The markers of interplay between the music therapist and the high risk full term infant.

The Royal Children's Hospital Melbourne, Murdoch Childrens Research Institute, Australia.
Journal of music therapy (Impact Factor: 0.8). 12/2010; 47(4):306-34. DOI: 10.1093/jmt/47.4.306
Source: PubMed

ABSTRACT The purpose of this research was to discover the markers of interplay between the music therapist and the medically fragile newborn infant. Video footage of 3 infants was selected to exemplify 3 significant events in the therapeutic process. Four expert reviewers viewed the footage and completed a video-cued discussion with the therapist/ researcher. Reviews and discussions were collated with the therapist-researcher's post-session notes to create rich descriptions from which the articulated and inferred behaviors of both therapist and infant were thematically analyzed. The outcome was 14 sets of behaviors used by the medically fragile newborn infants to indicate availability for interplay and 20 sets of behaviors the therapist used in response to the infants. The interaction between these behaviors provided 7 markers of interplay between the music therapist and the medically fragile newborn infant.

1 Follower
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Music therapy in the neonatal intensive care unit (NICU) is an emerging field with various active and receptive approaches. Research in this area has predominantly focused on evaluating the effects of receptive stimulation programs on the premature infant using primarily quantitative study designs. Methodological questions about how to approach the phenomenon of active music therapy with flexible designs still need to be addressed. This article proposes a flexible methodology that achieves a deep understanding of the therapeutic process of active music therapy in premature infants and their parents using a qualitative, multiperspective study design based on the principles of therapeutic narrative analysis.
    04/2012; DOI:10.1177/1943862112458706
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Findings of a previous video analysis of creative music therapy (CMT) with premature infants indicate that music therapy in neonatal care may contribute to more than the infant’s stabilization and relaxation, as predominantly recognized in the literature to date. The aim of this paper is to further investigate the interactive potential of CMT, by comparing a larger number of cases. Video footage of music therapy sessions with 18 premature infants (and their parents) with a broad range of social and diagnostic diversity, as well as interview data derived from their parents, have been analysed in a qualitative grounded theory-based study. The results confirm that CMT may actively assist premature infants to uncover their communicative musicality, which in turn may promote self-regulation and development. CMT also may empower parents by supporting their well-being, self-confidence, and quality of interactions with their infant through music. However, high-level awareness, responsiveness, and the professional use of CMT by a specially trained music therapist are recommended to continuously adjust to the changing individual needs of both the infant and parents.
    Nordic Journal of Music Therapy 06/2013; 23(1). DOI:10.1080/08098131.2013.790918 · 0.89 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: AimThis study sought to evaluate the effectiveness of group music therapy (MT) intervention on behaviours of older people with dementia.Method Reported here are qualitative data from five, semi-structured focus groups; two comprising a total of seven family members and three comprising a total of 23 staff members.ResultsA number of core themes emerged: temporality, effect and policy with a number of subthemes. The MT effect is tempered by the temporality of (i) the older person's dementia state, (ii) the session and (iii) the psychosomatic effect on the older person. Music therapy is perceived to (i) evoke memories and facilitate reminiscence, (ii) act as a diversion (has an instrumental value) and it is contentious to discount the (iii) dichotomy between music and therapist in terms of the overall effect. Finally, policymakers need to know that MT is (i) highly prized and more, not less, MT is recommended.Conclusion Findings from this study illustrate that the timing of the MT session has consequences for the workflow in the residential aged care facility; MT has a psychosomatic effect and participants here evaluate this as temporal. Care providers and family members acknowledge the instrumental value of MT and its helping with cognition and exercise. They have mixed views about the effects of the music and the effect on the older person by the therapist but most definitely want policymakers to ensure more, not less, planned and better funded MT is part of ongoing care in the residential aged care context. Areas for future research and policy are also highlighted.Implications for practiceThese views on group MT in residential aged care can initiate critical reflection on current practices and systems. Research is needed exploring the timing and scheduling of MT sessions at different times in the day for older person with dementia exhibiting negative behaviours.
    International Journal of Older People Nursing 10/2014; 10(2). DOI:10.1111/opn.12071