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即兴创作与意义。

Improvisation and meaning.

机构信息

The Grieg Academy, Institute of Music, GAMUT - Grieg Academy Music Therapy Research Centre, University of Bergen, Bergen, Norway.

出版信息

Int J Qual Stud Health Well-being. 2013 Aug 7;8:20604. doi: 10.3402/qhw.v8i0.20604.

Abstract

This article presents and discusses a long-term repeated-immersion research process that explores meaning allocated to an episode of 50 seconds of music improvisation in early neurosurgical rehabilitation by a teenage boy with severe traumatic brain injury and his music therapist. The process began with the original therapy session in August 1994 and extends to the current time of writing in 2013. A diverse selection of qualitative research methods were used during a repeated immersion and engagement with the selected episodes. The multiple methods used in this enquiry include therapeutic narrative analysis and musicological and video analysis during my doctoral research between 2002 and 2004, arts-based research in 2008 using expressive writing, and arts-based research in 2012 based on the creation of a body cast of my right hand as I used it to play the first note of my music improvising in the original therapy episode, which is accompanied by reflective journaling. The casting of my hand was done to explore and reconsider the role of my own body as an embodied and integral, but originally hidden, part of the therapy process. Put together, these investigations explore the potential meanings of the episode of music improvisation in therapy in an innovative and imaginative way. However, this article does not aim at this stage to present a model or theory for neurorehabilitation but offers an example of how a combination of diverse qualitative methods over an extended period of time can be instrumental in gaining innovative and rich insights into initially hidden perspectives on health, well-being, and human relating.

摘要

本文介绍并讨论了一个长期的重复浸入式研究过程,该过程探讨了一名患有严重创伤性脑损伤的青少年及其音乐治疗师对 50 秒音乐即兴创作片段的意义分配。这个过程始于 1994 年 8 月的原始治疗会议,并延伸到 2013 年当前的写作时间。在对选定的片段进行重复浸入和参与的过程中,使用了多种定性研究方法。在 2002 年至 2004 年期间进行的博士研究中,我使用了治疗性叙事分析和音乐学及视频分析;在 2008 年进行的基于艺术的研究中使用了表达性写作;在 2012 年进行的基于艺术的研究中使用了我的右手手模,因为我在原始治疗片段中用它演奏了音乐即兴创作的第一个音符,同时还伴随着反思性的日记。对手的铸造是为了探索和重新思考我自己的身体作为治疗过程中一个体现和完整的、但最初隐藏的角色。总的来说,这些研究以一种创新和富有想象力的方式探索了治疗中音乐即兴创作片段的潜在意义。然而,本文现阶段的目的不是提出神经康复的模型或理论,而是提供一个例子,说明如何在较长时间内结合多种定性方法,可以为最初隐藏的健康、幸福和人类关系视角提供创新和丰富的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c16/3740602/01570e5492b6/QHW-8-20604-g001.jpg

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