Holistic aspects of rehabilitation post cardiac surgery in the Bonny method of guided imagery and music

Holistic aspects of rehabilitation post cardiac surgery in the Bonny method of guided imagery and music

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Publication Type:: Thesis
Issue Date:: 2003

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Field	Value	Language
dc.contributor	Short, Alison Edna	en_AU
dc.date.accessioned	2007-03-14T01:52:25Z
dc.date.accessioned	2012-12-15T03:51:26Z
dc.date.available	2007-03-14T01:52:25Z
dc.date.available	2012-12-15T03:51:26Z
dc.date.issued	2003
dc.identifier.uri	http://hdl.handle.net/10453/20026
dc.description	University of Technology, Sydney. Faculty of Nursing, Midwifery and Health.	en_AU
dc.description.abstract	This thesis has set out to investigate the role of music therapy in the form of the specialist Bonny Method of Guided Imagery and Music (GIM) with a view to exploring how meanings related to adjustment from a health crisis (such as cardiac surgery) are depicted in music-supported imagery. Factors shaping clinical interpretations of verbal and musical responses in music therapy practice are often unclear or undelineated. A systematic interpretive process relevant to clinical health care was developed using the Bonny Method of Guide Imagery and Music (GIM), providing a means for exploring the emotional difficulties of coronary bypass patients, who typically recover quickly from physical surgery but often experience residual symptoms such as depression, pain, and anxiety. The interpretive process accessed both verbal and non-verbal texts, playing them against each other in order to find significance for music therapy practice in rehabilitation. A Bonny Method of Guided Imagery and Music (GIM) series was undertaken by patients recovering from coronary artery bypass grafting (CABG), with each session audiotaped and transcribed. This narrative data was analyzed thematically, and grand themes were used to focus further intertextual (semiotic) and Jungian perspectives, in the process of deriving substantial clinical meanings. Results suggested that participants used a wide range of personal, cultural and archetypal texts to convey meanings about their health care situation, including images of the music during the therapeutic process. Clinical change in the rehabilitative process was suggested by grand themes comprising 'Looking through the frame', 'Feeling the impact', 'Spiralling into the unexpected', 'Sublime plateau', and 'Rehearsing new steps' and the further music-related grand theme of 'Sounding the changes'. This project highlights the value of GIM as a vehicle to track clinical change with cardiac patients, based on a systematic interpretive process sensitive to the interweaving verbal and nonverbal texts evident in the music therapy context.	en_AU
dc.format	Thesis (PhD)	en_AU
dc.format.extent	39118 bytes
dc.format.extent	2212802 bytes
dc.format.mimetype	application/pdf
dc.language	en	en_AU
dc.language.iso	en_AU
dc.relation	https://opus.lib.uts.edu.au/bitstream/10453/20026/2/02whole.pdf
dc.relation.replaces	http://hdl.handle.net/2100/238
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	au.edu.uts.lib/ppc
dc.rights	The author owns the copyright in this thesis including all reproduction and reuse rights for the work. The work may not be altered without the permission of the copyright owner. Attribution is essential when quoting or paraphrasing from this thesis.
dc.rights	http://www.lib.uts.edu.au/disclaimer.html	en_AU
dc.rights	Copyright Alison E Short	en_AU
dc.subject	Music therapy.	en_AU
dc.subject	Postoperative care.	en_AU
dc.subject	Heart.	en_AU
dc.subject	Diseases.	en_AU
dc.subject	Patients.	en_AU
dc.subject	Rehabilitation.	en_AU
dc.title	Holistic aspects of rehabilitation post cardiac surgery in the Bonny method of guided imagery and music	en_AU
dc.type	Thesis
utslib.copyright.status	open_access

Abstract:

This thesis has set out to investigate the role of music therapy in the form of the specialist Bonny Method of Guided Imagery and Music (GIM) with a view to exploring how meanings related to adjustment from a health crisis (such as cardiac surgery) are depicted in music-supported imagery. Factors shaping clinical interpretations of verbal and musical responses in music therapy practice are often unclear or undelineated. A systematic interpretive process relevant to clinical health care was developed using the Bonny Method of Guide Imagery and Music (GIM), providing a means for exploring the emotional difficulties of coronary bypass patients, who typically recover quickly from physical surgery but often experience residual symptoms such as depression, pain, and anxiety. The interpretive process accessed both verbal and non-verbal texts, playing them against each other in order to find significance for music therapy practice in rehabilitation. A Bonny Method of Guided Imagery and Music (GIM) series was undertaken by patients recovering from coronary artery bypass grafting (CABG), with each session audiotaped and transcribed. This narrative data was analyzed thematically, and grand themes were used to focus further intertextual (semiotic) and Jungian perspectives, in the process of deriving substantial clinical meanings. Results suggested that participants used a wide range of personal, cultural and archetypal texts to convey meanings about their health care situation, including images of the music during the therapeutic process. Clinical change in the rehabilitative process was suggested by grand themes comprising 'Looking through the frame', 'Feeling the impact', 'Spiralling into the unexpected', 'Sublime plateau', and 'Rehearsing new steps' and the further music-related grand theme of 'Sounding the changes'. This project highlights the value of GIM as a vehicle to track clinical change with cardiac patients, based on a systematic interpretive process sensitive to the interweaving verbal and nonverbal texts evident in the music therapy context.

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