入孩子的治疗中。受教育程度和家庭年收入较高的家长对“音乐治疗”一词的了解程度明显更高。听说过音乐疗法的父母更有可能在孩子的康复中加入音乐疗法。吸引家长意愿的动机已被详细描述。马哈拉施特拉邦城市地区有特殊需要儿童的父母积极倾向于音乐治疗。他们愿意在孩子的康复中加入音乐治疗,只要这些服务的结构能满足他们的需求。然而,仍然需要提高对音乐治疗的多功能性和范围的认识。
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引用次数: 0
HOPE – The dream we carry 希望——我们的梦想
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-01-24 DOI: 10.1080/08098131.2022.2027124
E. Ruud
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引用次数: 1
Structure, agency and community: Using online music gatherings to support social inclusion for people with disabilities in Australia during the COVID-19 pandemic 结构、机构和社区:在新冠肺炎大流行期间,利用在线音乐集会支持澳大利亚残疾人的社会包容
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-01-12 DOI: 10.1080/08098131.2021.2008474
K. Mcferran, Anthea Skinner, Teresa Hall, G. Thompson
ABSTRACT Introduction In the wake of COVID-19 restrictions and lockdowns in the southern states of Australia, many community music and music therapy projects shifted to an online format. This paper discusses the formation and creation of four online music groups aimed at people with disability, including two groups for children and two for adults. The aim of the study was to explore the use of online technologies to support social inclusion and wellbeing when participants were physically isolated. Method This study positioned group participants as co-researchers to recognize the expertise many people with disability hold from being housebound or socially isolated. We adopted an action research framework in which participants provided ongoing reflections on the use of technology, access, musical foci and social interaction to iteratively develop the sessions through cycles of reflexive action. These data were triangulated with data collected through participant observation and individual interviews. Results The structured format of the sessions created online spaces for people with different disability, age and gender identities to explore their creativity together. Far from limiting participants’ autonomy and safety, the structured setting promoted their agency in decision-making and shaping the groups to meet their needs. Discussion Many participants interacted with the group or adapted to the online experiences in ways which the authors had not anticipated. While we were expecting our cohort to have expertise with social isolation, we found that they also had high levels of expertise as passionate musicians, which they used to frame the activities of the online gatherings.
摘要简介随着新冠肺炎疫情在澳大利亚南部各州的限制和封锁,许多社区音乐和音乐治疗项目转向了在线形式。本文讨论了四个针对残疾人的在线音乐团体的组建和创建,其中包括两个儿童团体和两个成人团体。这项研究的目的是探索在参与者身体隔离的情况下,使用在线技术来支持社会包容和幸福感。方法本研究将小组参与者定位为共同研究者,以认识到许多残疾人因足不出户或社交孤立而拥有的专业知识。我们采用了一个行动研究框架,在该框架中,参与者对技术、访问、音乐焦点和社交互动的使用进行了持续的思考,以通过反射性行动的循环反复发展会话。这些数据与通过参与者观察和个人访谈收集的数据进行了三角测量。结果会议的结构化形式为不同残疾、年龄和性别认同的人创造了在线空间,共同探索他们的创造力。结构化的环境非但没有限制参与者的自主性和安全性,反而促进了他们在决策和塑造群体以满足他们需求方面的能动性。讨论许多参与者以作者没有预料到的方式与小组互动或适应在线体验。虽然我们希望我们的团队拥有社交隔离方面的专业知识,但我们发现,作为热情的音乐家,他们也有很高的专业知识水平,他们用这些知识来组织在线聚会的活动。
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引用次数: 4
A research-based map of music therapy in the Czech Republic: Comparisons with other arts therapies 捷克共和国基于研究的音乐疗法地图:与其他艺术疗法的比较
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-01-07 DOI: 10.1080/08098131.2021.1958906
J. Kantor, V. Karkou, M. Chráska, Jana Duhovská, Elena Fitzthum, Markéta Gerlichová, Elisabeth Kaczynski, Krzysztof Stachyra, M. Voigt, L. Kantorová
ABSTRACT Introduction The development of music therapy in the Czech Republic is closely connected with the development of other arts therapies (AsTs). This cross-sectional study aims to provide a research-based description of the current state of Czech music therapy and offer comparisons with other AsTs. Method Data were obtained through a modified version of “The Practice in Arts Therapies” questionnaire, which was distributed to arts therapists registered with professional associations in the Czech Republic. From the total sample (N = 144), there were 50 music therapists. The remainder of the sample were drama, dance movement, art therapists, and combinations of these therapies (N = 94). Descriptive and inferential statistics were performed relating to work environment, client groups, and preferred therapeutic trends. Results Czech music therapy is closely connected to working with special needs populations in social care and educational environments. Practitioners follow humanistic, active/directive and artistic/creative trends. Significant differences were found between music therapists and other arts therapists with regard to the client populations (in their age and type of needs), and therapeutic trends. Discussion Czech music therapy has strengths in the area of special needs, but it will be important to achieve further growth, especially in health care. This may have a crucial impact on the formation of a common legislative framework for art therapists. We recommend repeating this survey in the future to see how the university-based program for music therapy will have influenced the profession.
摘要引言音乐疗法在捷克共和国的发展与其他艺术疗法的发展密切相关。这项横断面研究旨在对捷克音乐治疗的现状进行基于研究的描述,并与其他AsT进行比较。方法通过修改版的“艺术治疗实践”问卷获得数据,该问卷被分发给在捷克共和国专业协会注册的艺术治疗师。从总样本(N=144)中,有50名音乐治疗师。其余的样本是戏剧、舞蹈动作、艺术治疗师和这些疗法的组合(N=94)。对工作环境、客户群体和首选治疗趋势进行描述性和推断性统计。结果捷克音乐治疗与社会护理和教育环境中的特殊需求人群的工作密切相关。从业者遵循人文主义、主动性/指导性和艺术性/创造性的趋势。音乐治疗师和其他艺术治疗师在客户群体(年龄和需求类型)和治疗趋势方面存在显著差异。讨论捷克音乐疗法在特殊需求领域具有优势,但实现进一步发展非常重要,尤其是在医疗保健方面。这可能对艺术治疗师共同立法框架的形成产生至关重要的影响。我们建议在未来重复这项调查,看看大学的音乐治疗项目将如何影响这个职业。
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引用次数: 2
Women trainee therapists’ growth experiences during their Guided Imagery and Music qualification training in South Korea 韩国女性培训治疗师在引导意象和音乐资格培训中的成长经历
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-01-05 DOI: 10.1080/08098131.2021.1959386
Jinwook Kim
ABSTRACT Introduction Guided Imagery and Music (GIM) qualification training is an experience-centered training course. It emphasizes inner exploration and healing through self-therapy and teaches therapy skills to enhance trainee therapists’ professionalism. The aim of this phenomenological study was to explore the perceived growth experiences of women trainee therapists during their GIM qualification training in South Korea. Method This study utilized a descriptive phenomenological methodology. Seven Korean trainee therapists participated in this study. The data were collected using in-depth interviews. Colaizzi’s method was used to extract significant statements, formulate meanings, identify themes and the essential aspects of the trainees’ perceived growth experiences. Results The data analysis yielded 23 meaning units, nine themes, and three essential aspects related to the trainees’ growth experiences during GIM training. The themes include avoidance and resistance, thorough (esoteric) training, public eye, individual circumstances, therapeutic power of GIM, training methods and environment, motivation and effort to grow as therapists, personal growth, and professional growth. The three essential aspects of the trainees’ perceived growth experiences are growth challenges, the power to grow, and a two-faceted nature of growth. Discussion This study corroborates and extends the research findings of previous studies on the training of GIM therapists. Also, it identifies some contradictions in the trainees’ growth experiences that could be attributed to cultural factors. Although the study was not set up to evaluate GIM training programs, it provides some practical suggestions for GIM training programs in South Korea.
摘要简介引导图像与音乐(GIM)资格培训是一门以体验为中心的培训课程。它强调通过自我治疗进行内心探索和治愈,并教授治疗技能,以提高实习治疗师的专业水平。这项现象学研究的目的是探索女性实习治疗师在韩国接受GIM资格培训期间的感知成长经历。方法采用描述性现象学方法。七名韩国实习治疗师参与了这项研究。这些数据是通过深入访谈收集的。Colaizzi的方法被用于提取重要陈述,制定意义,确定主题和受训者感知成长经历的基本方面。结果数据分析得出了23个意义单元、9个主题和与学员在GIM培训中的成长经历相关的三个重要方面。主题包括回避和抵抗、彻底的(深奥的)培训、公众视野、个人环境、GIM的治疗能力、培训方法和环境、作为治疗师成长的动机和努力、个人成长和职业成长。学员感知成长经历的三个重要方面是成长挑战、成长的力量和成长的两面性。讨论本研究证实并扩展了先前关于GIM治疗师培训的研究结果。此外,它还指出了受训者成长经历中的一些矛盾,这些矛盾可能归因于文化因素。虽然本研究不是为了评估GIM培训计划而设立的,但它为韩国的GIM培训项目提供了一些实用的建议。
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引用次数: 0
Music therapy assessments 音乐治疗评估
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-01-01 DOI: 10.1080/08098131.2022.2016152
J. Bradt
In this first issue of 2022, we have several articles focused on music therapy assessment tools. This is quite remarkable since, historically, music therapists have predominantly relied on assessment tools developed in other fields. While those play an important role in music therapy research and clinical practice in terms of measuring non-music outcomes (e.g. functional or psychological outcomes), it is important that music therapists develop assessment tools to assess music and music therapy-specific outcomes. Most music therapy assessment scales developed to date focus on non-music health domains such as cognition, communication, and motor skills. However, we have a growing number of music therapy assessments in which music is its “own domain of health” (Carpente & Aigen, 2015, p. 250). In these assessment scales, aspects of a client’s “musical functioning are understood broadly as reflections of one’s overall cognitive and affective relationship to the world and oneself” (Carpente & Aigen, 2015, p. 250). In 2015, the International Music Therapy Assessment Consortium (IMTAC) was founded (https://www.musictherapy.aau.dk/imtac/) to facilitate and support the development and standardization of robust and research-based music therapy assessment tools, increase awareness of assessment within and around of the field of music therapy, and promote the implementation of music therapy assessment in clinical practice. The IMTAC is a valuable music therapy assessment resource and I encourage you to help build their catalogue of music therapy assessment tools by submitting music therapy assessment tools for inclusion in this online catalogue. Collaborative efforts like this are important to advancing assessment development and implementation in our field. Another great resource for music therapy clinicians and scholars is the book on music therapy assessment by Jacobsen et al. (2018) (book review available here). The development of a standardized assessment tool is a complex process. Some of the essential steps involved include identification of the domains of the scale, item generation, ascertaining content validity, extraction of latent factors, item reduction, psychometric testing, and development of a manual that details scale administration instructions as well as scoring guidelines, just to name a few. As I assembled articles for this issue, I noticed that three of the authors included in this issue focused or are currently focusing their PhD research on the development of a music therapy assessment scale (Carpente, 2014; McDermott et al., 2015; Salokivi et al., this issue). For many years, PhD students have indeed made major contributions to the development of music therapy assessments. I decided to check in with them about their experience of undertaking such challenging research for their dissertation. In a brief e-mail exchange, Maija Salokivi, John Carpente, and Orii McDermott shared their experiences and offered some advice for future scholars
在2022年的第一期中,我们有几篇文章聚焦于音乐治疗评估工具。这是非常了不起的,因为从历史上看,音乐治疗师主要依赖于其他领域开发的评估工具。虽然这些在音乐治疗研究和临床实践中在衡量非音乐结果(如功能或心理结果)方面发挥着重要作用,但音乐治疗师开发评估工具来评估音乐和音乐治疗的特定结果是很重要的。迄今为止开发的大多数音乐治疗评估量表都侧重于非音乐健康领域,如认知、沟通和运动技能。然而,我们有越来越多的音乐治疗评估,其中音乐是其“自己的健康领域”(Carpente&Aigen,2015,第250页)。在这些评估量表中,客户“音乐功能的各个方面被广泛理解为一个人对世界和自己的整体认知和情感关系的反映”(Carpente&Aigen,2015,p.250)。2015年,国际音乐治疗评估联盟(IMTAC)成立(https://www.musictherapy.aau.dk/imtac/)促进和支持稳健的、基于研究的音乐治疗评估工具的开发和标准化,提高音乐治疗领域内外的评估意识,促进音乐治疗评估在临床实践中的实施。IMTAC是一个宝贵的音乐治疗评估资源,我鼓励您通过提交音乐治疗评估工具以纳入此在线目录来帮助建立他们的音乐治疗评价工具目录。像这样的合作努力对于推进我们领域的评估制定和实施非常重要。音乐治疗临床医生和学者的另一个重要资源是Jacobsen等人的《音乐治疗评估》一书。(2018)(此处提供书评)。标准化评估工具的开发是一个复杂的过程。所涉及的一些基本步骤包括确定量表的领域、项目生成、确定内容有效性、潜在因素的提取、项目减少、心理测量测试,以及编写一本手册,详细说明量表管理说明和评分指南,仅举几例。当我为本期撰写文章时,我注意到本期中的三位作者专注于或目前正在专注于音乐治疗评估量表的开发(Carpente,2014;McDermott等人,2015;Salokivi等人,本期)。多年来,博士生确实为音乐治疗评估的发展做出了重大贡献。我决定和他们谈谈他们在论文中进行如此具有挑战性的研究的经历。在一封简短的电子邮件交流中,Maija Salokivi、John Carpente和Orii McDermott分享了他们的经验,并为未来从事这类工作的学者提供了一些建议。我还联系了Wendy Magee,她是我们即将在《北欧音乐治疗杂志2022》第31卷第1期、第3-6期在线特刊的客座联合编辑https://doi.org/10.1080/08098131.2022.2016152
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引用次数: 0
Embracing Technological Possibilities in the Telehealth Delivery of Interactive Music Therapy. 在远程医疗互动音乐治疗中拥抱技术的可能性。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-01-01 Epub Date: 2022-03-20 DOI: 10.1080/08098131.2022.2040579
Anna S Cephas, Stephenie Sofield, Allison Millstein

Introduction: Given how many music therapists have shifted their practice to telehealth in accordance with COVID-19 public safety precautions, it is essential for clinicians not only to adjust to the virtual platform, but to embrace the therapeutic potential of technological tools. Just as music is considered a therapeutic agent in music therapy sessions, the authors assert that technology may also be conceptualized and utilized as a means of enhancing therapeutic outcomes.

Method: Referencing an interactive music therapy protocol adapted for telehealth as part of a pain management study, the authors examine ways in which different aspects of telehealth technology can be used by music therapists to support client goals and bolster the therapeutic relationship. Generalized clinical examples drawn from virtual sessions are incorporated to demonstrate the unique therapeutic possibilities for client agency, client self-efficacy, and the client-therapist relationship afforded by the telehealth platform.

Results: Among the possibilities afforded by telehealth are enriched opportunities for client choice, reinforcement of learning and implementing new transferrable skills, and enhancing the therapeutic relationship through collaborative troubleshooting and adapted interactive music experiences.

Discussion: Specific recommendations for music therapists are included to advance the conversation around best practices regarding telehealth. The authors discuss actionable items for music therapists such as utilizing screen-sharing options to enhance musical interactions, validating and exploring clients' use of technology for self-disclosure, and other strategies for harnessing the therapeutic potential of technology in virtual music therapy sessions.

导言:鉴于许多音乐治疗师已根据 COVID-19 公共安全预防措施将其工作转向远程医疗,临床医师不仅要适应虚拟平台,还要接受技术工具的治疗潜力,这一点至关重要。正如音乐被认为是音乐治疗过程中的一种治疗手段一样,作者断言,技术也可以被概念化并用作提高治疗效果的一种手段:方法:作为疼痛管理研究的一部分,作者参考了为远程医疗改编的互动式音乐治疗方案,研究了音乐治疗师如何利用远程医疗技术的不同方面来支持客户目标并加强治疗关系。作者结合虚拟疗程中的临床案例,展示了远程医疗平台为客户代理、客户自我效能以及客户-治疗师关系提供的独特治疗可能性:结果:远程医疗提供的可能性包括丰富客户选择的机会、强化学习和实施新的可转移技能,以及通过合作排除故障和调整互动音乐体验来增强治疗关系:讨论:作者对音乐治疗师提出了具体建议,以推动有关远程医疗最佳实践的讨论。作者讨论了音乐治疗师的可操作项目,如利用屏幕共享选项来增强音乐互动、验证和探索客户使用技术进行自我披露,以及在虚拟音乐治疗过程中利用技术的治疗潜力的其他策略。
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Nordic Journal of Music Therapy
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