La musicothérapie n’est pas une thérapeutique nouvelle, et les évidences quant à ses bienfaits ne sont plus à démontrer. Cependant, si plusieurs auteurs en font mention, très peu d’entre eux expliquent « pourquoi » et « comment » la musicothérapie permet à la personne autiste, le passage d’une parole que nous qualifions d’a signifiante à un discours nouveau et chargé de sens. C’est ce que tente d’expliquer cette thèse de doctorat, et ce, grâce à de nombreux aller-retour entre clinique et concepts psychanalytiques (lacaniens en particulier). / Music therapy is not a new therapy, and there is no need to reiterate the evidence of its benefits. However, while several authors mention these benefits, few of them explain « why » and « how » music therapy allows autistic persons the path from a discourse, which we qualify as no significant, into a new and fully meaningful speech. This thesis attempts to explain this mechanism, based on the cross-interlocking of clinical observations and psychoanalytical concepts (lacanian in particular).

Orientador: Carmen Maria Bueno Neme / Banca: Thyago Proença de Moraes / Banca: Tania Gracy Martins do Valle / Resumo: O presente estudo teve como objetivo geral avaliar a qualidade de vida e sintomas depressivos em pacientes em hemodiálise, antes e após processo de musicoterapia. Os objetivos específicos foram: Identificar possíveis relações de influência entre os dados sociodemográficos, clínicos, laboratoriais, qualidade de vida e sintomas de depressão avaliados; e avaliar a pressão arterial sistólica e diastólica dos pacientes participantes, antes e após o processo de musicoterapia. Método: Trata-se de um estudo prospectivo, de intervenção. Participaram do estudo 23 pacientes que realizavam hemodiálise do Centro de Terapia Renal Substitutiva/Diálise do Hospital Estadual de Bauru. Os pacientes foram avaliados em duas fases distintas - pré e pós processo musicoterapêutico. Na primeira fase todos os participantes responderam ao Inventário de Depressão de Beck (BDI-II) para avaliar sintomas de depressão, e ao Kidney Disease Quality of Life Short Form (KDQOL-SF) para avaliar qualidade de vida. Após as avaliações os participantes passaram por entrevista individual durante sessão de demodiálise, na qual foram levantados dados sociodemográficos. Também foram coletados dos prontuários, dados de exames laboratoriais e dados referentes à pressão arterial de 10 sessões de hemodiálise (aferições do início e do final de cada sessão) que antecederam a realização da intervenção. Após as avaliações iniciais, tiveram início as sessões de musicoterapia, que se deram através de atendimentos com quatro participantes por grupo, sendo oito sessões com cada, duas vezes por semana, com duração média de setenta e cinco minutos. Ao final da intervenção, os pacientes foram reavaliados e forma coletados novamente dados laboratoriais e aferições de pressão arterial de 10 sessões que sucederam a intervenção. Resultados: Eram do sexo feminino 56,5%, com idade média de 54,9 anos, média de 7,1 anos de estudo e tempo médio de... / Abstract: This study aimed to evaluate the quality of life and depressive symptoms in hemodialysis patients before and after the process of music therapy. The specific objectives were: identify possible relationship among the sociodemographic, clinical, laboratory, quality of life symptoms of depression assessed and evaluate the systolic and diastolic blood pressure of participating patientes, before and after the music therapy process. Method: This is a prospective study of music therapeutic intervention, with evaluation before and after intervention. The study included 23 patients who underwent hemodialysis in Centro de Terapia Renal Substitutiva/Diálise do Hospital Estadual de Bauru. The patients were evaluated in two distinct phases - pre and post music therapeutic process. In the first phase all participants completed the Beck Depression Inventory (BDI-II) to evaluate symptoms of depression, and the Kidney Disease Quality of Life Short Form (KDQOL-SF) to assess quality of life. After the evaluations, participants went through individual interviews during hemodialysis session, in which sociodemographic data were collected. There were collected also, from medical records, laboratory data and data on the blood pressure of 10 hemodialysis sessions (measurements at the beginning and end of each session) prior to performing the process. After the initial assessments, music therapy sessions began, with four participants per group, eight sessions each, twice a week, for approximately seventy-five minutes. At the end of the intervention, the patients were reassessed and laboratory data and assessment of blood pressure of 10 sessions that followed the intervention were collected again. Results: There were 56.8% female, mean age of 54.9 years, means 7.1 years of schooling and mean treatment period of 31.4 months. According to the BDI-II, 60.8% of participants had symptoms of depression at baseline. After intervention of music therapy, this number... / Mestre

Made available in DSpace on 2015-06-17T19:34:23Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-02-27. Added 1 bitstream(s) on 2015-06-18T12:48:56Z : No. of bitstreams: 1 000830429.pdf: 775928 bytes, checksum: 60a0be04945a163ad390bd131444a7e6 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O presente estudo teve como objetivo geral avaliar a qualidade de vida e sintomas depressivos em pacientes em hemodiálise, antes e após processo de musicoterapia. Os objetivos específicos foram: Identificar possíveis relações de influência entre os dados sociodemográficos, clínicos, laboratoriais, qualidade de vida e sintomas de depressão avaliados; e avaliar a pressão arterial sistólica e diastólica dos pacientes participantes, antes e após o processo de musicoterapia. Método: Trata-se de um estudo prospectivo, de intervenção. Participaram do estudo 23 pacientes que realizavam hemodiálise do Centro de Terapia Renal Substitutiva/Diálise do Hospital Estadual de Bauru. Os pacientes foram avaliados em duas fases distintas - pré e pós processo musicoterapêutico. Na primeira fase todos os participantes responderam ao Inventário de Depressão de Beck (BDI-II) para avaliar sintomas de depressão, e ao Kidney Disease Quality of Life Short Form (KDQOL-SF) para avaliar qualidade de vida. Após as avaliações os participantes passaram por entrevista individual durante sessão de demodiálise, na qual foram levantados dados sociodemográficos. Também foram coletados dos prontuários, dados de exames laboratoriais e dados referentes à pressão arterial de 10 sessões de hemodiálise (aferições do início e do final de cada sessão) que antecederam a realização da intervenção. Após as avaliações iniciais, tiveram início as sessões de musicoterapia, que se deram através de atendimentos com quatro participantes por grupo, sendo oito sessões com cada, duas vezes por semana, com duração média de setenta e cinco minutos. Ao final da intervenção, os pacientes foram reavaliados e forma coletados novamente dados laboratoriais e aferições de pressão arterial de 10 sessões que sucederam a intervenção. Resultados: Eram do sexo feminino 56,5%, com idade média de 54,9 anos, média de 7,1 anos de estudo e tempo médio de... / This study aimed to evaluate the quality of life and depressive symptoms in hemodialysis patients before and after the process of music therapy. The specific objectives were: identify possible relationship among the sociodemographic, clinical, laboratory, quality of life symptoms of depression assessed and evaluate the systolic and diastolic blood pressure of participating patientes, before and after the music therapy process. Method: This is a prospective study of music therapeutic intervention, with evaluation before and after intervention. The study included 23 patients who underwent hemodialysis in Centro de Terapia Renal Substitutiva/Diálise do Hospital Estadual de Bauru. The patients were evaluated in two distinct phases - pre and post music therapeutic process. In the first phase all participants completed the Beck Depression Inventory (BDI-II) to evaluate symptoms of depression, and the Kidney Disease Quality of Life Short Form (KDQOL-SF) to assess quality of life. After the evaluations, participants went through individual interviews during hemodialysis session, in which sociodemographic data were collected. There were collected also, from medical records, laboratory data and data on the blood pressure of 10 hemodialysis sessions (measurements at the beginning and end of each session) prior to performing the process. After the initial assessments, music therapy sessions began, with four participants per group, eight sessions each, twice a week, for approximately seventy-five minutes. At the end of the intervention, the patients were reassessed and laboratory data and assessment of blood pressure of 10 sessions that followed the intervention were collected again. Results: There were 56.8% female, mean age of 54.9 years, means 7.1 years of schooling and mean treatment period of 31.4 months. According to the BDI-II, 60.8% of participants had symptoms of depression at baseline. After intervention of music therapy, this number...

abstract: The bereaved and those who have experienced trauma have received support through music therapy. However, there has been no research on the effectiveness of music therapy as a therapeutic intervention for those who have experienced the loss of a loved one by suicide. While every loss presents its own challenges, those who experience a suicide loss may need extra support to process the traumatic nature of the death. This study aims to explore the current research on grief and trauma to determine what information can be applied to the care of those who have experienced a suicide loss. The present study is a group case study of survivors of suicide who have experienced a loss within the last 3 years. Participants received weekly music therapy sessions for four weeks. All participants completed the Inventory of Traumatic Grief, prior to and at the conclusion of the music therapy sessions, and the pre and post test scores were compared. Additionally qualitative data was collected throughout the sessions, indicating any common themes that emerged throughout the sessions and the participants’ reactions to the interventions, as well as in a short questionnaire following the four sessions. / Dissertation/Thesis / Masters Thesis Music Therapy 2016

abstract: The concept of multiculturalism in music therapy is becoming increasingly relevant in the United States. The purpose of this thesis was to analyze multicultural content in undergraduate programs approved by the American Music Therapy Association (AMTA), and evaluate the Multicultural Counseling Competencies, in order to develop an educational tool to foster multicultural competency in undergraduate music therapy students. The research questions addressed in this analysis were: (a) what are the current multicultural education practices for undergraduate music therapy students in the United States, and (b) what aspects of multicultural counseling education can provide a framework for multicultural education in music therapy? Within music therapy education, there seems to be no standardized method of delivering multicultural content. Based on the findings of this content analysis, the author combined content from current multicultural music therapy and multicultural counseling education to develop a lecture series for undergraduate music therapy students. Results included the curricula of 68 AMTA-Approved undergraduate music therapy programs. 327 multiculturally related courses were identified. Coded course categories in order of frequency were ability, age, language, Non-Western music, ethnicity, race, socioeconomic status, gender, spirituality, sexual orientation, religion, and general culture. These results are consistent with existing publications remarking on the state of multicultural education in music therapy. / Dissertation/Thesis / Masters Thesis Music Therapy 2017

abstract: This descriptive research study explored practicing Board-Certified Music Therapists' engagement in self-care as needed from the impact of stress and burnout, as well as perceptions of the music therapy profession and professional association. An online survey was completed by 829 practicing board certified music therapists. Mean scores and percentages of nominal variables were generated from an independent sample. ANOVA was used to compare mean scores of dependent variables with independent variables of two or more categories. Open-ended responses generated extensive qualitative data about stress/burnout, job satisfaction, motivation, and self-care. Those who are not currently members of AMTA reported affordability as the primary reason for not being members. Despite some negative perceptions about the profession and professional association, a significant number of music therapists expressed a passion for what they do. Music therapists appear to have a solid grasp on professional responsibilities and ethics. Although respondents reported an overall high level of job satisfaction, a substantial number agreed that they have considered leaving the profession. Low salary was the most commonly acknowledged reason, followed by the continued need to "sell" music therapy, burnout, stress, limited work opportunities, and workplace politics. Respondents identified healthy diet and rest as primary activities of self-care, followed by recreation/leisure time with loved ones, exercise, hobbies, and prayer. Music therapists reportedly continue to feel motivated and inspired in the profession predominantly because of the gratification/satisfaction of the results of their work, followed by engagement in self-care, loving the work regardless of income, attending conferences and symposiums, diversification among various populations, and keeping professional life separate from personal life. ANOVA results indicated that job satisfaction and engagement in self-care likely increase with age; job satisfaction is higher among married music therapists, those with children, and those with more than 30 years in practice; and those with no children and those with a master's or doctorate degree were more likely to engage in self-care. A variety of implications and recommendations are explored. / Dissertation/Thesis / M.M. Music Therapy 2013

<p> The purpose of this dissertation is to develop a Trauma-Informed Music Therapy (TI-MT) program using a community-based approach to help with trauma recovery of children and their families. This program is designed in response to the 2016 San Joaquin County Needs Assessment, which identifies trauma recovery as a priority community health issue, especially in an area identified as the South Stockton Promise Zone. This part of Stockton, California, is highly culturally diverse, of low socioeconomic level, and with a high crime rate. Trauma impacts people on emotional, neurobiological, physiological, and cognitive levels. Due to cultural differences, traditional therapy may pose difficulties to break through diversity barriers to successfully treat trauma. Dependent upon the impact of the trauma, nonverbal expression can be more efficacious than direct, verbal processing, which tends to be the focus of traditional cognitive-behavioral therapies. Research shows that music therapy has psychotherapeutic and physiological benefits in mental health and treatment of posttraumatic stress disorder (PTSD). Creation of a TI-MT program treatment protocol combines behavioral, cognitive, and biological theoretical foundations of trauma treatment into a clinical program that uses music therapy interventions as the treatment vehicle. These incorporate evidence-based cognitive-behavioral treatment with music therapy research and theory to create an innovative treatment method that treats psychological and neurobiological effects of trauma with children and their families. Research shows that treatment of trauma in childhood helps decrease risk of mental and physical health problems later in life. A community-based group approach to treatment over the course of 12 weeks addresses the needs of more people while being cost-effective with available resources. Community needs, program design and implementation, evaluation methodology, and implications for future research are discussed.</p><p>

<p> Humans as far back as ancient history have been leveraging the physiological and psychological benefits of drumming to enhance health, access higher states of consciousness, and cultivate shared optimal experiences. It is understandable that the applied practice of drumming is now starting to permeate into mental fitness training research as a healthy alternative toward cross training the brain. Extensive surveys conducted in the United States show that 60% of individuals who are in middle age and older complain about their memory. This translates to approximately 80 million Baby Boomers reaching the age of memory decline. Furthermore, according to the UCLA research, the main factors necessary for a healthy brain lifestyle and to combat memory decline are physical activity, social engagement, mental challenges, and unfamiliar stimuli. Neurodrumming has incorporated these findings into a therapeutic intervention that targets brain health, emotional health, stress management, and social engagement, all of which help to prevent cognitive decline, and promotes mental performance. This study offers a meta-theoretical exploration to determine the comprehensiveness of Neurodrumming as a therapeutic mental fitness intervention for healthy aging, by applying Integral Theory as an epistemological framework.</p><p>

<p> Research indicates the characteristics of Autism Spectrum Disorder include challenges with receptive and expressive language, which can negatively impact social-emotional development and physical regulation. The needs of children with autism are expected to greatly impact the current medical and educational resources, thus effective intervention for language development is considered crucial. A recently implemented intervention is music therapy. Effective intervention strategies for families and special education staff are constantly being sought after. This qualitative study sought to determine, (a) how does music therapy affect the receptive and expressive language skills in children diagnosed with Autism Spectrum Disorder aged 3&ndash;8 years? (b) what components of music therapy do parents and music therapists profess to make the most impact on language acquisition development in their child diagnosed with Autism Spectrum Disorder, aged 3&ndash;8? Participants included ten family units in southern California and six music therapists in the states of California, Oregon, Idaho and Washington. The participants were asked to provide information pertaining to the language ability of their child/client before and after participating in music therapy. Results showed an increase in word utterance, progress toward special education goals, emotional wellbeing, expressive communication in the home and community, and an increase in social skills. The language ability of the children before and after participating in music therapy sessions ranged from a nonverbal state to singing songs, from using gestures to speaking three to four word phrases, from using language without pragmatics to making friends, and from uttering one to two word phrases to regulating their emotions. </p><p>

The purpose of this study was to examine the effect of participation in music therapy support groups (MTSG) on physical, psychological, and social functioning of cancer patients and caregivers. Participants were 24 cancer patients and 17 caregivers randomly assigned to experimental (n=21) or wait-list control (n=20) groups. The primary dependent variables were mood, coping, social support, and quality of life as measured by the Profile of Mood States (POMS), State Trait Anxiety Inventory-State (STAI-S) and Trait (STAI-T) scales, Personal Resource Questionnaire 85-Part 2 (PRQ85-Part 2), and Functional Assessment of Cancer Therapy-General Form (FACT-G). These measures, completed by all participants at baseline, midpoint, and end of three weeks, assessed the long-term effect (three weeks) of MTSG participation. The Music Therapy Support Group Numerical Rating Scales (MTSG-NRS) evaluated the short-term effect of each 60-minute music therapy session on mood, pain, stress, anxiety, and quality of life. All participants also completed the Music Therapy Support Group Assessment Form (MTSG-AF) beforehand to provide demographic information and music preferences, and the Music Therapy Support Group Evaluation Questionnaire (MTSG-EQ) after participation in music therapy sessions. Experimental participants completed six MTSG sessions over a three-week period; interventions included singing, songwriting, playing instruments, movement with music, creative arts with music, and music-assisted relaxation. The data from the POMS, STAI-S, STAI-T, PRQ85-Part 2, and FACT-G questionnaires were analyzed using five individual repeated measures ANOVA. The MTSG experimental group showed a significant improvement in mood and a significant decrease in anxiety as a result of participation in the music therapy support groups; the control group showed no significant change over time. The MTSG also showed improvement, though non-significant, on social support and quality of life; the control group remained stable on these measures over time. Data from the MTSG-NRS were analyzed using a Wilcoxon Rank Sum test. Analyses revealed that the MTSG achieved significant improvement in mood and significant decrease in stress and anxiety throughout each 60-minute MTSG session. Participation also significantly decreased the perception of pain and significantly improved quality of life in four of six sessions.