O'Callaghan Clare, McDermott Fiona
Peter MacCallum Cancer Centre, Melbourne, Australia.
J Music Ther. 2004 Summer;41(2):151-85. doi: 10.1093/jmt/41.2.151.
The constructivist research paradigm informed a research investigation on the relevance of music therapy in a cancer hospital, that is, what did the music therapy do and did it help? Over 3 months, criterion sampling was used to elicit interpretations in 5 studies from 5 sources: 128 patients who participated, 27 patients who overheard or witnessed music therapy, 41 visitors, 61 staff, and the music therapist-researcher. Fifty-seven percent of the patients who participated had advanced or end stage cancer. The music therapist's interpretations were recorded in a reflexive clinical journal and the respondents' interpretations were written on anonymous open-ended questionnaires. Thematic and content analyses were performed on the 5 groups of data with the support of qualitative data management software. Findings from the 5 data groups were contrasted and compared. Many patients', visitors' and staff members' affective, contemplative, and imagined moments in music therapy affirmed their "aliveness," resonating with an expanded consciousness, in a context where life's vulnerability is constantly apparent. Philosophical depictions about the relevance of music in human life, including theories by Addis and Winnicott, substantiated the therapeutic reactions.
建构主义研究范式为一项关于音乐疗法在癌症医院相关性的研究调查提供了指导,也就是说,音乐疗法起到了什么作用,是否有帮助?在3个多月的时间里,采用标准抽样法,从5个来源的5项研究中获取解读:128名参与的患者、27名无意中听到或目睹音乐疗法的患者、41名访客、61名工作人员以及音乐治疗师兼研究者。参与的患者中有57%患有晚期或终末期癌症。音乐治疗师的解读记录在一本反思性临床日志中,而受访者的解读则写在匿名的开放式问卷上。在定性数据管理软件的支持下,对这5组数据进行了主题分析和内容分析。对5组数据的结果进行了对比和比较。在生命的脆弱性始终显而易见的背景下,许多患者、访客和工作人员在音乐疗法中的情感、沉思和想象时刻肯定了他们的“活力”,与一种扩展的意识产生共鸣。关于音乐在人类生活中的相关性的哲学描述,包括阿迪斯和温尼科特的理论,证实了这些治疗反应。