Uniwersyteckie Czasopisma NaukoweBeing together – Exploring the modulation of affect in improvisational music therapy with a man in a persistent vegetative state – a qualitative single case study
Słowa kluczowe:
improvisational music therapy, affect modulation, embodiment, isolation, neurological traumaAbstrakt
This article explores the role of affective expression and modulation as a means of communication in improvisational music therapy with a 44-year-old man living in a persistent vegetative state. Within a practice-based approach two vignettes from music therapy illustrate the regulation of the intensity of affect in an interpersonal relationship. Perspectives from modern attachment theory, developmental psychology, and embodiment research will be introduced and discussed, to theoretically frame and embed the practical work. It is suggested that the bodilyemotional situatedness of the man and the music therapist form the area of exchange for a non-verbal, affect-driven communication. In this way, playing with the affect is the main topic for the encounter, promoting self-organizational processes in both individuals involved.
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Bibliografia
Aldridge, D. (ed.). (2005). Music Therapy and Neurological Rehabilitation. Performing Health. London: Jessica Kingsley Publishers.
Ammaniti, M., & Gallese, V. (2014). The Birth of Intersubjectivity. Psychodynamics, Neurobiology, and the Self. New York: W.W. Norton & Company.
Baker, F., & Tamplin, J. (2006). Music therapy methods in neurorehabilitation. A clinician’s manual. London: Jessica Kingsley.
Barrett, K. C., Fox, N. A., Morgan, G. A., Fidler, D. J., & Daunhauer, L. A. (2013). Handbook of Self-Regulatory Processes in Development. New Directions and International Perspectives. New York and London: Psychology Press.
Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. London: Routledge.
Bowlby, J. (1969/1982). Attachment and loss: Vol. 1. Attachment (2nd ed.). New York: Basic Books.
Bruscia, K. E. (2014). Defining Music Therapy. (3rd ed.) University Park, IL: Barcelona Publishers.
Calkins, S. D., & Fox, N. A. (2002). Self-regulatory processes in early personality development: A multilevel approach to the study of childhood social withdrawal and aggression. Development and Psychopathology, 14, 477–498.
DeNora, T. (2000). Music in everyday life. Cambridge: Cambridge University Press.
Fuchs, T., & De Jaegher, H. (2009). Enactive intersubjectivity: Participatory sense-making and mutual incorporation. Phenomenology and the Cognitive Sciences, 8, 456–486. doi: 10.1007/s11097-009-9136-4
Gustorff, D., & Hannich, H.-J. (2000). Jenseits des Wortes. Musiktherapie mit komatösen Patienten auf der Intensivstation [Beyond the word. Music therapy with coma patients in intensive care]. Bern: Hans Huber.
Jochims, S. (1990). Singend miteinander verbunden sein... Die Stimme im Zentrum der Therapie bei neurologischen Erkrankungen in der Frühphase [Be connected to each other in singing... The voice in the center of the treatment of neurological disorders in the early phase]. Musiktherapeutische Umschau, 11, 127–131.
Jurist, E. L., Slade, A., & Bergner, S. (2008). Mind to Mind. Infant Research, Neuroscience, and Psychoanalysis. Other Press: New York.
Kennelly, J., & Edwards, J. (1997). Providing music therapy to the unconscious child in the pediatric intensive care unit. Australian Journal of Music Therapy, 8, 18–29.
Larsen, R. J. (2000). Towards a science of mood regulation. Psychological Inquiry, 11, 129–141.
Larsen, R. J., & Prizmic, Z. (2004). Affect regulation. In R. F. Baumeister & K. D. Vohs (eds.), Handbook of self-regulation: Research, theory, and applications (pp. 40–61). New York: Guilford Press.
Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment Theory and Affect Regulation: The Dynamics, Development, and Cognitive Consequences of Attachment-Related Strategies. Motivation and Emotion, 27, 77–102.
Nordoff, P., & Robbins, C. (1977/2007). Creative Music Therapy. New York, NY: Harper and Row.
Pavlicevic, M. (2002). Dynamic Interplay in Clinical Improvisation. Voices, 2.
Porges, S. W. (2011). The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation. Norton Series on Interpersonal Neurobiology. New York: W. W. Norton & Company.
Ridder, H. M., Stige, B., Qvale, L. G., & Gold, C. (2013). Individual music therapy for agitation in dementia: an exploratory randomized controlled trial. Aging and Mental Health, 17, 667–678. doi: 10.1080/13607863.2013.790926
Schmid, W. (2015). A journey to memories – improvisational music therapy in neurological rehabilitation with a woman experiencing acquired brain injury (ABI). In C. Dileo (ed.), Case reports in advanced medical music therapy (pp. 232–238). Cherry Hill, NJ: Jeffrey Books.
Schmid, W. (2013). A penguin on the moon: Self-organizational processes in improvisational music therapy in neurological rehabilitation. Nordic Journal of Music Therapy, 23, 152–172. doi: 10.1080/08098131.2013.783096
Schumacher, K., Calvet, C., & Reimer, S. (2011). Das EBQ-Instrument und seine entwicklungspsychlogischen Grundlagen [The AQR-instrument and it’s developmental – psychologically foundations]. Göttingen: Vandenhoeck & Ruprecht.
Schumacher, K., & Calvet, C. (1999). The “AQR” – an Analysis System to Evaluate the Quality of Relationship during Music Therapy. Evaluation of interpersonal relationships through the use of instruments in music therapy with profoundly developmentally delayed patients. Nordic Journal of Music Therapy, 8, 188–191. doi: 10.1080/08098139909477974
Schore, J. R., & Schore, A. N. (2008). Modern Attachment Theory: The Central Role of Affect Regulation in Development and Treatment. Clinical Social Work Journal, 36, 9–20. doi: 10.1007/s10615-007-0111-7
Shaver, P. R., & Mikulincer, M. (2014). Adult attachement and emotion regulation. In J. J. Gross (ed.), Handbook of Emotion Regulation (2nd ed.) (pp 237–250). New York, London: The Guildford Press.
Skånland, M. S. (2013). Everyday music listening and affect regulation: The role of MP3 players. International Journal of Qualitative Studies on Health and Well-being, 8, 20595. doi: 10.3402/qhw.v8i0.20595
Sloboda, J. A., O’Neill, S. A., & Ivaldi, A. (2001). Functions of music in everyday life: An exploratory study using the Experience Sampling Method. Musicae Scientiae, 5, 9–32.
Stern, D. (1985/2000). The Interpersonal World of the Infant. A View from Psychoanalysis & Developmental Psychology. New York: Basic Books.
Stern, D. (2010). Forms of Vitality: Exploring Dynamic Experience in Psychology, the Arts, Psychotherapy, and Development. Oxford, New York: Oxford University Press.
Tamplin, J. (2013). Adults in critical care. In J. Allen (ed.), Guidelines for Music Therapy Practice in Adult Medical Care. Gilsum, NH: Barcelona Publishers.
Tamplin, J. (2000). Improvisational music therapy approaches to coma arousal. Australian Journal of Music Therapy, 11, 38–51.
Trondalen, G., & Skårderud, F. (2007). Playing with affects… and the importance of “affect attunement”. Nordic Journal of Music Therapy, 16, 100–111. doi: 10.1080/08098130709478180
Uhlig, S., Jaschke, A., & Scherder, E. (2013). Effects of music on emotion regulation: A systematic literature review. Proceedings of the 3rd International Conference on Music & Emotion (ICME3). G. Luck & O. Brabant (eds.). Jyväskylä, Finland, 11-15 June 2013.
Van Goethem, A., & Sloboda, J. (2011). The functions of music for affect regulation. Musicae Scientiae, 15, 208. doi: 10.1177/1029864911401174
Van Goethem, A. (2010). Affect regulation in everyday life: Strategies, tactics, and the role of music. (Unpublished doctoral dissertation). Keele University, Keele.
Zieger, A. (2002). Der neurologisch schwerstgeschädigte Patient im Spannungsfeld zwischen Bio- und Beziehungsmedizin [The neurologically severely injured patient in the tension between traditional and relational medicine]. Intensiv, 10, 261–274.
