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Proceedings, Oxford, UK (2002) - World Federation of Music Therapy

Proceedings, Oxford, UK (2002) - World Federation of Music Therapy

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There are already many music therapy reviews, why not use those?<br />

Going through the music therapy literature, already many literature<br />

reviews have been published. Many books contain reviews about<br />

research outcomes relevant for music therapy. You might want to refer to<br />

these reviews, but in terms <strong>of</strong> establishing evidence these reviews are<br />

<strong>of</strong>ten not useful. If we look more carefully at the current literature<br />

reviews, we <strong>of</strong>ten see that an expert has been invited to write about a cer-<br />

tain topic, which might have biased the review. A specific research ques-<br />

tion is <strong>of</strong>ten absent or subjective, which might again bias the conclusions<br />

derived in the review. Often the criteria are not outlined in the review<br />

why and how the discussed research studies were included. Or what<br />

methods did the author use to judge the quality <strong>of</strong> the included research<br />

studies? Often we see that there are many possible sources <strong>of</strong> bias, which<br />

makes it difficult to fully comprehend the conclusions presented in the<br />

review. The conclusions may be subjective and might be reflective <strong>of</strong> the<br />

author’s personal interest or theoretical background and also cultural fac-<br />

tors may have influenced the nature <strong>of</strong> the conclusion. Working in the<br />

field <strong>of</strong> music therapy, I know for myself as a fact how easily you can be<br />

driven towards subjective descriptions. Especially, in the field <strong>of</strong> music<br />

therapy you tend to take an <strong>of</strong>fensive point <strong>of</strong> view in your writings. This<br />

was also the case when I wrote the first protocol versions <strong>of</strong> the dementia<br />

review. I was rightfully corrected by the Cochrane editorial board, that I<br />

introduced bias by stating that music therapy IS effective instead <strong>of</strong><br />

MIGHT be effective, until research shows otherwise… Objectiveness<br />

should be our critical guide in evaluating, conducting and interpreting<br />

research. But how to go about? The great amount <strong>of</strong> subjectivity in eval-<br />

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