Role Of Music Therapy Research Articles

The role of music therapy in reducing post meal related anxiety for patients with anorexia nervosa.

BackgroundIt is well known that mealtime is anxiety provoking for patients with Anorexia Nervosa. However, there is little research into effective interventions for reducing meal related anxiety in an inpatient setting.MethodsThis study compared the levels of distress and anxiety of patients with Anorexia Nervosa pre and post music therapy, in comparison to standard post meal support therapy. Data was collected using the Subjective Units of Distress (SUDS) scale which was administered pre and post each condition.ResultsA total of 89 intervention and 84 control sessions were recorded. Results from an unpaired t-test analysis indicated statistically significant differences between the music therapy and supported meal conditions.ConclusionsResults indicated that participation in music therapy significantly decreases post meal related anxiety and distress in comparison to standard post meal support therapy. This research provides support for the use of music therapy in this setting as an effective clinical intervention in reducing meal related anxiety.

The Role of Music Therapy and Ritual Drama in Transformation During Imminent Death

The Role of Music Therapy and Ritual Drama in Transformation During Imminent Death

Constructing a grounded theory of young people's recovery of musical identity in mental illness

Musical identity is a highly relevant, yet little researched area within mental illness. In this study, the researchers explore how 11 young people's musical identities changed during their experiences of, and recovery from mental illness. The researchers use a constructivist grounded theory approach to collect and analyse in-depth interviews with young people attending a music therapy programme at a youth mental health service. Findings are presented as a constructivist grounded theory of young people's recovery of musical identity. This interpretation illustrates how aspects of these young people's pathology presents as ‘musical symptoms’ during acute illness and the ways in which young people engage in processes of ‘bridging’ and ‘playing out’ musical identity in the community. The role of music therapy in supporting young people's recovery from mental illness is presented, and the need to consider community-based music services is discussed.

"Music... to Cure or Disable:" Therapy for Whom?

This article responds to two intertwined questions: :“What is the role of a Disability Studies perspective within music therapy?” And: “What is the role of music therapy from a Disability Studies perspective?” Exploring some of the congruities and tensions that have emerged in recent years between music therapy, and the burgeoning field of Disability Studies in Music (Lubet, 2004 & 2010; Straus, 2006 & 2011; Straus & Lerner, 2006), I argue that both Disability Studies in Music, and music therapy, can benefit from greater acknowledgement of music's capacity to constrain and enable the human body,in complicated ways. The approach taken in this article imagines music therapy as a a reciprocal encounter in which diagnoses and intervention are replaced by a spirit of collaborative learning. The article pushes music therapy towards the idea of ability and disability as bodily performances (Sandahl & Auslander, 2005; Straus, 2011), rather than either exalted or pathological states of being, and suggests that in taking such a perspective as a point of departure, both music therapy and Disability Studies in Music will find new pathways between their respective theoretical and methodological environments.

Music Therapy As a Tool of Psychotherapy in Adolescence Cancer Patients

ABSTRACT Aim: Adolescents cancer patients not only have substantial physical, cognitive, emotional and interpersonal problems but also added burden of a life threatening disease. Persistent body image concerns somatic preoccupation, disruptions in heterosexual relationships and deficit in social competence have all been documented in this age group. Integration of conventional and complementary modes of therapy can be helpful in case of psychological problems This study examines adolescent cancer patients and their parents perspectives about music and music therapy's role in their lives. Methods: We assessed 100 patients in their adolescence with their families in the Psycho oncology department of Netaji Subhas Chandra Bose Cancer Research Institute during July 2006 to December 2013. Among total patients 42% were ALL, 12% were NHL, 6% were Hodgkin disease, 12% were Rhabdomyosarcoma, 8% were PNET, 8% were Germ cell Tumor, 4% were brain tumor, 4% were Osteosarcoma and rest 4% were soft tissue and other patients. We examined their family functioning, mental health, self-esteem, and social competence. Music sessions for individuals and groups based on their needs and tastes were designed. The patients could listen music of their choice, play instruments themselves, writes songs or simply talk about music they liked. Results: Out of 100 patients 80% had excellent psychological functioning without serious social issues. They expressed a positive effect. Among them 10% expressed a little depression, 8% of the teenagers thought that their families were less attentive than the case with their counterparts. These adolescents were maladjusted to the society also. Two patients (2%) were reluctant to command. Majority of the patients who had psychological disturbances, responded well to Music therapy and agreed to proceed with their treatment except a few terminal cases. Positive effects may carry over into children's home lives and vicariously support families. Out of 20 patients psychologically challenged adolescents, 18 patients came back to normal state of mind after music therapy Conclusions: Hence we recommend psychotherapy strongly in their adolescent period in frequent intervals. Music therapy can be excellent tool for psychotherapy in the adolescent paediatric and cure strongly recommended Disclosure: All authors have declared no conflicts of interest.

Effect of Music Intervention on Immediate Post Operative Coronary Artery Bypass Graft Surgery (CABG) Patients

Introduction: The Gold standard treatment for Coronary Artery Disease is Coronary Artery Bypass Graft [CABG] surgery.Cardiac surgery can be considered a major stress.8The therapeutic effects of music have been known. The most beneficial music for the health of a patient is classical music, which holds an important role in music therapy.

The evidence and role of music therapy in addressing the resilience of adolescents with eating disorders in the context of an acute inpatient admission

Engaging in music is an integral part of identity formation and coping during adolescence. For a population who are establishing their place in the world, music serves as a medium for peer interaction, social acceptance and connectedness (McFerran, 2010). The effectiveness of music therapy with the adolescent population has been well documented (Baker, McFerran-Skewes & Krout, 2011). In particular, the use of familiar and unfamiliar songs provides a powerful platform for adolescents to express and share parts of their identity, communicate their feelings, as well as discover hope and guidance. Drawing on the evidence, this paper will outline the ways that a music therapy program strives to improve coping for adolescents with an eating disorder within an acute paediatric inpatient setting and once discharged. This will be highlighted through case vignettes and patient perspectives. The music therapy program outlined in this paper is an integral part of the multidisciplinary treating team and works closely alongside medical and nursing staff to address the needs of young people with eating disorders. This abstract was presented in the Care in Inpatient and Community Settings stream of the 2013 ANZAED Conference.

Theoretical foundations and workable assumptions for cognitive behavioral music therapy in forensic psychiatry

This article offers a theoretical foundation for cognitive behavioral music therapy in forensic psychiatry. First, two cases are presented to give an insight into music therapy in forensic psychiatry. Secondly some background information on forensic psychiatry is provided. The Risk-Need-Responsivity model is explained as a starting point and the role of music therapy in this treatment is explained. The third part offers a cognitive behavioral music therapy model and explains the (neurological) role of music and the music therapist in the treatment of forensic psychiatric problems. The article ends with a few final remarks.

The role of music therapy in impaired hearing recovery. A survey among professionals working with deaf children and between users

In this study, two groups are interviewed: the first study includes a sample of 60 physicians and health providers in the field of deafness, whose opinion on music therapy is collected by a specific questionnaire; the second involves 8 parents of deaf children attending music therapy lessons, who are asked to give an evaluation on the effect of music therapy, based on the experience of their children. Results show that health professionals know very little about the rehabilitative effectiveness of music therapy, whereas the parents of deaf children give a positive evaluation on the psychological, behavioral and linguistic benefits that music therapy gives to their deaf children.

The complementary role of music therapy in the detection of awareness in disorders of consciousness: An audit of concurrent SMART and MATADOC assessments

In the behavioural assessment of disorders of consciousness (DOC), best practice is for several different assessment tools to be used to encourage a variety of different responses indicative of awareness. Anecdotal evidence suggests a range of musical stimuli may be particularly effective in eliciting responses to guide the assessment process, although comparative data regarding behavioural domains is lacking. This study examined 42 concurrent records of patients assessed using the Sensory Modality Assessment and Rehabilitation Technique (SMART), and the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) to explore the relationship between diagnosis and behavioural characteristics of the cohort. Whilst the two tools produced a high level of agreement in diagnostic outcome (Spearman Rho .80), divergent diagnosis and weaker correlations between behavioural response items highlight contrasting sensitivities of the tools. Whilst MATADOC has higher sensitivity within auditory and visual domains relative to SMART, SMART has higher sensitivity in the motor domain. The significant contribution of musical response items in MATADOC, and the tactile response item in SMART, indicates both tools provide unique behavioural data predictive of awareness. Multidisciplinary assessment using SMART and MATADOC provides complementary data contributing to a fuller understanding of a patient's level of awareness.

The Role of Music Therapy for Anxious Adolescent School Refusers: The Importance of Identity

The specific role of music therapy for anxious adolescent school refusers is considered with particular emphasis upon identity and the self. Literature is examined covering areas of education theory, school refusal, psychoanalytically informed thinking, and music therapy. Two case studies with adolescents receiving music therapy at a large general hospital are discussed, and these illustrate new ways of thinking about music therapy and school refusal. The parallel processes between the student music therapist and her adolescent clients are discussed. Concepts of identity and paradox are explored, concluding that these multi-layered paradoxes can be experienced musically. They often manifest as a constantly changing balance between moments of chaos and calm, risk and safety, exploration and retreat. The case studies describe in-depth work where resistance and anxiety are addressed within the musical improvisations between therapist and adolescents in individual therapy. The authors point to the gap in knowledge in this specific field, and build on previous work, linking theoretical thinking to casework.

Musiktherapie mit Aphasiepatienten - einige Beispiele aus der Geschichte sowie ein Einblick in eine interdisziplinäre Arbeit

This article describes several examples of the many music therapy approaches with aphasia patients. It also deals with the role of music therapy in neurological rehabilitation, in particular, it examines the advantages and disadvantages of either working towards functional or psychotherapeutic aims. The article then offers an insight into a multi disciplinary project that was developed by one music therapist and a team of speech therapists in a clinic for neurological rehabilitation, the Brandenburgklinik Bernau. Based on Melodic Intonation Therapy, which was developed in the 1970s, the team set up a therapeutic approach whose aim is to support speech rehabilitation in stroke patients with the help of music. This approach takes into account functional aims as well as emotional support.

Music therapy in the psychosocial rehabilitation of people with epilepsy

The article presents a pilot study analysing the application of music therapy in the today’s psychosocial rehabilitation of people with epilepsy. The study is based on the analysis of the up-to-date application of music therapy in psychosocial rehabilitation, outcomes of epilepsy and special needs of people with this disorder. The analysis serves as a basis for making the assumption that music therapy is an effective measure addressing psychosocial issues of patients suffering from epilepsy. To achieve the objective set, an on-line survey method was used. A questionnaire was sent to the European Confederation of Music Therapy, the International Fellowship in Music Therapy for Neuro-disability, and several members of the World Federation of Music Therapy. It is difficult to formulate final conclusions about the today’s role of music therapy in the psychosocial rehabilitation of people suffering from epilepsy on the basis of this study as the sample is not representative. The analysis of literature and the results of the survey prove the issue of the role of music therapy in the psychosocial rehabilitation of epileptic people to be complex. The service of music therapy should be integrated into health promotion programmes focused on meeting special needs of people with epilepsy and implemented by an interdisciplinary team. Music therapy is applied specifically and diversely subject to symptoms of the disorder and the therapeutic objectives set. Crystallising the specificity of the application of music therapy in this context requires further research.

A Palliative Holistic Approach to MND Using Music Therapy

This article details the role of music therapy (MT) in the palliative care of a 66-year-old woman (Liz) living with severe disabilities caused by motor neurone disease. It forms part of a small but growing body of case-related evidence designed to support the use of MT in palliative care. It describes how music gave Liz a renewed sense of meaning, purpose, control and usefulness that she thought had been lost to her. Through MT Liz was able to manage some of her most frightening emotions and symptoms because she was able to use the music and her new found powers of composition to travel in her imagination to a place where her suffering did not exist. That, she said, enabled her to endure severe breathing difficulties and undergo necessary but frightening medical interventions. Liz renewed her interest in singing and, with the aid of the music therapist, was able to develop new compositional skills, such that her original compositions were performed as full choral works for her family and in public, which was a source of great exhilaration for her. Conflicts of interest: none

Advanced Training in Music Therapy with Premature Infants: Impressions from the United States and a Starting Point for Europe

This article describes the role of music therapy in neonatal work, and introduces two US-based music therapy advanced-training programmes in Florida and New York City aimed at music therapists who are interested in working in neonatal care. Advanced training is common in the United States and is relevant for therapists wishing to specialise in particular areas of work, or to further extend their general clinical skills. The task of achieving a high professional level of music therapy practice that supports the use of different therapeutic approaches and guarantees therapist mobility within Europe is a unique challenge. There is a review of the two existing neonatal music therapy training programmes and an exploration of how similar courses might be designed and implemented in Europe, along with a list of recommendations. The authors suggest that training opportunities would serve to further raise the professional profile of music therapy in Europe and establish this young and expanding field as an important therapeutic approach in neonatal care.

FP04-1 Role of Music Therapy in Tension Headache

FP04-1 Role of Music Therapy in Tension Headache

The Role of Music Therapy in Palliative Medicine and Supportive Care

This paper is designed to provide an introduction to music therapy in the continuum of cancer care. The value and use of music therapy during diagnosis and treatment, palliation, hospice, actively dying, and bereavement have been well documented. The music therapy process will be identified, research will be shared, and the importance and role of music therapy in palliative medicine and supportive cancer care discussed. Music therapy is invaluable throughout the entire cancer treatment process.

Is there a role for music therapy in the recovery approach in mental health?

The recovery approach in mental health care emphasises the importance of the service user leading a fulfilling, meaningful life beyond the limitations of illness or symptomatology. This approach to care is increasingly included as a central part of mental health policy and service provision in a number of countries including the UK and Ireland, to address the needs of people who have severe and enduring mental disorders. It is an autonomous, holistic and empowering way of working with individuals as they journey towards healing. Fundamental to this model is the relationship fostered between service users and health professionals. The recovery philosophy of care mirrors some of the core principles of music therapy, including the importance of the therapeutic relationship and the possibilities for change and growth within this. This paper explores the congruence between music therapy and the recovery approach by providing: (1) An overview of current published evidence for music therapy in mental health care. (2) A discussion of this psycho-social creative arts therapy intervention within the specialized area of recovery in psychiatry, and (3) case vignettes to illustrate the application of this philosophy in music therapy work within a recovery service.

The role of music therapy in physical rehabilitation: a systematic literature review

Physiotherapists and occupational therapists provide physical rehabilitation to maximize independence of those with compromised function. Qualified music therapists have provided interventions to assist physical rehabilitation for over 20 years, however effectiveness of interventions are often questioned. This systematic literature review explores the effectiveness of music therapy (MT) in physical rehabilitation, the function of music and the role of the music therapist. The following databases were searched: Embase, Cinahl, Allied and Complementary Medicine, Cochrane Review, PsychInfo, Eric, Medline, Dissertation s and Voices. Research articles were selected if a MT technique was applied towards physical rehabilitation of those experiencing physical impairments. Consistent positive and significant results were found in MT methods in rehabilitation of most gait parameters, and fine and gross motor functioning. The utility of music included increasing motivation, providing an external timekeeper, and providing purposeful and structured rehabilitation interventions. Music therapists were employed to engage patients through music interventions such as instrumental tuition; assess behaviours; adapt interventions according to behaviours; and to provide physical support. These findings suggest that MT enhances physical, psychological, cognitive and emotional functioning within physical rehabilitation. These findings were compared with Staum's (2000) findings in her analysis of music based physical rehabilitation literature from 1950–1999. However, further research is necessary to explore the role of MT interventions in current standard rehabilitation services.

The Effect of a Music Therapy In-Service on Perceptions of Oncology Nursing Staff

It is estimated that over 1 .4 million new cases of cancer will arise in the United States alone during 2009 (American Cancer Society, 2009). This statistic has increased from 1.2 million estimated new cases in 2000, depicting the growing number of those diagnosed with cancer over the past decade. As the number of cases increases, health care providers have been utilizing complementary treatments in addition to traditional medicine to provide a holistic approach to medicine. Music therapy is one such complementary/alternative treatment/ medicine that can address some of the biopsychosocial issues faced by cancer patients (Boldt, 1996; Burns, 2001; Burns, Harbuz, Hucklebridge, & Bunt, 2001; Ferrer, 2007; Standley, 1992; Waldon, 2001).Recently, the number of music therapists who reported working in oncology has remained relatively constant (AMTA, 2003, 2004, 2005, 2006, 2007, 2008, 2009). Figure 1 depicts the consistent number of music therapists working in oncology since 2003. During this type of clinical work, music therapists often come in contact with a variety of health professionals. With a focus on interdisciplinary, complementary, and holistic care, these healthcare providers need an understanding of the possible benefits music therapy can provide to specific population groups. As music therapists continue to verify implemented treatments by means of research and literature, it is important to educate and share these findings with related healthcare professionals.Although professional and scholarlyjournals are one method to educate other professionals, another time-efficient and more personable technique is through the use of clinical in-services. Providing brief presentations to a group can be an effective method for informing professionals about the potential benefits of music therapy. In-services can be utilized specifically for educating employees on various topics, including nontraditional services provided to the patients. Music therapists can utilize i?-services to increase the awareness of music therapy for doctors, nurses, administrators, patients, and other staff.Despite the importance of educating others about music therapy, researchers have only conducted and published minimal studies examining the perceptions of music therapy in a professional setting. Darsie (2009) examined interdisciplinary team members' perceptions of music therapy and its function in a pediatric clinic. A survey was administered before and after an in-service with medical and psychosocial staff to study the effects an in-service may have had on perceptions of music therapy. The five minute in-service provided a video with clips of various individual sessions that displayed numerous music therapy interventions. Darsie found that perceptions of goal setting, procedural support, and assessment were significantly different between pretest and posttest. However, Darsie had been providing music therapy services on this unit and the inservice was used as a supplemental educational opportunity. Although data exist supporting the use of music therapy with oncology patients, no studies have been conducted on the effects of a music therapy in-service on oncology staff, particularly on a unit that had not previously offered music therapy to patients. Therefore, the purpose of this study was to determine if there were changes in nurses' perceptions of music therapy after a 20-minute in-service.MethodParticipantsEligible participants were all staff working on the surgical oncology unit of a large teaching hospital in the Midwest who attended one of three in-services offered on the same day. Eighteen nurses and one social worker, all female, participated. Participants had a mean of 16.08 (SD = 12.45) years experience working in healthcare and a mean of 8.33 (SD = 9.73) years experience on the surgical oncology unit. All participants indicated they had heard of music therapy in the past.InstrumentThe 20-item instrument was modified from the instrument Darsie (2009) utilized to educate interdisciplinary team members about the role of music therapy in a pediatric outpatient clinic. …