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Klein CM. A survey of the use of music by hospice chaplains: a call for collaboration. J Health Care Chaplain 2020; 28:218-238. [PMID: 33369534 DOI: 10.1080/08854726.2020.1861532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Music is an integral tool in creating sacred space, and research indicates the potential for music to advance spiritual goals. However, little evidence exists on the use of music by hospice chaplains. In an online survey, 313 hospice chaplains were asked about their work including their use of music and perception of the effectiveness of music in meeting spiritual goals. Most respondents named supporting those actively dying and providing compassionate presence as a top reason for referral. Many used prayer and life review to meet spiritual goals. Participants reported playing recorded religious music (66.54%) or singing religious music (61.54%) with their patients and only 8.08% never use music. Collaboration with board-certified music therapists to use music to support actively dying patients and prompt life review is encouraged. Seminary and CPE educators are urged to incorporate the use of music into their curricula.
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Affiliation(s)
- Claire M Klein
- Interfaith Chaplaincy, United Theological Seminary of the Twin Cities, Saint Paul, MN, USA
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Fachner JC, Maidhof C, Grocke D, Nygaard Pedersen I, Trondalen G, Tucek G, Bonde LO. "Telling me not to worry…" Hyperscanning and Neural Dynamics of Emotion Processing During Guided Imagery and Music. Front Psychol 2019; 10:1561. [PMID: 31402880 PMCID: PMC6673756 DOI: 10.3389/fpsyg.2019.01561] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 06/20/2019] [Indexed: 12/15/2022] Open
Abstract
To analyze how emotions and imagery are shared, processed and recognized in Guided Imagery and Music, we measured the brain activity of an experienced therapist (“Guide”) and client (“Traveler”) with dual-EEG in a real therapy session about potential death of family members. Synchronously with the EEG, the session was video-taped and then micro-analyzed. Four raters identified therapeutically important moments of interest (MOI) and no-interest (MONI) which were transcribed and annotated. Several indices of emotion- and imagery-related processing were analyzed: frontal and parietal alpha asymmetry, frontal midline theta, and occipital alpha activity. Session ratings showed overlaps across all raters, confirming the importance of these MOIs, which showed different cortical activity in visual areas compared to resting-state. MOI 1 was a pivotal moment including an important imagery with a message of hope from a close family member, while in the second MOI the Traveler sent a message to an unborn baby. Generally, results seemed to indicate that the emotions of Traveler and Guide during important moments were not positive, pleasurably or relaxed when compared to resting-state, confirming both were dealing with negative emotions and anxiety that had to be contained in the interpersonal process. However, the temporal dynamics of emotion-related markers suggested shifts in emotional valence and intensity during these important, personally meaningful moments; for example, during receiving the message of hope, an increase of frontal alpha asymmetry was observed, reflecting increased positive emotional processing. EEG source localization during the message suggested a peak activation in left middle temporal gyrus. Interestingly, peaks in emotional markers in the Guide partly paralleled the Traveler's peaks; for example, during the Guide's strong feeling of mutuality in MOI 2, the time series of frontal alpha asymmetries showed a significant cross-correlation, indicating similar emotional processing in Traveler and Guide. Investigating the moment-to-moment interaction in music therapy showed how asymmetry peaks align with the situated cognition of Traveler and Guide along the emotional contour of the music, representing the highs and lows during the therapy process. Combining dual-EEG with detailed audiovisual and qualitative data seems to be a promising approach for further research into music therapy.
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Affiliation(s)
- Jörg C Fachner
- Cambridge Institute for Music Therapy Research, Anglia Ruskin University, Cambridge, United Kingdom.,Josef Ressel Centre for Personalised Music Therapy, IMC University of Applied Sciences Krems, Krems an der Donau, Austria
| | - Clemens Maidhof
- Cambridge Institute for Music Therapy Research, Anglia Ruskin University, Cambridge, United Kingdom.,Josef Ressel Centre for Personalised Music Therapy, IMC University of Applied Sciences Krems, Krems an der Donau, Austria
| | - Denise Grocke
- Melbourne Conservatorium of Music, University of Melbourne, Melbourne, VIC, Australia
| | - Inge Nygaard Pedersen
- Department of Communication and Psychology, The Faculty of Humanities, Aalborg University, Aalborg, Denmark
| | - Gro Trondalen
- Centre for Research in Music and Health, Norwegian Academy of Music, Oslo, Norway
| | - Gerhard Tucek
- Josef Ressel Centre for Personalised Music Therapy, IMC University of Applied Sciences Krems, Krems an der Donau, Austria
| | - Lars O Bonde
- Department of Communication and Psychology, The Faculty of Humanities, Aalborg University, Aalborg, Denmark.,Centre for Research in Music and Health, Norwegian Academy of Music, Oslo, Norway
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Konieczna-Nowak L. Music, text, music-and-text and psychophysiological responses: A randomized controlled trial. ARTS IN PSYCHOTHERAPY 2015. [DOI: 10.1016/j.aip.2014.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Craig DG. An overview of evidence-based support for the therapeutic use of music in occupational therapy. Occup Ther Health Care 2013; 22:73-95. [PMID: 23944764 DOI: 10.1080/j003v22n01_06] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Music is a modality present in occupational therapy, yet little educational material about music exists within the field. This paper presents a myriad of possibilities for practitioners considering using music, providing a resource of research within and outside the field. Applications are organized around enhancement of occupational performance, utilizing three distinct methods: (1) Music-assisted occupation, (2) Music as occupation, and (3) Music in preparation for occupation. The potential effects of music in the areas of pain/discomfort, movement, emotion, cognition, self-expression/communication, relationships/groups, culture/society and community, and personal meaning/motivation, are discussed in terms of enhancing occupation.
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Affiliation(s)
- Daniel G Craig
- Tufts University, 5701 North Sheridan Road, Suite 9N, Chicago, IL, 60660
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McFerran K, Campbell C. Music therapists’ use of interviews to evaluate group programmes with young people: Integrating Wilber's quadrant perspectives. NORDIC JOURNAL OF MUSIC THERAPY 2013. [DOI: 10.1080/08098131.2012.667825] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Lin MF, Hsu MC, Chang HJ, Hsu YY, Chou MH, Crawford P. Pivotal moments and changes in the Bonny Method of Guided Imagery and Music for patients with depression. J Clin Nurs 2010; 19:1139-48. [DOI: 10.1111/j.1365-2702.2009.03140.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Körlin D, Wrangsjö B. Gender Differences in Outcome of Guided Imagery and Music (GIM) Therapy1. NORDIC JOURNAL OF MUSIC THERAPY 2009. [DOI: 10.1080/08098130109478027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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