害怕但不沈默 - 家暴庇護所與音樂治療 Part 2. I Won't Stay Silent - MT for Domestic Violence Victims/Survivors

閱讀 read part 1 👉 恐懼與勇氣 - 家暴庇護所與音樂治療 Part 1. Encouragement and Fear- MT for Domestic Violence Victims/Survivors

👈 Click to read in English

We talked about how residents’ affects at domestic violence shelter in Part I;

we will be focusing on how music therapy help the residents. 👉The domestic violence shelter provided short term residency, thus, each client received two sessions averagely. Due to the uncertainty of number of days residents stay, the assessment and session plan had to be flexible. In terms of assessment forms (figure see in Chinese section), since we are uncertain whether the clients will leave the shelter next week, the assessment forms will record the pre-session versus post-session information on the same day.

👉Therapeutic Steps

1. Establishing Trust While we cannot expect the clients to trust us right from the first meeting, we will explain what music therapy is and how it can help them.

2. Case Assessment Pre- and post-treatment assessment questions include the client's name, date, cultural background, music background, preferred music genres, sources of anxiety, and anxiety and stress levels, among others.

3. Ice-breaking Activities Ice-breaking activities not only help establish a relationship with the clients but also provide a deeper and more direct observation of their mental and psychological state.

4. Self-Awareness Reconstruction Assisting clients in rediscovering their self-worth, regaining the ability to live autonomously, and clarifying their future direction.

👉Goals: Help the clients express and process their feelings, reduce anxiety, rebuild structure, restore self-esteem. 👉Session Progress 1️⃣ Build the rapport 2️⃣ Assess the client 3️⃣ Provide channels of expression feelings

4️⃣ Restructure the life priority

👉Music Therapy Common Applications:

Improvisation, Song discussion, Therapeutic singing, Progressive muscle relaxation, Music and Art.

The primary goal of therapy is not only to alleviate clients' anxiety or distress but also to serve as a medium for them to express hidden or denied emotions and guide them towards healthy coping mechanisms. Prevention is better than cure. Apart from taking care of oneself, it is also important to pay attention to any unusual signs in friends and family. Your simple greeting or inquiry might be a lifeline for someone else.

❗️Prevention Is Better Than Cure❗️ Please stay safe and remember to watch out for others.

因為庇護所提供的是短期住宿，所以這也限制了療程的次數，平均一位個案接受兩次療程。因為療程的數少，我們的評估表、紀錄、還有療程的內容都需要很大的彈性。以評估表來說，因為我們不確定下週個案是否離開庇護所，所以評估表都是紀錄當天療程前v.s.療程後

🖊️療程目標：

• 幫助個案抒發情緒

• 減輕焦慮

• 建立自主性等等

📒療程步驟：

1. 建立信賴

雖然無法期待個案在第一次見面就能夠信任我們，

但是我們會解釋什麼是音樂治療以及可以如何幫助他們。

2. 個案評估

療程前與療程後的問題包含：個案的名字、日期、文化

背景、音樂背景、喜歡的音樂類別、焦慮的事情、

焦慮與壓力指數等等。

3. 破冰活動

破冰活動除了跟個案建立關係之外，也是更深入、

更直接得觀察個案的精神以及心理狀態。

4. 自我意識重建

幫助個案重新找到自我的價值、重拾自主生活的能力，

以及釐清未來的方向。

🎹常用療程活動：樂器即興、歌詞討論 、音樂與圖畫、唱歌、漸進式肌肉放鬆。

療程最重要的目標除了減輕他們的焦慮或痛苦，

而是作為媒介讓他們抒發被隱藏、被否認的情緒，

並且帶領他們找到健康的面對方式。

防範勝於治療

除了自己要小心，也記得多留心身邊的

親朋好友有無不尋常的地方，

您的簡單問候或許是他人的救命稻草。

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