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- Developing Clinical Perspectives: Reflections on Student and Teacher
Experiences of an Undergraduate Music Therapy Course-
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Pages: 1 - 10
Abstract: AbstractCentered in the Scholarship of Teaching and Learning, we describe and reflect upon student and teacher experiences of an undergraduate music therapy course in which students are introduced to two core clinical perspectives derived from the music therapy literature: decision-making and case formulation. Guiding the reader through four interrelated course phases, we discuss key content areas, challenges students encountered, and the ways the course instructors engaged with and worked through these challenges. Key learning outcomes are identified, specifically focusing on the importance of 1) teaching multiple perspectives early in a music therapy curriculum, 2) prerequisite knowledge, 3) musical competence, and 4) an integrated curriculum. In doing so, we advocate for an integral perspective to clinical practice, through which students develop the ability to locate themselves and shift perspectives in service of their clients.
PubDate: Tue, 07 Nov 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad024
Issue No: Vol. 42, No. 1 (2023)
- Applying Appreciative Education to Undergraduate Music Therapy Supervision
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Pages: 11 - 17
Abstract: AbstractMusic therapy is by nature an interdisciplinary profession, focusing on the triangulation of the client, the therapist, and the music. This complex relationship creates the necessity for specialized supervision practices. As part of the training for this profession, it is required that students are supervised by board-certified music therapists during practicum placements. Music therapy supervision has incorporated theories grounded in the field of psychology to inform supervision practices. However, recent work in the field suggests Appreciative Education theory may be a more useful approach for supervision. Appreciative education is “a framework that provides an intentional and positive approach to bettering educational enterprises by focusing on the strengths and potential of individuals and organizations to accomplish co-created goals” (Bloom, J., Hutson, B., He, Y., & Konkle, E. 2013). Appreciative education. New Directions for Student Services, 143, 5–6). This paper discusses examples of the appreciative education approach and how to best integrate these practices within the context of undergraduate music therapy supervision. For this article, the primary approach discussed will be the 6D framework developed (Bloom, J. L., Hutson, B. L., & He, Y. (2008). The appreciative advising revolution. Stipes Publishing). The purpose of this practical application is for music therapy supervisors to integrate this framework into their supervisory practices.
PubDate: Mon, 17 Jul 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad016
Issue No: Vol. 42, No. 1 (2023)
- Online Support Program for the Use of Music-Based Resources for Daily Care
for Families Living with Dementia-
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Pages: 18 - 27
Abstract: AbstractThis pilot project presents the results of a program aimed at studying the effectiveness of an online music therapy intervention to contribute and promote the autonomy and integral well-being of people living with dementia (PLD) and their family caregivers (FC) within the framework of Person-Centered Care. In addition, it aims to evaluate the impact of this intervention in selected areas of PLD and on their neuropsychiatric symptoms as well as the caregivers’ stress-related symptoms. The program was carried out with 13 families associated with 3 Alzheimer’s Family Associations of Catalonia (Spain). The intervention consisted of three online sessions, in a period of 3 months. It was addressed to FC and PLD with the key participation of three volunteers recruited by each of the Alzheimer Association for this purpose. The volunteers accompanied and gave in person support to each family during the online sessions and maintained contact on a weekly basis with the families throughout all the process. The music therapists developed personalized music resources for each family to use at home as often as possible and implemented the three online sessions to evaluate and modify the resources as needed. The results of the Neuropsychological Inventory show pre–posttest improvements in apathy, irritability, and agitation in the PLD and a decrease in the caregivers’ perceived stress for each of these challenging behaviors. Also, the caregivers perceived the positive impact of the program in several areas through the Impact Areas Questionnaire, with the highest being the facilitation of communication, offering distraction/entertainment, and providing a positive/creative experience. These results are discussed, and suggestions for future improvements to the program are included.
PubDate: Wed, 20 Dec 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad029
Issue No: Vol. 42, No. 1 (2023)
- Music Therapy in Shelters for People Who Are Unhoused: A Scoping Review
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Pages: 28 - 35
Abstract: AbstractA scoping review of publications pertaining to music therapy interventions with people who are unhoused and living in shelters was implemented to determine if the available evidence supports professional advocacy and program development with this underserved population at the present time. Searches using EBSCOHost, PsycINFO, ProQuest, and search engines for music therapy journals resulted in 294 publications. Specification of inclusion criteria (population-context-concept) resulted in 13 articles for review to determine the types of evidence, key characteristics of participants and interventions, and gaps and limitations in the literature. An overview of therapists’ descriptions of their sessions’ goals, interventions, and recommendations, combined with information from shelter staff and former participants, provides practical information for interventions and future research. However, the diversity within the small collection of articles prevents generalizations and provides only a glance at possibilities, not a foundation, for professional advocacy and program development.
PubDate: Wed, 29 Nov 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad027
Issue No: Vol. 42, No. 1 (2023)
- A Description of Harmful Events Reported by Music Therapists in Their
Everyday Clinical Practice-
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Pages: 36 - 46
Abstract: AbstractTwelve music therapists working in a range of settings throughout the United States were interviewed and asked to recall harmful events they experienced during music therapy sessions. In total, 61 harmful or potentially harmful events were described and subsequently analyzed using procedures consistent with qualitative content analysis. Four categories emerged that characterized these harmful events: (1) emotional harm, (2) physiological harm, (3) physical harm, and (4) relationship harm. Within each of these categories, therapist self-awareness, clinical decision-making, and clinical competence are discussed. The findings suggest a need for increased awareness of the potential for harm in music therapy clinical practice, increased education for students and new professionals entering clinical training/practice, as well as additional research exploring the ways music therapists may define, navigate, and prevent harm.
PubDate: Fri, 16 Jun 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad013
Issue No: Vol. 42, No. 1 (2023)
- Types of Termination in Clinical Music Therapy Practice: A Qualitative
Inquiry-
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Pages: 47 - 53
Abstract: AbstractTo support student learning about clinical music therapy termination processes, a qualitative research method was used to address three research questions: (a) What are the current termination practices of music therapists from multiple clinical settings' (b) What types of termination practices might they describe' and (c) What processes do they move through in their termination practices' Forty-six music therapists were interviewed about their experiences of clinical termination in music therapy. They described 134 termination scenarios that took place in 18 different types of clinical settings. Inductive thematic analysis of the scenarios identified several themes, one of which is addressed in this paper: termination types. Nine types of termination processes are described in the results. The types were described using the salient features of the termination scenarios. Identifying termination types in this way has the potential to provide students and clinicians with ways to think critically and creatively about what it means to effectively terminate a therapeutic relationship and about what effective termination can look like in different clinical settings.
PubDate: Wed, 06 Sep 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad020
Issue No: Vol. 42, No. 1 (2023)
- Clinical Intentions in Music Therapy Termination Processes: A Qualitative
Inquiry-
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Pages: 54 - 62
Abstract: AbstractABSTRACT: Given the limited literature on the specific termination practices of music therapists in multiple clinical settings, clinicians were asked to participate in open-ended interviews to address the following research questions: What are the current termination practices of music therapists' What types of termination practices might they describe' and What processes do they move through in their termination practices' Thematic analysis of the interview data was used to identify several themes, one of which is described in the present paper: clinical intentions. Four clinical intentions are described in the results: preparing the person for termination, considering the person’s context, framing the therapeutic structure, and implementing the termination process. Comparison of the results to the termination-related music therapy literature showed that general guidelines for termination are not universally applicable. A model for self/peer-supervision and decision-making for termination was presented for three purposes: (a) to provide an approach for students and clinicians to consider the specific termination-related circumstances in which they find themselves, (b) to provide an approach for them to consider how they might most effectively attend to the needs of the persons they serve, and (c) to provide an approach for them to consider their own needs for self-care.
PubDate: Tue, 12 Sep 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad021
Issue No: Vol. 42, No. 1 (2023)
- Alternative Clinical Training During the First Year of COVID-19 Pandemic:
Students’ Experience-
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Pages: 63 - 74
Abstract: AbstractThe COVID-19 pandemic ushered in widespread restrictions that impacted clinical and academic settings. These restrictions required music therapy educators to not only shift their teaching platform but to find methods to engage students in the continued development of their clinical practice skills through practicum experiences while clinical sites were closed. To provide alternative practicum experiences, three music therapy faculty at a major metropolitan private university offered Telehealth Practica (THP) for undergraduate and graduate students in the first year of the pandemic. Music therapy faculty facilitated individual or group sessions with 10 clients to provide ongoing practicum experiences for students over the course of two semesters. Twenty-two students participated in five focus group interviews to share their experiences of THP. Using a thematic analysis, 14 themes were identified, and through further latent analysis, five attributes of the THP model: accessibility, usefulness, uniqueness, limitation, and potential were developed. THP offered students a new and novel learning opportunity that is not experienced in traditional in-person practicum, and they identified this as a valuable and unique training option. THP experience highlighted the need to develop student competencies and skills related to the use of technology for telehealth delivery, as telehealth has become a new norm and will be one of the ways health professionals continue to provide services in the future.
PubDate: Thu, 23 Nov 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad026
Issue No: Vol. 42, No. 1 (2023)
- Cancer Survivors’ Resilience During COVID-19 and Virtual Community-Based
Choral Singing: A Feasibility Study-
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Pages: 75 - 82
Abstract: AbstractThe study aimed to determine the study feasibility of a weekly virtual community-based choral singing program and to explore the impact of weekly choral singing on resilience, anxiety, and benefit finding in cancer survivors. Six participants were recruited from the Survivorship Choir (SC), led by a board-certified music therapist and affiliated with a cancer center. Study participants attended their standard 90-minute rehearsals, which were conducted virtually because of COVID-19 pandemic restrictions. Researchers followed participants over eight weeks, collecting data at weeks one and eight. Five self-report instruments were used and included a researcher-designed Demographic Form. The Connor-Davidson Resilience Scale (CD-RISC-10) is a 10-item questionnaire assessing participants’ resilience. The PROMIS: Emotional Distress-Anxiety Scale measured participants’ anxiety levels, and the Carver Benefit Finding Scale assessed participants’ benefit finding levels. The participant Feedback Form, designed by the researchers, assessed the study’s feasibility and effectiveness. High attendance and completion rates demonstrated the study’s feasibility. Choral singing led to a statistically significant increase in resilience (W = 0.00, p = .036, rrb = -1.00) between baseline (M = 28.33, SD = 7.20) and week 8 (M = 33.83, SD = 4.88), demonstrating a large effect. While not significant, anxiety and benefit finding trended in a desirable direction with large effects. The present study format was feasible during the COVID-19 pandemic. The study showed that community-based choral singing, even in a virtual format, may positively affect cancer survivorship by increasing resilience and benefit finding and alleviating anxiety.
PubDate: Mon, 07 Aug 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad017
Issue No: Vol. 42, No. 1 (2023)
- A Retrospective Study: Reduction of Anxiety Through Music Therapy During
Hospitalization-
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Pages: 83 - 89
Abstract: AbstractThis retrospective review of 56 charts of adult hospital patients examined verbal anxiety ratings (VAR) of premusic therapy- and post-music therapy sessions to report on the preliminary efficacy of live music interventions on anxiety. Due to the high rate of anxiety associated with hospitalization and its negative somatic and psychological effects, it is important that anxiety is assessed and treated by qualified professionals. Nonpharmacological approaches such as music therapy help to address the root of anxiety by providing a relaxation cue to patients’ parasympathetic nervous system and also address patients’ psychological concerns. This retrospective analysis explores the real-world evidence of music therapy for the treatment of hospital-associated anxiety symptoms through a review of all music therapy sessions with a charted verbal anxiety rating (VAR) ≥3 documented in the electronic health record. Paired samples t-test showed that music therapy sessions resulted in a statistically significant reduction in pre- and post-verbal anxiety rating; t(60) = 9.806, p < .001. This study demonstrates that music therapy is a feasible treatment modality for assessing and ameliorating self-reported anxiety symptoms in hospitalized adults.
PubDate: Mon, 04 Dec 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad028
Issue No: Vol. 42, No. 1 (2023)
- A Virtual Music-Assisted Wellness Workshop for Family Caregivers: A Pilot
Study-
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Pages: 90 - 97
Abstract: AbstractInformal or family caregivers (ICGs) are unpaid individuals who assist those with various diagnoses or conditions with their health and/or living-related needs. In 2020, there were an estimated 53 million individuals in the United States who provided informal care, which research indicates can negatively impact physiological and psychological health. Music therapy is a promising nonpharmacological intervention for psychosocial needs, including many that ICGs experience. The purpose of this study was to pilot a single, virtually delivered, music-based wellness workshop to examine feasibility and acceptability amongst ICGs of adults over 50. Additionally, the study aimed to establish the appropriateness of the measurement tools in addressing the research questions. Results of the study (N = 24) revealed a significant reduction in perceived stress score from pre to the post intervention t(23) = 5.71, p < .001. Slight positive increases were also observed from pre- to two weeks post intervention for wellbeing (14.75 vs. 14.79) and quality of life (6.00 vs. 6.08) measures. Additionally, 93.1% of participants completed the study from pre to two-week post-intervention, indicating a high feasibility of the intervention design. Themes emerged related to perceived value of the intervention and resource provided, including positive perception of music and mindfulness techniques along with themes related to difficulty with delivery and future needs of ICGs.
PubDate: Tue, 31 Oct 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad025
Issue No: Vol. 42, No. 1 (2023)
- Music as Care: Artistry in the Hospital Environment
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Pages: 98 - 99
Abstract: HooverS. A.(2021). Music as care: artistry in the hospital environment. London and New York: Routledge. 142 pages. $64.95. Hardback, $22.95 Paperback. ISBN: 9780367408770
PubDate: Mon, 25 Dec 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad030
Issue No: Vol. 42, No. 1 (2023)
- Correction to: Lesbian, gay, bisexual, transgender, and questioning: Best
practices in music therapy and Rhode Island Fire Music Therapy Project
Final Report-
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Pages: 100 - 100
Abstract: This is a correction to: Baldwin, G. (2005). Rhode Island Fire Music Therapy Project Final Report. Music Therapy Perspectives, 23(2), 129-134 https://doi.org/10.1093/mtp/23.2.129
PubDate: Sat, 07 Oct 2023 00:00:00 GMT
DOI: 10.1093/mtp/miad023
Issue No: Vol. 42, No. 1 (2023)
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