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Reflective Lullaby Writing with two mother-infant dyads who recently experienced an admission to a neonatal intensive care unit 反思摇篮曲——与最近入住新生儿重症监护室的两对母子的写作
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-09-16 DOI: 10.1080/08098131.2022.2115531
Amy Howden, K. Mcferran, G. Thompson
ABSTRACT Introduction Having a premature baby is a complex experience for parents, especially where an admission to a Neonatal Intensive Care Unit (NICU) after birth is required. Regardless of length of admission, parents likely confront mixed emotions related to their concerns for their baby’s physical health and development, which are often still present in the months and years after their baby’s discharge. Supporting parents to emotionally process their experience presents unique challenges, and a deeper understanding of how to facilitate this process is needed. Method The purpose of this research project was to explore parents’ experiences of engaging in individualised parent--infant music therapy in their home setting after their baby’s discharge from a NICU setting. Interviews were conducted with two mothers and descriptive phenomenology guided the immersive process of data analysis and explicating the prominent themes. Results Four shared themes were identified. Songwriting was experienced as being distinctly therapeutic, and mothers described the value of intentionally creating lyrics which captured what they wanted to remember about their NICU and parenting journey. Both mothers valued reconnecting with aspects of their previous selves from before their NICU experience. Discussion The composition of a personal song using therapeutic techniques offered mothers the opportunity to reflect on, and to begin to process their parenting experiences. Reflective Lullaby Writing is articulated as a novel approach to support post-NICU families. The findings of this pilot study will inform future studies in this area of practice which has not yet been well-established in the current discourse.
摘要简介对于父母来说,早产是一种复杂的经历,尤其是在出生后需要进入新生儿重症监护室(NICU)的情况下。无论入院时间长短,父母都可能面临与他们对婴儿身体健康和发育的担忧有关的复杂情绪,这些情绪通常在婴儿出院后的几个月和几年内仍然存在。支持父母从情感上处理他们的经历带来了独特的挑战,需要更深入地了解如何促进这一过程。方法本研究旨在探讨新生儿重症监护室出院后,父母在家中进行个性化父母-婴儿音乐治疗的经历。对两位母亲进行了访谈,描述性现象学指导了数据分析和解释突出主题的沉浸式过程。结果确定了四个共同主题。歌曲创作被认为是一种明显的治疗方法,母亲们描述了有意创作歌词的价值,这些歌词捕捉到了她们想记住的新生儿重症监护室和育儿之旅的内容。两位母亲都重视与新生儿重症监护室经历之前的自我重新联系。讨论使用治疗技巧创作一首个人歌曲,为母亲们提供了反思和开始处理育儿经历的机会。反思摇篮曲写作被阐明为一种支持新生儿重症监护室后家庭的新颖方法。这项试点研究的结果将为未来在这一实践领域的研究提供信息,而这一领域在当前的讨论中尚未得到证实。
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引用次数: 1
Synchronization during Improvised Active Music Therapy in clients with Parkinson’s disease 帕金森病患者即兴积极音乐治疗的同步性
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-08-19 DOI: 10.1080/08098131.2022.2107054
Demian Kogutek, Emily A. Ready, J. Holmes, Jessica A. Grahn
ABSTRACT Introduction The purpose of this manuscript is to report on the finding of asynchrony measures during Improvised Active Music Therapy (IAMT) sessions with individuals with Parkinson’s disease (PD). Method In this single subject multiple baseline design across subjects, the study measured asynchrony of three right-handed participants with PD while playing uninterrupted improvised music on a simplified electronic drum-set. During baseline, the music therapist played rhythms with low to moderate density of syncopation. During treatment, the music therapist introduced rhythms with moderate to high density of syncopation. The music content of the sessions was transformed into digital music using Musical Instrument Digital Interface (MIDI). MIDI data were analyzed to determine participants’ and the music therapist’s asynchrony (on acoustic guitar) during baseline and treatment conditions. Results The results of this manuscript suggest that all participants exhibited total negative mean asynchrony and in that the music therapist exhibited total positive mean asynchrony scores within and across conditions. All participants also demonstrated score fluctuation in left foot and right foot as compared to upper extremity within and across conditions. Discussion Overall, participants showed their ability to synchronize to the music produced by the music therapist throughout conditions by demonstrating anticipation. Also, participants demonstrated some difficulty while synchronizing with lower extremity. Music therapy clinicians might benefit from knowledge of their own tempo inconsistencies to be able to synchronize with clients more effectively. More research is required to identify commonalities and differences in music synchronization measures between individuals with PD and healthy individuals during IAMT sessions.
摘要:本文的目的是报告在即兴积极音乐治疗(IAMT)期间对帕金森病(PD)患者的非同步措施的发现。方法采用单受试者多受试者基线设计,测量了3名右撇子PD患者在简易电子鼓上不间断演奏即兴音乐时的非同步性。在基线期间,音乐治疗师播放低到中等切分密度的节奏。在治疗过程中,音乐治疗师引入了中度到高密度切分音的节奏。使用乐器数字接口(MIDI)将会议的音乐内容转换为数字音乐。对MIDI数据进行分析,以确定参与者和音乐治疗师在基线和治疗条件下的异步性(使用原声吉他)。结果本论文的结果表明,所有参与者都表现出总负平均非同步性,而音乐治疗师在不同条件下表现出总正平均非同步性。与上肢相比,所有参与者的左脚和右脚在不同条件下也表现出得分波动。总的来说,参与者通过表现出期待,展示了他们在整个条件下与音乐治疗师制作的音乐同步的能力。此外,参与者在与下肢同步时也表现出一些困难。音乐治疗临床医生可能会受益于他们自己的节奏不一致的知识,能够更有效地与客户同步。需要更多的研究来确定PD患者和健康个体在IAMT期间音乐同步测量的共性和差异。
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引用次数: 0
The Dementia Coding System (DeCS): Development and initial evaluation of a coding system to assess positive, challenging, and music-related behaviors of people with dementia 痴呆症编码系统(DeCS):开发和初步评估一个编码系统,以评估痴呆症患者的积极、具有挑战性和与音乐相关的行为
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-07-27 DOI: 10.1080/08098131.2022.2089905
Mareike C. Hillebrand, Elisa-Felicia Lehmann, Lisette Weise, E. Jakob, G. Wilz
ABSTRACT Introduction The Dementia Coding System (DeCS), an observational assessment tool to measure positive, challenging, and music-related behaviors in people with dementia, was developed and psychometrically evaluated to assess effects of non-pharmacological interventions (for example, individualized music interventions). Method Data from N = 114 people with dementia were analyzed for factorial validity, internal consistencies, and test-retest reliability. Factorial validity was analyzed using explorative factor analysis (EFA). Results The results indicate a single factor including nine items that represent “Positive Behaviors”. Internal consistency and test-retest reliability were also acceptable for this single factor. Two exploratory factors (“Challenging Behaviors”, “Musical Engagement”) were proposed for behaviors that could not be included in the EFA due to insufficient variability. Here again, internal consistency and test-retest reliability were calculated with acceptable results. Discussion In conclusion, DeCS is a useful coding system to assess effects of non-pharmacological interventions, especially music-based interventions for people with dementia, across a variety of behavioral indicators of negative and positive aspects of quality of life.
摘要简介痴呆症编码系统(DeCS)是一种用于测量痴呆症患者积极、挑战性和音乐相关行为的观察性评估工具,它被开发并进行了心理测量评估,以评估非药物干预(例如个性化音乐干预)的效果。方法对114例痴呆患者的数据进行析因有效性、内部一致性和重测信度分析。因子有效性采用探索性因子分析法进行分析。结果研究结果显示了一个单一的因素,包括9个代表“积极行为”的项目。内部一致性和重新测试的可靠性也可以接受这一单一因素。对于由于可变性不足而无法纳入全民教育的行为,提出了两个探索性因素(“挑战性行为”和“音乐参与”)。这里再次计算了内部一致性和重测可靠性,得出了可接受的结果。讨论总之,DeCS是一个有用的编码系统,可以评估非药物干预措施的效果,特别是对痴呆症患者的音乐干预措施,包括生活质量的各种消极和积极方面的行为指标。
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引用次数: 1
COME_IN: A qualitative framework for content, meanings and intersubjectivity in free dyadic improvisations COME_IN:自由二元即兴创作中内容、意义和主体间性的定性框架
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-07-26 DOI: 10.1080/08098131.2022.2084638
Monika Smetana, Irene Stepniczka, Laura Bishop
ABSTRACT Introduction A growing body of research reflects the interest in meaningful moments in music therapeutic treatment and the client--therapist relationship; however, little insight has been given into the client’s subjective experience and the interweaving processes between a therapist and a client. Central to this initial research is the question of how dialogue as a substantial relational quality emerges and intersubjectively manifests in free, dyadic improvisations, as is typical in humanistic and/or psychodynamic approaches to music therapy practice. This paper presents the qualitative part of a mixed-methods, multi-phase feasibility study intended to develop a framework for non-clinical and clinical research. Method In a non-clinical setting with adult participants (n=9) and trained music therapists (n=8), a total of 17 free dyadic piano improvisations were recorded and verbally reflected on in semi-structured debriefing interviews. These focused on moments or time periods where one or both improvising people had the feeling that something pivotal happened between them. A qualitative summarizing content analysis of the transcribed interviews, including a selective coding process, was conducted to investigate both perspectives. Results As a two-part category system, the framework for content, meanings and intersubjectivity (COME_IN) covers (a) meanings, i.e. different intra- and interpersonal experiences indicating developments and states of relationship in dyadic improvisations, and (b) intersubjectivity, operationalized in temporal and/or content-related overlaps of subjective experiences. Discussion Showing manifold patterns of how meaning and intersubjectivity nonverbally arise between people, the framework provides a solid base for further mixed-methods analyses. Clinical studies are needed to test and refine the categories.
越来越多的研究反映了对音乐治疗中有意义的时刻和来访者-治疗师关系的兴趣;然而,对于来访者的主观体验和治疗师与来访者之间的相互交织的过程,很少有深入的了解。这一初步研究的核心问题是,对话作为一种实质性的关系质量是如何出现的,并在自由的、二元的即兴创作中主体间表现出来的,这是人文主义和/或精神动力学方法在音乐治疗实践中的典型表现。本文介绍了混合方法的定性部分,旨在为非临床和临床研究开发框架的多阶段可行性研究。方法在非临床环境中,对成人参与者(n=9)和训练有素的音乐治疗师(n=8)进行录音,并在半结构化的述职访谈中口头反思17首自由双人钢琴即兴演奏。这些实验集中在一个或两个即兴创作的人感觉他们之间发生了关键的事情的时刻或时间段。对转录的访谈进行定性总结内容分析,包括选择性编码过程,以调查这两种观点。作为一个由两部分组成的范畴系统,内容、意义和主体间性框架(COME_IN)涵盖了(a)意义,即不同的内部和人际体验,表明二元即兴创作中关系的发展和状态;(b)主体间性,在时间和/或与内容相关的主观体验重叠中运作。该框架展示了意义和主体间性如何在人与人之间以非语言方式产生的多种模式,为进一步的混合方法分析提供了坚实的基础。需要临床研究来检验和完善这些分类。
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引用次数: 4
Hope and change 希望与改变
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-07-25 DOI: 10.1080/08098131.2022.2082613
J. Bradt, G. Thompson
In issue 2 of this year, we announced that Grace Thompson agreed to become co-Editor-in-Chief and that Claire Ghetti was stepping down from her role as Associate Editor (Bradt, 2021). Because of these changes, we launched a search for two new Associate Editors and we are excited to announce that Andeline dos Santos and Stine Camilla Blichfeldt-Ærø joined our editorial team. Andeline is Senior Lecturer and Research Coordinator for the School of the Arts at the University of Pretoria (South Africa). Her clinical and research expertise is in music therapy with high school students. She recently published an article about her research in our journal (dos Santos, 2020). Stine is a music therapy clinician at Oslo University Hospital, Division of Paediatric and Adolescent Medicine and is part-time instructor in the Master’s program in music therapy at the Norwegian Academy of Music. Stine brings medical music therapy expertise to our team and has a special interest in discursive differences and challenges, on a philosophical, practical and academic level. We would like to thank Jason Butler, Editor of The Arts in Psychotherapy, for his time and valuable feedback as external member of our search committee. In addition, we would like to inform you about recent changes in our Advisory Editorial Board (AEB). Several AEB members rotated off the board after many years of service. We would like to sincerely thank them for their guidance and input during the past years: Drs. Jos De Backer, Cheryl Dileo, Denise Grocke, Helen Odell-Miller, Clare O’ Callaghan, Paul Nolan and Barbara Wheeler. We are happy to welcome several new AEB members: Dr. Kana Okazaki-Sakaue from Kobe University (Kobe, Japan), Dr. Sumathy Sundar from Chennai School of Music Therapy (Chennai, India) and Ga Eul Yoo from Ewha Womans University (Seoul, Republic of Korea). In this issue, we are delighted to include six research papers and one book review. The first two research papers collected important data about community understandings of music therapy and the growth of the profession in two countries for the first time. Karulkar, Gunjawate and Sundar (p. xx) conducted a survey of parents in India whose children access special education and therapy services to better understand parents’ awareness and knowledge of music therapy. They note that India has a long history of health and healing practices that include various music experiences, and yet there are still only small numbers of certified music therapists practicing in the country. This is the first survey of its kind in India, and therefore provides important insights into the professional standing of music therapy and the potential demand for future services. Seventy-
在今年的第2期,我们宣布格蕾丝·汤普森同意成为联合主编,克莱尔·盖蒂将辞去副主编的职务(布拉德,2021年)。由于这些变化,我们开始寻找两位新的副编辑,我们很高兴地宣布,Andeline dos Santos和Stine Camilla Blichfeldt-Ærø加入我们的编辑团队。安德琳是南非比勒陀利亚大学艺术学院的高级讲师和研究协调员。她的临床和研究专长是对高中生进行音乐治疗。她最近在我们的杂志上发表了一篇关于她的研究的文章(dos Santos, 2020)。Stine是奥斯陆大学医院儿科和青少年医学部的音乐治疗临床医生,同时也是挪威音乐学院音乐治疗硕士课程的兼职讲师。Stine为我们的团队带来了医学音乐治疗专业知识,并对哲学,实践和学术层面的话语差异和挑战特别感兴趣。我们要感谢《心理治疗艺术》的编辑杰森·巴特勒,他作为我们遴选委员会的外部成员,花时间提供了宝贵的反馈。此外,我们想通知您关于我们的咨询编辑委员会(AEB)最近的变化。几名AEB成员在服务多年后轮休。我们衷心感谢他们在过去几年的指导和投入。Jos De Backer, Cheryl Dileo, Denise Grocke, Helen Odell-Miller, Clare O ' Callaghan, Paul Nolan和Barbara Wheeler。我们很高兴地欢迎AEB的几位新成员:来自神户大学(日本神户)的Kana Okazaki-Sakaue博士,来自钦奈音乐治疗学院(印度钦奈)的Sumathy Sundar博士和来自梨花女子大学(韩国首尔)的Ga Eul Yoo博士。在本期中,我们很高兴收录了六篇研究论文和一篇书评。前两篇研究论文首次收集了有关两个国家社区对音乐治疗的理解和该行业发展的重要数据。Karulkar, Gunjawate和Sundar (p. xx)对印度接受特殊教育和治疗服务的孩子的父母进行了调查,以更好地了解父母对音乐治疗的认识和知识。他们指出,印度在健康和治疗实践方面有着悠久的历史,其中包括各种音乐体验,但在该国执业的认证音乐治疗师仍然很少。这是印度首个此类调查,因此对音乐治疗的专业地位和未来服务的潜在需求提供了重要的见解。七十-
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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 : 2022-07-25 DOI: 10.1080/08098131.2022.2082039
Published in Nordic Journal of Music Therapy (Vol. 31, No. 4, 2022)
发表于Nordic Journal of Music Therapy (Vol. 31, No. 4, 2022)
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引用次数: 0
The impact of COVID-19 on music therapy provision in Dutch care homes 新冠肺炎对荷兰养老院音乐治疗的影响
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-06-12 DOI: 10.1080/08098131.2022.2084637
N. Rasing, Sarah Janus, A. Vink, S. Zuidema
ABSTRACT Introduction Since the COVID-19 pandemic started in Europe early 2020, day-to-day practice in care homes has changed considerably. Common elements of music therapy – singing, physical contact, proximity – have become questionable. This study explores the impact of the COVID-19 pandemic on music therapy provision and continuation in Dutch care homes. Method In December 2020 and January 2021 Dutch music therapists (n = 49) working in elderly care filled out an online survey on their experiences with the COVID-19 pandemic during the first and second wave. Results Twenty different measures were deployed to adapt and continue music therapy throughout the pandemic. Music therapists were required to deploy social distancing, disinfect hands and instruments, and wear a face mask. Residents from different units were frequently unable to participate in music therapy together. Prevalent adaptations were to provide sessions in a common room (79.6%), in smaller groups (67.4%), for more (individual) residents than usual (65.3%) and to use pre-recorded playlists (65.3%). Music therapists experienced low stress and moderate to high hope, despite the substantial impact of the pandemic on professional and personal musical activities. Discussion Music therapy provision in care homes has repeatedly been subject to restrictions throughout the pandemic. By the end of the second wave, music therapy had been resumed in care homes, albeit with a range of preventive measures implemented in daily work routines. The pandemic shed light on adaptability of music therapy as a treatment and demonstrates that employer support is essential to enable music therapy provision.
摘要简介自2020年初新冠肺炎疫情在欧洲开始以来,养老院的日常实践发生了很大变化。音乐治疗的常见元素——唱歌、身体接触、接近——已经变得可疑。本研究探讨了新冠肺炎大流行对荷兰养老院音乐治疗提供和持续的影响。方法2020年12月和2021年1月,从事老年护理工作的荷兰音乐治疗师(n=49)就他们在第一波和第二波疫情期间的新冠肺炎疫情经历进行了在线调查。结果在整个疫情期间,采取了20种不同的措施来适应和继续音乐治疗。音乐治疗师被要求保持社交距离,对手和乐器进行消毒,并戴口罩。来自不同单位的居民经常无法一起参加音乐治疗。普遍的适应是在公共休息室(79.6%)、小组(67.4%)、比平时更多的(个人)居民(65.3%)和使用预先录制的播放列表(65.3%。讨论在整个疫情期间,养老院的音乐治疗服务一再受到限制。到第二波疫情结束时,养老院已经恢复了音乐治疗,尽管在日常工作中实施了一系列预防措施。这场疫情揭示了音乐疗法作为一种治疗方法的适应性,并表明雇主的支持对于提供音乐疗法至关重要。
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引用次数: 0
Music-mechanisms at the core of music therapy: Towards a format for a description of music therapy micro-interventions 音乐治疗核心的音乐机制:音乐治疗微观干预的描述格式
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-06-07 DOI: 10.1080/08098131.2022.2070925
L. Hakvoort, Djemida Tönjes
ABSTRACT Introduction The quality and quantity of music therapy research are increasing, as are the number of systematic reviews and meta-analyses. However, the latter often define the effect of music therapy treatment as inconclusive. This is frequently due to a lack of clear description of the intervention or the core function of music. Clearly described music therapy interventions might lead to improved treatment fidelity. This article offers a possible solution in three parts. First, limitations in music therapy research are discussed. Second, the design for a format of a practice-based intervention description is explained. In the third part of the article, an example illustrates the use of the format. Method The suggested micro-intervention format could lead to a greater reliability in empirical research through the recognition of the working-mechanisms of music therapy intervention at a micro-level. The micro-intervention format was created in collaboration with practicing music therapists, Master students, and a board member for scientific innovation of a professional association. Results The micro-intervention format allows music therapists to describe music therapy interventions in detail, including the intervention and its musical working-mechanisms. The format is intended to guide music therapists to execute their intervention in comparable manners, which in the case of a scientific study could improve research fidelity. “Music therapeutic guidance to reduce agitation in dementia care using improvisation and familiar songs” is used to illustrate the micro-intervention format. Discussion Development and dissemination of music therapy micro-interventions could lead to improved research outcomes and strengthen the evidence-based foundation of the profession.
音乐治疗研究的质量和数量都在增加,系统综述和荟萃分析的数量也在增加。然而,后者通常将音乐治疗的效果定义为不确定的。这通常是由于缺乏对音乐的介入或核心功能的清晰描述。清晰描述的音乐治疗干预可能会提高治疗的保真度。本文分三部分提供了一个可能的解决方案。首先,讨论了音乐治疗研究的局限性。其次,解释了基于实践的干预措施描述格式的设计。在本文的第三部分中,一个示例说明了该格式的使用。方法通过在微观层面上认识音乐治疗干预的工作机制,提出的微干预形式可以提高实证研究的可靠性。这种微干预形式是与音乐治疗师、硕士生和专业协会的科学创新董事会成员合作创建的。结果微干预形式允许音乐治疗师详细描述音乐治疗干预,包括干预及其音乐工作机制。该格式旨在指导音乐治疗师以可比的方式执行他们的干预,这在科学研究的情况下可以提高研究的保真度。“使用即兴创作和熟悉的歌曲来减少痴呆症护理中的躁动的音乐治疗指导”被用来说明微干预格式。音乐治疗微干预的发展和传播可以改善研究成果,加强专业的循证基础。
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引用次数: 3
Transitioning to teletherapy during COVID-19 在COVID-19期间过渡到远程治疗
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-05-27 DOI: 10.1080/08098131.2022.2054534
W. Magee, T. Meadows
When COVID-19 brought a sudden and dramatic hiatus to ordinary work life in March 2020, we did not think for a moment we’d still be experiencing the lingering effects of this pandemic more than two years later. In fact, when this special online volume was imagined, it was primarily about capturing a moment in time, one that we were living through in real time together. As we know from our experiences of making music with people in music therapy, capturing something in real time is both beautiful and challenging. How we see COVID in our work is quite different now than even one year ago and will continue to change as we move into the next phase of this pandemic and beyond. At the time of writing this editorial, more than 900,000 COVID-related deaths have been reported in the United States, 138,000 in the United Kingdom, and 1.7 million in Europe. The omicron variant is widespread, with very high infection rates throughout the world. Rates of infection and government responses, including lockdowns and travel restrictions, continue to impact everyday life, including the lives of clinicians and educators, students and, most of all, those trying to receive healthcare. The articles presented in this special volume help us to consider what we were living through during this time, and to reflect upon clinical and educational practices now and into the future. The sudden move to teletherapy, and the stress and isolation experienced by clients, their families and therapists, has left an indelible mark on our profession. While it appears that our work as clinicians, educators and researchers is irreversibly changed, we are still living through these impacts, and it may be a number of years before we are fully able to understand them. The beauty of the articles included in this special volume is the different ways these authors ask us to consider this time period, and in so doing, reconsider or reimagine our work. “Relationship” is a central theme in this issue: the authors ask us to reimagine the relationships we have with our clients, reconsider the ways clients access and engage in therapy, reflect on the ways music therapy managers encountered the challenges of providing services for patients, and reframe the ways educators adapted their work with students. Sharing the same learning experiences together – whether as client/therapist, as student/educator, or peer-to-peer – is also a recurring theme. The articles speak to the humanity of our work, the moral dilemmas of care during early COVID, and the creative ways these authors responded to the stress, uncertainty and fear of the time periods in which they are writing (predominantly May to August 2020). In “Shaping the digital space” (p. 203) Kerry Devlin invites us to reconsider what our relationships with therapy participants mean when not experienced in a physical space together. The vividness of Devlin’s writing brings the therapy room alive and guides us through the challenges of moving online. In he
2020年3月,当新冠肺炎给普通工作生活带来突然而戏剧性的中断时,我们一刻也没有想到两年多后我们仍会经历这场疫情的挥之不去的影响。事实上,当这个特别的在线卷被想象出来时,它主要是关于捕捉一个时刻,一个我们一起实时生活的时刻。正如我们从音乐治疗中与人一起创作音乐的经历中所知,实时捕捉一些东西既美丽又富有挑战性。我们在工作中对新冠肺炎的看法现在甚至与一年前大不相同,随着我们进入新冠肺炎疫情的下一阶段及以后,这种看法将继续改变。在撰写这篇社论时,美国报告了超过90万例与新冠肺炎相关的死亡病例,英国报告了13.8万例,欧洲报告了170万例。奥密克戎变异株很普遍,在全世界的感染率都很高。感染率和政府的应对措施,包括封锁和旅行限制,继续影响日常生活,包括临床医生和教育工作者、学生的生活,最重要的是,影响那些试图获得医疗保健的人的生活。本特刊中的文章帮助我们思考这段时间我们所经历的一切,并反思现在和未来的临床和教育实践。突然转向远程治疗,以及客户、他们的家人和治疗师所经历的压力和孤立,给我们的职业留下了不可磨灭的印记。虽然我们作为临床医生、教育工作者和研究人员的工作似乎发生了不可逆转的变化,但我们仍在经历这些影响,可能需要几年的时间才能完全理解这些影响。这本特刊中文章的美妙之处在于,这些作者要求我们以不同的方式来考虑这一时期,并在这样做的过程中重新考虑或重新想象我们的作品。“关系”是本期的一个中心主题:作者要求我们重新想象我们与客户的关系,重新考虑客户获得和参与治疗的方式,反思音乐治疗管理者在为患者提供服务时遇到的挑战,并重新定义教育者调整与学生合作的方式。无论是作为客户/治疗师、学生/教育者还是同伴,共同分享相同的学习经历也是一个反复出现的主题。这些文章讲述了我们作品的人性,早期新冠肺炎期间护理的道德困境,以及这些作者对他们写作期间(主要是2020年5月至8月)的压力、不确定性和恐惧的创造性反应。在“塑造数字空间”(第203页)中,Kerry Devlin邀请我们重新考虑当我们没有一起经历物理空间时,我们与治疗参与者的关系意味着什么。德夫林作品的生动性使治疗室充满活力,并引导我们应对搬到网上的挑战。Devlin在与神经分化儿童Dexter的合作中这样描述:“我们工作的复杂性能在网上实现吗?我担心我们的第一次虚拟会议会以灾难告终,《北方音乐治疗杂志》2022年第31卷第3期,199-202https://doi.org/10.1080/08098131.2022.2054534
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引用次数: 2
Being a person who plays in a band rather than being a person with a mental illness playing in a band: A qualitative study of stigma in the context of music therapy in mental health aftercare 作为一个在乐队中演奏的人而不是一个在乐队中演奏的精神疾病患者:心理健康善后护理中音乐治疗背景下的耻辱的定性研究
IF 1.6 4区 医学 Q1 Social Sciences Pub Date : 2022-05-22 DOI: 10.1080/08098131.2022.2075437
Lars Tuastad, Bjarte Johansen, Astrid Linea Østerholt, Irmelin Nielsen, Denise Straume Hansen McIvor
ABSTRACT Introduction The study explores the theme “stigma” and how it was experienced by participants in MOT82, a music therapy project in the field of mental health aftercare in Norway. The theme is explored through the research questions: How is stigmatisation experienced by participants in a music therapy project in the field of mental health in aftercare? And: Which strategies can be used to prevent stigma in the context of music therapy in mental health aftercare? Method The method for the study is based on User Interviewing User, a method for evaluation of health services, where the service users are actively involved in the entire research process. The analyses were qualitative processes within a hermeneutic abductive approach highlighting reflexivity as an important part of the research process. Results The participants in the study expressed MOT82 to be a positive arena that fostered experiences of mastery, personal development, inclusion, and a strong collaborative community. However, the participants also highlighted the theme of stigma, expressed through stories about mechanisms of exclusion; negative processes of labelling; and how stigma could be related to issues concerning illness, health, and treatment. Discussion Findings related to the theme of stigma are discussed and illuminated by theory from sociology, music therapy, stigma research and recovery; emphasising the concepts of social capital, performance and the importance of a user perspective. With regards to the matter of destabilising stigma, the message from the participants in MOT82 is clear: Tone down the focus on mental illness, turn up the volume regarding the importance of doing music.
摘要引言这项研究探讨了“污名”这一主题,以及MOT82的参与者是如何经历的。MOT82是挪威心理健康善后领域的一个音乐治疗项目。通过研究问题探讨了这一主题:在心理健康领域的音乐治疗项目中,参与者在善后护理中是如何经历污名化的?以及:在心理健康善后的音乐治疗中,哪些策略可以用来防止污名化?方法本研究的方法基于用户访谈用户,这是一种评估医疗服务的方法,服务用户积极参与整个研究过程。这些分析是解释学溯因方法中的定性过程,强调自反性是研究过程的重要组成部分。结果研究参与者表示,MOT82是一个积极的舞台,培养了掌握、个人发展、包容和强大的合作社区的经验。然而,与会者也强调了通过关于排斥机制的故事表达的污名化主题;负面标签过程;以及污名如何与疾病、健康和治疗等问题相关。讨论与污名主题相关的研究结果通过社会学、音乐治疗、污名研究和康复等理论进行了讨论和阐释;强调社会资本、绩效和用户视角的重要性。关于破坏名誉的问题,MOT82参与者传达的信息很明确:淡化对精神疾病的关注,提高对音乐重要性的认识。
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引用次数: 4
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Nordic Journal of Music Therapy
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