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Dissertation - World Federation of Music Therapy

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The clinical relevance <strong>of</strong> the research project:<br />

BMGIM WITH CANCER SURVIVORS<br />

Clinical issues addressed in or by the research, providing evidence<br />

(positive/negative):<br />

• Quantitative issue: Documentation <strong>of</strong> +/- effectiveness <strong>of</strong> clinical models,<br />

procedures or techniques (interventions)<br />

• Descriptive and inferential statistics (see handout). NB! No control group<br />

• Qualitative issue 1: Descriptions and analyses <strong>of</strong> clinical processes<br />

• Core metaphors and configuration was identified and described<br />

• Qualitative issue 2: Documentation <strong>of</strong> client processes and outcome<br />

• Core categories <strong>of</strong> client-defined outcome were identified and described<br />

• Types <strong>of</strong> processes (in the music-listening periods) were identified<br />

• Theoretical issue: Examining existing theory and developing new theory<br />

• Hermeneutic theory was used to describe and explain image configuration<br />

• Grounded theories are proposed on several issues (process, music, imagery)<br />

• Meta-theoretical issue: Inspiration to reflection on goals and means<br />

• Cancer-specific versus existential needs <strong>of</strong> clients and issues in therapy<br />

Clinical issues derived from the research<br />

• Opening new clinical fields or areas<br />

BMGIM in oncology, adjunct treatment to chemotherapy, First Danish<br />

RCT, collaboration with university hospital<br />

• Serving as foundation <strong>of</strong> clinical modifications <strong>of</strong> practices or formats<br />

• BMGIM music selection as improvisation. Modification <strong>of</strong> programs.<br />

• Developing new theoretical concepts for well-known clinical phenomena<br />

• The concepts <strong>of</strong> supportive – mixed and challenging music<br />

• The concepts <strong>of</strong> core image/metaphor – self image/metaphor – configuration<br />

<strong>of</strong> narrative episodes in BMGIM<br />

• Stimulating reflection on ’effectiveness’<br />

• What do the participants find effective? -> How can BMGIM/music therapy<br />

give psychosocial support?<br />

Direct clinical effects:<br />

• Providing new clinical guidelines: from supportive to challenging music<br />

• Providing new clinical interventions: No?<br />

• Providing new clinical assessment tools: HADS, SOC-13 may be useful<br />

• Communication <strong>of</strong> new evidence to<br />

o politicians: Not yet<br />

o institutions: Wokshops and papers for KB, info to oncological doctors<br />

o managers: The hospice/pallative care situation is unclearin the area<br />

o journalists/the public: Public presentations (New project: 2xTV)<br />

o pr<strong>of</strong>essionals/journals/conferences: National, International<br />

578

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