With the recent emphasis on evidence-based research and practice, the field of music therapy has called for rigorous reviews of the scientific data and for therapeutic rationales for research procedures. The purpose of this study was to review studies that used a rhythm task as a therapy intervention in terms of whether they provided a rationale for the components related to the intervention. The components included activity rationale, music rationale, intervention validity, intervention format (individual or group), intervention development (contour), duration, and intervention provider. A total of 41 studies were selected: 22 studies were implemented by music therapists and 19 by professionals in other related fields. In terms of seven assessment categories, only 10 studies were found to report more than four items which are related to a rationale of interventions. The 10 studies identified were further examined to determine if their intervention rationale differed depending on whether the study included a researcher-formulated intervention or an existing music therapy protocol. Of the 10 studies, six used a researcher-formulated rhythm intervention, and four used an existing music therapy protocol. Those studies that used an existing music therapy protocol also provided a clear rationale for music selection, whereas those that used a researcher-formulated rhythm task tended to provide an activity rationale. The results of this study suggest that researchers need to be clearer about their interventions and provide an evidence-based rationale for why and how they use a rhythm task.
Improvisational music therapy is known to promote social engagement in children with autism. This study investigated salient features that characterize the engagement of the child with autism and the therapist in improvisational music therapy. Through video analysis of the children's behavior, this study sets out to investigate what engages children with autism into mutual play with the therapist in improvisational music therapy by measuring the shared musical elements between the child and the therapist during musical synchronicity episodes and the children's choice of instruments. A repeated measures, a crossover design was employed in two different conditions (n = 10). Children were randomly assigned into two groups; group 1 participated music therapy first, followed by play therapy second. Group 2 followed the reverse order. Specific target behaviors were analyzed in the selected sessions 1, 4, 8 and 12. As expected, improvisational music therapy produced markedly more and longer events of musical synchronicity in children with autism than the play sessions with toys (p < .001). Rhythm and dynamic appeared to be the two most salient elements during musical synchronicity events between the child and the therapist. Observational findings confirmed that horns and whistles were the most frequently selected instruments in music therapy, whereas a dollhouse set was in play therapy by children with autism. The clinical implications and the details of these findings are discussed further.
Music plays significant roles in the process of human development. The requirement in each process of development can be encouraged by children's participating in various musical activity and so the musical circumstance can make an important factor. Acknowledging that, there were some attempts to use music as a means of treatment or education for children. The subjects of clinic studies in music therapy, especially in Korea, have mainly been children with delay or disability in development. The purpose of this article is focused on collecting and analyzing articles which are written about children who are the main subjects of clinic studies. By collecting and analyzing those articles, the tendency of domestic studies about music therapy concerned with children can be widely examined. Ninety thesis about music therapy related with normal and disabled children have been collected and analyzed considering the subjects, methods, fields of the studies and musical intervention. The conclusions are the same with followings. First, considering the subjects, the studies on children with disabilities are more than normal children and the studies on autistic children occupy the largest portion of them Recently the studies on normal children have been increased as well as the studies on children with disability. Second, for the methods1 experimental studies have been performed more widely than descriptive studies. Third, considering the fields of development, the studies on the social field occupies the largest part of all and they are followed by emotion, language and communication, cognition in turn. Last, in case of musical intervention, it is clear that musical intervention is more used as forms of singing songs and playing instruments than special skills of music. Through this article, the achievements and shortcomings in this territory could be possibly shown at the same time. Moreover, the direction which it has to move toward could be shown.
This study is conducted to analyse the process and the pattern of motivation for musical expression in clinical music therapy for the adults in the mental health center. The participant were 8 adults purposive sampling who had more than one year music therapy experience in the mental health center and their age ranged from 27 to 53. A major category derived and analysed from the grounded theory method by Strauss and Corbin. The qualitative analysis indicated that motivation for musical expression in music therapy, which was the central phenomenon in this study, was determined by the music therapist and songs used in the sessions. The central phenomenon was caused by the therapist's friendly attitude, high musical capacity, the familarity of the selected songs and the significancy of the lyrics of selected songs. The levels of reliability about the therapist's personality and musical ability as a professional music therapist and the positive arousal of the songs used in sessions affected as the contextual condition. Spontaneous musical expression in music therapy brought the escape from reality, release of stress and sharing by the intervening condition 'empathy' and this resulted in mood regulation, the instillation of hope and group cohesion. It has been found that there were three types of motivation in music therapy: intrinsic motivation, relationship dependent extrinsic motivation and evasive motivation.
This study was purported to examine the definition of tone deafness, various factors for the cause based on literature review of research findings, and to examine therapeutic application of music for treatment of tone deafness. With research, it was found that there can be three different kinds of tone deafness; amusia, agnosia, and asonia. Literature review showed that tone deafness has been frequently dealt in many research in order to verify the causal factors, such as gender, age, and environments. With time, the research trend on tone deafness has shifted towards neurological approach closely examining brain activity, presenting the statement that the brain's capacity to perceive modest pitch changes may be congenitally impaired. Also physiological factors contribute to tone deafness called diplacusis, which is a phenomenon wherein a given tone is heard as different pitches by the two ears, resulting in conflicting bilateral perception of pitch. Music can be used for treatment of various factors causing tone deafness. The most efficient intervention was singing program. Pitch-matching training can be effective training using operant conditioning procedure. Successive approximation or reinforcement of correct response alone was more efficient procedure in helping uncertain singers to sing on pitch. Also progressive breathing exercises helped the training the pitch-matching where one had to coordinate hearing and voice.
This study investigated how music therapists perceive the professionalism of the profession. A total of 98 certified music therapists completed the online survey for a 46.7% response rate, and 78 questionnaires were included in the analysis after excluding incomplete responses. The results of this study demonstrated that music therapists show a high level of standards for music therapy professionalism in general. Meanwhile, the respondents gave their lowest rating on the perception of their occupation as a social service addressing the needs of society. The majority of respondents rated the level of their professionalism as high and they tended to identify individual competency as the most important factor. Also, there were significant differences in perceived professionalism depending on the length of clinical practice and level of education. These results indicate that the quality of training may contribute to a high level of perception on professionalism. Also, lower levels of perception on social aspects of the professionalism support the need for continuing education to broaden the understanding of professionalism. Given the importance of professionalism in enhancing the quality of care for clients and expanding the profession, further studies were suggested to increase understanding of the music therapy professionalism and propose strategies for maintaining the professionalism of music therapists.
The aim of this study was to systematically review the latest clinical trials in music medicine and medical music therapy for pediatric patients. Thirteen databases were searched to obtain randomized controlled/crossover design studies published between the year 2000 and 2012 in English language. Out of 1012 articles retrieved in the initial search, fifteen studies were identified based on an exclusion criteria. Overall, selected articles involved children 1 month to 18 years, sample size of 11 to 150, and total participants of 987. Studies were classified and compared as music medicine or music therapy studies through a systematic synthesis assessing general characteristics, methodological quality, measured outcomes, types of interventions and the study results. Seven music medicine and eight music therapy studies measured seven dependent variables using thirty-six different measurement tools with a large heterogeneity in the selection, type, and method of music interventions. Evaluation of the methodological quality revealed that many studies did not provide a full report of the research method, and did not meet some or most methodological standards, such as randomization, allocation concealment, double or partial blinding, and intention to treat analysis. Although overall research results were positive if not significant, poor methodological quality and heterogeneity in design and intervention strategies raise the question of research bias and trustworthiness issues. The systematic review concluded that music may have a valuable clinical effect in addressing the physical and psychosocial needs of hospitalized children, although more rigorous, homogeneous and replicable studies are greatly needed.
The purpose of this study is to propose a role as healing music through Hoesimgok's interaction. The song "Hoesimgok (悔心曲, 回心曲, Regretting Song)" means a song that expresses regret. There's nothing more desperate than my parents in a song of regret. Your heart for your late parents must be the thing you regret the most. We always think that we should be filial to my parents, but we can't. We are under a lot of stress due to situations and environments that are unintentionally not filial. Audiences who show self-reflection on their filial piety become emotional identities with those who sing with the lyrics and actions of songs and music. Therefore, Hoesimgok is a song and a prayer. Music exerts a range of powerful biological effects beyond nice sound and furthermore, it is expanding to music therapy. It can also bring about peace of mind by regulating sympathetic nervous system excitation. Our results suggest that Hoesimgok can have the effect of making listeners as well as singers happy.
The purpose of this study was to investigate how primary caregivers of children with developmental disabilities aged 6 to 18 years perceived on tele-music programs in which their children participated during COVID-19. A total of 83 caregivers who voluntarily agreed to participate in this study responded to a survey either on-line or in person and 67 questionnaires were included in the final analysis after deleting 16 incomplete responses. The results showed that tele-music programs were rated somewhat suitable for distance learning but that there was still a need for adult assistance to help children with developmental disabilities participate in the program. When comparing the perceptions of caregivers who participated in remote general education versus who participated in tele-music program, significantly higher level of program engagement and positive responses from a child were perceived with tele-music program. The caregivers who participated in tele-music program showed significantly greater willingness to participate in tele-music therapy in the future than those who did not. The findings of this study presents information on how tele-music therapy has been implemented to children with disabilities and what can be considered for the the development of a tele-music therapy program.
The purpose of this study is to give an overview of the clinical process of songwriting with pediatric patients undergoing cancer treatment. Many literatures have proved that music therapy aids patients during their cancer treatment to relax, reduce anxiety and feelings of isolation, and promote self-esteem and quality of life and so on. However, among music therapy methods, I found songwriting proved to be very effective method. By using songwriting as therapy with pediatric patients undergoing cancer treatment, songwriting helped patients express difficulties of dealing emotionally with their illness and ongoing aggressive and invasive treatments. Also the process of songwriting established trust and relationship between therapist and patient which promoted normalization of hospital environment. In my case study, patient N has expressed her feelings and thoughts through writing songs about her current life which revolved around treatment of her brain tumor. Moreover, patient N found her creativity and developed ways of getting touch with her inner strength.
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