scholarly journals Engagement in Music Therapy: A Detailed study of Communication Between the Therapist and Client Presenting with Severe and Multiple Handicaps

2021 ◽  
Author(s):  
◽  
Miona Stamenovic

<p>The impact of multiple disabilities causes difficulties in the area of communication. Individuals with severe and multiple handicaps often have no verbal language as a result of serious physical impairments. This population may show little obvious response and it is therefore difficult to know if they are engaged and for the person him or herself to maintain engagement when involved in activities. The purpose of the study was to find out what happens in a normal music therapy session, during moments of perceived engagement. Four individuals experienced in the field of multiple disabilities were invited to take part in semi-structured interviews where they observed a half hour video of a therapist and a student with severe and multiple handicaps participating in music therapy. Data was analyzed in two steps, firstly through participants observing and explaining their reactions to video of music therapy and secondly by the researcher interviewing the participants and writing up a transcript of their commentaries about the video. The key themes that emerged in participants' descriptions of engagement during moments in music therapy suggest it is possible to observe and identify engagement as reflected in the students' non-verbal responses, such as body movement, eye contact and vocalizations.</p>

2021 ◽  
Author(s):  
◽  
Miona Stamenovic

<p>The impact of multiple disabilities causes difficulties in the area of communication. Individuals with severe and multiple handicaps often have no verbal language as a result of serious physical impairments. This population may show little obvious response and it is therefore difficult to know if they are engaged and for the person him or herself to maintain engagement when involved in activities. The purpose of the study was to find out what happens in a normal music therapy session, during moments of perceived engagement. Four individuals experienced in the field of multiple disabilities were invited to take part in semi-structured interviews where they observed a half hour video of a therapist and a student with severe and multiple handicaps participating in music therapy. Data was analyzed in two steps, firstly through participants observing and explaining their reactions to video of music therapy and secondly by the researcher interviewing the participants and writing up a transcript of their commentaries about the video. The key themes that emerged in participants' descriptions of engagement during moments in music therapy suggest it is possible to observe and identify engagement as reflected in the students' non-verbal responses, such as body movement, eye contact and vocalizations.</p>


2021 ◽  
Vol 13 (4) ◽  
Author(s):  
María Jáñez ◽  
María Jesús Del Olmo ◽  
Cintia Rodríguez

The aim of this study is to determine whether a live music therapy session during parent holding had an effect on physiological and comfort outcomes of late-moderate preterm infants, on their parents, and on the ward environment. This is a quasi-experimental study of a cohort of 44 preterm / adult pairs exposed to a music therapy session in the first two weeks after birth. There were 3 moments of observation (before, during, and after the intervention), at which heart rate (HR), oxygen saturation (O2-sat), the infant’s behavioral-emotional activation level, and the environmental response were measured. A statistically significant increase was observed in O2-sat (p<.001) after the intervention, as well as a decrease in HR (p<.001). Personal and environmental stress was observed to decrease (p<.001). A music therapy session in the Neonatal Unit at the time of interaction between parents and premature infants was found to be useful in reducing stress and promoted a positive interaction between parents and infants.


2020 ◽  
Vol 57 (1) ◽  
pp. 91-119 ◽  
Author(s):  
Luke Annesley ◽  
Katherine Curtis-Tyler ◽  
Eamonn McKeown

Abstract This qualitative study explored parents’ perspectives on their child receiving individual music therapy in a community setting in an NHS service in London, UK. Parents of children aged 6–11 receiving or recently discharged from music therapy took part. Data were collected through semi-structured interviews which were digitally recorded, transcribed, and analyzed following procedures of inductive thematic analysis. Music therapy was generally perceived to provide a nurturing environment for children, and communication with music therapists was mostly experienced as helpful, but with some perceived challenges. Parents perceived positive outcomes of music therapy, including children becoming calmer and engaging more with musical activities at home. Understanding of music therapy was perceived as an evolving process for parents. Some parents described a need for more information prior to music therapy. The findings of this study broadly support the model in the service of working with children aged 6–11 without parents generally present during sessions. However, there were indications that, for some families, a more flexible approach might be beneficial for the child. Participants’ commentaries on perceived outcomes for children indicate potential for intervention studies investigating the impact of music therapy, while broader perceptions of the value of music therapy indicate a need for studies exploring reasons for effectiveness.


2020 ◽  
Vol 83 (4) ◽  
pp. 228-236 ◽  
Author(s):  
Tatiana Barcelos Pontes ◽  
Katie Mah ◽  
Adrianne K Arnold ◽  
Helene J Polatajko ◽  
Jane A Davis

Introduction Children with mobility difficulties are thought to share similar participation repertoires due to the impact of their physical impairments. However, with these children, as with all others, individual differences and contexts should mediate occupational repertoires and experiences, resulting in participation differences, at least in part. This study aimed to explore the occupational repertoires of children with mobility difficulties and their view of their occupational participation. Methods Five children with mobility difficulties were assessed using the paediatric activity card sort, to establish their occupational repertoires. Semi-structured interviews were used to understand the children’s occupational participation. Findings Our findings suggest that children with mobility issues are more likely to participate in quiet occupations, but not exclusively. The children defined participation in their own way. Conclusion The knowledge about how children with mobility difficulties understand participation in occupation can help occupational therapists to establish goals with their clients and personalise interventions.


Author(s):  
Elizabeth Mitchell

Abstract This article explores the “Coffee House,” a community music therapy performance event held biannually at an adolescent mental health treatment facility in Southwestern Ontario, Canada. In this paper, I draw upon techniques and theory from narrative inquiry in order to investigate the experiences and perspectives of 7 adolescent clients and 11 staff members who participated in the event as performers and audience members. Data were collected through semi-structured interviews and analyzed through qualitative coding; the participants’ voices are presented here. Building upon a previous article, in which I attribute the Coffee House’s success to its participatory ethos, this article examines the impact of performing upon participants’ musical and personal identities as well as upon their relationships with others at the facility. The shifts and transformations that took place within youths’ identities were interdependent with the relational features of the performance context; expansions in youths’ self-identities were indelibly connected to staff members’ expanded perspectives on these youths, afforded through witnessing their performances. Participants’ narratives validate not only the ways in which identity and relationship intersect, but also the way in which musical performance’s impact upon identity and relationship is uniquely musical.


Author(s):  
Eric B Miller

Abstract: Music therapists rarely have the opportunity to consider a new model of music therapy and need to review prior models and theoretical approaches to make an informed determination regarding Bio-guided Music Therapy.  While initially appearing to fall within the confines of Behavioral Music Therapy, technical advances in sound reproduction, physiological data acquisition methods, as well as innovative application techniques are argued to bring the bio-guided approach into the realm of in-the-moment improvisation. Bio-guided Music Therapy distinguishes itself from other music therapy models by virtue of the client’s physiological data being presented in real-time either musically or visually back to the client or the therapist during the therapy session. This real-time data may be presented in key, scale and tempo for flexibility in musical interaction with the music therapist or group.  General treatment areas include ADHD, Stress/anxiety, dementia, depression and addictions. The resulting charts and graphs document the impact of the music therapy session in the language of mainstream medicine, readily accessible to other medical professionals.


2018 ◽  
Vol 8 (2) ◽  
pp. 51-74
Author(s):  
Fonteh Athanasius Amungwa

This paper examines the impact of community education and challenges facing Centres for Education and Community Action as a rural development strategy in Cameroon. The study was conducted in the North-West Region of Cameroon, employing field observations, semi-structured interviews with key informants using a convenient sampling technique and through elaborate review of documents. These research instruments were blended into what is termed triangulation and the data collected was analysed descriptively. The main focus of qualitative analysis is to understand the ways in which people act and the accounts that people give for their actions. This paper posits that extreme dependence on the provision of Western formal education cannot solve the problems of a rapidly changing society like Cameroon, which is facing a long-term economic crisis and persistent unemployment issues of graduates. Consequently, education should be redefined in the context of the prevailing economic crisis to make it responsive to the aspirations of rural communities. Findings showed that community education had contributed towards rural development immensely but has suffered many challenges due to neglect of the field in the policy agenda. This paper recommends the integration of community education with formal education to facilitate group and community betterment in particular and rural transformation in general.


2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696929
Author(s):  
Jill Mitchell

BackgroundThere is an emerging debate that general practice in its current format is out-dated and there is a requirement to move to a federated model of provision where groups of Practices come together. The emergence of federations has developed over the past 5 years but the factors that influence how federations develop and the impact of this new model is an under researched area.AimThe study explored the rationale around why a group of independent GP practices opted to pursue an alternative business venture and the benefits that this strategy offered.MethodA single organisational case study of a federation in the North of England was conducted between 2011–2016. Mixed methods data collection included individual and group semi-structured interviews and quantitative surveys.ResultsFederations promote collaborative working, relying on strategic coherence of multiple individual GP practices through a shared vision and common purpose. Findings revealed many complexities in implementing a common strategy across multiple independent businesses. The ability of the federation to gain legitimacy was two dimensional – externally and internally. The venture had mixed successes, but their approach to quality improvement proved innovative and demonstrated outcomes on a population basis. The study identified significant pressures that practices were experiencing and the need to seek alternative ways of working but there was no shared vision or inclination to relinquish individual practice autonomy.ConclusionOrganisational development support is critical to reform General Practice. Whether central funding through the GP Five Year Forward View will achieve the scale of change required is yet to be evidenced.


2019 ◽  
Vol 16 (1-2) ◽  
pp. 1-34
Author(s):  
R. Varisa Patraporn

Khmer Girl’s in Action is a nonprofit that successfully utilizes community-based participatory research (CBPR) with university partners to create social change for youth in Long Beach, CA. Based on semi-structured interviews and content analysis of news articles, I explore the impact and sustainability of this research work and the research partnerships. Findings highlight impacts such as youth empowerment, heightened awareness around community needs, policy change, and CBPR curriculum improvements in the field as impacts. Sustainability requires integrating research into program funding, utilizing a tailored training curriculum, building on community members prior relationships, and selecting partners that share common goals, levels of commitment, and flexibility. As funders demand more data to justify community needs, understanding more examples of such work in the Asian American community will be useful for informing future partnerships.


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