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Dissertation - World Federation of Music Therapy

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Table 6. 3 Elaborate description <strong>of</strong> core categories<br />

New perspectives – on past/present/future (all six participants)<br />

All participants described how the BMGIM process enabled them to experience<br />

themselves and aspects <strong>of</strong> their life – in the past, in the present and/or in the future –<br />

in new and different, <strong>of</strong>ten surprising ways. ’New ways’ include not only the<br />

discovery <strong>of</strong> unknown personal resources, interpretations and perspectives, but also a<br />

new readiness and ability to face difficult and challenging aspects <strong>of</strong> their life,<br />

including living with cancer. There is both a cognitive and an emotional dimension to<br />

the category. The imagery and the emotions are described as coming first, the more<br />

cognitive insights later.<br />

Enhanced coping (all six participants)<br />

All participants describe how they – at follow-up – were able to look back and<br />

identify new coping strategies at least partly developed as an outcome <strong>of</strong> the BMGIM<br />

therapy. It has provided the participants with a ”tool” that can be used for emotional<br />

adjustment, introspection or self-inquiry and exploration, supporting self confidence,<br />

relaxation, and finding courage to confront even difficult psychological issues. Two<br />

participants compared BMGIM to visualization techniques and described the main<br />

difference as an emotional depth and dynamic quality <strong>of</strong> the imagery in BMGIM, due<br />

to the music. ‘Control’ was not mentioned directly as an issue, however, it is clear that<br />

the control and security provided by the BMGIM format played an important role for<br />

the participants’ courage to explore their inner world.<br />

Improved mood and Quality <strong>of</strong> Life (all six participants)<br />

All participants described how the BMGIM experience had contributed to a balancing<br />

or stabilization <strong>of</strong> their mood state and improvement <strong>of</strong> their Quality <strong>of</strong> Life in several<br />

ways. States <strong>of</strong> beauty, harmony, comfort, happiness, and joy were <strong>of</strong>ten mentioned<br />

and related to both music and imagery. This category may be understood as a<br />

synthesized result <strong>of</strong> the other categories.<br />

Enhanced Hope (all six participants)<br />

All participants addressed the emotional abyss and existential chaos <strong>of</strong> the<br />

confrontation with the cancer disease. Hope is a belief in being able to overcome this<br />

state <strong>of</strong> chaos, loss and disempowerment and regaining a sense <strong>of</strong> stability and finding<br />

an optimistic attitude towards present and future, even if many things in life are<br />

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