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Understanding the Continuum of Musical Experiences for People With Dementia 了解痴呆症患者音乐体验的连续性
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0001
Amy Clements-Cortés
{"title":"Understanding the Continuum of Musical Experiences for People With Dementia","authors":"Amy Clements-Cortés","doi":"10.1093/oso/9780190075934.003.0001","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0001","url":null,"abstract":"This chapter provides an overview of the music experiences of people living with dementia with a focus on their implementation by care providers. Music experiences exist on a continuum which spans recreational to therapeutic and passive to active participatory opportunities. For care providers, it is essential to become familiar with the various musical opportunities that can be implemented when providing holistic care, and to choose the most appropriate experiences for persons living with dementia. This chapter explores the potential benefits of these experiences, as well as the risks of using music in care. A list of implications for care providers are presented alongside a dialogue on musical considerations.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115388776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Music and Music-Therapy Interventions for Behavioral and Psychological Symptoms of Dementia 音乐和音乐治疗干预痴呆的行为和心理症状
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0010
A. Lipe, Molly Edmonston
{"title":"Music and Music-Therapy Interventions for Behavioral and Psychological Symptoms of Dementia","authors":"A. Lipe, Molly Edmonston","doi":"10.1093/oso/9780190075934.003.0010","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0010","url":null,"abstract":"This umbrella review summarizes and compares evidence from existing systematic reviews on the effectiveness of music and music-therapy interventions in addressing behavioural and psychological symptoms of dementia (BPSD) among individuals with dementia. Characteristics of 14 reviews are presented and findings from these reviews are organized and described by individual symptoms (anxiety, agitation, and depression). The results of this umbrella review suggest that music and music-therapy interventions have a positive effect on the short-term reduction of BPSD. Recommendations for best clinical practice are generated from these findings. Sources of heterogeneity in the reviews make it difficult to formulate meaningful conclusions on the effectiveness of music and music-therapy interventions for BPSD symptoms at specific stages of dementia. Best practice dictates that music and music-therapy interventions within the context of a person-centered approach are likely to be the most successful in reducing BPSD for individuals with dementia.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114693848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Music Interventions for Advanced Dementia 音乐干预晚期痴呆
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0012
Melissa Mercadal-Brotons
{"title":"Music Interventions for Advanced Dementia","authors":"Melissa Mercadal-Brotons","doi":"10.1093/oso/9780190075934.003.0012","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0012","url":null,"abstract":"This chapter presents a review of the scientific literature published in English and Spanish concerning the use of music and music therapy with people in the advanced stages of all types of dementia. The aim of this review was to identify the needs of this client group, areas addressed in music therapy and music interventions, specific techniques which appear to be the most appropriate and effective, and other methodological issues that have arisen when working with this population. Based on the results of this literature review, a list of criteria and recommendations is provided to guide music therapists in the selection of appropriate music-therapy interventions and to assist caregivers to make informed choices on how to use appropriate music-based interventions with clients in the late stages of dementia.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129881202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Music Therapy and Skill Sharing to Meet Psychosocial Needs for Persons With Advanced Dementia 音乐治疗和技能分享以满足晚期痴呆症患者的社会心理需求
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0011
H. M. Ridder, Julie Ørnholt Bøtker
{"title":"Music Therapy and Skill Sharing to Meet Psychosocial Needs for Persons With Advanced Dementia","authors":"H. M. Ridder, Julie Ørnholt Bøtker","doi":"10.1093/oso/9780190075934.003.0011","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0011","url":null,"abstract":"In advanced stages of dementia, the person experiences increasing difficulties in understanding and in being understood, and it becomes increasingly difficult to communicate and to engage socially. This may further lead to symptoms of agitation. In Alzheimer’s disease (AD), memory for music can be preserved and therefore music therapy can be beneficial. This chapter provides insights into how individual music-therapy sessions take place with people with AD, and emphasizes the importance of interdisciplinary collaboration and skill sharing. A psychosocial approach to music therapy is described and illustrated through a case example, demonstrating how music may facilitate safety, spontaneous play, improvisation and mutual interaction. The case contributes to the understanding of how person-attuned use of musical interactions are implemented and can be transferred from individual music therapy to daily care. The importance of knowledge creation and skill sharing between professionals is highlighted.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"269 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116247127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Future Directions 未来的发展方向
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0014
A. Baird, Sandra Garrido, J. Tamplin
{"title":"Future Directions","authors":"A. Baird, Sandra Garrido, J. Tamplin","doi":"10.1093/oso/9780190075934.003.0014","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0014","url":null,"abstract":"This chapter summarises questions raised by the current status of music and dementia research, and proposes some future directions for this field.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133948836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic Music Interventions to Support People With Dementia Living at Home With Their Family Caregivers 治疗性音乐干预以支持与家人一起生活在家中的痴呆症患者
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0013
J. Tamplin, I. Clark
{"title":"Therapeutic Music Interventions to Support People With Dementia Living at Home With Their Family Caregivers","authors":"J. Tamplin, I. Clark","doi":"10.1093/oso/9780190075934.003.0013","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0013","url":null,"abstract":"Music can be used therapeutically in home and community settings throughout the trajectory of dementia. Communal singing experiences offer opportunities for music participation and social engagement that are accessible and enjoyable for people with dementia at any stage of severity. They also provide a means of communication and facilitate relationships between people with dementia and their carers through shared and meaningful musical interactions. In the early stages after a diagnosis of dementia, supported opportunities to sing together, along with the associated prospects for peer support and social interaction, may enable family carers to care for loved ones at home for as long as possible. In the later stages of dementia, singing may be the only way for the person with dementia to communicate and connect with others. Music processing capacities can be retained until the severe stage and music can stimulate memories and self-awareness for the person with dementia. Supported songwriting can be therapeutic for both people with dementia and their caregivers in facilitating emotional expression and acknowledging and validating feelings. This chapter explores the range of music participation opportunities available to people living with dementia at home with their caregivers at various stages of the disease. We also outline the differences in groups facilitated by music therapists and community musicians and highlight ways that caregivers can use music therapeutically in the home environment.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127467130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Preserved Musical Instrument Playing in Dementia
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0008
A. Baird, W. Thompson
{"title":"Preserved Musical Instrument Playing in Dementia","authors":"A. Baird, W. Thompson","doi":"10.1093/oso/9780190075934.003.0008","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0008","url":null,"abstract":"The ability to play a musical instrument can remain in people with dementia, despite their cognitive impairment in other non-music domains. Case studies of people with Alzheimer’s Dementia (AD) or Behavioural variant Frontotemporal dementia (Bv-FTD) have reported preserved musical instrument playing even in the severe stage and, in some cases, the ability to learn a musical instrument after the onset of dementia. We propose that playing a musical instrument allows a unique form of access to two crucial domains, memory and the self. It enables the expression of preserved forms of memory, namely procedural, semantic, and episodic, including autobiographical memories. In doing so, it can provide access to one’s past and continuing self and can be considered a form of self-preservation and expression in musicians with dementia. Four new cases of preserved musical instrument playing in people with AD and Bv-FTD are described to illustrate our proposal.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125143674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Melody, Memory, and Engagement in Alzheimer’s Disease 阿尔茨海默病的旋律、记忆和参与
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0004
A. Vanstone, L. Cuddy
{"title":"Melody, Memory, and Engagement in Alzheimer’s Disease","authors":"A. Vanstone, L. Cuddy","doi":"10.1093/oso/9780190075934.003.0004","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0004","url":null,"abstract":"What are the personal and clinical implications of preserved memory for music in dementia? In light of this question, a framework is proposed for integrating basic and clinical research findings and for case formulation and theory building in music-based interventions. Elaborating on the Comprehensive Process Model of Engagement, a proposal is made for music engagement as an inclusive concept that encompasses the variety of ways in which individuals involve themselves with musical stimuli. It is argued that instances of music engagement arise through the combined influence of person, stimulus, and environment attributes. Preserved memory for melodies is discussed as an attribute of the person with particular relevance to music engagement. This approach orients naturally toward considering individual differences and, as such, lends itself well to case-based research and clinical case formulation.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115417794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Music Cognition in Frontotemporal Dementia and Non-Alzheimer’s Dementias 额颞叶痴呆和非阿尔茨海默性痴呆的音乐认知
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0005
R. Omar
{"title":"Music Cognition in Frontotemporal Dementia and Non-Alzheimer’s Dementias","authors":"R. Omar","doi":"10.1093/oso/9780190075934.003.0005","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0005","url":null,"abstract":"This chapter examines how music knowledge is affected in non-Alzheimer’s dementias, with a focus on frontotemporal dementia syndromes. It discusses the clinical and neurobiological rationale for studying music knowledge in non-Alzheimer’s dementia. It describes some of the ways in which music knowledge has been investigated in these patients, what musical abilities are lost or preserved in non-Alzheimer’s dementia, and how this information helps us improve our knowledge of how the brain processes music. The social role of music in evolution is briefly discussed. The chapter examines how emotions generated by and recognized in music are processed differently in frontotemporal dementia compared to healthy individuals and Alzheimer’s disease patients, including the phenomenon of musicophilia, the abnormally enhanced craving for music. Finally it explains how the differences in emotion processing between dementia diseases highlight the need for some selectivity in designing music-based therapies.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130236183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Musical Leisure Activities to Support Cognitive and Emotional Functioning in Aging and Dementia 音乐休闲活动支持老年和痴呆患者的认知和情感功能
Music and Dementia Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190075934.003.0006
Teppo Särkämö
{"title":"Musical Leisure Activities to Support Cognitive and Emotional Functioning in Aging and Dementia","authors":"Teppo Särkämö","doi":"10.1093/oso/9780190075934.003.0006","DOIUrl":"https://doi.org/10.1093/oso/9780190075934.003.0006","url":null,"abstract":"The capacity of music to engage auditory, cognitive, motor, and emotional functions across cortical and subcortical brain regions and the relative preservation of music in the aging and degenerating brain makes music a promising tool both in supporting healthy neurocognitive aging and maintaining better emotional well-being, cognitive functioning, and communication and social interaction in different stages of dementia. As the incidence and prevalence of aging-related neurological illnesses is rapidly increasing, it is important to develop music-based interventions that make use of self- or caregiver-implemented musical leisure activities and that are enjoyable and effective in the everyday care of the persons with dementia. This chapter reviews recent experimental evidence on the emotional and cognitive effects of musical leisure activities in healthy older adults and in persons with dementia and their caregivers. The chapter also discusses which factors are crucial for the efficacy of music in different stages of dementia.","PeriodicalId":422661,"journal":{"name":"Music and Dementia","volume":"207 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120899792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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