RESUMEN
Incest occurs worldwide in all socioeconomic classes. To the best of our knowledge, literature on music processes with incest survivors is scarce, and studies focusing on voicework as a main technique for incest survivors in group settings have not been found. The current study aimed to explore incest survivors' expectations regarding the use of their voice before participating in a vocal group therapy, and their lived experience of using their voice following the therapeutic process. Seventeen women living in an inpatient alternative center, coping with complex posttraumatic stress disorder due to incest, participated in a voicework group led by two music therapists. The women were divided into two groups of eight and nine women each and participated in eight sessions. Data were collected through focus groups before and after the therapeutic experience. Interpretative phenomenological analysis yielded themes indicating that before the therapeutic process, participants' expectations regarding the use of their voice reflected low self-esteem, self-criticism, loneliness, shame, fear of exposure, and avoidance of singing. Following the therapeutic process, participants experienced their voice in a way that enabled them to feel self-acceptance and courage to sing, togetherness, bonding, belonging, a strengthening of existing relationships and ability to establish new ones, and awareness of body and emotions in the "here and now." An overall examination of the findings indicates that participants progressed from experiencing lack of self-compassion before the therapeutic experience to enhanced self-compassion at its completion. The findings are interpreted via the self-compassion concept and implications are presented.
Asunto(s)
Incesto , Musicoterapia , Humanos , Femenino , Incesto/psicología , Autocompasión , Emociones , Habilidades de AfrontamientoRESUMEN
OBJECTIVE: Literature on music therapy with incest survivors is scant, and to the best of our knowledge, voicework as a main technique in group settings has not been explored. The current study aimed to examine a voicework intervention with women coping with the effects of incest, understand its meaning for the participants, and examine its potential to promote well-being. METHOD: Seventeen women coping with complex posttraumatic stress disorder due to incest participated in a voicework group intervention of eight weekly sessions. Therapy included techniques such as breathing, voice improvisation, songwriting, and performance of existing songs. Data were collected via focus groups before and after the intervention and documentation of songs sung during sessions. Data were analyzed according to the interpretative phenomenological analysis approach. RESULTS: Analysis yielded four themes. Personal empowerment relates to participants' enhanced connection with their body and utilization of creativity as an inner resource. Strengthened social ties relates to the group's ability to create a sense of belonging, togetherness, and an infrastructure for improving relationships outside the group. Enhanced belief in God describes renewed willingness to believe in God, and positive perception of the future reflects change from hopelessness toward belief in a better future. CONCLUSIONS: Overall, the findings indicate that the intervention enabled the development of personal, social, and spiritual growth and a positive outlook for the future. Findings are interpreted using the domains of the posttraumatic growth theory. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
RESUMEN
ABSTRACTObjective:With the aging of the population, the demand for long-term services is increasing accordingly and the recruitment of paid caregivers to older adults has become a critical issue. Hence, there is a great need to train people in the care of older adults. This study examined motivations to participate in a new program, which aims to train young people (ages 19-25) to become paid caregivers for older adults. METHODS: The study is based on focus groups with program participants (N = 33) and on phone interviews with former participants (N = 8) and face-to-face interviews with staff members (N = 14). Transcripts were analyzed using qualitative content analysis. RESULTS: Three major themes emerged: (1) "Motivations to participate in the program," referred to participants' motivations to work with older adults. (2) "Reduced motivations due to ambiguity of roles," referred to the unclear definition of the care worker's role, which created a decrease in participants' motivations to provide care. (3) "Inadequate financial compensation," concerned participants' reduced motivation to participate in the program as a result of financial promises that were not realized. CONCLUSIONS: Findings suggest that it is important to be cautious about the motivations for participation in the program because by emphasizing the difficult situation of older adults, one stresses the low status assigned to older adults, rather than positive attributes. It is also suggested that care workers should be financially rewarded, so that despite the difficulties that may arise during work, they will feel valued and will want to remain in the profession.