University of Minnesota.
Florida State University.
J Music Ther. 2020 Jul 18;57(3):251-281. doi: 10.1093/jmt/thaa008.
While literature exists supporting the use of music for health promotion, scholars have also noted the potential for music-induced harm and other maladaptive effects of music. Harm is a multifaceted construct that can include affective, behavioral, cognitive, identity, interpersonal, physical, and spiritual aspects. As music also represents a multifaceted experience, the relationship between music and harm is complex and can include numerous contextual-, deliverer-, music-, and recipient-based factors. Music-induced harm (MIH) also needs to be clearly defined to understand and protect against it. Therefore, the purpose of this article was to explore the numerous factors influencing how music can result in harm and develop a theoretical model that could be used to inform safe music practices. Drawing from existing models of emotional responses to music, music intervention reporting guidelines, therapeutic functions of music, and holistic wellness, we explored how the interplay between the deliverer, music, and recipient can result in various types of MIH in diverse contexts. We then developed the MIH model to integrate these factors and connect the model with the existing literature. The MIH model highlights the relevance of academic and clinical training, credentialing, occupational regulation, continuing education, and professional organizations that provide accredited curricular oversight to protect people from MIH. Implications for clinical application, limitations, and suggestions for future research are provided.
虽然有文献支持将音乐用于促进健康，但学者们也注意到音乐可能带来的伤害和其他不良适应效应。伤害是一个多方面的概念，包括情感、行为、认知、身份、人际、身体和精神方面。由于音乐也是一种多方面的体验，音乐与伤害之间的关系是复杂的，可能包括众多基于背景、传递者、音乐和接受者的因素。为了理解和预防音乐诱导的伤害（MIH），还需要对其进行明确的定义。因此，本文的目的是探讨影响音乐如何导致伤害的众多因素，并开发一个理论模型，以指导安全的音乐实践。本文从现有的音乐情感反应模型、音乐干预报告指南、音乐的治疗功能和整体健康等方面入手，探讨了传递者、音乐和接受者之间的相互作用如何在不同的背景下导致各种类型的 MIH。然后，我们开发了 MIH 模型来整合这些因素，并将模型与现有文献联系起来。MIH 模型强调了学术和临床培训、认证、职业监管、继续教育以及提供认证课程监督的专业组织的相关性，以保护人们免受 MIH 的伤害。本文还提供了临床应用的启示、局限性以及对未来研究的建议。
