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- Lindblad, Katarina, 1961-
(författare)
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"Som plåster på själen" : Om äldre män och musik som välbefinnanderesurs
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The purpose of the thesis is to elucidate how older men’s interest in music can be understood as a wellbeing resource. This is motivated by the potential wellbeing threats facing older men with regards to loneliness and untreated depression. These challenges are understood to be tied to norms of masculinity around emotions. Previous research has shown how engagement with music can fulfil social and emotional needs and work as a selfhelp technology, partly through strengthening a positive self-identity. The research question here is how music can be a wellbeing resource for older men specifically. The study is in two parts: semi-structured interviews with 15 men on their engagement with music, and a music listening group with eight (other), socially vulnerable older men, where the participants could listen to music of their own choice, with the author of the thesis as a group leader and participant observer. The scientific approach is hermeneutic. The materials were analysed thematically, with theoretical perspectives drawn from studies on men and masculinities, theories on affect attunement and Goffman’s dramaturgical perspective. The analysis shows that an interest in music can serve as a wellbeing resource for older men in three ways: First, musical experiences can offer an asylum for older men where they can connect to, experience and express, their emotional lives without jeopardising their “frontstage” performances of traditional masculinity. Through affect attunement musical experiences can contribute to both confirming and expanding the sense of self, which supports psychological needs of safety and development. Second, a sense of cultural belongingness can emerge from sharing an interest in music and collectively listening to music, also in groups where a deeper sense of personal connectedness is lacking. Third, an active interest in music, both playing, singing, dancing and listening to music, can support a sense of competence and agency amongst older men through affording possibilities to learn and share their knowledge, which fosters a positive sense of masculine identity, thereby strengthening self-respect and self-esteem. The practical implications from these results are to encourage older men to engage with music in different ways, including talking about music, learning and sharing.
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| 2. |
- Ullsten, Alexandra, 1967-
(författare)
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Singing, sharing, soothing : Family-centred music therapy during painful procedures in neonatal care
- 2019
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- To sing is to communicate. The soothing, comforting and emotional regulating properties of a lullaby are well-known cross-culturally and historically. This doctoral thesis addresses neonatal pain management from a novel and groundbreaking perspective, studying the efficacy of live music therapy on infants’ pain responses during venepuncture. New research is needed to advance the non-pharmacological interventions in neonatal pain care, and neonatal music therapy (NICU MT) offers active methods to involve the parents in pain management. The doctoral thesis includes two empirical and two theoretical articles. In paper I, preterm and term infants (n=38) were subjected to venepuncture with and without live lullaby singing, in a randomised order with a crossover design. Parent-preferred lullabies were performed live by a music therapy student and standard care was provided for all infants. The results did not show any significant pain-alleviating effects, however, the live singing was not stressful for the infants.In paper II, the microanalysis disclosed that live lullaby singing is a communicative reciprocal intervention that also applies to premature infants during painful procedures. Live lullaby singing is a tool suitable as a means to optimise the homeostatic mechanisms. The results from the theoretical papers III and IV are further developed and synthesised in the thesis into a theoretical strategy; The Nordic NICU MT pain management strategy, featuring the parents and their singing voices as mediators for pain relief. The role of the music therapist in neonatal pain management is as a facilitator and an educator for the parents. Coaching parents to better meet their infant’s attachment needs during a painful procedure may lead to more efficacious interventions. The biopsychosocial parental infant-directed singing is presumably an applicable parent-driven non-pharmacological intervention, which promotes pain relief and attachment formation during painful procedures. Neonatal music therapy is still in its infancy in the Nordic countries, but the societal and healthcare contexts afford important prerequisites to further develop NICU MT as a truly family-centred approach. This doctoral thesis will hopefully contribute to the important interdisciplinary endeavour worldwide of involving and integrating parents in neonatal pain management.
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| 3. |
- Canalp, Safa, 1987-
(författare)
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Genre Transfer : Indie Music in Istanbul (1990s-2010s)
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis sheds light on border crossings of popular music genres and proposes a novel approach to studying circulation of popular music across the globe. It propounds a critical discussion on the conventions and politics of knowledge production and dissemination within the scholarship that lies in the intersection of popular music studies, ethnomusicology and music sociology. The thesis points to the predominance of structure-driven and conjuncture-oriented approaches as well as issues of comprehension and representation within the scholarship, and it motivates an actor-oriented approach to account for transregional circulation of popular music genres. Through taking indie music in Istanbul as its case, the thesis develops an alternative approach called "genre transfer." It focuses on the emergence and development of indie music within the regional context of Istanbul from the 1990s to the 2010s. Apart from identifying the key agents and institutions that have been involved in the process of indie music's local legitimization, the thesis analyzes the agents' changing conditions, relations and strategies that have provided base to the transformation of their practices. In doing so, the thesis draws upon actor-oriented approaches of cultural transfer studies and remains informed by analytical and epistemological concerns laid out within the fields of relational sociology and sociology of knowledge.
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| 4. |
- Ullsten, Alexandra, 1967-, et al.
(författare)
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Efficacy of Live Lullaby Singing During Procedural Pain in Preterm and Term Neonates
- 2017
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Konferensbidrag (refereegranskat)abstract
- Background: Acute and repeated pain has long-term negative impact on infants’ development and future behaviour. The use of analgesic drugs has negative side-effects, which emphasizes the need for complementary approaches to pain management.Aim: This study is the first clinical trial measuring if live lullaby singing can influence behavioural and physiological pain responses during venepuncture in preterm and term neonates.Method: Preterm and term infants (n=38) were subjected to venepuncture with and without live lullaby singing, in a randomised order with a cross over design. Parent-preferred lullabies were performed live and standard care was provided for all neonates. Behavioural and physiological pain responses were assessed.Results: The live lullaby singing did not show a statistically significant effect on the infants’ pain score. There was a significantly calmer breathing pattern in the lullaby intervention versus the control condition in the pre-needle stage. There were non-significant indications of fewer and shorter skin punctures with lullaby singing.Conclusions: The additive effect of live lullaby singing has not been shown to alleviate infants’ behavioural pain responses during venepuncture; however nor has it been shown to be harmful. More research is needed to explore the potential benefits of music therapy including the role of the parents.
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| 5. |
- Ullsten, Alexandra, 1967-, et al.
(författare)
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Efficacy of Live Lullaby Singing During Procedural Pain in Preterm and Term Neonates
- 2017
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Ingår i: Music and Medicine. - : PKP Publishing Services. - 1943-8621 .- 1943-863X. ; 9:2, s. 73-85
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Tidskriftsartikel (refereegranskat)abstract
- This clinical trial tested the pain relieving effect of live lullaby singing on behavioral and physiological pain responses during venepuncture in 38 preterm and full term neonates. Acute and repeated pain, as well as the use of analgesic drugs, may have long-term negative impact on infants’ development and future behaviour. This emphasizes the need for complementary approaches to pain management such as music therapy.Parent-preferred lullabies were performed live and standard care was provided for all neonates. Behavioral responses with regard to pain were assessed with Premature Infant Pain Profile-Revised (PIPP-R) and Behavioral Indicators of Infant Pain (BIIP). Heart rate, respiratory rate and oxygen saturation were measured each tenth second.Although the live lullaby singing did not show a statistically significant effect on the infants’ pain score, there was a significantly calmer breathing pattern in the lullaby intervention versus the control condition in the pre-needle stage, showing a non-significant trend towards higher oxygen saturation levels and calmer heart rate in the lullaby intervention versus the control condition in the pre-needle stage. There were non-significant indications of fewer and shorter skin punctures with lullaby singing. More research is needed to explore such positive trends in the data.
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| 6. |
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| 7. |
- Ullsten, Alexandra, 1967-, et al.
(författare)
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Family-centred music therapy during painful procedures in neonatal care
- 2018
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Konferensbidrag (refereegranskat)abstract
- Background: During the most vulnerable period in a child’s life, preterm and sick newborns are exposed to a high number of painful procedures, sometimes without the comfort of their parents. Repeated pain and frequent use of opioids can have consequences for the neurological and behaviour-oriented development of the infant.It is vital to identify a repertoire of effective non-pharmacological interventions.Method: Preterm and term infants (n=38) were subjected to venepuncture with and without live lullaby singing, in a randomised order with a cross over design. Parent-preferred lullabies were performed live by a music therapy student. Standard care (facilitated tucking and oral glucose) was provided for all neonates. Behavioural and physiological pain responses were assessed.Results: Live singing with newborn infants is a social communicative interaction. If the vocal performance is predictable and regular from start, it may optimize homeostasis during painful procedures. However, the live lullaby singing did not show a statistically significant effect on the infants' pain score. There was a significantly calmer breathing pattern in the lullaby intervention versus the control condition in the pre-needle stage. There were non-significant indications of fewer and shorter skin punctures with lullaby singing.Conclusion: The additive effect of live lullaby singing has not been shown to alleviate infants’ behavioural pain responses during venepuncture; nor has it been shown to be stressful. Pain involves the interaction of biopsychosocial and situational factors, therefore more research is needed to explore the potential benefits of music therapy including the role of the parents.
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| 8. |
- Ullsten, Alexandra, 1967-, et al.
(författare)
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Live lullaby singing during painful procedures in preterm and term infants
- 2019
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Konferensbidrag (refereegranskat)abstract
- Introduction: Infant-directed singing is a medium for parents and infants to communicate in a mutual relationship. Infant-directed singing is a multisensory biopsychosocial communication that also applies to ill and vulnerable hospitalised infants. The first Nordic implementation process of family-centred neonatal music therapy started in Sweden at the Central Hospital in Karlstad by the first author in March 2010 (Fig. 1). Live lullaby singing during painful procedures is the first clinical trial to measure the pain-relieving effects of live lullaby singing during venepuncture in preterm and term neonates.Method: 38 infants were subjected to venepuncture with and without live lullaby singing, in a randomised order with a cross over design. Parent-preferred lullabies were performed live by a music therapy student and standard care (facilitated tucking and oral glucose) was provided for all infants. Behavioural and physiological pain responses were assessed. The data from the RCT was analysed with qualitative and quantitative methods.Results: During the lullaby procedures the physiological patterns were more stable and regular. Lullaby singing significantly calmed the infants’ respiration before venepuncture (Fig. 2). There were nonsignificant indications of fewer and shorter skin punctures with lullaby singing. The behavioural pain responses did not show any significant differences between the live lullaby singing and standard care procedures, however, nor did they indicate that live lullaby singing was harmful or stressful.Conclusion: Live singing with infants is a biopsychosocial communicative interaction. A music therapist specialised in family-centred neonatal music therapy methods can mentor parents how to use live lullaby singing in connection to painful procedures. More research is needed to explore the potential benefits of family-centred music therapy as procedural support including the voice of the parents.
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| 9. |
- Ullsten, Alexandra, 1967-, et al.
(författare)
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Singing, sharing, soothing : Biopsychosocial rationales for parental infant directed singing in neonatal pain management: A theoretical approach
- 2018
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Ingår i: Music & Science. - : Sage Publications. - 2059-2043. ; 1, s. 1-13
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Tidskriftsartikel (refereegranskat)abstract
- Infant-directed singing is a medium for parents and infants to communicate in a mutual relationship. Parental infant-directed singing is a multisensory, biopsychosocial communication that applies to ill and vulnerable hospitalised infants. The primary musical features of infant-directed singing are ideal for emotional coordination and sharing between parent and infant without the risk of over-stimulation. In this article, we suggest that parental infant-directed singing is regarded as a nonpharmacological emotion regulation intervention, which may modify the painful experience for both the infant and the parent before, during and after painful procedures in the neonatal intensive care context. Parents have the biopsychosocial resources to alleviate their infant’s pain through infant-directed singing, if they are empowered to do so and coached in this process. A music therapist specialised in neonatal music therapy methods can mentor parents in how to use entrained and attuned live lullaby singing in connection to painful procedures. Pain and the vast amount of painful procedures early in infancy, combined with early parent–infant separation and lack of parental participation in the care of the infant during neonatal intensive care, place arduous strain on the new family’s attachment process and on the infant’s and parents’ mental health, both from a short and long-term perspective. Therefore, we argue with biopsychosocial rationales, that live parental infant-directed singing should be promoted in neonatal pain care worldwide. Consequently, parents should be welcomed round the clock and invited as prescribed pain management for their infant.
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| 10. |
- Zhao, Yiren, 1991-
(författare)
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Shaping the Meaning of Chinese Music Subcultures
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis focuses on the meaning of Chinese music subcultures, includingChinese metal, rap, rock, and punk styles; and how is the meaning shaped by Chinese participants in the Chinese context, which is represented by the context of Beijing. This project is motivated by addressing the gaps that exist between dominant Anglo-American subcultural theories and explaining contemporary Chinese individuals’ practices. In terms of the communist ideology, historical trajectories, and drastic economic leaps in the recent Chinese context, Chinese individuals’ practices have demonstrated a diversity and hybridity that cannot be fitted into the dominant Anglo-American theoretical frameworks such as the CCCS or post-subcultural theory, and are incompatible with a framing that only emphasizes the political resistance aspects of music subcultures. Moreover, existing subcultural theories are deficient in explaining how music specifically affects individuals in their subcultural participation and everyday life, as a dynamic medium, as well as an embodied and culturally emergent process. In this light, by interviewing Chinese individual participants and employing a China-centered theoretical framework, this thesis explores how the meaning participants attach to music subcultures is generated in the interplay between the socio-cultural Chinese context, their individual experiences, and through the affective properties of the music they engage with. In conclusion, the meaning of Chinese music subcultures is shaped by three aspects: meaning in relation to the Chinese context, individual meaning and internal subcultural dynamics, and musical meaning.
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