Issues in Working with Sexually Abused Clients in Music Therapy

1992 ◽  
Vol 6 (2) ◽  
pp. 5-15 ◽  
Author(s):  
Penny Rogers

This paper discusses some of the issues that arise when working with sexually abused clients. It highlights a number of factors that appear to be common to this client group's manipulation of the medium of music therapy; the symbolic use of the instruments; the preoccupations with mess and containers; the use of boundaries; and the power of the secret. Material from a number of case studies (both adults and children) is used to illuminate many of the points made. Many of the issues discussed are pertinent to a wider range of client groups — particularly those prone to eating disorders and substance abuse. It does not refer to the wealth of literature regarding work with abused clients with learning difficulties.

Author(s):  
Paul Hedges

This chapter explores the development of Anglican inter-faith relations since 1910 which has been shaped by a number of factors including: the ecumenical context, changing dynamics within the global Communion, globalization issues, and moves from mission to dialogue. The chapter begins with a historical overview and traces developments in key Anglican Communion texts and meetings, especially in recent times the Lambeth Conferences of 1988, 1998, and 2008. The ecumenical context which has shaped thought on inter-faith relations in this period is also given strong attention. The chapter concludes with two case studies. The first explores relations with Buddhism in the Sri Lankan context, while the second looks at relations with Islam focusing on the Middle East. While charting some general trends, it is noted that very different dynamics and varying standpoints exist in Anglican attitudes on inter-faith relations and have been part of the historical development throughout the period surveyed.


2021 ◽  
pp. 104973232110174
Author(s):  
Lisa Hodge ◽  
Amy Baker

Eating disorders continue to be viewed as curable diseases, forcing people into predetermined narratives of pathology that shape how they are viewed and treated. Situated in a feminist application of Bakhtin’s sociological linguistics, we were concerned with how participants understood eating disorders, the nature of their experiences, and the causes of their distress. Following a dialogical method, multiple in-depth interviews were conducted with seven women who experienced an eating disorder and who had been sexually abused previously, and participants’ own drawings and poetry were obtained to gain deeper insights into meanings and emotions. We found an eating disorder offered a perception of cleanliness and renewal that was attractive to participants who experienced overwhelming shame. It is critical that researchers use a range of visual and sensory methods to move eating disorder understandings and treatment beyond illness and pathology.


2016 ◽  
Vol 46 (7) ◽  
pp. 1345-1358 ◽  
Author(s):  
A. Cucchi ◽  
D. Ryan ◽  
G. Konstantakopoulos ◽  
S. Stroumpa ◽  
A. Ş. Kaçar ◽  
...  

BackgroundAgainst a backdrop of increasing research, clinical and taxonomic attention in non-suicidal self-injury (NSSI), evidence suggests a link between NSSI and eating disorders (ED). The frequency estimates of NSSI in ED vary widely. Little is known about the sources of this variation, and no meta-analysis has quantified the association between ED and NSSI.MethodUsing random-effects meta-analyses, meta-regression analyses, and 1816–6466 unique participants with various ED, we estimated the weighted average percentage of individuals with ED, those with anorexia nervosa (AN) and those with bulimia nervosa (BN) who are reported to have a lifetime history of NSSI across studies. We further examined predictors of NSSI in ED.ResultsThe weighted average percentage of patients with a lifetime history of NSSI was 27.3% [95% confidence interval (CI) 23.8–31.0%] for ED, 21.8% (95% CI 18.5–25.6%) for AN, and 32.7% (95% CI 26.9–39.1%) for BN. The difference between BN and AN was statistically significant [odds ratio (OR) 1.77, 95% CI 1.14–2.77, p = 0.013]. The odds of NSSI increased by 24% for every 10% increase in the percentage of participants with histories of suicide attempts (OR 1.24, 95% CI 1.04–1.48, p = 0.020) and decreased by 26% for every 10% increase in the percentage of participants with histories of substance abuse (OR 0.74, 95% CI 0.58–0.95, p = 0.023).ConclusionsIn the specific context of ED, NSSI is highly prevalent and correlates positively with attempted suicide, urging for NSSI-focused treatments. A novel finding is that NSSI is potentially antagonized by substance abuse.


Author(s):  
Kate E. Gfeller

This chapter focuses on music therapy for children and adults who are deaf or hard of hearing. Foundational information on acoustical properties of music and speech and the hearing mechanism is provided. Because this population is diverse on a number of factors, which influence therapeutic needs, this chapter describes differences among clients as a function of auditory profiles (e.g. onset or severity of loss), hearing devices, modes of communication, and cultural affiliation. These factors influence abilities in various functional domains. Music therapy goals and interventions are described in relation to speech and language, auditory training, social integration, and music engagement. Accommodations in the therapeutic environment that optimize hearing and communication guidelines essential to successful therapeutic interventions are discussed.


Author(s):  
Renáta Myšková ◽  
Ivana Linkeová

The economic development of a region depends on a number of factors which influence it mainly bases in a macro-economic aspect. Each region has its specific characteristics, thus area-surveyed indicators may not have sufficient predicative potential. In this chapter the authors design two new indicators (Index of Citizens’ Financial Provision and Risk of Regional Economic Development) which enable them to evaluate the financial provision of citizens and the economic risk of a region in more detail. Consequently the authors can, through the course of designing these indicators, determine the rate of their influence on a region or at least predict their development. In order to create and model these indicators the authors used tools from the Microsoft Excel program. The methodology described can be widely utilized, as partial indicators can be substituted and, therefore, it is possible to evaluate other strategic factors of the region under consideration. Indicator Risk of Regional Economic Development was designed with the help of fuzzy sets. The chapter includes two case studies, which are based on official data provided by the Czech Statistical Office. The purpose was to illustrate the construction of indicators, their predicative value and modeling potential.


2019 ◽  
Vol 64 (2) ◽  
pp. S50
Author(s):  
Jocelyn Lebow ◽  
Angela Mattke ◽  
Janna Gewirtz O'Brien ◽  
Cassandra Narr ◽  
Marcie Billings ◽  
...  

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