In an earlier qualitative research study exploring the meaning of preloss music therapy to bereaved caregivers who participated in sessions through a home-based hospice program, various narrative accounts revealed the significance of music in music therapy sessions. In this study, the role of music in palliative care music therapy is examined and representatively summarized, followed by a review of strategies provided by this author to home hospice patients and their caregivers. The reported perceptions of the meaning of music to 7 bereaved caregivers are presented, including a review of themes and associated narrations that illustrated its significance. The caregivers described these aspects of music in sessions to have memorable and lasting effects as follows: ``music is a conduit,'' ``music gets inside us,'' ``live music makes a difference,'' and ``music is love.'' Findings support the benefits of preloss music therapy for bereaved caregivers.
Zabora J., Loscalzo M.Psychosocial consequences of advanced cancer. In: Berger A, Portenoy R, Weissman D, eds. Principles and Practice of Palliative Care and Supportive Oncology. Philadelphia, PA: Lippincott, Williams and Wilkins Publishers; 2002:749-761.
2.
Shelby RA, Taylor KL, Kerner JF, Coleman E., Blum D.The role of community-based and philanthropic organizations in meeting cancer patient and caregiver needs. CA Cancer J Clin. 2002;52:229-246.
3.
Glajchen M.The emerging role and needs of family caregivers in cancer care. J Support Oncol. 2004;2:145-155.
4.
Holland JCAnxiety and cancer: the patient and the family. J Clin Psychiatry . 1989;50(suppl):20-25.
5.
Schachter SR, Coyle N.Palliative home care: impact on families. In: Holland JC, ed. Psycho-oncology. New York: Oxford University Press;1998 :1004-1015.
6.
Muir J., McDonagh A., Gooding N.Multidimensional patient assessment. In: Berger A, Portenoy R, Weissman D, eds. Principles and Practice of Palliative Care and Supportive Oncology. Philadelphia, PA: Lippincott, Williams and Wilkins Publishers; 2002: 662-660.
7.
Gaston-Johannson F., Lachica EM, Fall-Dickson JM, Kennedy MJPsychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncol Nurs Forum. 2004;31:1161-1169.
8.
Mystakidou K. , Tsilika E., Parpa E., Galanos A., Vlahos L.Caregivers of advanced cancer patients: feelings of hopelessness and depression. Cancer Nurs. 2007;30: 412-418.
9.
Braun M., Mikulincer M., Rydall A., Walsh A., Rodin G.Hidden morbidity in cancer: spouse caregivers. J Clin Oncol . 2007;25:4829-4834.
10.
Edwards B., Clarke V.The psychological impact of a cancer diagnosis on families: the influence of family functioning and patients' illness characteristics on depression and anxiety. Psychooncology. 2004;13:562-576.
11.
Cassileth B., Vickers A., Deng G., Yeung K.PDQ Integrative Oncology: Complementary Therapies in Cancer Care. Philadelphia: Decker, BC; 2005.
12.
Hilliard R.The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. J Music Ther. 2003;40:113-137.
13.
O'Callaghan C.Music therapy in palliative care. In: Hanks G, MacDonald N , Cherny N, Calman K, eds. The Oxford Textbook of Palliative Medicine . Oxford: Oxford University Press ; 2004:1041-1046.
14.
Dileo C., Bradt J.Medical Music Therapy: A Meta-Analysis & Agenda for Future Research. Cherry Hill, NJ: Jeffrey Books; 2005.
15.
Magill L., Luzzatto P.Music therapy and art therapy. In: Berger A, Portenoy R, Weissman D, eds. Principles and Practice of Palliative Care and Supportive Oncology. Philadelphia, PA: Lippincott, Williams and Wilkins Publishers; 2002:993-1006.
16.
Magill L.The spiritual meaning of music therapy to surviving caregivers of advanced cancer patients. Dissertation Abstracts International2007;68(1A):22 (Dissertations Abstracts #3247763).
17.
Aldridge D.Spirituality, hope and music therapy in palliative care. Arts Psychother. 1995;22:103-109.
18.
Aldridge D.Music Therapy in Palliative Care: New Voices. London: Jessica Kingsley Publishers, Ltd; 1999.
19.
Aldridge G., Aldridge D.Melody in Music Therapy: A Narrative Analysis. London: Jessica Kingsley Publishers, Ltd; 2008.
20.
Mount B.Whole person care: beyond psychosocial and physical needs. Am J Hosp Palliat Care. 1993;10:28-37.
21.
Negus K.Popular Music in Theory: An Introduction. Cambridge: Polity;1996.
22.
Ruud E.Music Therapy: Improvisation, Communication and Culture. Gilsum, NHBarcelona Publishers; 1998.
23.
Dileo C., Magill L.Multi-cultural songwriting. In: Baker F, Wigram T, eds. Songwriting Methods, Techniques and Clinical Applications for Music Therapy Clinicians, Educators and Students. London: Jessica Kingsley Publishers;2005:224-245.
24.
O'Callaghan C.Lullament: lullaby and lament therapeutic qualities actualized through music therapy. Am J Hosp Palliat Care. 2008;25:93-99.
25.
Magill L.Spirituality and music therapy at the end-of-life. In: Dileo C, Loewy J, eds. Music Therapy at the End-of-life. Cherry Hill, NJ: Jeffrey Books;2005:3-18.
26.
Magill-Levreault L.Music therapy in pain and symptom management . J Palliat Care. 1993;9:42-48.
27.
Salmon D.Music and emotion in palliative care. J Palliat Care. 1993;9:48-52.
28.
Krout REMusic therapy with imminently dying hospice patients and their families: facilitating release near the time of death. Am J Hosp Palliat Care. 2003;20:129-134.
29.
Burns DS, Sledge PB, Fuller LA, Daggy JK, Monahan POCancer patients' interest and preferences for music therapy. J Music Ther. 2005;42:185-199.
30.
Dileo C., Parker C.Final moments: the use of song in relationship completion. In: Dileo C, Loewy J , eds. Music Therapy at the End-of-life. Cherry Hill, NJ: Jeffrey Books;2005:43-56.
31.
Magill L.The use of music therapy to address the suffering in advanced cancer pain . J Palliat Care. 2001;17:167-172.
32.
O'Callaghan C.Bringing music to life: a study of music therapy and palliative care experiences within a cancer hospital. J Palliat Care. 2001;17:155-160.
33.
Hilliard R.The use of music therapy in meeting the multidimensional needs of hospice patients and families. J Palliat Care. 2001;17:161-166.
34.
Daveson BAMusic therapy and childhood cancer: goals, methods, patient choice and control during diagnosis, intensive treatment, transplant, and palliative care. Music Ther Perspect. 2001;19:114-120.
35.
Hilliard R.The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. J Music Ther. 2003;40:113-137.
36.
Spintge R., Droh R.MusicMedicine. St Louis, MO: MMB Music, Inc; 1989.
37.
Hodges DAHandbook of Music Psychology. 2nd ed. San Antonio: IMR Press; 1999.
38.
Maranto C.Music Therapy and Medicine: Theoretical and Clinical Applications. Silver Spring, MD: AMTA; 1999.
39.
Aldridge D.Music therapy and spirituality: a transcendental understanding of suffering . In: Aldridge D, Fachner J, eds. Music and Altered States: Consciousness, Transcendence, and Addiction. London: Jessica Kingsley Publishers; 2006:155-171.
40.
Shepherd J., Wicke P.Music and Cultural Theory. Cambridge: Polity; 1997.
41.
Kleinman A.Everything that really matters: social suffering, subjectivity and the remaking of human experience. Theol Rev . 1997;90:315-335.
42.
Gfeller K.The function of aesthetic stimuli in the therapeutic process. In: Unkefer RF, ed. Music Therapy in the Treatment of Adults With Mental Disorders: Theoretical Bases and Clinical Interventions . New York: Schirmer;1990.
43.
Feld S.Communication, music and speech about music. In: Keil C, Feld S, eds. Music Grooves. Chicago, IL: University of Chicago Press;1994.
44.
O'Callaghan C., Sexton M., Wheeler G.Music therapy as a non-pharmacological anxiolytic for paediatric radiotherapy patients. Australas Radiol. 2007;51:159-162.
45.
O'Callaghan C.Therapeutic opportunities associated with music when using song writing in palliative care. Music ther perspect.1997;15:32-38.
46.
Aldridge D.Music Therapy Research and Practice in Medicine: From Out of the Silence. London: Jessica Kingsley Publishers, Ltd; 1996.
47.
Edwards J.Developing pain management approaches in music therapy with hospitalized children . In: Dileo C, Loewy J, eds. Music Therapy at the End-of-life. Cherry Hill, NJ: Jeffrey Books; 2005:57-64.
48.
Loewy J. ed. Music Therapy and Pediatric Pain. Cherry Hill, NJ: Jeffrey Books ; 1997.
49.
Bailey LMThe use of songs in music therapy with cancer patients and their families . Music Ther. 1984;4: 5-17.
50.
Dileo C.Songs for living. In: Dileo C, ed. Music Therapy and Medicine: Theoretical and Clinical Applications . Silver Spring, MD: AMTA;1999.
51.
Aldridge D.Spirituality, Healing and Medicine: Return to the Silence. London: Jessica Kingsley Publishers, Ltd; 2000:38.
52.
Magill L.Music therapy and spirituality and the challenges of end-stage illness. In: Aldridge D, Fachner J, eds. Music and Altered States: Consciousness, Transcendence, and Addiction. London: Jessica Kingsley Publishers; 2006:172-283.
Magill L.The spiritual meaning of pre-loss music therapy to bereaved caregivers of advanced cancer patients. J Palliat Support Care.2008 IN PRESS.
56.
Hilliard REMusic therapy in hospice and palliative care: a review of the empirical data. Evid Based Complement Alternat Med. 2005;2:173-178.
57.
Wlodarczyk N.The effect of music therapy on the spirituality of persons in an patient hospice unit as measured by self-report. J Music Ther. 2007;44:113-122.
58.
Gallagher LM , Huston MJ, Nelson KA, Walsh D., Steele ALMusic therapy in palliative medicine. Support Care Cancer. 2001;9:156-161.
59.
Dileo C., Bradt J.Medical Music Therapy: A Meta-analysis. Cherry Hill, NJ : Jeffrey Books; 2005.
