Ethical Practice Ethical Practice in Music Therapy Date: May 2014 WFMT Commission on Research and Ethics: Dr. Clare O’Callaghan (Chair), Dr. Daphne Rickson, Dr. Lars Ole Bonde, Dr. Eric Miller, Dr. Soo Ji Kim Suggested Guidelines for Conducting Music Therapy Literature Reviews & an Introduction to Systematic Reviews in Music Therapy This paper describes the kinds of literature reviews found in music therapy writings and offers ideas for authors preparing literature reviews related to their clinical practice and research. It includes a description of systematic review and lists samples of literature reviews and systematic reviews conducted in music therapy. What is a Literature Review? A literature review is an “explicit and reproducible method for identifying, evaluating, and synthesising the existing body of completed and recorded work produced by researchers, scholars, and practitioners” (Fink, 2005, p. 3) related to a specified area of inquiry. In music therapy a literature review can be found in: (a) a section within a research paper which informs the research conducted; (b) a stand-alone narrative summary of relevant research and/or theory (see Table 1); or (c) a systematic synthesis of research findings (also called a systematic review) to explain a music therapy phenomenon, including the effects of music therapy interventions, and to inform future research. Table 1. Sample of Narrative Summary Literature Reviews in Music Therapy Accordino, R., Comer, R., & Heller, W. B. (2007). Searching for music's potential: A critical examination of research on music therapy with individuals with autism. Research in Autism Spectrum Disorders, 1(1), 101-115. doi: 10.1016/j.rasd.2006.08.002 Brotons, M., Koger, S. M., & Pickett-Cooper, P. (1997). Music and dementias: A review of literature. Journal of Music Therapy, 34(4), 204-245. Hilliard, R. E. (2005). Music therapy in hospice and palliative care: a review of the empirical data. Evidence-Based Complementary and Alternative Medicine, 2(2), 173-178. doi: 10.1093/ecam/neh076 Lipe, A. W. (2002). Beyond therapy: Music, spirituality, and health in human experience: A review of literature. Journal of Music Therapy, 39(3), 209-240. Rickson, D. J. (2010). Music therapy school consultation: A literature review. New Zealand Journal of Music Therapy, 8, 59-91. Sherratt, K., Thornton, A., & Hatton, C. (2004). Music interventions for people with dementia: a review of the literature. Aging & Mental Health, 8(1), 3-12. doi: 10.1080/13607860310001613275 Silverman, M. J. (2003). Music therapy and clients who are chemically dependent: a review of literature and pilot study. Arts in Psychotherapy, 30(5), 273-281. doi: 10.1016/j.aip.2003.08.004 _____________________________________________________________________________________________________ What is a Systematic Review? As mentioned, a systematic review is one kind of literature review. “A systematic review attempts to identify, appraise, and synthesize all the empirical evidence that meets pre-specified eligibility criteria to 1 answer a given research question” (Cochrane Library, 2013). Specified methods are used in systematic reviews, which are aimed at minimizing bias to enable more reliable findings that can inform practice. Systematic reviews should be guided by the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines (Liberati, Altman, Tetzlaff, et al, 2009). A widely used systematic review procedure in music therapy is the Cochrane review (see below). Final publication may be under the Cochrane Collaboration (Table 2, part i) or as stand-alone articles in academic journals that use other systematic review procedures (see Table 2, part ii). Table 2. Sample of Systematic Reviews in Music Therapy and Music Interventions ___________________________________________________________________________________________________ (i) Research using the Cochrane Systematic Review Procedure (hence called, “Cochrane Reviews”) Bradt, J., & Dileo C. (2009). Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD006577. DOI: 10.1002/14651858.CD006577.pub2. Bradt. J., & Dileo, C. (2010). Music therapy for end-of-life care. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD007169. DOI: 10.1002/14651858.CD007169.pub2 Bradt, J., Dileo, C., & Grocke, D. (2010). Music interventions for mechanically ventilated patients. Cochrane Database of Systematic Reviews, Issue 12. Art. No.: CD006902. DOI: 10.1002/14651858.CD006902.pub2. Bradt, J., Dileo, C., Grocke, D., & Magill, L. (2011). Music interventions for improving psychological and physical outcomes in cancer patients. Cochrane Database of Systematic Reviews, Issue 8. Art. No.: CD006911. DOI: 10.1002/14651858.CD006911.pub2 Bradt, J., Dileo, C., & Shim M. (2013). Music interventions for preoperative anxiety. Cochrane Database of Systematic Reviews, Issue 6. Art. No.: CD006908. DOI: 10.1002/14651858.CD006908.pub2 Bradt, J., Magee, W. L., Dileo, C., & Wheeler, B. L., & McGilloway, E. (2010). Music therapy for acquired brain injury. Cochrane Database of Systematic Reviews, Issue 7. Art. No.: CD006787. DOI: 10.1002/14651858.CD006787.pub2 Gold, C., Wigram, T., & Elefant, C. (2006). Music therapy for autistic spectrum disorder. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD004381. DOI: 10.1002/14651858.CD004381.pub2 Maratos, A., Gold, C., Wang, X., & Crawford, M. (2008). Music therapy for depression. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD004517. DOI: 10.1002/14651858.CD004517.pub2 Mössler, K., Chen, X., Heldal, T. O., & Gold, C. (2011). Music therapy for people with schizophrenia and schizophrenia-like disorders. Cochrane Database of Systematic Reviews, Issue 12. Art. No.: CD004025. DOI: 10.1002/14651858.CD004025.pub3 f Vink, A. C, Bruinsma, M. S, & Scholten, R. J. P. M. (2004). Music therapy for people with dementia. Cochrane Database of Systematic Reviews, Issue 3. Art. No.: CD003477. DOI: 10.1002/14651858.CD003477.pub2 (ii) Research using other Systematic Review Procedures Clark, I., & Harding, K. (2012). Psychosocial outcomes of active singing interventions for therapeutic purposes: a systematic review of the literature. Nordic Journal of Music Therapy, 21(1), 80-98. doi: 10.1080/08098131.2010.545136 Clark, I. N., Taylor, N. F., & Baker, F. A. (2012). Music interventions and physical activity in older adults: a systematic literature review and meta-analysis. [Review]. Journal of Rehabilitation Medicine, 44(9), 710-719. Koger, S. M., Chapin, K., & Brotons, M. (1999). Is music therapy an effective intervention for dementia? A meta-analytic review of literature. Journal of Music Therapy, 36(1), 2-15. Ostermann, T., & Schmid, W. (2006). Music therapy in the treatment of multiple sclerosis: A comprehensive literature review. Expert Review of Neurotherapeutics, 6, 469-477. Pothoulaki, M., MacDonald, R., & Flowers, P. (2006). Methodological issues in music interventions in oncology settings: A systematic literature review. Arts in Psychotherapy, 33(5), 446-455. Rossignol, D. A., & Rossignol, D. A. (2009). Novel and emerging treatments for autism spectrum disorders: a systematic review. [Review]. Annals of Clinical Psychiatry, 21(4), 213-236. Schmidt, K., & Ernst, E. (2004). Music therapy for patients with cardiovascular diseases - A systematic review. Perfusion, 17(4), 136-144. Walker, I. D., & Gonzales, E. W. (2007). Review of intervention studies on people with multiple sclerosis. Issues Ment Health Nurs, 28, 511-531. Weller, C. M., & Baker, F. A. (2011). The role of music therapy in physical rehabilitation: a systematic 2 literature review. Nordic Journal of Music Therapy, 20(1), 43-61. Systematic approaches to literature reviews include the following components: Specification of the planned review methods; a focussed question; criteria for including and excluding literature; documentation of the search strategies including data sources; inclusion of tables and boxes which present the research methods examined; inclusion of tables to detail study characteristics; a description of how the quality of the studies is examined; discussion of limitations; inclusion of tables and graphics to illustrate data interpretation; appendices which include search strategies; samples of data extraction and methods of quality assessment; and declaration of author interest (Booth, Papaioannou, & Sutton, 2012). What is a Meta-Analysis (quantitative research)? When a systematic review in quantitative research uncovers good or high quality studies, reviewers may conduct a meta-analysis on those studies. In quantitative research, a meta-analysis uses various statistical methods to derive pooled summary estimates in order to produce an overall quantitative estimate for the intervention’s effect. A meta-analysis does not proceed when the systematic review does not meet specified criteria, for example, the study participants were not randomised, or it was a music therapy review but the study used only music as the intervention, not a therapeutic relationship. Meta-analyses should only be conducted on good or high quality studies, otherwise, they may produce biased estimates of treatment effect. What is a Cochrane Review? The Cochrane Collaboration disseminates reviews reporting on what is asserted as the best available information about healthcare interventions. A Cochrane review is a systematic assessment of a health care intervention consisting of: (a) a systematic review of literature (usually randomized or controlled clinical trials) related to the intervention and, if appropriate, (b) a meta-analysis of eligible trials (Higgins & Green, 2008). Guidelines for conducting Cochrane systematic literature reviews on quantitative research, including criteria for determining whether a trial is eligible for meta-analysis, can be found in the Cochrane Handbook (Higgins & Green, 2008). These reviews are usually conducted by a research team. Systematic Reviews, Meta-analyses, and Qualitative Research The aim of a qualitative systematic review is to integrate findings from studies by examining themes in and across studies (Booth, Papaioannou, & Sutton, 2012). The Cochrane Collaboration is currently considering standards for conducting systematic reviews on qualitative research. Although guidelines for conducting qualitative syntheses of the literature are found at the Cochrane collaboration website [i.e., http://cqim.cochrane.org/resources-conducting-qualitative-syntheses/ accessed 1st June 2014], and it is acknowledged that qualitative research can contribute to Cochrane Interventions reviews, no template is currently available to allow a Cochrane review solely of qualitative evidence (Noyes, Popay, Pearson, Hannes, & Booth, 2011). Cochrane Reviews and Music Therapy A sample list of music therapy Cochrane reviews is in Table 2. These and more music therapy Cochrane reviews can be accessed by going to the Cochrane Library (2013) website and searching through using the review’s title or keywords. The website is: http://www.thecochranelibrary.com/view/0/index.html While the Cochrane systematic reviews are helpful in promoting awareness of music therapy it is important to remember that they exclude much important research, including qualitative and most mixed method studies. Furthermore, high quality findings from music therapy Cochrane systematic reviews are not possible given that the Cochrane group states that any non-blinded, subjective research potentially has a “high bias risk” (Higgins & Green. 2008, p. 199): In music therapy studies it is not possible to blind participants and those providing the intervention (Bradt & Dileo, 2010, p. 6). This can be a problem. For example, a Cochrane review summary needed to state that there is, “insufficient evidence of high quality to support the effect of music therapy on quality of life of people in end-of-life care” (Bradt & Dileo, 2010, p. 2), even when the systematic meta-analysis in this Cochrane review found significant improvements in functional, psychophysiological, and social-spiritual quality of life outcomes. Shouldn’t all Literature Reviews be Systematic? All literature reviews should be systematic but there are varying degrees and types of systematization evident in the varied kinds of literature reviews (Booth, Papaioannou, & Sutton, 2012). Cooper (1988) identifies four approaches to literature reviews: exhaustive coverage (all relevant literature); exhaustive 3 coverage with selected citation; representative coverage; and coverage of pivotal works. Selective citation is regarded as potentially biased (Song, Parekh, & Hooper, 2012). In current academic literature reviews tend to be either narrative reviews which encompass available knowledge at the time it was written, or systematic reviews which aim to monitor the current state of the field and be periodically updated with new knowledge (Booth, Papaioannou, & Sutton, 2012). What Does a Literature Review Contain? A literature review can include the: 1. Introduction which outlines the focus of inquiry or “problem statement”. It is often helpful to explain the importance of the inquiry, including how it is filling a gap,that is, investigating something that has not been examined previously. 2. Presentation of research and theory related to the inquiry. 3. Critical appraisal (evaluation) and comparison of available information. 4. Depending on the literature review’s purpose, the literature review can inform research questions, if it is used to introduce research lead to a conclusion with implications for practice lead to recommendations for further inquiry and/or report on the effectiveness of an intervention (in a meta-analysis, for example, where the results of studies are combined and statistical techniques are used to analyse data) Conducting a Literature Review 1. Decide on the topic. Make sure you have a specific focus for your review. If the topic is too broad the literature review could be unmanageable. 2. Identify keywords and search databases. A database is a comprehensive collection of data related to a usually broad area of inquiry, and organized for easy, usually computerised access. These are available through many libraries. Keywords and terms are used to inform the search for relevant literature in electronic data bases and elsewhere.12 For example, if your topic is music therapy for pre-school children with autism spectrum disorder your keywords or terms would be “pre-school children”, “autism spectrum disorder”, and “music therapy”. If your topic is music therapy with children of alcoholics, your keywords and terms might be “families with an alcoholic caretaker” and “children who are psychologically abused”. These can be entered into computerised databases. One place to start is Google Scholar: http://scholar.google.com.au/schhp?hl=en&as_sdt=0,5. One place to start is Google Scholar: http://scholar.google.com.au/schhp?hl=en&as_sdt=0,5. Other data bases useful for searching for selected music therapy works follow. They have been grouped into related fields. Some will give you access to abstracts directly. Others will need to be accessed through a library service. Music Therapy: Created by Lars Ole Bonde for the Center for Music and Health in Oslo: http://www.refworks.com/refworks2/?site=041541163653200000%2fRWWS5A78380%2fMusic+Thera py+Literature+September+2012 Education: ERIC Medicine and health: MEDLINE, PubMed, EMBASE, LILACS, CANCERLIT, Scopus Nursing and allied health CINAHL Behavioral sciences and mental health: PsycINFO Social and natural sciences: Arts and Humanities Citation Index; Web of Science, Scopus Natural Sciences: Science Citation Index Theses: CAIRSS, Proquest Digital Dissertations Information on ongoing clinical studies: ClinicalTrials.gov, Current Controlled Trials, National Research Register, Library of database services: EBSCO 1 If you publish the research in an academic journal you will also likely be asked to provide key word descriptors of your article so that others may use keywords to find your article in the future. The United States National Library of Medicine also manages a controlled vocabulary thesaurus called “Medical Subject Headings” (MeSH®) which assists searching in medical journals. See http://www.nlm.nih.gov/pubs/factsheets/mesh.html 2 4 Another source is Ken Aigen’s (2008) comprehensive review of English language qualitative and mixed methods music therapy studies, published up until 2006. Aigen updated this list in 2012 and kindly agreed to its inclusion in Appendix 1.3 Some important music therapy literature may not be found through existing data bases and you may need to conduct a further search by hand. This means you need to go through library catalogues and find music therapy textbooks, conference proceedings including the World Federation of Music Therapy congress proceedings (hyperlink please), and bulletins. The lists of references in articles, theses, or dissertations that you review also can be valuable in tracking down additional sources. If you have time constraints and/or word limitations on your literature review, you may consider containing the literature review by further specifying its parameters or scope, for example, listing the specific data bases or publication dates searched. Even if you search for specific information, for example, published in the previous 10 years, it can be important to also seek and acknowledge the seminal writings in the field. For example, it is usually important to point to the pioneers in the field, such as Susan Munro if one is doing a review on music therapy and palliative care, and Paul Nordoff and Clive Robbins if one is doing a review on improvisational uses of music therapy. It is also important to analyze and cite original work and to avoid using secondary sources 4 whenever possible. It is also essential to provide the details of data bases searched, and search terms used, to allow others to reproduce research findings. . 3. Organize literature collected. Various methods can be used to organize your literature as it is collected. An EndNote or Refworks bibliographic library can be useful for storing articles/book chapters, etc, and notes kept on the literature can be inserted and easily retrieved. EndNote or Refworks on your own computer systems can be used to create or import folders of articles on specific subtopics, which can ultimately inform subsections in literature reviews. For example, subtopics for the literature search on pre-schoolers, children, and autism spectrum disoder could include: description of condition, music therapy goals and techniques used, work with patients and families, theoretical frameworks, clinical vignettes, research findings, and related work (e.g., related music education papers). When compiling research findings a Table can be helpful which separates the different kinds of findings. For example, qualitative, quantitative, and mixed methods findings may be placed in different Tables. Table 3 offers a possible template: Table 3. Template Example for Recording Literature Collected for a Literature Review Author(s)/ Year/ Source Participants Question /focus Context Research design: sampling; MT intervention; outcome measures; analytic procedure Results Conclusions Critique 4. Writing up the literature review The introductory paragraphs usually introduce the topic or problem statement, and highlight the proposed aim of the review, including whether it is to present an overview of available information on a topic, or to address a knowledge gap (which in turn provides a rationale for research that follows). The author then presents related information in sections, ensuring that transitions from paragraph to paragraph include a clear logical progression and justification about why the examined is important (Dileo, 2005). Authors may include discussions on limitations in existing research Please note that inclusion of this list is for readers’ interest. It is important to remember that qualitative, quantitative, and mixed methods research all have merit. There was no comparable quantitative research list in music therapy when this document was prepared. Readers are welcome to volunteer to update the research lists in the Appendix, and to commence a list on music therapy quantitative research. Please contact the Chair of the Research and Ethics Commission if interested. 4 A secondary source is a description of research, theory, or case study written by someone who did not write the original work. When writing academic work authors should cite the primary source whenever possible. The primary source is the original description of the material. 3 5 or theory (for example research findings based on small sample sizes), or contrasts in research findings on related areas. The writing should be concise and clear and use professional language. If the literature review informs a research study, the information should culminate in a statement of research aim/s or hypotheses. Please note, the word limit will determine how much you elaborate on the study rationale and presentation and critique of the findings. When Do I Start Conducting a Literature Review? A comprehensive literature review for a research project will ensure that you do not duplicate previously conducted research (and possible consequent imposition on research participants). When applying a quantitative research method, the literature review is conducted before the study. While the study progresses, however, researchers also need to check for ongoing publication of new research findings, theory, or case studies that relate to the study, and integrate these references into the literature review when appropriate. It is assumed that the researchers’ understanding of the literature before the study will not affect data analysis. When using a qualitative research method, researchers tend to familiarise themselves with the research topic enough to understand knowledge gaps, but not so much that it hinders the open manner in which qualitative data can be examined. This includes a literature review of the available empirical or quantitative research within their clinical focus area. Authors of qualitative study designs, however, can disagree about the literature review’s scope (Bryant & Charmaz, 2007). For example, when conducting grounded theory research, Strauss and Corbin (2008) state that familiarization with relevant literature before data is collected can help researchers to clarify interview questions and to sensitively analyse data. Charmaz (2008), however, recommends that literature reviews are delayed until after the analysis. Researchers will inevitably have preconceived understandings related to their research topic. Importantly, qualitative researchers must endeavour to not impose their views and related research findings and theories on their emergent findings (Bryant & Charmaz, 2007). This may be avoided through researchers detailing their pre-existing values by outlining their personal position and assumptions at the beginning of the study (Amir, 2005). Further Information and References Academic Skills Centre (2012). Writing a literatre review. University of Canberra, Australia. Accessed 1/6/13 from http://www.canberra.edu.au/studyskills/writing/literature. Aigen, K. (2008). An analysis of qualitative music therapy research reports 1987–2006: Articles and book chapters, Music Ther Pers, 35, 251-261. Amir, D. (2005). Grounded theory. In B. Wheeler (ed.) Music therapy research (2nd ed., pp. 364-378). Gilsum, NJ: Barcelona Pub: Booth, A., Papaioannou, A., & Sutton, A. (2012). Systematic approaches to a successful literature review. Sage: Los Angeles. Bradt. J., & Dileo, C. (2010). Music therapy for end-of-life care. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD007169. DOI: 10.1002/14651858.CD007169.pub2 Bryant, A. & Charmaz, K. (2007). Introduction. In L.H. Bryant and K. Charmaz (eds.). The Sage handbook of grounded theory (pp. 1-28). Sage Pub: Los Angeles. Charmaz, K. (2008). Grounded theory. In J. A. Smith (ed.), Qualitative psychology: A practical guide to research methods (2nd ed., pp. 81–110). Los Angeles: Sage Publications. Cochrane Library (2013) Acessed 10th February, 2014, from http://www.thecochranelibrary.com/view/0/AboutCochraneSystematicReviews.html Cooper, H. M. (1988). Organizing knowledge syntheses; a taxonomy of literature reviews. Knowledge in Society 1,104-126. Corbin, J. & Strauss, A. (2008). Basics of qualitative research 3e: Techniques and procedures for developing grounded theory, Thousand Oaks: Sage. Dileo, C. (2005). Reviewing the literature. In B. Wheeler (ed.). Music therapy research (2nd ed. pp. 105111). Gilsum, NH: Barcelona Publishers. Fink, A. G. (2005). Conducting research literature reviews: from the internet to paper. (2nd edition). Thousand Oaks: Sage. Higgins, J., & Green, S. (2008). Cochrane handbook for systematic reviews of interventions. Chichester: Wiley Blackwell. Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P., . . . Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ, 339, b2700. doi: 10.1136/bmj.b2700 6 Noyes, J., Popay, J., Pearson, A., Hannes, A., & Booth, A. (2011). Qualitative research and Cochrane reviews. In J. P. T. Higgins & S. Green. Cochrane Handbook for Systematic Reviews for Interventions. V5.1.0. Accessed 1/6/14 from http://handbook.cochrane.org/front_page.htm Song, F., Parekh, S., Hooper, L., Loke, Y. K., Ryder, J, Sutton, A. J., et al (2012). Dissemination and publication of research findings: an updated review of related biases. Health Technology Assessment 2010; Vol. 14: No. 8. Accessed 1/6/13 from http://www.hta.ac.uk/fullmono/mon1408.pdf Wheeler, B. (Ed.). (2005). Music therapy research (2nd ed.). Gilsum, NJ: Barcelona Publishers. (and 3 rd edition due late 2014). 7 Appendix 1. English Language Music Therapy Qualitative Research Studies. Compiled by Dr Kenneth Aigen and published here with his permission. The following list is in five sections: (1) Qualitative Only Articles and Book Chapters, (2) Mixed Method Articles and Book Chapters, (3) Music Therapy Qualitative Research Studies: Longer Publications, (4) Music Therapy Qualitative Doctoral Research Studies, (5) Music Therapy Mixed Method Articles and Book Chapters. Please note, while this list is comprehensive, it is not exhaustive. Qualitative Only Articles and Book Chapters (192). Updated June 27, 2012. Aasgard, T. (2000). ‘A Suspiciously Cheerful Lady’: A study of a song’s life in the paediatric oncology ward, and beyond . . . . British Journal of Music Therapy, 14(2), 70-82. Aasgaard, T. (2005). Song creations by children with cancer–Process and meaning. In D. Aldridge (Ed.), Case study designs in music therapy (pp. 67-96). London & Philadelphia: Jessica Kingsley Publishers. Abbott, E. (2005). Client experiences with the music in the Bonny Method of Guided Imagery and Music (BMGIM) In Qualitative inquiries in music therapy: A monograph series, volume 2, 36-61. Abrams, B. (2002). Definitions of transpersonal BMGIM experience. Nordic Journal of Music Therapy, 11(2), 103-126. Ahmadi, F. (2011). Song lyrics and the alteration of self-image. Nordic Journal of Music Therapy, 20(3), 225-241. Ahonen-Eerikäinen, H., Rippin, K., Sibille, N., Koch, R., & Dalby, D. M. (2007). “Not bad for an old 85-yearold!”-The qualitative analysis of the role of music therapeutic benefits and group therapeutic factors of the St. Joseph’s Alzheimer’s adults day group music therapy group. Canadian Journal of Music Therapy, 13(2), 37-62. Ahonen-Eerikäinen, H., & Houde, M. (2009). Something in the air: Journeys of self-actualization in musical improvisation. Voices: A World Forum for Music Therapy. Ahonen-Eerikäinen, H. (1999). Different forms of music therapy and working styles of music therapists–a qualitative study. Nordic Journal of Music Therapy, 8(2), pp. 156-167. Aigen, K. (1995). Cognitive and affective processes activated in music therapy: A preliminary model for contemporary Nordoff-Robbins practice. Music Therapy, 13(1), 13-46. Aigen, K. (2001). Popular musical styles in Nordoff-Robbins clinical improvisation. Music Therapy Perspectives, 19(1), 28-41. Aigen, K. (2009). Verticality and containment in song and improvisation: An application of schema theory to Nordoff-Robbins music therapy. Journal of Music Therapy, 46(3), 238-267. Aldridge, D., & Aldridge, G. (1996). A personal construct methodology for validating subjectivity in qualitative research. The Arts in Psychotherapy, 23(3), 225-236. Aldridge, G. (1996). “A walk through Paris”: The development of melodic expression in music therapy with a breast-cancer patient. The Arts in Psychotherapy, 23, 207-223. Aldridge, G. (1999). The development of melody: Four hands, two minds, one music. Info CD ROM II. University of Witten-Heredecke. Allgood, N. (2005). Parents’ perceptions of family-based group music therapy for children with autism spectrum disorders. Music Therapy Perspectives, 23(2), 92-99. Amir, D. (1990). A song is born: Discovering meaning in improvised songs through a phenomenological analysis of two music therapy sessions with a traumatic spinal-cord injured young adult. Music Therapy, 9(1), 62-81. Amir, D. (1993). Moments of insight in the music therapy process. Music Therapy, 12(1), 85-100. Amir, D. (1996). Experiencing music therapy. Meaningful moments in the music therapy process. In M. Langenberg, K Aigen, & J. Frommer (Eds.), Qualitative music therapy research: Beginning dialogues (pp. 109-130). Gilsum, New Hampshire: Barcelona Publishers. Amir, D. (1999). Musical and verbal interventions in music therapy: A qualitative study. Journal of Music Therapy, 36(2), 144-175. Amir, D. (2005). Musical humour in improvisational music therapy. Australian Journal of Music Therapy, 16, 1-22. Amir, D., & Yair, M. (2008). When the piano talks: Finding meaning in piano improvisations created by three children at risk who live in residential care. In Qualitative inquiries in music therapy: A monograph series, volume 4, 113-166. Ansdell, G. (1996). Talking about music therapy: A dilemma and a qualitative experiment. British Journal of Music Therapy, 10(1), 4-15. 8 Andsell, G., Davidson, J., Magee, W. L., Meehan, J. & Procter, S. (2010). From “this f***ing life” to “that's better” … in four minutes: An interdisciplinary study of music therapy's “present moments” and their potential for affect modulation. Nordic Journal of Music Therapy, 19(1), 3-28. Ansdell, G., & John, M. (2010). "Some light at the end of the tunnel": Exploring users' evidence for the effectiveness of music therapy in adult mental health settings. Music and Medicine: An Interdisciplinary Journal, 2(1), 29-40. Arnason, C. (2003). Music therapists’ listening perspectives in improvisational music therapy. Nordic Journal of Music Therapy, 12(2), pp. 124-138. Arnason, C. & Seabrook, D. (2010). Reflections on change in arts-based research: The experiences of two music therapists. Voices: A World Forum for Music Therapy, 10(1). Baker, F. (2007). Enhancing the clinical reasoning skills of music therapy students through problem based learning: An action research project. Nordic Journal of Music Therapy, 16(1), 27-41. Baker, F., & Krout, R. E. (2011). Collaborative peer lyric writing during music therapy training: a tool for facilitating students' reflections about clinical practicum experiences. Nordic Journal of Music Therapy, 20(1), 62-89. Barrera, M.E., Rykov, M. H., & Doyle, S.L. (2002). The effects of interactive music therapy on hospitalized children with cancer: a pilot study. Psycho-Oncology 11, 379-388. Bensimon, M. & Amir, D. (2010). Sharing my music with you: The musical presentation as a tool for exploring, examining and enhancing self-awareness in a group setting. The Journal of Creative Behavior. 44(4), 259-277. Bensimon, M., Amir, D. & Wolf, Y. (2008). Drumming through trauma: Music therapy with post-traumatic soldiers. The Arts in Psychotherapy, 35(1), 34-48. Bensimon, M., Amir, D. & Wolf, Y. (2012). A pendulum between trauma and life: Group music therapy with post-traumatized soldiers. The Arts in Psychotherapy, 39(4), 223-233. Blom, K. M. (2011). Transpersonal-spiritual BMGIM experiences and the process of surrender. Nordic Journal of Music Therapy, 20(2), 185-203. Brescia, T. (2005). A qualitative study of intuition as experienced and used by music therapists. In Qualitative inquiries in music therapy: A monograph series, volume 2, 62-112. Bonde, L. O. (2005). “Finding a new place . . .”: Metaphor and narrative in one cancer survivor’s BMGIM therapy. Nordic Journal of Music Therapy, 14(2), 137-154. Bonde, L.O. (2007). Imagery, metaphor, and perceived outcome in six cancer survivors’ Bonny Method of Guided Imagery and Music (BMGIM) therapy. In Qualitative inquiries in music therapy: A monograph series, volume 3, 132-164. Brooks, D. (2002A). A holistic description of beginning trainee experiences in live observation GIM supervision. Nordic Journal of Music Therapy, 11(2), pp. 142-151. Brooks, D. (2002B). Supervision strategies for the Bonny Method of Guided Imagery and Music (BMGIM). In K. E. Bruscia & D. E Grocke (Eds.), Guided Imagery and Music: The Bonny method and beyond (pp. 519-532). Gilsum, New Hampshire: Barcelona Publishers. Brown, S. & Pavlicevic, M. (1996). Clinical improvisation in creative music therapy: Musical aesthetic and the interpersonal dimension. The Arts in Psychotherapy, 23(5), 397- 405. Bruscia, K. E. (1995). Modes of consciousness in guided imagery and music (GIM): A therapist’s experience of the guiding process. In Carolyn B. Kenny (Ed.), Listening, playing, creating: Essays on the power of sound, (pp. 165–197). Albany, NY: SUNY Press. Bruscia, K. E. (1998). Standards of integrity for qualitative music therapy research. Journal of Music Therapy, 35(3), 176-200. Bruscia, K., Abbott, E., Cadesky, N., Condron, D., Hunt, A. M., Miller, D. & Thomae, L. (2005). 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Experiences and concerns of students during music therapy practica. Journal of Music Therapy, 39, 274-304. Wheeler, B. L., & Baker, F. A. (2010). Influences of music therapists’ worldviews on work in different countries. The Arts in Psychotherapy, 37(3), 215-227. Williams, K. (2006). Action inquiry into the use of standardized evaluation tools for music therapy. Voices: A World Forum for Music Therapy, 6(2). Wu, S.M., I-Shou, U, (2002). Effects of music therapy on anxiety, depression and self-esteem of undergraduates. Psychologia: An International Journal of Psychology in the Orient, 45(2), 104-114. Yehuda, N. (2002). Multicultural encounters in music therapy: A qualitative research. Voices: A World Forum for Music Therapy, 2(3). Young, L., & Aigen, K. (2010). Supervising the supervisor: The use of live music and identification of parallel processes. The Arts in Psychotherapy, 37(2), 125-134. Zanders, M. (2008). Metaphors clients use to describe their experiences in BMGIM. Qualitative inquiries in music therapy: A monograph series, volume 4, 45-68. 15 Mixed Methods Articles and Book Chapters (15) Baker, F, & Grocke, D. (2009). Challenges of working with people aged 60-75 years from culturally and linguistically diverse groups: Repertoire and music therapy approaches employed by Australian music therapists. Australian Journal of Music Therapy, 20, 30-55. Baker, F. (2007). Enhancing the clinical reasoning skills of music therapy students through problem based learning: An action research. Nordic Journal of Music Therapy, 16(1), 27-41. Barry, P., O'Callaghan, C., Wheeler, G., Grocke, D. (2010). Music therapy CD creation for initial pediatric radiation therapy: A mixed methods analysis. Journal of Music Therapy, 47(3), 233-263. Choi, C. M. H. (2010). A pilot analysis of the psychological themes found during the CARING at Columbiamusic therapy program with refugee adolescents from North Korea. Journal of Music Therapy, 47(4), 380-407. Froman, R. J. (2009). Music therapy practice with Jewish people in the United States of America. Music Therapy Perspectives, 27(1), 33-41. Gilboa, A., Yehuda, N., & Amir, D. (2009). Let's talk music: A musical-communal project for enhancing communication among students of multi-cultural origin. Nordic Journal of Music Therapy, 18(1), 331. Gilboa, A. & Roginsky, A. (2010). Examining the dyadic music therapy treatment (DUET): the case of a CP child and his mother. Nordic Journal of Music Therapy,19(2), 103-132. Grocke, D., Bloch, S., Castle, D. (2009). The effect of group music therapy on quality of life for participants living with a severe and enduring mental illness. Journal of Music Therapy, 46 (2), 90-104. Jacobsen, S., & Wigram, T. (2007). Music Therapy for the assessment of parental competencies for children. Nordic Journal of Music Therapy, 16(2), 129-143. McFerran, K., Roberts, M., & O'Grady, L., (2010). Music therapy with bereaved teenagers: A mixed methods perspective. Death Studies, 34(6), 541-565. O’Callaghan, C., Sproston, M., Wilkinson, K., Willis, D., Milner, A., Grocke, D., & Wheeler, G. (in press). Effect of self-selected music on adults’ anxiety and subjective experiences during initial radiotherapy treatment: a randomized controlled trial and qualitative research. Journal of Medical Imaging and Radiation Oncology. Ridder, H. M., Wigram, T. & Marie, A. (2009). A pilot study on the effects of music therapy on frontotemporal dementia-developing a research protocol. Nordic Journal of Music Therapy, 18(2), 103-132. Shoemark, H. & Grocke, D. (2010). The markers of interplay between the music therapist and the high risk full term infant. Journal of Music Therapy, 47(4), 306–334. Short, A. (2007). Theme and variations on quietness: Relaxation-focused music and imagery in aged care. Australian Journal of Music Therapy, 18, 39-61. Silverman, M. J. (2010). Perceptions of music therapy interventions from inpatients with severe mental illness: A mixed-methods approach. The Arts of Psychotherapy, 37(3), 163-248. 16 Music Therapy Qualitative Research Studies: Longer Publications Updated July 7, 2012. Single and Multiple Author Books & Monographs Aigen, K. (1996/2005). Being in music: Foundations of Nordoff-Robbins music therapy. Gilsum, NH: Barcelona. Aigen, K. (1997/2005). Here we are in music: One year with an adolescent, creative music therapy group. Gilsum, NH: Barcelona. Aigen, K. (1998). Paths of development in Nordoff-Robbins music therapy. Gilsum, NH: Barcelona. [Japanese, 2001; Korean, 2009] Aigen, K. (2002/2005). Playin= in the band: A qualitative study of popular music styles as clinical improvisation (with DVD). Gilsum, NH: Barcelona. Aldridge, G. & Aldridge, D. (2008). Melody in music therapy: A therapeutic narrative analysis. London: Jessica Kingsley. Lee, C. (1996). Music at the edge: The music therapy experience of a musician with AIDS. London: Routledge. Multiple Author and Edited Books with Individual Contributions Stige, B., Ansdell, G., Pavlicevic, M., & Elefant, C. (2010). Where music helps: Community music therapy in action and reflection. Surrey, England: Ashgate. 17 Music Therapy Qualitative Doctoral Research Studies Updated June 21, 2012. Aasgaard, T. (2002). Song creations by children with cancer–Process and meaning. Unpublished doctoral dissertation, Aalborg University, Aalborg, Denmark. Abbott, E.A. (2009). Facilitating Guided Imagery and Music: What therapists intend, experience, and do. (Doctoral Dissertation, Temple University, 2008). Dissertation Abstracts International, 69(8). ????A. Abrams, B. (2001). Defining transpersonal experiences of guided imagery and Music (GIM) (Doctoral dissertation, Temple University, 2000). Dissertation Abstracts International-A 61(10), 3817. UMI No. 9990288. Alvares, T.B.S. (2001). The experience of being a mother of children up to two-and-a-half years old and the Bonny Method of Guided Imagery and Music. (Doctoral Dissertation, University of Miami, 2001). Dissertation Abstracts International, 62(11), 3721A. Amir, Dorit. (1992). Awakening and expanding the self: Meaningful moments in the music therapy process as experienced and described by music therapists and music therapy clients. (Doctoral dissertation, New York University, 1992). Dissertation Abstracts International, 53(08), 4361. Ansdell, G. (1999). Music therapy as discourse and discipline: A study of music therapist’s dilemma. Doctoral dissertation, City University, London. Arnason, C. (1998). The experience of music therapists in an improvisational music therapy group. (Doctoral dissertation, New York University, 1998). Dissertation Abstracts International,59(09), 3386. Auf der Heyde, T. M. C. (2012). Interpersonal rhythms disrupted by a history of trauma: An in-depth case study of analytical music therapy. (Doctoral Dissertation, City University of New York 2012). Dissertation Abstracts International, 73(7). ????A. Austin, D. (2004). When words sing and music speaks: A qualitative study of in depth psychotherapy with adults. (Doctoral dissertation, New York University, 2003). Dissertation Abstracts International, 64(11), 3895. Backer, J. D. (2005). Music and psychosis: The transition from sensorial play to musical form by psychotic patients in a music therapeutic process. Unpublished doctoral dissertation, Aalborg University, Aalborg, Denmark. Barnes, G.P. (2011). Moments of Meeting: Difficulties and developments in shared attention, interaction, and communication with children with autism during two years of music therapy in a public preschool class. (Doctoral Dissertation, Lesley University, 2010). Dissertation Abstracts International, 72(6). ?A. Bonde, L.O. (2004). The Bonny Method of Guided Imagery and Music (BMGIM) with cancer survivors. A psychosocial study with focus on the influence of BMGIM on mood and quality of life. Doctoral Dissertation, University of Aalborg, Aalborg, Denmark. Brescia, T.M. (2005). A qualitative study of intuition as experienced and used by music therapists. (Doctoral dissertation, New York University, 2005). Dissertation Abstracts International, 65 (11), 4140A. Brooks, D. M. (1998). Anima experiences of men in Guided Imagery and Music (GIM) (Doctoral Dissertation, Temple University, 1998). Dissertation Abstracts International 59 (6), 1957A. van Colle, Susan J. (2003). Music therapy process with young people who have severe and multiple disabilities. Department of Music - University of Reading. DiCamillo, Mary Patricia. (2000) A bio-psycho-social model of music therapy-assisted childbirth: An integrative approach to working with families. (Doctoral Dissertation, Pepperdine University, 1999). Dissertation Abstracts International, 60(12) 4329A. Dillard, L. M. (2003). Musical countertransference experiences of psychodynamically oriented music therapists. (Doctoral Dissertation, Alliant International University, 2003) Dissertation Abstracts International 64(5), 2384B. DiRaimondo, D. C. (2002). The magic within the music: Exploring the use of music in psychotherapy with adolescents (Doctoral dissertation, Alliant International University, 2002) Dissertation Abstracts International 63(5), 2578B. Eyre, L. (2009). Musically-prepared and non musically-prepared narratives by persons living with schizophrenia. (Doctoral Dissertation, Temple University, 2008). Dissertation Abstracts International, 69(8). ????A. Fidelibus, J. (2004). Mindfulness in music therapy clinical improvisation: When the music flows. (Doctoral Dissertation, New York University). Dissertation Abstracts International, 65(3) 750. Forinash, M. (1990). A phenomenology of music therapy with the terminally ill. (Doctoral dissertation, New York University, 1990). Dissertation Abstracts International, 51(09), 2915A. Gardner, C. (1999). Music therapy: Enhancing communication between family caregivers and their loved ones with dementia. (Doctoral dissertation, New York University, 1999). Dissertation Abstracts International, 60(6) 1953A. 18 Gardstrom, S. . C. (2004). An investigation of meaning in clinical music improvisation with troubled adolescents (Doctoral dissertation, Michigan State University, 2004). Dissertation Abstracts International, 64(12), 4261A. Gonzalez, D. (1992). Mytho-poeic music therapy: A phenomenological investigation into its application with adults.. (Doctoral dissertation, New York University, 1992). Dissertation Abstracts International, 53(8), 4371B. Grocke, D.E. (1999). A phenomenological study of pivotal moments in Guided Imagery and Music therapy. (Doctoral dissertation, University of Melbourne, Australia, 2000). Dissertation Abstracts International, 53(8), 4371B. Available at www.musictherapyworld.net Hadley, S. (1998). Exploring relationships between life and work in music therapy: The stories of Mary Priestley and Clive Robbins. (Doctoral Dissertation, Temple University, Philadelphia). Dissertation Abstracts International, 59 (10), 3690A. Hahna, Nicole (2011). Conversations from the classroom: Reflections on feminist music therapy pedagogy. (Doctoral Dissertation, Lesley University, Boston). Hammel-Gormley, A. (1995). Singing the songs: A qualitative study of music therapy with individuals having psychiatric illnesses as well as histories of childhood sexual abuse. (Doctoral dissertation, New York University, 1995). Dissertation Abstracts International, 56(10), 5768. Hahna, N. D. (2011). Conversations from the classroom: Reflections on feminist music therapy pedagogy in teaching music therapy. (Doctoral Dissertation, Lesley University). Hiller, J. (2011). Theoretical foundations for understanding the meaning potentials of rhythm in improvisation. (Doctoral Dissertation,Temple University) Houck, A.J. Whitehead. (2008). The development of a music therapy protocol for determining the spiritual needs of hospice patients. (Doctoral Dissertation, University of Minnesota, 2007). Dissertation Abstracts International, 68(08), ?A. Jackson, N.A. (2009). Ways in which music therapists experience and respond to client anger. (Doctoral Dissertation, Temple University, 2008). Dissertation Abstracts International, 69(8). ?A. Jampel, P. (2006). Performance in music therapy with mentally ill adults (Doctoral dissertation, New York University, 2006). Jonsdottir, V. (2011): Music-caring within the framework of early intervention. The lived experience of a group of mothers of young children with special needs, participating in a music therapy group. (Doctoral Dissertation, Aalborg University, Denmark). Kasayka, R. E. (1991). To meet and match the moment of hope: Transpersonal elements of the guided imagery and music experience. (Doctoral dissertation. New York University, 1991). Dissertation Abstracts International, 52(06), 2062A. (UMI No. DEY9134754). Keith, D. (2005). Understanding music improvisations: A comparison of methods of meaning-making. (Doctoral Dissertation, Temple University, Philadelphia, 2005). Dissertation Abstracts International, 66(6), 2015A. Kenny, Carolyn. (1987). The field of play: A theoretical study of music therapy process. (Doctoral dissertation, The Fielding Institute, 1987). Dissertation Abstracts International, 48(12), 3067A. (UMI No. .DEV 8802367) Kim, M. (2006). Intentionality of autistic individuals expressed while engaged in the creative music making process. (Doctoral Dissertation, New York University, 2006). Dissertation Abstracts International, 66(12), 6943. (UMI # 3199975). Lee. C. (1992). The analysis of therapeutic improvisatory music with people living with the virus HIV and AIDS. (Doctoral thesis, City University, London, 1992). Dissertation Abstracts International, 55(09), 2631. Loewy, J. V. (1995). A hermeneutic panel study of music therapy assessment with an emotionally disturbed boy. (Doctoral dissertation, New York University, 1994). Dissertation Abstracts International, 55(09), 2631. Loveszy, R. R. (2006). Musical journeys: Music therapy with Latin American mother-infant dyads in a substance abuse rehabilitation program. (Doctoral dissertation, New York University, 2006). Dissertation Abstracts International, 66(12), 6928B. UMI #3199979 Luce, D. W. (2002). Collaborative learning in music therapy education as experienced in a course in the foundations and principles of music therapy (Doctoral dissertation Michigan State University, 2001). Dissertation Abstracts International, 62(7), 2370A. Mandel, S. E. (2008). Effects of music-assisted relaxation and imagery (MARI) on health-related outcomes in cardiac rehabilitation: Follow-up study. (Doctoral Dissertation, Union Institute and University, 2007). Dissertation Abstracts International, 68(08), ????B. 19 Magee, W. (1998). “Singing My Life, Playing Myself.” Investigating the use of familiar pre-composed music and unfamiliar improvised music in clinical music therapy with individuals with chronic neurological illness. Doctoral dissertation, University of Sheffield, UK. Magill, L. (2007). The spiritual meaning of music therapy after the death of a loved one: A qualitative study of surviving caregivers. (Doctoral dissertation, New York University, 2007). Dissertation Abstracts International, 68(1), 22. Meadows, A. (2002). Gender implications in Guided Imagery and Music therapists’s constructs of their clients. (Doctoral Dissertation, Temple University, 2002). Dissertation Abstracts International, 63 (01), 540B. Milgram-Luterman, J. A. (2001). A phenomenological study of a music therapy peer support group for senior music therapy students (Doctoral dissertation, Michigan State University, 2000). Dissertation Abstracts International, 62(3), 956A. Nagler, J. (1993). A qualitative study of children in crisis: Interventions through music therapy digital music technology. (Doctoral dissertation, New York University, 1993). Dissertation Abstracts International, 54(07), 2502A (UMI No. 9333953). O’Callaghan, C. (2001). Music therapy’s relevance in a cancer hospital researched through a constructivist lens. Unpublished doctoral dissertation, University of Melbourne. Odell-Miller, H. (2007). The practice of music therapy for adults with mental health problems: The relationship between diagnosis and clinical method. Doctoral Dissertation, Aalborg University, Denmark. Pavlicevic, M. (1991). Music in communication: Improvisation in music therapy. Doctoral Dissertation, University of Edinburgh, 1991. Pedersen, I. P. (2006). Countertransference in music therapy. Doctoral Dissertation, Aalborg University, Denmark. Ramsey, D. (2003). The restoration of communal experiences during the group music therapy process with non-fluent aphasic patients. (Doctoral dissertation, New York University, 2002). Dissertation Abstracts International, 63(07), 3266. Richardson-Delgado, Jodi, M. (2006). Exploring burnout and renewal among music therapy faculty (Doctoral Dissertation, Capella University, 2005). Dissertation Abstracts International, 67(04), 2267B. Ridder, H.M.O. (2005). Singing dialogue: Music therapy with persons in advanced stages of dementia. (Doctoral dissertation, Aalborg University, Aalborg, Denmark). Rohrbacher, M. J. (1993). The ethnomusicology of music therapy (Doctoral dissertation, University of Maryland, 1993). Dissertation Abstracts International, 54 (04), 1145A. Rykov, M.H. (2007). Music at a time like this: Music therapy cancer support groups. (Doctoral Dissertation, University of Toronto, 2006). Dissertation Abstracts International, 68(01), 49A. Shoemark, H. (2008). “What are the markers of interplay between the music therapist and the medically fragile neonate?” (Doctoral Dissertation, University of Melbourne.) Short, A. (2003). Holistic aspects of rehabilitation post-cardiac surgery using the Bonny Method of Guided Imagery and Music (GIM). University of Technology, Sydney. Doctoral Thesis. Skewes, K. (2001). The experience of group music therapy for six bereaved adolescents (Doctoral Dissertation, University of Melbourne, 2001). Dissertation Abstracts International, 36(2) 641C. Stige, B. (2003). Elaborations toward a notion of community music therapy. Doctoral Dissertation, University of Oslo. Acta Humaniora Nr. 175. Oslo, Norway: Unipub. Sorel, S.N. (2005). Presenting Carly and Elliot: Exploring roles and relationships in a mother-son dyad in Nordoff-Robbins music therapy. (Doctoral dissertation, New York University, 2005). Dissertation Abstracts International, 65(11), 4143A. Summer, L. (2009): Client perspectives on the music in guided imagery and music (GIM). (Doctoral Dissertation, Aalborg University, Denmark). Swamy, Sangeeta (2010). Temple of ancient knowing: Music therapy portraits of globalized Indian identity. (Doctoral Dissertation, Lesley University, Boston). Tomaino, C. (1998). Music on their minds: A qualitative study of the effect of using familiar music to stimulate preserved memory function in persons with dementia. (Doctoral dissertation, New York University, 1998). Dissertation Abstracts International, 59(5), 1504A. Turry, A. (2007). The connection between words and music in music therapy improvisation: An examination of a therapist’s method. (Doctoral dissertation, New York University, 2007). Dissertation Abstracts International, 68(1). Vaillancourt, G. (2009). Mentoring apprentice music therapists for peace and social justice through community music therapy: An arts based study (Doctoral Dissertation, Antioch University). Viega, M. (2012). “Loving me and my butterfly wings:” An arts-based study of songs written by inner city adolescents. (Doctoral Dissertation, Temple University). 20 Warner, C. (2004). Music therapy with adults with learning difficulties and ‘severe challenging behaviour.’ An action research inquiry into the benefits of group music therapy within a community home. (Doctoral dissertation, University of the West of England, Bristol, UK). Zanders, M. L. (2011). The musical and personal biographies of adolescents with foster care experience. (Doctoral Dissertation, Temple University). 21 Music Therapy Mixed Method Doctoral Research Studies Beck, B. D. (2012). Guided Imagery and Music (GIM) with adults on sick leave suffering from work-related stress : A mixed methods experimental study. Doctoral dissertation, University of Aalborg. Aalborg, Denmark. Bonde, L.O. (2004). The Bonny Method of Guided Imagery and Music (BMGIM) with cancer survivors. A psychosocial study with focus on the influence of BMGIM on mood and quality of life. Doctoral Dissertation, University of Aalborg, Aalborg, Denmark. Carpente, J. (2009). Contributions of Nordoff-Robbins Music Therapy within a developmental, individualdifferences, relationship-based (DIR®)/floortime™ framework to the treatment of children with autism: Four case studies. (Doctoral Dissertation, Temple University.) Creagh, B. (2005). Transformative mourning: The Bonny Method of Guided Imagery and Music for widowed persons. (Doctoral Dissertation, Union Institute and University, 2005). Dissertation Abstracts International, 66(02), 1165B. Colle, Susan J. van (2003). Music therapy process with young people who have severe and multiple disabilities. Department of Music - University of Reading. DiCamillo, M. P. (2000) A bio-psycho-social model of music therapy-assisted childbirth: An integrative approach to working with families (Doctoral Dissertation, Pepperdine University, 1999). Dissertation Abstracts International, 60(12) 4329A. Hunt, A. (2011). A neurophenomenological description of the guided imagery and music experience. (Doctoral Dissertation, Temple University). Jacobsen, S. L. (2012). Music therapy assessment and development of parental competences in families where children have experienced emotional neglect: An investigation of the reliability and validity of the tool, Assessment of Parenting Competencies (APC). Doctoral Dissertation, University of Aalborg. Aalborg, Denmark. Keith, D. (2005). Understanding music improvisations: A comparison of methods of meaning-making. (Doctoral Dissertation, Temple University, Philadelphia, 2005). Dissertation Abstracts International, 66(6), 2015A. Lindvang, C. (2010): A Field of resonant learning: Self-experiential training and the development of music therapeutic competencies: A mixed methods investigation of music therapy students experiences and professional’s evaluation of their own competencies. (Doctoral Dissertation, Aalborg University, Denmark). Mandel, S. E. (2008). Effects of music-assisted relaxation and imagery (MARI) on health-related outcomes in cardiac rehabilitation: Follow-up study. (Doctoral Dissertation, Union Institute and University, 2007). Dissertation Abstracts International, 68(08), ?B. Meadows, A. (2002). Gender implications in Guided Imagery and Music therapists’ constructs of their clients. (Doctoral Dissertation, Temple University, 2002). Dissertation Abstracts International, 63 (01), 540B. O’Callaghan, C. (2001). Music therapy’s relevance in a cancer hospital researched through a constructivist lens. Unpublished doctoral dissertation, University of Melbourne. Odell-Miller, H. (2007). The practice of music therapy for adults with mental health problems: The relationship between diagnosis and clinical method. (Doctoral Dissertation, Aalborg University, Denmark). Pavlicevic, M. (1991). Music in communication: Improvisation in music therapy. Doctoral Dissertation, University of Edinburgh, 1991. Richardson-Delgado, Jodi, M. (2006). Exploring burnout and renewal among music therapy faculty (Doctoral Dissertation, Capella University, 2005). Dissertation Abstracts International, 67(04), 2267B. Ridder, H. M. O. (2003). Singing dialogue: Music therapy with persons in advanced stages of dementia. (Doctoral dissertation, Aalborg University, Aalborg, Denmark). Rohrbacher, M. J. (1993). The ethnomusicology of music therapy (Doctoral dissertation, University of Maryland, 1993). Dissertation Abstracts International, 54 (04), 1145A. Schwantes, M. (2011) Music therapy’s effects on Mexican migrant farmworkers’ levels of depression, anxiety and social isolation: A mixed methods randomized control trial utilizing participatory action research. (Doctoral Dissertation, Aalborg University, Denmark). 22