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Enactivist music therapy: Toward theoretical innovation and integration 积极音乐疗法:迈向理论创新与整合
4区 医学 Q2 REHABILITATION Pub Date : 2023-11-02 DOI: 10.1080/08098131.2023.2268707
Simon Høffding, Torben Snekkestad, Brynjulf Stige
Introduction Music therapy research has traditionally been somewhat fragmented into different research traditions. This paper argues that the burgeoning field of enactivism could provide important theoretical integration to music therapy research and practice. Stressing the interdependence of mind, brain, body, and environment, enactivism has provided theoretical integration in several fields, not least music cognition and psychiatry. This paper is the first focused theoretical contribution that applies relevant enactivist theory to music therapy.
传统上,音乐治疗的研究在某种程度上是支离破碎的,分为不同的研究传统。本文认为,行动主义这一新兴领域可以为音乐治疗的研究和实践提供重要的理论整合。行动主义强调心灵、大脑、身体和环境的相互依存,在几个领域提供了理论整合,尤其是音乐认知和精神病学。本文是第一个将相关行为主义理论应用于音乐治疗的有针对性的理论贡献。
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引用次数: 0
Conversations on echolalia: A qualitative inquiry into autistic adults’ views on echolalia, language, and music 关于仿声的对话:对自闭症成年人对仿声、语言和音乐的看法的定性调查
4区 医学 Q2 REHABILITATION Pub Date : 2023-10-27 DOI: 10.1080/08098131.2023.2268690
Maya K. Marom, Avi Gilboa, Ehud Bodner
ABSTRACTIntroduction Considering the growing influence of the Neurodiversity movement on the literature on autism, we attempted to shed a new light on autistic echolalia in music therapy by exploring the topic from an identity-first viewpoint. We interviewed autistic adults and studied this phenomenon from their perspective.Method Five adults on the autism spectrum were interviewed. For the data collection phase, Reductive Phenomenology was used. The participants were asked to reflect on the need to echo as they understand it and discuss possible reasons that may lead autistic clients to echo during music therapy. They were also asked about musical aspects that echolalia may have. For the analysis of the data, the guidelines of Interpretative Phenomenological Analysis were followed to extract themes and categories from the data.Results The interviewees pointed at two main reasons for echolalia in their opinion: (a) intra-personal reasons that mainly function to self-regulate the echoing person; and the much less frequently mentioned (b) inter-personal reasons that relate to interactions with others. They also pointed at several connections between music and echolalia, for example, the heightened awareness to the prosody of words rather than their content and the use of songs as echolalia.Discussion The information provided by the interviewees is compared to descriptions of echolalia in the literature. Enabling the participants to share their autistic experience, we believe, is an opportunity to hold back preconceived assumptions about echolalia made by non-autistic music therapists and other professionals, and to help them improve their clinical understanding of echolalia.KEYWORDS: Autism spectrumecholaliainterpretative phenomenological analysisreductive phenomenologyneurodiversity movementmusic therapy Disclosure statementNo potential conflict of interest was reported by the authors.Notes1 We use the term “echolalia” to describe the phenomenon in general, whereas the term “echoing” is used as a verb, to describe the action itself.2 In recent years there has been a growing discontent within the autism self-advocacy community regarding the tendency of non-autistic people to use person-first language when referring to people on the autism spectrum (i.e. to say “a person with autism”, rather than “autistic person”). One compelling argument against such “politically correct” labelling is that it belittles the autistic component of people’s identity, ignoring the unique ways they experience the world due to their neurological makeup (e.g. Brown, Citation2011; Hector, Citation2021; Ryan, Citation2019). In light of that, in this article we shall refer to people diagnosed with ASD using identity-first language, namely, we shall refer to them as “autistic people” or as “people on the autism spectrum” interchangeably and not as “people with autism.”3 Gestalt language-processing style is one form of language development (which is not necessarily unique to a
他是巴伊兰大学音乐系的主任,也是该系音乐治疗项目的负责人。他参与了许多以社区为基础的项目,其中包括“对话学校”和“音乐平等”,这是一个针对残疾成年人和音乐创作热情的学术音乐项目。Gilboa教授指导了许多硕士和博士研究生,其中一些是音乐治疗项目的一部分,另一些则是音乐心理学和音乐教育的一般领域。吉尔博教授在各种音乐治疗杂志上发表文章,最近还出版了有关音乐治疗错误的合编书籍。Ehud Bodner是以色列拉马特甘巴伊兰大学社会与健康科学系和音乐系的心理学全职教授。他也是临床和医学心理学家以及这两个领域的主管。他在私人诊所工作,治疗患有各种焦虑症、躯体化、抑郁症和人格障碍的年轻人和老年人。在音乐心理学领域,他正在研究通过音乐对年轻人和老年人的情绪调节。在老年学领域,他的研究集中在描述年龄歧视与老年人对衰老的其他看法、个人资源以及健康和心理健康的各个方面之间关系的模型上。他研究的另一个目的是揭示老年人与临终焦虑和主观时间感知(如主观年龄和主观死亡临近程度)相关的因素。
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引用次数: 0
Effects of group music therapy on symptoms and functional recovery in outpatients with chronic psychoses: A randomized controlled trial 团体音乐治疗对慢性精神病门诊患者症状和功能恢复的影响:一项随机对照试验
4区 医学 Q2 REHABILITATION Pub Date : 2023-10-05 DOI: 10.1080/08098131.2023.2257296
Óscar Pérez-Aguado, Sergio Lacamara, Juan C. Ruiz, Carmen Dasí, Pau Soldevila-Matias, Inmaculada Fuentes-Durá
ABSTRACTIntroduction In cases of schizophrenia and other psychoses, a comprehensive strategy that combines psychopharmacology with psychosocial interventions is often used to address symptoms, cognitive deficits, social functioning, and quality of life. The aim of this research was to carry out a randomized controlled trial to determine the effects of a music therapy (MT) treatment protocol on quality of life (primary outcome), symptoms, self-esteem, internalized stigma, social cognition, and social functioning (secondary outcomes), when implemented in combination with standard pharmacological and psychosocial rehabilitation (treatment as usual, TAU).Method Sixty clinically stable outpatients diagnosed with schizophrenia and other psychoses were randomly allocated to one of two groups: One group was administered TAU (n = 30) and the other TAU + MT (n = 30). The MT component consisted of 22 sessions of evidence-based MT. Outcome measures were obtained before and after treatment using a masked assessment process.Results A total of 57 participants completed the study. All participants were included in the intention-to-treat analysis. Differences between the groups were observed for internalized stigma (η2=.46), social functioning (η2=.18) and quality of life (η2=.25), with the TAU + MT group showing significantly greater improvements than the control group.Discussion The results obtained support the benefits of incorporating a MT treatment protocol as a complementary therapy to standard treatment.KEYWORDS: Music therapyschizophreniapsychosisadjunct therapyrecovery AcknowledgementsThe authors would like to express their sincere gratitude to the people who have participated in this study, to CREAP staff and Lynne Coppillie for her help with the language of the manuscript.Disclosure statementThe authors report no conflict of interest.Supplementary dataSupplemental data for this article can be accessed online at https://doi.org/10.1080/08098131.2023.2257296.Notes1. The National Reference Centre for Psychosocial Care of Severe Mental Disorders, dependent of the Institute for Older Persons and Social Services (IMSERSO), is ascribed to the Health, Social Rights and Agenda 2030 Ministry (Government of Spain). The professionals appearing in this research, working in the technical and knowledge management services developed in the CREAP, have been external personnel to the IMSERSO providing their services in the framework of a public contract.Additional informationFundingThis study was supported by a grant from Special Actions of the University of Valencia [number UV-INV_AE19-1199985].Notes on contributorsÓscar Pérez-AguadoOscar Pérez-Aguado (PhD) is a psychologist, accredited music therapist, and he is also Benenzon’s non-verbal music therapy master. He is an adjunct professor in the Department of Personality, Assessment, and Psychological Treatments at the University of Valencia, Spain. He is also head of the psychology department at “Grupo 5 Acción y Gesti
在精神分裂症和其他精神病的病例中,一种结合精神药理学和社会心理干预的综合策略经常被用来解决症状、认知缺陷、社会功能和生活质量。本研究的目的是进行一项随机对照试验,以确定音乐疗法(MT)治疗方案在与标准药理学和社会心理康复(常规治疗,TAU)联合实施时对生活质量(主要结局)、症状、自尊、内化耻辱、社会认知和社会功能(次要结局)的影响。方法将60例诊断为精神分裂症及其他精神疾病的临床稳定门诊患者随机分为两组:一组给予TAU (n = 30),另一组给予TAU + MT (n = 30)。MT组成部分包括22次基于证据的MT。结果测量是在治疗前后使用隐藏评估过程获得的。结果共有57名参与者完成了研究。所有参与者都被纳入意向治疗分析。两组间在内化病耻感(η2= 0.46)、社会功能(η2= 0.18)和生活质量(η2= 0.25)方面存在差异,其中TAU + MT组显著优于对照组。所获得的结果支持将MT治疗方案作为标准治疗的补充治疗的好处。音乐治疗精神分裂症辅助治疗康复作者衷心感谢参与本研究的人们,感谢CREAP工作人员和Lynne Coppillie在稿件语言上的帮助。披露声明作者报告无利益冲突。本文的补充数据可以在线访问https://doi.org/10.1080/08098131.2023.2257296.Notes1。全国严重精神障碍心理社会护理参考中心隶属于老年人和社会服务研究所,隶属于卫生、社会权利和2030年议程部(西班牙政府)。在这项研究中出现的专业人员,在CREAP开发的技术和知识管理服务中工作,是IMSERSO的外部人员,在公共合同的框架内提供服务。本研究由瓦伦西亚大学特别行动资助[编号UV-INV_AE19-1199985]。关于contributorsÓscar p兼并-阿瓜多斯卡(博士)p兼并-阿瓜多是一个心理学家,认可的音乐治疗师,他也是benenson的非语言音乐治疗大师。他是西班牙瓦伦西亚大学人格、评估和心理治疗系的兼职教授。他还是"第5组Acción y Gestión社会"心理学系主任,在隶属于卫生、社会权利和2030年议程部(西班牙政府)的IMSERSO下属的CREAP提供服务。塞尔吉奥·拉卡马拉(Sergio Lacamara)是西班牙萨拉戈萨(Zaragoza, Spain)的Fundación Rey Ardid的一名心理学家。Juan C. Ruiz,西班牙瓦伦西亚大学行为科学方法论系副教授。他教授本科学位研究、普通健康心理学硕士学位和医学干预专业硕士学位的研究方法。他还教授临床和健康心理学博士课程。他是“精神障碍认知的心理评估和干预”(TMEIC)研究小组的主任,他的研究活动主要集中在精神分裂症的认知缺陷研究,优化这些患者的内隐记忆研究的刺激材料,以及开发减少形式的WAIS。他在《行为研究方法》、《心理学前沿》和《精神病学研究》等期刊上发表文章。在这里你可以找到他的一些出版物研究ID。Carmen DasíCarmen Dasí(博士)是西班牙瓦伦西亚大学行为科学系的心理学家和副教授。她的教学职责包括心理学学位课程和临床与健康心理学硕士课程。她的研究主要集中在各种环境下的心理评估和干预,包括教育、临床和社区环境。她在为包括精神分裂症患者在内的各种不同客户群体设计、实施和评估项目方面拥有丰富的经验。她在方法论、心理学和精神病学领域的期刊上发表了60多篇文章,并在国家和地区各级资助的众多项目中进行了研究。 她出版了许多与她的教学和研究活动相关的书籍和书籍章节。Pau Soldevila-Matias是瓦伦西亚大学(University of Valencia)临床心理学博士、普通心理健康硕士和临床神经心理学硕士。他目前是瓦伦西亚大学基础心理学系的教授。保罗从事临床心理学的研究,他在一家私人诊所担任临床心理学家。在过去的几年里,他专注于瓦伦西亚临床大学医院生物医学健康研究所(INCLIVA)和精神健康网络生物医学研究(CIBERSAM)的职业研究,在首发精神病(FEP)中应用心理学和神经心理学评估。他曾在丹麦奥胡斯的神经康复医院的心理学系工作,也曾在美国纽约的norhwell健康医院促进健康,并帮助精神病患者重新融入社区工作、社交和独立生活。网页上的特色研究部分https://www.researchgate.net/profile/Pau-Matias.Inmaculada Fuentes-DuráInmaculada fuentes - dur<e:1>是西班牙瓦伦西亚大学人格、评估和心理治疗系的副教授。她在普通健康心理学硕士学位和社会环境中的心理干预硕士学位课程中讲授精神病康复。她还教授临床和健康心理学博士课程。Inmaculada的科学生涯从一开始就与瓦伦西亚临床大学医院生物医学健康研究所(INCLIVA)和精神健康网络生物医学研究中心(CIBERSAM)对精神分裂症和双相情感障碍患者的评估和干预研究联系在一起。她在《精神病学研究》、《心理治疗与心身学》、《神经与精神疾病杂志》、《情感障碍杂志》和《精神病学前沿》等期刊上发表文章。在这里你可以找到她的一些出版物https://www.webofscience.com/wos/author/record/E-6256-2016。
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引用次数: 0
Unleashing the potential of chaos: How music therapists and young people can engage chaos as a resource in short-term music therapy groups 释放混乱的潜力:音乐治疗师和年轻人如何在短期音乐治疗小组中将混乱作为一种资源
4区 医学 Q2 REHABILITATION Pub Date : 2023-09-11 DOI: 10.1080/08098131.2023.2251553
Helen Oosthuizen
Introduction Many music therapists propose that chaos, such as destructiveness and disintegration, could thwart music therapy group processes and should be minimised or resolved. From a paradoxical approach, however, chaos is understood as a transformative complement to ordered, formative music therapy experiences. The research in this paper explored how music therapists and adolescents could engage with chaos as a resource in music therapy groups.Method From a paradoxical approach, the music therapist--researcher facilitated two short-term group music therapy processes with nine young South Africans from under-resourced and often violent communities, referred for committing offences. The researcher utilised crystallisation, including constructivist grounded theory, participatory action research, and abduction, to analyse how group members could engage with chaotic group experiences. Findings, constructed through a cyclical process of data collection, analysis, and inclusion of group feedback, are presented in a matrix.Results The matrix shows how groups could utilise chaos to explore multiple possibilities for responding to challenges. They expressed themselves courageously and played unconventional group roles through their musicking and participation. They juggled paradoxical tensions between observational and active, integrative and disintegrative, engagement styles. This supported their transformation in the group, and potentially within the chaotic South African context.Discussion Music therapists can use the matrix to support adolescents in music therapy groups to engage with chaos as a transformative resource. They can accompany young people through offering holding, resources and collaborative support. When it is safe, music therapists may allow or encourage chaos that empowers adolescents to cope with challenges independently.
许多音乐治疗师提出,混乱,如破坏性和解体,可能会阻碍音乐治疗小组的进程,应该尽量减少或解决。然而,从一个矛盾的方法来看,混沌被理解为对有序的、形成性的音乐治疗经验的一种变革性补充。本研究探讨了音乐治疗师和青少年如何在音乐治疗小组中将混乱作为一种资源。从一个矛盾的方法,音乐治疗师-研究人员促进了两个短期的团体音乐治疗过程,9名来自资源不足和经常暴力社区的南非年轻人因犯罪而被转到。研究人员利用结晶,包括建构主义扎根理论、参与性行动研究和绑架,来分析群体成员如何参与混乱的群体体验。通过数据收集、分析和包含群体反馈的循环过程构建的发现以矩阵形式呈现。结果矩阵显示了群体如何利用混乱来探索应对挑战的多种可能性。他们勇敢地表达自己,并通过音乐和参与扮演非传统的团体角色。他们在观察型和主动型、整合型和分裂型、参与风格之间的矛盾张力中徘徊。这支持了他们在集团中的转型,并可能在混乱的南非背景下进行转型。音乐治疗师可以使用矩阵来支持音乐治疗小组中的青少年将混乱作为一种变革资源。他们可以通过提供支持、资源和协作支持来陪伴年轻人。在安全的情况下,音乐治疗师可能允许或鼓励混乱,使青少年能够独立应对挑战。
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引用次数: 0
The effects of group music imagery for women with methamphetamine use disorder in compulsory rehabilitation: A randomized controlled trial 团体音乐意象对强制康复中甲基苯丙胺使用障碍妇女的影响:一项随机对照试验
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2023-09-05 DOI: 10.1080/08098131.2023.2248630
Xijing Chen, Qianqian Xie, Hongmin Yang, Wei Zhang, Yonghui Li
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引用次数: 0
Validation of item pool for early adolescents’ emotional skills assessment in music therapy 音乐治疗中早期青少年情绪技能评估项目池的验证
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2023-09-04 DOI: 10.1080/08098131.2023.2245433
Maija Salokivi, Sanna Salanterä, Suvi Saarikallio, E. Ala-Ruona
Introduction: Evaluating the validity of the content is an essential step in developing an assessment tool, including an analysis of the quality of the items within the tool. This study describes the content validation of items in the early adolescents’ emotional skills assessment tool in a music therapy context. Methods: Content validity was evaluated based on relevance scores provided by two expert panels. Psychometric scores were obtained by calculating item-specific content validity index (I-CVI), scale-specific content validity index (S-CVI) and modified kappa score. In addition, the coverage and understandability of the items were evaluated. Results: The validation process identified 60 valid items distributed across six components of emotional skills: expressing, monitoring, identifying, understanding, regulating and the ability to use emotional information. Item I-CVI scores ranged from 0.80 to 1.00, the scale content validity index (S-CVI) was 0.95, the modified kappa score ranged from 0.65 to 1.00, item coverage at scale level was 1.00, and item under-standability was 0.92. Discussion: The items developed in the study have high validity and are scientifically grounded. The items can be a first step towards a validated assessment tool to evaluate emotional skills in early adolescents. The added value of this study is that the set of items developed is the first to cover all the components of emotional skills identified in the literature. Therefore, music therapists can use the items to observe in more detail the different dimensions of emotional skills in early adolescents.
简介:评估内容的有效性是开发评估工具的必要步骤,包括对工具内项目质量的分析。本研究描述了音乐治疗背景下早期青少年情绪技能评估工具中项目的内容验证。方法:根据两个专家小组提供的相关性评分评估内容效度。心理测量得分通过计算特定项目内容效度指数(I-CVI)、特定量表内容效度指数(S-CVI)和修正kappa评分得到。此外,还对题目的覆盖面和可理解性进行了评价。结果:在情绪技能的表达、监控、识别、理解、调节和使用情绪信息的能力六个组成部分中,共鉴定出60个有效项目。量表I-CVI得分范围为0.80 ~ 1.00,量表内容效度指数(S-CVI)为0.95,修正kappa得分范围为0.65 ~ 1.00,量表水平上的项目覆盖率为1.00,项目可理解性为0.92。讨论:研究中开发的项目具有高效度和科学依据。这些项目可以成为评估青少年早期情感技能的有效评估工具的第一步。这项研究的附加价值在于,开发的一套项目是第一个涵盖文献中确定的所有情感技能组成部分的项目。因此,音乐治疗师可以使用这些项目更详细地观察青少年早期情绪技能的不同维度。
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引用次数: 0
Small but important steps towards accessible publishing 实现无障碍出版的微小但重要的步骤
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2023-08-24 DOI: 10.1080/08098131.2023.2243706
G. Thompson
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引用次数: 0
Upcoming events 即将来临的事件
4区 医学 Q2 REHABILITATION Pub Date : 2023-08-24 DOI: 10.1080/08098131.2023.2244789
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引用次数: 0
Moving towards anti-oppressive practice in music therapy 走向音乐治疗中的反压迫实践
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2023-06-13 DOI: 10.1080/08098131.2023.2209402
B. Pickard
It is a privilege to be invited to contribute an Editorial to this issue of the Nordic Journal of Music Therapy, which maintains and advances the momentum which Thompson’s (2022) call for respect-focused writing set in motion at the end of last year. It is a period of noticeable growth within the profession, with disability studies-informed and social justice-oriented perspectives emerging from theoretical and philosophical works initially, through to examples in practice, research, pedagogy, and increasingly in publications. There is an increasing acceptance that respectful, anti-ableist practice is everyone’s responsibility and not a specialist approach or focus, with ever-increasing dialogue about how to nurture, facilitate and achieve antioppressive aspirations in the profession. This welcome paradigm shift demonstrates the potential of music therapy as an evolving discipline to respond to multifaceted challenges and opportunities, and for antioppressive perspectives (Baines, 2021) to offer practitioners a valuable lens through which to develop and orientate their work. Through working toward dismantling the inaccurate historical binary and power dynamic between music therapy participants and music therapists, expertise by experience is increasingly understood and valued (Swamy & Webb, 2022). Several of the articles in this issue offer landmark examples of these ideas and signal a shift in the trajectory of research and practice in music therapy. In this issue, Marie Strand Skånland asks whether participation in music therapy, offered through flexible assertive community treatment (a Dutch model of communitybased, recovery-oriented mental health care) can contribute to social recovery (p. 290). This recovery-oriented position shifts emphasis from a pathologizing model to recognition of personal and social recovery, with potential for music therapy to optimise the participant’s health. Skånland proposes that the relational experiences shared in the research may add to the service users’ feelings of being met as equal human beings:
我很荣幸被邀请为本期《北欧音乐治疗杂志》撰写社论,该杂志保持并推动了汤普森(2022)呼吁以尊重为重点的写作于去年年底启动的势头。这是一个行业内显著增长的时期,从最初的理论和哲学著作,到实践、研究、教育学中的例子,以及越来越多的出版物中,都出现了以残疾研究为基础、以社会正义为导向的观点。人们越来越认识到,尊重、反对残疾人的做法是每个人的责任,而不是专业的方法或重点,关于如何培养、促进和实现职业中的反压迫愿望的对话也越来越多。这一受欢迎的范式转变表明,音乐治疗作为一门不断发展的学科,有潜力应对多方面的挑战和机遇,并从反抑制的角度(Baines,2021)为从业者提供一个宝贵的视角,通过这个视角来发展和定位他们的工作。通过努力消除音乐治疗参与者和音乐治疗师之间不准确的历史二元性和权力动态,经验专业知识越来越被理解和重视(Swamy&Webb,2022)。本期的几篇文章提供了这些想法的里程碑式例子,并标志着音乐治疗研究和实践轨迹的转变。在本期文章中,Marie Strand Skånland询问,通过灵活自信的社区治疗(荷兰基于社区、以康复为导向的心理健康护理模式)提供的音乐治疗是否有助于社会康复(第290页)。这种以康复为导向的立场将重点从病理模型转移到对个人和社会康复的认识,并有可能通过音乐治疗来优化参与者的健康。Skånland提出,研究中分享的关系体验可能会增加服务用户被视为平等人类的感受:
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引用次数: 1
Upcoming events 即将来临的事件
4区 医学 Q2 REHABILITATION Pub Date : 2023-06-13 DOI: 10.1080/08098131.2023.2211841
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引用次数: 0
期刊
Nordic Journal of Music Therapy
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