Music therapy techniques as predictors of change in mental health care

Mössler, Karin; Aßmus, Jörg; Heldal, Tor Olav; Fuchs, Katharina; Gold, Christian

doi:10.1016/j.aip.2012.05.002

Cited by 31 publications

(22 citation statements)

References 19 publications

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“…This indicates that the principles were typically applied in a competent way [17]. Contents of MT sessions provided as part of this study have also been analysed elsewhere [68,69]. …”

Section: Resultsmentioning

confidence: 99%

“…The findings from the present study suggest that MT may be a valuable addition to usual mental health care for clients where verbal psychotherapy is of limited help. Related findings from observational studies [68], qualitative research [18] and clinical case studies [18,69] suggest that active involvement of clients is crucial and that using music may facilitate the active engagement of clients in a therapeutic process. The concrete form in which music is used, therefore, needs to be chosen together with the client.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to traditional modalities such as improvisation and listening to music, there is now some research to suggest that reproducing music (i.e. singing or learning to play existing pieces) may be both particularly common and successful with this client group [68]. The meaning that is ascribed to the music may also vary.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Individual Music Therapy for Mental Health Care Clients with Low Therapy Motivation: Multicentre Randomised Controlled Trial

Gold

Mössler

Grocke

et al. 2013

Psychother Psychosom

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Background: Music therapy (MT) has been shown to be efficacious for mental health care clients with various disorders such as schizophrenia, depression and substance abuse. Referral to MT in clinical practice is often based on other factors than diagnosis. We aimed to examine the effectiveness of resource-oriented MT for mental health care clients with low motivation for other therapies. Method: This was a pragmatic parallel trial. In specialised centres in Norway, Austria and Australia, 144 adults with non-organic mental disorders and low therapy motivation were randomised to 3 months of biweekly individual, resource-oriented MT plus treatment as usual (TAU) or TAU alone. TAU was typically intensive (71% were inpatients) and included the best combination of therapies available for each participant, excluding MT. Blinded assessments of the Scale for the Assessment of Negative Symptoms (SANS) and 15 secondary outcomes were collected before randomisation and after 1, 3 and 9 months. Changes were analysed on an intention-to-treat basis using generalised estimating equations in longitudinal linear models, controlling for diagnosis, site and time point. Results: MT was superior to TAU for total negative symptoms (SANS, d = 0.54, p < 0.001) as well as functioning, clinical global impressions, social avoidance through music, and vitality (all p < 0.01). Conclusion: Individual MT as conducted in routine practice is an effective addition to usual care for mental health care clients with low motivation.

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“…This indicates that the principles were typically applied in a competent way [17]. Contents of MT sessions provided as part of this study have also been analysed elsewhere [68,69]. …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Individual Music Therapy for Mental Health Care Clients with Low Therapy Motivation: Multicentre Randomised Controlled Trial

Gold

Mössler

Grocke

et al. 2013

Psychother Psychosom

Self Cite

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“…While this review has highlighted some evidence in health research to suggest particular effects of improvisation in its own right, investigation in this area appears limited. Establishing the effective components of complex interventions is now a central agenda in health research (Michie et al 2011) and there have been calls for more specific understanding of the effectiveness of music interventions for health (Kamioka et al 2014;Mössler et al 2012). Given that improvisation itself may comprise multiple distinct strands of activity, future research could usefully be focused on how different improvisational practices or interactions may have differential or specific effects on health outcomes, for instance considering the effects of the different practices categorised by Wigram (2004).…”

Section: Discussionmentioning

confidence: 99%

Musical improvisation and health: a review

MacDonald

Wilson

2014

Psych Well-Being

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There is an expanding field of research into how making or listening to music can improve wellbeing. As a spontaneous, social, creative nonverbal process unfolding in real time, musical improvisation between individuals is a unique psychological phenomenon distinct from other areas of musical activity. It may therefore have an influence on health or wellbeing distinct from other musical behaviours, and from other components of a musical intervention. Given the psychological complexity of this behaviour it is important to establish the parameters of improvisation, the effects on health or wellbeing that are perceived or claimed for it, and any mechanisms understood to bring about these effects. To establish this, literature was reviewed that explicitly investigates or theorises about the capacity of musical improvisation to influence health or wellbeing. Only work examining its application within music therapy was identified. The behaviours and interactions that constitute improvisation during music therapy are clearly defined. Improvisation in music therapy is seen to have specific benefits for particular populations including the amelioration of neurological damage, improvements in mental health conditions, reductions in stress and anxiety, and improved communication and joint attention behaviours in children with autistic spectrum disorders. Four unique characteristics of musical improvisation are identified as underlying these effects: its potential to link conscious with unconscious processes, the demands on attention of absorption in a creative process, the non-verbal social and creative interaction experienced, and the capacity for expressing difficult or repressed emotions without having to articulate these verbally. Although improvisation is undertaken in music therapy for a purpose distinct from that of improvisation in other contexts, its processes can be seen as substantively similar, suggesting that improvising in itself may offer intrinsic benefits to health or wellbeing to broader populations and outwith the therapeutic context. Based on this review, a model is proposed for how improvisation in music can influence the health or wellbeing of those involved.

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“…Yani yaratıcılığa dair uygulamalar, kişilerde yalnızca içgörü ve katarsis sağlamakla kalmaz aynı zamanda yaşamda daha uyumlu ve aktif bir şekilde yer almalarını da sağlamaktadır. [35][36][37][38] Ruh sağlığı ve hastalıkları alanında bilgi tabanlı, işbirlik-çi, bütüncül, hasta ve iyileşme odaklı bakım gerekmektedir. Klinik süpervizyon, olumlu risk alma ve sanat terapistlerinin desteği, alana güç vermektedir.…”

Section: Ruh Sağlığı Ve Hastalıkları Hemşireliğinde Yaratıcılıkunclassified

Creativity in Psychiatric and Mental Health Nursing

Çam¹

2015

Psi Hem Derg

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Music therapy techniques as predictors of change in mental health care

Cited by 31 publications

References 19 publications

Individual Music Therapy for Mental Health Care Clients with Low Therapy Motivation: Multicentre Randomised Controlled Trial

Individual Music Therapy for Mental Health Care Clients with Low Therapy Motivation: Multicentre Randomised Controlled Trial

Musical improvisation and health: a review

Creativity in Psychiatric and Mental Health Nursing

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