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Forms of attunement during the initial stages of music therapy for patients with acute psychosis - A multicentre clinical study

Bibliographic Data

ID4700604
AuthorsSusanne Metzner (0000-0001-6745-7337), Ulrich Jaeger (Asklepios Clinic Tiefenbrunn, Rosdorf, Germany), Oliver Masuhr (Asklepios Clinic Tiefenbrunn, Rosdorf, Germany), Ulrike Olschewski, Elisabeth Gräfe, Anne Christin Böske (Clinic for Psychiatry, Psychosomatic Medicine and Psychotherapy, HELIOS Park-Clinic Leipzig, Leipzig, Germany), Michael Dümpelmann (Asklepios Clinic Tiefenbrunn, Rosdorf, Germany)
Year2018
Volume27
Issue5
Pages360-380
Publication date2018-10-20
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueNordisk Tidsskrift for Musikkterapi (JOURNAL)
Journal identifiersISSN: 0803-9828 • E-ISSN: 1944-8260
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/08098131.2018.1478879
OpenAlexW2887937082
LanguageEN
Citations received2
References cited30

The aim of this non-experimental follow-up study was to specify and quantify rhythmic attunement processes within free improvisations in the early phase of psychodynamic music therapy in order to investigate its predictive value for therapeutic change. Twenty-one in-patients diagnosed with psychosis (ICD-10F20, 23, 25) were included in the study. Participants received five sessions of individual music therapy as per usual. Improvisations were audio recorded. The initial and final improvisations were analysed with the Rhythmic Attunement Scale for Psychosis (RAS-P), which was specifically developed for the project. Clinical measures included external and self-report assessments (BPRS, Dührsen and Happach, TAS 20). Analysis of the audio recordings revealed early occurrence of rhythmic attunement on a stable and qualitatively high level. BPRS scores showed a post-treatment decline of 20%. There was no significant difference for the Dührsen and Happach and TAS 20 scores. Statistical analysis revealed that when initial rhythmic attunement occurred further into the first session, it was a predictor for the decline of psychotic symptoms. Evidence of carefully organised rhythmic attunement suggests beneficial effects on patients with psychosis through improvisational music therapy. Results are limited due to a small sample size and lack of a control comparison

Attunement · Improvisation · Music therapy · Psychiatry · Psychosis · Psychotherapist · Clinical Psychology · Medicine · Music Therapy and Health · Neuroscience and Music Perception · Psychology · Schizophrenia research and treatment

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Unique citing works2
Citations per year0,4
Citation span2021 - 2023 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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