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Relationship completion in palliative care music therapy 缓和疗护音乐治疗中的关系完成
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-11-20 DOI: 10.1080/08098131.2022.2146158
Noah Potvin
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引用次数: 0
Music-oriented parent counseling to promote improvement in level of parental stress, quality of life and the use of music in everyday life among parents of children with autism: A mixed-methods randomized controlled study 以音乐为导向的父母咨询促进自闭症儿童父母压力水平、生活质量和日常生活中音乐使用的改善:一项混合方法随机对照研究
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-11-03 DOI: 10.1080/08098131.2022.2131890
T. Gottfried, C. Elefant, C. Gold
ABSTRACT Introduction Music-Oriented Parent Counseling (MOPC) is a clinical way to work with parents, using musical improvisations and listening. This study examined effects of MOPC on level of stress, quality of life perception and daily use of music by the parents of autistic children. Method Fourteen parents of young autistic children received either three MOPC sessions (n = 7) or ten MOPC sessions (n = 7), parallel to either music therapy (MT) or standard care for their children. Change in parental stress, parents’ perception on children’s and families’ quality of life and the daily use of music (routine and joint music activities) were measured with standardized assessments and parent interviews. Descriptive and inferential parametric statistics were conducted, as well as thematic analysis. Results We found little change and no significant effect on parental stress. Children’s quality of life showed improvement with but not without MT and a tendency towards a larger improvement with high-intensity than low-intensity MOPC. Family quality of life showed less change but a somewhat larger improvement in high-intensity than low-intensity MOPC. Routine music activities increased in high-intensity MOPC but decreased in low-intensity MOPC; joint music activities showed less change but a similar trend. Qualitative analysis of the interviews suggested that parents participating in high-intensity MOPC felt less stressed, perceived improved quality of life, and increased music use. Discussion Findings provide preliminary support for high-intensity MOPC to help parents of autistic children increase children’s and families’ quality of life and music use. More research is needed to confirm these findings.
摘要简介以音乐为导向的父母咨询(MOPC)是一种与父母合作的临床方式,使用音乐即兴创作和听力。本研究考察了MOPC对自闭症儿童父母的压力水平、生活质量感知和日常音乐使用的影响。方法14名自闭症儿童的父母接受三次MOPC治疗(n = 7) 或十个MOPC会话(n = 7) 与音乐治疗(MT)或对其子女的标准护理平行。通过标准化评估和家长访谈测量了父母压力的变化、父母对儿童和家庭生活质量的看法以及日常音乐使用(日常和联合音乐活动)。进行了描述性和推断性参数统计以及专题分析。结果我们发现父母的压力变化不大,也没有显著影响。儿童的生活质量在有MT但没有MT的情况下有所改善,并且高强度MOPC比低强度MOPC有更大的改善趋势。与低强度MOPC相比,高强度MOPC的家庭生活质量变化较小,但改善幅度较大。常规音乐活动在高强度MOPC时增加,而在低强度MOPC中减少;联合音乐活动的变化较小,但趋势相似。对访谈的定性分析表明,参加高强度MOPC的父母感觉压力较小,生活质量提高,音乐使用增加。讨论结果为高强度MOPC提供了初步支持,以帮助自闭症儿童的父母提高儿童和家庭的生活质量和音乐使用。需要更多的研究来证实这些发现。
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引用次数: 0
Personalized audio montage: Impact of a receptive music therapy method-variation on youth experiencing homelessness 个性化音频蒙太奇:一种接受性音乐治疗方法的影响——变异对经历无家可归的青少年的影响
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-10-29 DOI: 10.1080/08098131.2022.2129428
G. Vaillancourt, J. Peyrin, A. Brault, Charles-Antoine Thibeault, N. Gosselin
ABSTRACT Introduction This quantitative research investigates the impact of a receptive music therapy method-variation, Personalized Audio Montage (called Montage Audio Personnalisé [MAP] in French), on self-reported levels of stress, anxiety, physical tension, fatigue, and mood of youth experiencing homelessness. Method A single-group pretest-posttest design was used to determine the impact of MAP. Participants completed the co-researcher music therapist-developed Visual Analogue Scales (VAS) for five independent variables (i.e. self-reported levels of stress, anxiety, fatigue, physical tension, and mood), before and after participating in individual MAP sessions. Multivariate ANOVAs for repeated measures were used considering time (pretest-posttest), and MAP sessions as within-subjects factors. Results Nine youth (n = 9) participated in one to three MAP sessions. There were 20 pre-tests and post-tests for each independent variable except for anxiety, for which 19 pre-tests and post-tests were completed. Results of quantitative data analysis show a statistically significant decrease in scores for self-reported levels of stress, anxiety and physical tension at post-session as compared to pre-session. No significant effect was observed for fatigue. Finally, mood scores significantly improved from prettest to posttest. Discussion Findings suggest that MAP holds potential to be a valuable part of music therapists’ intervention strategies to support the emotional and physical well-being of youth experiencing homelessness. Limitations and future research recommendations are presented with regard to the small sample size and complexity of conducting research with youth experiencing homelessness.
摘要引言这项定量研究调查了一种接受性音乐治疗方法的变化,即个性化音频蒙太奇(法语称为蒙太奇音频Personnalisé[MAP]),对无家可归青年自我报告的压力、焦虑、身体紧张、疲劳和情绪的影响。方法采用单组前测后测设计来确定MAP的影响。参与者在参加个人MAP课程前后,完成了音乐治疗师为五个自变量(即自我报告的压力、焦虑、疲劳、身体紧张和情绪水平)开发的视觉模拟量表(VAS)。考虑到时间(前测后测)和MAP会话作为受试者内部因素,使用了重复测量的多变量方差分析。结果9名青年(n = 9) 参加了一到三次MAP会议。除焦虑外,每个自变量都有20个预测和后测,其中完成了19个预测或后测。定量数据分析结果显示,与治疗前相比,治疗后自我报告的压力、焦虑和身体紧张程度的得分在统计学上显著下降。未观察到对疲劳的显著影响。最后,从测试前到测试后,情绪得分显著提高。讨论结果表明,MAP有可能成为音乐治疗师干预策略的宝贵组成部分,以支持无家可归青年的身心健康。针对对无家可归青年进行研究的样本量小和复杂性,提出了局限性和未来的研究建议。
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引用次数: 0
Music of hate, music for healing: Paired stories from the hate music industry and the profession of music therapy 仇恨的音乐,治愈的音乐:来自仇恨音乐行业和音乐治疗专业的成对故事
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-10-17 DOI: 10.1080/08098131.2022.2122541
Eugenia Hernandez-Ruiz
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引用次数: 0
Upcoming events 即将来临的事件
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-10-03 DOI: 10.1080/08098131.2022.2121125
Published in Nordic Journal of Music Therapy (Vol. 31, No. 5, 2022)
发表于Nordic Journal of Music Therapy (Vol. 31, No. 5, 2022)
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引用次数: 0
Respect-focused writing: An invitation to reflexivity in the use of terminology 以尊重为中心的写作:在术语的使用上鼓励反思
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-10-03 DOI: 10.1080/08098131.2022.2115208
G. Thompson
As authors, we find ourselves in a position of power and great responsibility. The terms, labels, and language we select to communicate our research and practice tell a story about peoples’ experiences of music therapy. The ways in which authors perceive music therapy practice, the people with whom they work, and the findings of their research, are often revealed in the words and phrases they select. Concerns around the use of terminology and language in music therapy publications are not new (Ansdell, 2002; Fairchild & Bibb, 2016; Procter, 2001; Rolvsjord, 2006). Indeed, Fairchild and Bibb (2016) concluded their critical reflection paper with a “call to action” for authors to select language that “more fully represent[s] [participants’] strengths and capacities in spite of their adverse experiences” (para. 21). Perhaps what has grown in volume and strength more recently are the voices of people with lived experience (experts by experience) who are critiquing the language and terminology adopted by authors, researchers, and practitioners. For example, in Tuastad and colleagues’ article (Tuastad et al., 2022), music therapy participants from a community mental health setting described how the title given to a concert event made them feel further stigmatised. During focus group interviews, participants requested that future music therapists in this context needed to “tone down the focus on mental illness, [and] turn up the volume regarding the importance of doing music” (p. 1). In response to critiques from experts by experience, some journals are now providing guidance about the use of labels and terminology (The National Autistic Society, 2022). One of the key issues regularly discussed is authors’ selection of identity-first versus person-first language. Debate around the use of these different formats is ongoing, and there are diverse points of view within and between different communities. For example, while it currently seems to be preferred to write “person with cerebral palsy” (person-first language), within the autistic community many advocates are calling for “autistic person” (identity-first language) to be used over “person with autism” (Bottema-Beutel et al., 2021). While there is no clear consensus that identityfirst language is preferred in all circumstances, some autistic people have highlighted that person-first language is not inherently respectful and in fact may have the opposite effect. The term “person with [condition]” implies that the condition should be considered separate to the person, and that having this condition is fundamentally a negative experience (Sinclair, 2013). When health conditions and differences are universally positioned as a negative, discrimination towards disabled people (ableism) is likely to thrive (Kumari Campbell, 2009). I have seen many examples of ableist language in published research articles. I am going to give a few examples next, so if you are an expert by experience, you might like to skip t
作为作家,我们发现自己处于权力和重大责任的位置。我们选择的术语、标签和语言来传达我们的研究和实践,讲述了人们对音乐治疗的经历。作者对音乐治疗实践的看法、他们的工作对象以及他们的研究结果,往往体现在他们选择的词汇和短语中。关注音乐治疗出版物中术语和语言的使用并不是什么新鲜事(Ansdell, 2002;Fairchild & Bibb, 2016;宝洁公司,2001;Rolvsjord, 2006)。事实上,Fairchild和Bibb(2016)在总结他们的批判性反思论文时“呼吁行动”,要求作者选择“更充分地代表[s][参与者]的优势和能力,尽管他们有不利的经历”的语言。21)。也许,最近在数量和力量上增长的是那些有生活经验的人(经验丰富的专家)的声音,他们正在批评作者、研究人员和实践者所采用的语言和术语。例如,在Tuastad及其同事的文章(Tuastad et al., 2022)中,来自社区心理健康机构的音乐治疗参与者描述了音乐会活动的标题如何使他们感到进一步的耻辱。在焦点小组访谈中,参与者要求在这种情况下,未来的音乐治疗师需要“淡化对精神疾病的关注,[并]提高对音乐重要性的重视”(第1页)。作为对经验专家批评的回应,一些期刊现在提供了关于标签和术语使用的指导(the National autism Society, 2022)。经常讨论的一个关键问题是作者对身份优先和个人优先语言的选择。关于使用这些不同格式的争论正在进行中,不同社区内部和社区之间存在不同的观点。例如,虽然目前似乎更倾向于写“脑瘫患者”(个人第一语言),但在自闭症社区内,许多倡导者呼吁使用“自闭症患者”(身份第一语言)而不是“自闭症患者”(Bottema-Beutel et al., 2021)。虽然并没有明确的共识认为身份第一语言在所有情况下都是首选,但一些自闭症患者强调,以人为本的语言并不是天生的尊重,事实上可能会产生相反的效果。“有[条件]的人”一词意味着该条件应被视为与个人分开,并且具有这种条件从根本上说是一种消极的体验(Sinclair, 2013)。当健康状况和差异被普遍定位为负面因素时,对残疾人的歧视(残疾歧视)可能会猖獗(Kumari Campbell, 2009)。我在发表的研究文章中看到过许多ableist语言的例子。接下来我将给出几个例子,所以如果你是经验丰富的专家,你可能会跳过下一段,以尽量减少额外的伤害。北欧音乐治疗杂志2022年第31卷第1期仍有趋势。5, 383-386 https://doi.org/10.1080/08098131.2022.2115208
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引用次数: 2
The Bonny Method of Guided Imagery and Music for family caregivers of people with dementia: A within subject feasibility study 为痴呆症患者的家庭照顾者提供引导图像和音乐的Bonny方法:一项学科内可行性研究
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-10-03 DOI: 10.1080/08098131.2022.2113913
I. Clark, Vannie Ip-Winfield, M. Murphy, Emily Shanahan, D. Grocke
ABSTRACT Introduction The Bonny Method of Guided Imagery and Music (BMGIM) is a psycho-therapeutic intervention that has not been examined with family caregivers of people with dementia. Method This within subject pre-post feasibility study aimed to examine a protocol involving six sessions of BMGIM with family caregivers. Estimates of effect examined sensitivity of the Patient Health Questionnaire-9 (PHQ-9) and Quality of Life-6 Dimensions (AQoL-6D). Qualitative interviews explored participant experiences. Results Of 11 participants who enrolled (nine women/two men, M age = 71.2 years), seven completed the study and four withdrew. Music programs used in BMGIM sessions were diverse and often modified to accommodate individual participant needs. Favourable small to moderate effect sizes were observed for the PHQ-9 (r = 0.11), and for the AQoL-6D global score (r = 0.18) and domains examining independent living (r = 0.20), mental health (r = 0.30), pain (r = 0.29), and senses (r = 0.44). Thematic analysis of interviews recognised BMGIM as: something different that might help; an empathic therapeutic space with aptly selected music; insightful and transformative; and psycho-educative. Discussion The majority of participants completed the project and described important benefits from BMGIM, suggesting that the protocol was acceptable. However, a large sample would be required to detect change in a fully powered trial based on effects observed for the PHQ-9 and AQoL-6D following six BMGIM sessions. Conclusion While early evidence from this study recognised the therapeutic potential of BMGIM for family caregivers, further feasibility research with this population is warranted.
摘要简介引导图像和音乐的邦尼方法(BMGIM)是一种心理治疗干预措施,尚未在痴呆症患者的家庭护理人员中进行检查。方法这项受试者前后可行性研究旨在检查一项方案,该方案涉及与家庭护理人员进行的六次BMGIM治疗。患者健康问卷-9(PHQ-9)和生活质量-6维度(AQoL-6D)的影响检查敏感性估计。定性访谈探讨了参与者的经历。结果入选的11名参与者(9名女性/2名男性,M年龄=71.2岁)中,7人完成了研究,4人退出。BMGIM会议中使用的音乐节目是多样化的,并且经常进行修改以满足个人参与者的需求。PHQ-9(r=0.11)、AQoL-6D全球评分(r=0.18)和独立生活(r=0.20)、心理健康(r=0.30)、疼痛(r=0.29)和感官(r=0.44)领域的影响大小均为中小型。访谈的主题分析认为BMGIM是:可能有所帮助的不同事物;一个富有同情心的治疗空间,音乐选择得当;富有洞察力和变革性;和心理教育。讨论大多数参与者完成了该项目,并描述了BMGIM的重要好处,表明该方案是可接受的。然而,在六次BMGIM治疗后,根据PHQ-9和AQoL-6D观察到的效果,需要大量样本来检测全功率试验的变化。结论虽然这项研究的早期证据承认BMGIM对家庭护理人员的治疗潜力,但有必要对这一人群进行进一步的可行性研究。
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引用次数: 1
A response to Blauth and Oldfield’s “Research into increasing resilience in children with autism through music therapy: Statistical analysis of video data” 对Blauth和Oldfield的《通过音乐疗法提高自闭症儿童恢复力的研究:视频数据的统计分析》的回应
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-10-03 DOI: 10.1080/08098131.2022.2116472
Ming Yuan Low, K. Devlin, Stephenie Sofield
This letter is an offering for discussion about the relationships between music therapy research and neurodiversity-affirming practice. We are a collective of neuro-divergent, allistic, disabled and/or chronically ill music therapists writing in reference to the article, Research into increasing resilience in children with autism through music therapy: Statistical analysis of video data (Blauth & Oldfield, 2022). Based on our understanding of neurodiversity-affirming practices (Roberts, 2021), we perceive incongruence in the ways the article situates resilience as a neurodiversity-affirming outcome measure without clear realization of this worldview throughout the clinical research process (for an example of neurodiversity-affirming research, please refer to: We noted that several of the “behaviors of resilience” that the researchers coded seemed to value masking behaviors (e.g. look, smile) and pathologize autistic-coping behaviors (e.g. fidget; Price, 2022). Recently, Scrine (2021) introduced concerns regarding the concept of resilience as a form of oppression within music therapy, wherein resilience often requires client assimilation to and within dominant systems. Our primary aim in this letter is to amplify the labor put forth by autistic folx, many of whom highlight the critical need for neurodiversity-affirming practices in therapy, research, and beyond.
这封信是关于音乐治疗研究和神经多样性确认实践之间关系的讨论。我们是一个由神经发散性、联盟性、残疾和/或慢性病音乐治疗师组成的集体,他们参考了《通过音乐治疗提高自闭症儿童复原力的研究:视频数据的统计分析》一文(Blauth&Oldfield,2022)。基于我们对神经多样性确认实践的理解(Roberts,2021),我们认为,在整个临床研究过程中,在没有明确认识到这种世界观的情况下,文章将恢复力作为一种肯定神经多样性的结果衡量标准的方式是不一致的(关于确认神经多样性研究的例子,请参阅:我们注意到,研究人员编码的几种“恢复力行为”似乎重视掩盖行为(例如,看、笑)并使自闭症应对行为病态化(例如,坐立不安;Price,2022)。最近,Scrine(2021)提出了对弹性概念的担忧,认为弹性是音乐治疗中的一种压迫形式,其中弹性通常需要客户同化到主导系统中。我们在这封信中的主要目的是扩大自闭症folx所带来的劳动,他们中的许多人强调在治疗、研究和其他方面迫切需要肯定神经多样性的实践。
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引用次数: 1
Health care workers’ perspectives on the challenges and possibilities of music therapy within medication-free treatment services 卫生保健工作者对无药物治疗服务中音乐治疗的挑战和可能性的看法
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-09-26 DOI: 10.1080/08098131.2022.2115530
C. Oedegaard, Ingunn Marie Stadskleiv Engrebresten, Marius Veseth, A. Blindheim, Brynjulf Stige
ABSTRACT Introduction In 2015, the Norwegian Regional Health Authorities introduced the possibility for people with psychotic disorders to choose medication-free services, with music therapy as a treatment option. This study aimed to explore the health care workers’ perspectives on challenges and possibilities of music therapy within these services. Method This is a qualitative study by an interdisciplinary research team, including experts by experience. Ethnographic notes provide data from participant observation with one patient using music therapy, describing what music therapy can be “a case of”. Focus group discussions (FGDs) with health care workers, including music therapists, explore their experiences with music therapy and medication-free treatment. These were transcribed and analyzed using systematic text condensation in a stepwise, iterative process involving co-authors to ensure reflexivity. Results The summary from the participant observation provides the reader with background information on how music therapy can unfold in mental health care. The informants from the FGDs described music therapy as having a high degree of treatment flexibility providing a continuous process of choices. The collaborative choices both among staff members as well as between patient and staff were experienced as important for treatment outcome. Patients worsening or stagnating increased the significance of contingent choices. Discussion The strengths of music therapy, such as its acceptability and flexibility, also represent challenges, including dilemmas of prioritization, challenges when ending therapy, and the need for close collaboration when assessing a patient’s worsening. There is a potential for improving the implementation of music therapy into the existing health care teams.
2015年,挪威地区卫生当局引入了精神病患者选择无药物服务的可能性,音乐治疗是一种治疗选择。本研究旨在探讨卫生保健工作者对音乐治疗在这些服务中的挑战和可能性的看法。方法本研究是一个跨学科的研究团队,包括经验丰富的专家进行的定性研究。民族志笔记提供了参与者对一位使用音乐治疗的患者的观察数据,描述了音乐治疗可以是“一个案例”。与包括音乐治疗师在内的卫生保健工作者进行焦点小组讨论(fgd),探讨他们在音乐治疗和无药物治疗方面的经验。这些被转录和分析使用系统的文本凝聚在逐步,涉及共同作者的迭代过程,以确保反身性。结果参与观察的总结为读者提供了音乐治疗如何在精神卫生保健中展开的背景信息。来自fgd的信息提供者描述音乐疗法具有高度的治疗灵活性,提供了一个连续的选择过程。工作人员之间以及患者和工作人员之间的合作选择对治疗结果都很重要。患者病情恶化或停滞增加了偶然性选择的重要性。音乐治疗的优势,如其可接受性和灵活性,也代表着挑战,包括优先排序的困境,结束治疗的挑战,以及在评估患者病情恶化时需要密切合作。在现有的卫生保健团队中,音乐疗法的实施是有潜力的。
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引用次数: 0
Music therapy and social recovery in flexible assertive community treatment 灵活自信社区治疗中的音乐治疗与社会康复
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-09-26 DOI: 10.1080/08098131.2022.2116593
Marie Strand Skånland
ABSTRACT Introduction While recovery has been highlighted as a prime aspect in the flexible assertive community treatment (FACT) model, research on the application of this model in Norway suggests that there is still a potential for providing service users with better participation in the local society. Music therapy has been highlighted as a form of intersubjective activity that is relational and can promote empowerment and personal recovery. The social aspect of recovery has been highlighted in recent years, and this article explores how music therapy, offered through FACT, may support social recovery for service users. Method The research design was that of a qualitative interview study. Six semi-structured, joint interviews were conducted with FACT service users and their music therapist. Results Using reflexive thematic analysis, the main theme music therapy as social recovery was generated, with four relating sub-themes: musicking as activity, musicking as social handcraft, musicking as togetherness, and musicking as network. Discussion Using the framework of social recovery, this article discusses the potential of music therapy within FACT as a collaborative activity that can provide recovery capital – including social and musical capital – and potentially contribute to social recovery.
摘要引言尽管康复已被强调为灵活自信的社区治疗(FACT)模式的一个主要方面,但对挪威应用该模式的研究表明,仍有潜力为服务用户提供更好的参与当地社会的机会。音乐疗法被强调为一种主体间活动形式,它是一种关系性的活动,可以促进赋权和个人康复。近年来,康复的社会方面得到了强调,本文探讨了通过FACT提供的音乐疗法如何支持服务用户的社会康复。方法采用质性访谈的方法。对FACT服务用户及其音乐治疗师进行了六次半结构化的联合访谈。结果运用反身性主位分析,产生了作为社会康复的主位音乐治疗,共有四个相关的子位:作为活动的音乐治疗、作为社会手工制作的音乐治疗,作为团结的音乐治疗和作为网络的音乐治疗。讨论利用社会康复的框架,本文讨论了FACT中音乐治疗作为一种合作活动的潜力,这种合作活动可以提供康复资本——包括社会和音乐资本——并可能有助于社会康复。
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引用次数: 0
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Nordic Journal of Music Therapy
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