Economos Alexa Dorris
Starshine Hospice, Cincinnati Children's Hospital, Cincinnati, OH, Cincinnati, OH.
J Music Ther. 2018 Sep 8;55(3):309-339. doi: 10.1093/jmt/thy011.
Music therapists have described powerful case examples and personal experiences of providing music therapy for clients who are actively dying that suggest a complex experience that merits further exploration. This phenomenological study was conducted to gain a better understanding of the lived experience of music therapists working with clients who are actively dying. Four music therapists (2 female, 2 male), with an average of 10 years' hospice care experience, participated in semi-structured interviews. Data were analyzed using a phenomenological approach (Moustakas, 1994). Ten themes were distilled from the interviews and grouped into four categories: ongoing assessment, intuitive processes, countertransference, and the role of aesthetics and transformation. Participants described a flexible, dynamic clinical and personal process informed by ongoing assessment. These findings point to the importance of further discussion surrounding the clinical implications of the music therapist's internal experience and the role of assessment, intuition, and aesthetics in hospice music therapy.
音乐治疗师已经描述了为濒死患者提供音乐治疗的有力案例及个人经历，这些案例和经历表明这是一种复杂的体验，值得进一步探究。开展这项现象学研究是为了更好地理解音乐治疗师与濒死患者一起工作时的实际体验。四名音乐治疗师（两名女性，两名男性）参与了半结构化访谈，他们平均有10年临终关怀护理经验。采用现象学方法（穆斯塔卡斯，1994年）对数据进行了分析。从访谈中提炼出了十个主题，并归纳为四类：持续评估、直觉过程、反移情以及美学与转变的作用。参与者描述了一个由持续评估所引导的灵活、动态的临床及个人过程。这些发现指出了围绕音乐治疗师内心体验的临床意义以及评估、直觉和美学在临终关怀音乐治疗中的作用展开进一步讨论的重要性。
