Afrikaans text / Die doel van hierdie studie was om vas te stel of musiek in terapie gebruik kan word deur ' opvoedkundige sielkundiges, asook wat die verskil is tussen musiekterapie en die terapeutiese aanwending van musiek deur ander terapeute. Vir die verkenning van die terapeutiese gebruik van musiek is 'n literatuurstudie gedoen oor die fenomeen musiekterapie, asook oor die terapeutiese gebruik van musiek. Die twee verskynsels is met mekaar vergelyk om ooreenkomste en verskille aan te dui. Die empiriese studie het aan die lig gebring dat musiek op baie verskillende maniere in terapie gebruik kan word en gekombineer kan word met ander hulpmiddels. Die emosionele en kognitiewe funksie wat musiek vervul is met die studie uitgewys. Musiek help byvoorbeeld om 'n emosionele klimaat te skep wat effektief in terapie gebruik kan word; en musiek kan 'n mens se denke stimuleer. Aanbevelings is ook gegee vir die terapeutiese gebruik van musiek. / The object of the study was to determine if and how music can be used in therapy by the educational psychologist. The further aim was to determine the difference between music therapy and the therapeutic application of music by other therapists. In the exploration of the therapeutic use of music, a comparative study was done between music therapy as phenomenon and the therapeutic use of music, where similarities and differences were outlined. The empirical study showed that music can be used in different ways in therapy and can also be combined with other therapeutical aids. According to this study, music can fulfill an emotional and a cognitive roll. A pleasant emotional climate for therapy can be created and stimulate the client's thoughts. With this study it was possible to give guidelines for therapeutic applications of music. / Psychology of Education / M. Ed. (Voorligting)

Ljudens och musikens påverkan på människan har alltid intresserat mig i egenskap av violinbyggarmästare men också som cellopedagog. Forskningen inom detta område är starkt begränsad och rör till största delen terapeutiska metoder och då främst musikterapi. Dock använder sig musikterapeuter inte av utifrån kommande frekvenser i sitt arbete och de alternativa terapeuterna har inte vetenskapliga belägg för frekvensernas verkan. Syftet med studien har varit att utföra en grundforskning om hälsoklanger som kan inspirera till vidare forskning om hur utifrån tillförda ljud och musik påverkar människan samt exemplifiera hur några musikterapeuter och tomatiskonsulter i Sverige och Tyskland erbjuder musik och ljud som behandlings- eller träningsform. Studien genomfördes genom en kombination av kvantitativa och kvalitativa metoder: med en enkätundersökning, intervjuer samt personlig kommunikation med musikterapeuter och alternativa terapeuter, en stressforskare och två tomatiskonsulter. Resultaten tyder på att ljud och musik både kan ha stimulerande och lugnande inverkan på människan, men att en tillförlitlig vetenskaplig värderingsmetod saknas för dem som erbjuder behandlingar. En fortsatt forskning blir att vidare undersöka hur utifrån tillförda ljud och musik påverkar människan. Förutsättningen för att kunna mäta detta är att de valda ljud- eller musikavsnitten inte förekommer enbart punktuellt utan under en längre sammanhängande tidsperiod samt att tillgång finns till därför passande medicinsk mätutrustning och en undersökningsgrupp vars storlek utgår från ett antagande om hur stora effekter man kan förvänta sig på en viss definierad utfallsvariabel (2.7 Musikens påverkan på kropp och själ). Studien kan i bästa fall även ge inspiration till fortsatt forskning kring förbättring av negativa bullriga ljudmiljöer. / The effects of sound and music have always been of great interest to me, both as a Luthier, as a Cellist and Strings teacher. Research in this area is very limited and mainly confined to methods of therapy, in particular Music Therapy. Music Therapists, however, do not employ the use of different sound frequencies in their therapy and the effects of frequencies in other forms of alternative therapy have not yet been scientifically researched or validated. The object of this study has been to research how external sounds and music affect people, and to examine the means by which this is used in therapeutic contexts, such as in Music Therapy and Tomatis training. This research was conducted using quantitative and qualitative methods, through surveys, interviews and personal communication with Music Therapists, Alternative Therapists, Stress Researchers and two Tomatis Consultants. The research suggests that sound and music can have a stimulating as well as a soothing influence on people, but that a thorough scientifically based investigation into how external sounds and music affect people is needed for professionals in this field of work. Continued research in this area would involve using chosen external sounds or excerpts of music that are not only short impulses but of a longer duration, access to relevant medical equipment to measure the effects of these sounds and an appropriately sized group of research subjects to correlate with the expected effects of a defined research variable. (2.7 Musikens påverkan på kropp och själ) It is hoped that this study will provide a foundation for further research into the effects of frequencies, sound and music, also with a view to finding means to improve negative, disturbing sound environments.

The theme of this diploma thesis, as the title suggests, is the use of music therapy in gerontological practice. More specifically the thesis is focused on the use of appropriate music therapy techniques with clients of the Seniors' Home Panorama in Tachov. The theoretical part characterizes the field of music therapy, its history and presentsituation in the Czech Republic. Furthermore, the reader is informed about the forms, methods and techniques of music therapy. Another part of the thesis briefly introduces the issue of old age. It deals with manifestations of old age, demographic issues or the senior care in the Czech Republic. The empirical part of the thesis is already devoted to the practical use of music therapy during work with the elderly. In the introduction, the objectives of the work are defined in relation to the target group of clients. By using the method of unstructured observation, it is determined whether the music therapy techniques fulfil predetermined goals. At the end of the work there is the evaluation of contribution of music therapy to this field.

The purpose of this study was to determine the effect of a single-session group music therapy songwriting session on grief processing in hospice clinicians. The study design was quasi-experimental. Participants were cluster randomized into a control group and a treatment group. The researcher led a 50-minute songwriting session focused on sharing and processing experiences of grief-related stress and burnout in hospice work. Grief processing was measured using a self-report survey for n=25. Overall differences between control and treatment groups were not found to be statistically significant. Significant differences were also not found in treatment score differences for type of hospice clinician or years of experience. For future research with hospice clinicians, a new measurement tool should be developed that is more specific to measuring an actual difference before and after a treatment. The current measurement tool is best used as an inventory for stress and grief levels that result from caregiving. Any new measurement tool should be kept under twenty questions. A single-session, though convenient for busy hospice clinicians, may not provide a complete treatment for grief and stress. Further research with hospice clinicians may require several treatment sessions to achieve a more complete grief processing experience.

Afrikaans text / Die doel van hierdie studie was om vas te stel of musiek in terapie gebruik kan word deur ' opvoedkundige sielkundiges, asook wat die verskil is tussen musiekterapie en die terapeutiese aanwending van musiek deur ander terapeute. Vir die verkenning van die terapeutiese gebruik van musiek is 'n literatuurstudie gedoen oor die fenomeen musiekterapie, asook oor die terapeutiese gebruik van musiek. Die twee verskynsels is met mekaar vergelyk om ooreenkomste en verskille aan te dui. Die empiriese studie het aan die lig gebring dat musiek op baie verskillende maniere in terapie gebruik kan word en gekombineer kan word met ander hulpmiddels. Die emosionele en kognitiewe funksie wat musiek vervul is met die studie uitgewys. Musiek help byvoorbeeld om 'n emosionele klimaat te skep wat effektief in terapie gebruik kan word; en musiek kan 'n mens se denke stimuleer. Aanbevelings is ook gegee vir die terapeutiese gebruik van musiek. / The object of the study was to determine if and how music can be used in therapy by the educational psychologist. The further aim was to determine the difference between music therapy and the therapeutic application of music by other therapists. In the exploration of the therapeutic use of music, a comparative study was done between music therapy as phenomenon and the therapeutic use of music, where similarities and differences were outlined. The empirical study showed that music can be used in different ways in therapy and can also be combined with other therapeutical aids. According to this study, music can fulfill an emotional and a cognitive roll. A pleasant emotional climate for therapy can be created and stimulate the client's thoughts. With this study it was possible to give guidelines for therapeutic applications of music. / Psychology of Education / M. Ed. (Voorligting)

This dissertation is a qualitative interview study conducted with staff and residents at Sparrow Rainbow Village, an HIV/AIDS community. The purpose of this research was to explore the perception of the role of music held by members for their community, and specifically its role in creating a sense of community, as well as to investigate the implications these perceptions might have for setting up a community music therapy project. The interviews revealed a struggle with establishing a community identity that embraced health, as well as feeling isolated from the greater community. Music was seen as a means of bringing people together both within the community and serving to bridge the gap with the wider community and in so doing, empowering both communities simultaneously. / Dissertation (MMus (Music Therapy))--University of Pretoria, 2008. / Music / unrestricted

The purpose of this study is to determine whether there is a relationship between personal value preferences (PVPs) and burnout among music therapists. A total of 450 board-certified music therapists participated in this study. Four hundred and twenty-one participants finished the survey partially and completely, and were analyzed with regard to demographic information (gender identity, years of work, worksites, weekly work hours, annual salary range). Three hundred and forty-three participants who completed the Portrait Values Questionnaire (PVQ-RR), and Maslach Burnout Inventory-Human Services Survey (MBI-HSS) were subjected to non-parametric and linear regression analyses. Regarding the relationship between worksites and burnout, the Kruskal-Wallis H test was used to detect differences in burnout as a function of reported worksite and was found to be significant for Depersonalization. Post-hoc analyses using the Dunn-Bonferroni method found one pairwise difference: Those working in Psychiatric Hospitals report higher Depersonalization than those working in Private Practice/Agency settings. This would seem to suggest that some of the characteristics of the worksite might be related to the experience of burnout. A similar approach was used to detect differences in burnout as a function of reported salary range. The result was significant for Emotional Exhaustion; however, post-hoc tests revealed that no two salary ranges differ significantly from one another. Multiple regression was used to examine the extent to which years of work and weekly work hours are related to burnout. Findings suggest that both years of work and weekly work hours and burnout were statistically significant. Further analysis finds that years of work was negatively correlated with Emotional Exhaustion and Depersonalization, and positively correlated with Personal Accomplishment; and weekly work hours was positively correlated with Emotional Exhaustion, Depersonalization, and Personal Accomplishment. Although the results are statistically significant, the practical use of these findings may be limited because of the relatively small amount of variance explained by the overall model and individually by years of work and weekly work hours. Finally, multiple regression was conducted to examine the relationship between PVPs and burnout. Results suggest that PVPs as a group are related to Emotional Exhaustion, Depersonalization, and Personal Accomplishment. Specifically, Self-Transcendence is negatively related to Emotional Exhaustion, Depersonalization, and positively related to Personal Accomplishment; Self-Enhancement is positively correlated with Emotional Exhaustion and Depersonalization and negatively correlated with Personal Accomplishment; Openness to Change is negatively correlated to Emotional Exhaustion and Depersonalization, and positively correlated to Personal Accomplishment; and Conservation is positively correlated with Emotional Exhaustion and negatively with Depersonalization and Personal Achievement. These findings as well as implications for future research and implications are explored further.

The purpose of this study was to investigate the effects of music and imagery versus imagery only interventions on inducing relaxation and reducing nausea and emesis in cancer patients undergoing chemotherapy treatment. Specifically, this study explored an adaptation of the Bonny Method of Guided Imagery and Music (BMGIM). Approximately 280 patients were interviewed, 43 began data collection procedures, and 20 of these individuals completed the study. Three dependent measures (heart rate, nausea, and emesis) were collected both before and after each of six intervention sessions. Experimental treatment conditions were guided imagery with music (MI) or without music (IO), alternated across the sessions. As part of the experimental treatment, participants were also encouraged to listen to music at home, i.e., to listen twice daily to CD recordings for relaxation. One recording contained a script for relaxation with music in the background, and the other contained only a script for relaxation. Moreover, after the fourth and sixth week of being in the study, the participants responded to a satisfaction survey on their perception on the benefits of MI and IO intervention. A follow-up telephone interview was conducted with each participant nine days after completion of the study. Regression analysis was used to examine factors relating to the frequency of nausea and emesis as well as heart rate. A Pearson correlation coefficient was used to examine the relationship between the extent to which patients utilized the CD for relaxation at home and the amount of improvement experienced. Descriptive analyses were employed to examine participants' responses to their perceptions of the benefits of imagery only and music with imagery interventions (i.e., to the Participant Satisfaction Survey). Results indicated a statistically significant decrease on post-heart rate for MI as well as for IO interventions. There were no statistically significant differences in heart rate, nausea, or emesis between the two experimental interventions. However, there was a significant decrease in the frequency of nausea and emesis over time, i.e., across the six-weeks of treatment. The Pearson correlation indicated no significant relationship between the times participants listened to the CD and the outcomes of nausea and emesis. Self-reports from the participants indicated that the guided imagery with music, both within the experimental intervention sessions as well as at home, seemed to be very beneficial in inducing relaxation for these particular cancer patients.

Background and objectives: Whilst Active and Receptive Music Therapy techniques have been widely researched and are employed within a range of contexts and with diverse client populations, this study reports on their specific qualitative musical and verbal affordances in major depressive disorder and schizophrenia-spectrum psychotic disorders. The study also describes and compares the respective and joint contributions of the music therapy techniques in giving rise to the affordances as well as reporting on the similarities and differences within and between diagnostic groups. This is the first study of its kind within the South African context. Methods: A qualitative research approach using a case study design, sampled purposefully twenty patients of the above mentioned diagnostic groups for participation in this study comprising a course of eight twice weekly music therapy sessions. The primary data sources were transcribed video recordings of therapy sessions and an individual in-depth semi-structured interview after the course of therapy. Clinical session notes served as a corroborative data source. In-depth content and thematic analysis explored and compared qualitative affordances during music therapy comprising active and Receptive Music Therapy techniques. The qualitative affordances under investigation were i) musical qualities, and ii) verbal expressions. Emerging from these affordances were the respective and combined affordances of the music therapy techniques as well as the similarities and differences between the diagnostic groups. Findings: Thirteen themes emerged from the analysis of clients' verbatim verbal responses to both active music making and Receptive Music Therapy techniques. These themes are: i) not to feel; ii) to do or not to do; iii) grappling with the desired future; iv) hurt and fear of undesirable outcomes; v) sadness, brokenness and futility; vi) anger, trust and vulnerability; vii) desire for connection with and affection of others; viii) barricaded from being present, now; ix) tensing and un-tensing; x) personal relating to one’s musical expression; xi) reflections on the music and music making in therapy; xii) resilience and courage and xiii) invigoration and liberation. The Active Music Therapy techniques comprising clinical improvisation, structured musical exercises, drumming, vocal work, songwriting and movement, gave rise to ten themes expressing the musical affordances. The themes that emerged were i) reciprocal responding; ii) the explicit use of symbols through music; iii) regularity; iv) disturbance and difficulty; v) turning points; vi) energy bursting or lacking; vii) bodily synchrony; viii) intensified emotional expression; ix) exploring new territory and Active Music Therapy techniques comprising clinical improvisation, structured musical exercises, drumming, vocal work, songwriting and movement, gave rise to ten themes expressing the musical affordances. The themes that emerged were i) reciprocal responding; ii) the explicit use of symbols through music; iii) regularity; iv) disturbance and difficulty; v) turning points; vi) energy bursting or lacking; vii) bodily synchrony; viii) intensified emotional expression; ix) exploring new territory and x) resolution and arrival. The emerging themes express the extent of musical and verbal expression of all clients representing both diagnostic groups. Most saliently among clients with depression the affordances were the themes on accessing creativity, accessing and articulating internal feelings, experiencing resilient parts of self, reflecting on and integrating symbolic material, motivation to act and extending musical and verbal expression during social interaction. Among clients suffering from schizophrenia spectrum disorder, the most striking affordances were experiences of regularity and flow within disorganization, orientation to ‘here and now’ experiences through active music making and working with symbolic material expressed on a continuum of concrete to abstract. Clients from both diagnostic groups experienced a reduction in unwanted symptoms as expressed through increased energy levels, experiences of pleasure in music making and spontaneous musical and verbal self-expression. Conclusion: This study revealed qualitative affordances of specific music therapy techniques expressed through verbal content and musical qualities. These showed responses within a therapeutic relationship that express inter- and intra-personal connection, give voice to what is not always verbally accessible and facilitate multi-sensory, creative experiences, increased motivation, emotional expression, and the reclamation of energy, spontaneity and resilience. / Thesis (PhD)--University of Pretoria, 2017. / Psychiatry / PhD / Unrestricted

The purpose of this study was to explore treatment options for aggression-related disorders. Two activities were examined to validate their use as frustration-reduction techniques --yoga and therapeutic drumming. Twenty-two college students were randomly assigned to participate in one of three groups--yoga, drumming, or silence (control)--following experimentally-induced frustration using a computerized Stroop color-word technique. Self-reported emotion levels and physiological responses were tracked at baseline, post-frustration, and post-treatment to measure responses to treatment. Results indicate that self-reported frustration levels were significantly reduced in all experimental groups, but physiologic responses showed no significant changes. A Multivariate Analysis of Variance (MANOVA) indicated no significant difference in lowered frustration for any of the treatment groups, suggesting that they are equally effective. These results also suggest that the passage of time may be key to successful emotion regulation. Further study should examine control variables and methodology to identify other factors that may be involved in regulating aggressive emotions.