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題名 | Exploring the Listening Experiences during Guided Imagery and Music Therapy of Outpatients with Depression=門診憂鬱症患者於引導想像音樂治療之聆聽經驗分析 |
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作者 | 周美嫻; 林梅鳳; | 書刊名 | The Journal of Nursing Research |
卷期 | 14:2 民95.06 |
頁次 | 頁93-102 |
分類號 | 418.986 |
關鍵詞 | 引導想像音樂治療; 聆聽經驗; 憂鬱症; Guided imagery and music therapy; GIM; Listening experiences; Depression; |
語文 | 英文(English) |
中文摘要 | 本研究擬初步探討門診憂鬱症患者參與引導想像音樂治療之聆聽經驗,採立意取樣,在2003年4月至2004年6月期間,以南部某醫學中心門診之憂鬱症患者為研究對象,共五位個案參與,提供每位個案八次的個別音樂療程,研究者除現場觀察外,在每次治療後的24-48小時內再利用半結構訪談大綱進行電話深度訪談,每位個案共訪談八次,再依內容分析法進行資料分析。結果個案主觀認定有55段自覺印象深刻之聆聽經驗,共歸納為五個主題,包括:(1)敞徉自然風景的悠閒;(2)創造超現實的虛擬場景;(3)憶起過往的生活經驗;(4)沉浸音樂的主題旋律;(5)感受各樣的身體放鬆體驗。而引發原因包括有:音樂、個人、治療師及環境等四個因素,個案想像主題的出現受此四個因素所共同影響,其中又以音樂因素影響最大。本研究擬初步呈現憂鬱症患者於引導想像音樂治療聆聽經驗,建議未來可再繼續探討音樂想像經驗對個案後續的衝擊與改變,以作為未來相關臨床實務或研究參考。 |
英文摘要 | The purpose of this preliminary study was to explore the listening experiences of outpatient depression sufferers who underwent guided imagery and music therapy (GIM). A purposive sampling method was performed at the psychiatric outpatient clinic of a medical center in southern Taiwan from April 2003 to June 2004. The five subjects in this study all underwent a total of eight sessions of individual GIM therapy. The researcher invited a therapist to implement the GIM therapy sessions. Researchers conducted a semi-structured, in-depth telephone interview with each subject within 24 to 48 hours after each therapy session. Eight interviews were accomplished and transcribed for each case, and then subject to content analysis. The results showed a total of 55 important listening episodes, which could be categorized into the following 5 themes: (1) leisurely wandering in very natural sceneries; (2) creation of surreal virtual surroundings; (3) recollection of past life experiences; (4) submersion in thematic music melodies; and (5) experiencing various physical relaxation events. The triggering effect represented a combination of multiple factors, including music, the individual, the therapist and environment. The theme of each patient's imagery episode was a result of the effect of the four factors, with music having the greatest impact. This study hopes to present the listening experiences of depression sufferers in GIM therapy; to make suggestions for future investigations into subsequent impacts and changes that GIM has on patients; and to, perhaps, serve as references for future clinical practice or studies. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。