Reminiscence-Focused Music Therapy to Promote Positive Mood and Engagement and Shared Interaction for People Living With Dementia

Although there is a growing body of evidence suggesting that combining music therapy and reminiscence in a structured and complementary way may yield positive well-being outcomes for people with dementia, there is a gap in the literature combining both in equal measure. Furthermore, there are no known studies exploring the use of ‘associative items’ as part of the combined intervention and no known standardised protocol or method currently exists. This mixed methods study aims to explore whether combining music therapy and reminiscence with associative items for people with dementia may promote positive mood and engagement levels and shared interaction through (a) musical expression, (b) reminiscence and (c) verbal interaction. Five weekly reminiscence-focused music therapy (RFMT) sessions with associative items were conducted with a group of five people with dementia living in a residential care unit. Results from the Dementia Care Mapping (DCM) revealed that the RFMT intervention was highly effective in promoting positive mood and engagement levels and shared interaction. Participants exhibited considerable positive mood and engagement (+3) 51.6%, and high positive mood and engagement (+5) 38.2%, of the total time observed. The three most frequent behaviours across the five RFMT sessions included musical expression, which was observed 53.2% of the time, reminiscence, observed 23% of the time, and verbal interaction, observed 34% of the total time observed. Data from the music therapist’s reflective journal and session summaries revealed that the associative items prompted reality orientation, verbal interaction, and cognitive stimulation. The music elements were found to increase group cohesion, stimulate cognition, and act as an anchor, re-orientating group members intermittently. Implications of practice are considered, and future recommendations of practice are outlined.

Bringing Books Back: Enhancing the Understanding of Psychotherapy in Psychology Students Through Book Club Participation

Background: The experiential and reflective nature of psychotherapeutic training is not always captured in undergraduate psychology teaching, therefore, there is a need for educational strategies that provide opportunities for deeper understanding of the therapeutic process. Objective: This article evaluates one such strategy—A Book Club, to support the understanding of psychotherapeutic practice and mental health in Psychology undergraduate students at a private university in Dubai, UAE. Method: Psychotherapy-related books were assigned as prior reading each month, which were then discussed in the group meetings facilitated by clinically experienced Psychology lecturers. Fifteen semi-structured interviews were carried out with students and analyzed using thematic analysis. Results: Four primary themes were generated—(1) Diversity in perspectives, (2) Autonomous learning environment, (3) Reality orientation, and (4) Sparking self-insight. The results highlight that Book Clubs are useful in fostering deeper conceptualizations of the therapeutic relationship, visualizing future careers in psychotherapy, and promoting self-awareness among students. Conclusion: Discussions centred around books can provide students with discourse opportunities that enhance students’ interpersonal skills and improve student engagement. Teaching Implication: Book clubs can be a useful platform for teachers to help students connect the knowledge that they have previously acquired in the classroom with real-life experiences of psychotherapists described in books.

Forbilder og danning i profesjonsutdanningene: Casestudie – Krigsskolen

This research paper investigates the meaning of role models in higher education. As a case, the Norwegian Military Academy (NMA), which educates military officers for the Norwegian army, is used. Particularly investigated is how role models can be seen as resources in the “learning landscape” surrounding the army officer cadets through their 3 years of learning and Bildung processes. Data used in this work stem from an ethnographic fieldwork following a class of cadets at the NMA through their practical training, off-campus. Officer cadets in interviews report both intentional and unintentional use of role models as a resource in their learning landscapes. By critical educational interpretation of this ongoing practice, using the frame of Wolfgang Klafkis Bildungstheory and “the perfect action principle”, the relationships between this practice and the NMA’s own Bildungideals are questioned. Role models are at the NMA linked to their own leaders, culture and practice. This narrows what is valid practice and can enforce a self-driven power structure and a one-dimensional understanding of how leadership should be performed, where only people within this culture can be seen as participants. We argue that the risks of this NMA practice are related to organisational narcissism and a possible distorted reality orientation, where the NMA fails it’s given educational tasks related to the need of the society and future demands of war.