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Collective experiences in medical music therapy teams during COVID-19 新冠肺炎期间医疗音乐治疗团队的集体经验
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-02-27 DOI: 10.1080/08098131.2022.2040578
H. Shoemark, Debbie Bates, Elizabeth Collier, Ann Hannan, Elizabeth Harman, J. Kennelly, D. Knott, Amy Thomas, Amy P. Troyano
ABSTRACT Introduction During the COVID-19 pandemic music therapy managers in hospitals were responsible for supporting their teams through relentless planning and implementation of change, including working virtually and in–person. The Creative Arts Therapies Managers’ Network was established as a group of eight music therapy managers to formulate and appraise thinking and generate and refine meaningful constructs to sustain their own capacities as managers. Method Weekly meetings for the period April to July 2020 were recorded, transcribed and analyzed to generate themes that reflected these managers’ early pandemic experiences. Results Each manager used these themes as a basis for reflection to write stories that represented their lived experiences in that period. Discussion These stories are discussed using theoretical constructs which inform them, including aspects of identity, moral dilemmas, relentless uncertainty, and resilience in response to uncertainty. These stories and underpinning considerations illuminate previously unexplored experiences of music therapy managers in hospitals.
摘要简介在新冠肺炎大流行期间,医院的音乐治疗经理负责通过不懈的计划和实施变革来支持他们的团队,包括虚拟和亲自工作。创意艺术治疗管理者网络由八名音乐治疗管理者组成,旨在制定和评估思维,产生和完善有意义的结构,以维持他们作为管理者的能力。方法对2020年4月至7月期间的每周会议进行记录、转录和分析,以产生反映这些管理人员早期疫情经历的主题。结果每位管理者都以这些主题作为反思的基础,写下了代表他们在那个时期生活经历的故事。讨论这些故事是使用为它们提供信息的理论结构来讨论的,包括身份、道德困境、无情的不确定性和应对不确定性的韧性。这些故事和基本考虑阐明了医院音乐治疗经理以前未探索的经历。
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引用次数: 1
A theoretical framework for the use of music therapy in the treatment of selective mutism in young children: Multiple case study research 音乐疗法治疗幼儿选择性缄默症的理论框架:多案例研究
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-02-25 DOI: 10.1080/08098131.2022.2028886
Kate Jones, H. Odell-Miller
ABSTRACT Introduction Selective mutism (SM) is an anxiety disorder that affects some children when they begin school. If left untreated the long-term impact can include complex, debilitating mental health conditions. The usual presentation is lack of speech in the education setting, contrasting with confident speech at home. Prevalence is estimated at 0.7% but can be three times higher for children who are immigrant second language learners. There is some evidence to suggest that music therapy is helpful but a deeper understanding is needed. This study aims to develop a new theoretical framework for the use of music therapy for young children with SM. Method The paper reports on multiple case study research of music therapy for six children with SM aged 3–5. Template analysis combining inductive and deductive enquiry is used to revise and develop the framework. Results The six case studies describe contrasting paths into speech. Four key domains – Approach; Therapeutic Process; Interconnected Elements of Music Therapy; Context – were necessary to clinical practice across cases, and are presented in detail in the final theoretical framework. Music therapists bring many useful skills, with musical communication established as an empowering tool for alleviating SM. Discussion The framework provides the theoretical basis for comprehensive guidance for music therapy with young children with SM. An open, flexible, multi-modal approach, integrating teamwork and considering transdisciplinary practice, is indicated. The need for SM training for music therapists and the potential role of music therapy on the care pathway for SM is demonstrated.
选择性缄默症(SM)是一种焦虑症,影响着一些刚开始上学的孩子。如果不及时治疗,长期影响可能包括复杂的、使人衰弱的心理健康状况。通常的演讲是在教育环境中缺乏演讲,而在家里则充满自信。患病率估计为0.7%,但移民第二语言学习者的儿童患病率可能高出三倍。有一些证据表明音乐疗法是有帮助的,但还需要更深入的理解。本研究旨在为音乐治疗幼儿SM提供一个新的理论框架。方法对6名3-5岁SM儿童进行音乐治疗的多案例研究。将归纳和演绎探究相结合的模板分析用于修订和发展框架。结果六个案例研究描述了进入言语的对比路径。四个关键领域——方法;治疗过程;音乐治疗的相互关联的元素;背景——是跨病例临床实践所必需的,并在最终的理论框架中详细介绍。音乐治疗师带来了许多有用的技能,音乐交流被视为缓解SM的一种赋权工具。讨论该框架为SM幼儿音乐治疗的全面指导提供了理论基础。提出了一种开放、灵活、多模式的方法,将团队合作和跨学科实践相结合。证明了对音乐治疗师进行SM培训的必要性以及音乐治疗在SM护理途径中的潜在作用。
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引用次数: 2
Rhythmic exercises as tools for rehabilitation following cerebellar stroke: A case study integrating music therapy and physiotherapy techniques 节奏训练作为小脑卒中后康复的工具:一项结合音乐治疗和物理治疗技术的案例研究
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-02-17 DOI: 10.1080/08098131.2022.2026452
Jaana Ruotsalainen, Emily Carlson, Jaakko Erkkilä
ABSTRACT Introduction This article explores the use of music and multisensory stimuli in the construction of compensatory neural networks for motoric functioning in a patient recovering from cerebellar strokes (CS). This study aimed to address the real-world clinical concern of patients having a passive role in therapy, by arousing the client’s interest and self-motivation in rehabilitation. Method The article presents a case study of a CS survivor, using data derived from rehabilitation sessions combining music therapy techniques with physiotherapy techniques to improve the fluency and accuracy of his motor performance. Qualitative and quantitative data are used to identify, describe, and evaluate the key elements of tasks used in the ten therapy sessions. Therapy focused particularly on facilitating the CS survivor to produce his own exact and fluent movement and generate his own vocal cues via rhythmic reciting and chanting. Results The CS survivor achieved his therapy goals, and the therapist was able to facilitate the CS survivor’s increased motivation and ability to perform movements that were goal-directed, repetitive, functional, and progressive in complexity. Discussion Results support the need for further research on multisensory, rhythmical exercises within physiotherapy and music therapy work with stroke patients and others with neurological disorders. The use of self-generated vocal cues would be a particularly interesting focus for further research. Results are discussed in the context of current music therapy research and theory.
摘要简介本文探讨了音乐和多感官刺激在构建小脑卒中(CS)康复患者运动功能的补偿神经网络中的应用。本研究旨在通过激发客户对康复的兴趣和自我激励,解决患者在治疗中处于被动地位的现实临床问题。方法对一名CS幸存者进行个案研究,利用康复过程中获得的数据,结合音乐治疗技术和物理治疗技术,提高其运动表现的流畅性和准确性。定性和定量数据用于识别、描述和评估十次治疗中使用的任务的关键要素。治疗的重点是帮助CS幸存者通过有节奏的背诵和吟唱来产生自己准确流畅的动作,并产生自己的声音提示。结果CS幸存者实现了他的治疗目标,治疗师能够促进CS幸存者增强动机和能力,进行目标导向、重复、功能性和复杂性渐进的运动。讨论结果支持对中风患者和其他神经系统疾病患者的物理治疗和音乐治疗中的多感觉、有节奏的锻炼进行进一步研究的必要性。自我生成的声音线索的使用将是进一步研究的一个特别有趣的焦点。结果是在当前音乐治疗研究和理论的背景下进行讨论的。
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引用次数: 0
Music therapy in a multicultural context: A handbook for music therapy students and professionals 多元文化背景下的音乐治疗:音乐治疗学生和专业人士的手册
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-02-15 DOI: 10.1080/08098131.2022.2033817
Ming Yuan Low
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引用次数: 0
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 Q1 Social Sciences 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 Q1 Social Sciences 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 Q1 Social Sciences 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 Q1 Social Sciences 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 Q1 Social Sciences 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 Q1 Social Sciences 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
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Nordic Journal of Music Therapy
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