Shoemark Helen, Hanson-Abromeit Deanna, Stewart Lauren
Music Therapy, Temple University Philadelphia, PA, USA ; Sensory Experience in Early Development, Murdoch Childrens Research Institute Melbourne, VIC, Australia.
School of Music, University of Kansas Lawrence, KS, USA.
Front Hum Neurosci. 2015 Sep 3;9:487. doi: 10.3389/fnhum.2015.00487. eCollection 2015.
Music-based intervention for hospitalized newborn infants has traditionally been based in a biomedical model, with physiological stability as the prime objective. More recent applications are grounded in other theories, including attachment, trauma and neurological models in which infant, parent and the dyadic interaction may be viewed as a dynamic system bound by the common context of the neonatal intensive care unit (NICU). The immature state of the preterm infant's auditory processing system requires a careful and individualized approach for the introduction of purposeful auditory experience intended to support development. The infant's experience of an unpredictable auditory environment is further compromised by a potential lack of meaningful auditory stimulation. Parents often feel disconnected from their own capacities to nurture their infant with potentially life-long implications for the infant's neurobehavioral and psychological well-being. This perspectives paper will outline some neurological considerations for auditory processing in the premature infant to frame a premise for music-based interventions. A hypothetical clinical case will illustrate the application of music by a music therapist with an infant and family in NICU.
传统上，针对住院新生儿的基于音乐的干预措施一直基于生物医学模式，以生理稳定为首要目标。最近的应用则基于其他理论，包括依恋、创伤和神经学模型，在这些模型中，婴儿、父母及二元互动可被视为由新生儿重症监护病房（NICU）的共同环境所约束的动态系统。早产儿听觉处理系统的不成熟状态需要一种谨慎且个性化的方法来引入旨在支持发育的有目的的听觉体验。不可预测的听觉环境体验会因潜在的有意义听觉刺激缺失而进一步受损。父母常常觉得自己缺乏养育婴儿的能力，这可能会对婴儿的神经行为和心理健康产生终生影响。这篇观点性文章将概述一些关于早产儿听觉处理的神经学考量，为基于音乐的干预措施奠定基础。一个假设的临床案例将说明音乐治疗师如何在NICU对一名婴儿及其家庭应用音乐。
