Critical interpretive synthesis is a particular form of systematic review that critically examines the decisions made by authors while conducting and publishing about their research and practices. It differs from empirical syntheses of qualitative research by emphasizing the interpreted and constructed nature of this form of secondary analysis. In this article, we extend previous literature on critical interpretive syntheses by highlighting the integration of emotional responses when developing critical questions for interrogating the literature and interpreting results. Our extension of the critical interpretive synthesis is illustrated through examples from five studies examining literature in our own field of music therapy, as well as related fields of disability studies, mental health, music psychology, and child welfare. The methodology we have refined uses an iterative and recursive method that promotes increased critical awareness of the assumptions driving the production of research in health contexts.
Adherence to antiretroviral therapy reduces morbidity and mortality; however rates of non-adherence are variable among women for unclear reasons. This study was a single-center qualitative analysis of interviews with 18 female HIV-positive non-adherent patients (defined by virologic failure) to explore psychosocial factors impacting adherence. Factors identified were categorized as promoting, inhibiting or having no effect on adherence. Three themes, characterized as social factors, illness factors and other societal pressures, were identified. Medical systems support, family support and compliance for children were most commonly identified as promoting adherence, while psychiatric comorbidities, lack of medical systems support and side effects were identified most often as inhibitors of adherence. While stigma was frequently identified, it was not seen as a barrier to adherence. Enhancing relationships between patients and their providers as well as their community support systems are critical avenues to pursue in improving compliance. Interventions to promote compliance are important avenues of future research.
The process of representing people in academic writing and discussion is paradoxical. Drawing on our experiences of research in areas of child welfare and adult mental health, we consider whether the predominantly problem-focused language often used to describe and represent people in music therapy research and practice is congruent with the strengths-based way in which music therapists work. This article describes a "call to action" for music therapists to reflect on the language we use to represent the people we work and research with. We argue the need for a better balance in representing people in music therapy case studies, presentations and articles, by focusing on their strengths and resilience along with their challenges.
The experience of family violence greatly impacts family dynamics and often results in children and young people becoming intertwined in a complex cycle of love, hope, and fear within their family system. Research in this context has emphasised how having a close relationship to an attuned adult or caregiver is a key protective factor for children and young people experiencing family violence, therefore engagement of family and supportive systems is an important part of the work. This article will explore our collaborative approach to working creatively with children, young people, and their non-violent family members as a way of bringing families back together after their relationships have been disrupted due to family violence. We will draw upon a case example from our work to describe how we use music to give voice to children and young people’s experiences. This approach aims to support children to tell their story, build upon their existing resources, and strengthen connections with the supportive people in their lives. In doing so, we will demonstrate how music can be used to advocate for children and young people’s voices to be heard within the context of their family’s experience.
The majority of literature about children experiencing family violence focuses on reporting ‘problems’ and highlighting detrimental outcomes for children. In contrast, there is little acknowledgement of children's personal resources and capacities in times of crisis.This article describes a participatory arts-based research project involving 10 pre-adolescent children. The research aimed to explore children's individual resources and to highlight the value of giving voice to children through participatory processes. A collaborative songwriting method sought to co-construct knowledge with children about what helped them to ‘do well’ in their lives. An illustrative example demonstrates the collaborative process of engaging children throughout the data generation, collaborative analysis and presentation of the findings. The children described a range of resources and supports in their lives, such as friends, family, sport, pets, journaling, hope and creativity. Five themes explore the role these resources play in children's lives: seeking refuge, wanting to feel safe, hoping for a better future, feeling cared for and being self-determined. The results emphasise the ongoing need to build upon existing resources in children's lives and to support them to navigate access to additional resources. We advocate for participatory approaches that provide opportunities for children's voices to be heard, fostered and responded to.
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