Growth and identity of music therapy in the NICU: Pioneering perspectives

Authors

DOI:

https://doi.org/10.47513/mmd.v13i2.802

Abstract

This duoethnographic exploration expounds on the journeys of two women who pioneered music therapy in the NICUs in their respective countries. The dialogue uses their practice wisdom and research to illuminate core issues that have served the development of music as process and intervention for infants, families and those in the context of the NICU. They conclude with recommendations for the future.

Monika Nöcker-Ribaupierre (MNR): I was a musician and I worked in the theatre. The premature birth of my daughter in the 1970s, experiencing my own helplessness and that of my family and friends, all of this led my life in an unexpected new direction: to music therapy in the NICU. My overall goal was to promote both the infant’s development in connection with support of the mother’s resilience – because there is no development without bonding. Next step was to open NICUs in my country to music therapy, also to strengthen our NICU music therapists and helping to develop an international network. Throughout all these years Helen Shoemark has been my most important and valuable colleague.

Helen Shoemark (HS): I was a music therapist working in special education and early intervention for 15 years before. I started the program in the NICU at the Royal Children’s Hospital in 1994, and grew the role of music therapy in the pediatric NICU/ Newborn Surgical Unit through my research. Because of my experience in family-centered early intervention, my focus in the NICU is on supporting the expressive capacities of both infant and parents. My other focus is in supporting clinicians develop programs that are ecologically situated, theoretically- informed, and pragmatically realistic. Monika Nöcker-Ribaupierre was one of my earliest mentors, and I have always been inspired by the strength of her commitment, understanding, and support for the experience of the mothers in the NICU.

Author Biographies

Helen Shoemark, Temple University

Helen Shoemark is Associate Professor of Music Therapy at Temple University, Philadelphia, & Snr Research Fellow in the Dept Paediatrics, University of Melbourne. Her current research is in team-based program development for creative arts therapies in acute health settings. She is known internationally as a pioneer in the research and practice of music therapy in pediatric NICU.

Monika Nöcker-Ribaupierre, Dr.sc.mus., Freies Musikzentrum

Monika Nöcker-Ribaupierre, musician and music therapist, is Vice President ISMM, scientific and honorary member of numerous organisations. She was Vice-President of the EMTC, leader of the Music Therapy Training and head of Freies Musikzentrum in Munich. She is known internationally as a pioneer of music therapy in Neonatal Care.

References

Standley J. The role of music in pacification/stimulation of premature infants with low birthweights. Music Ther Perspect. 1991; 9:19-25.

Standley J. The effect of multi-modal stimulation on developmental responses of premature infants in neonatal intensive care. Pediatr Nurs.1998; 24(6): 532-538.

Standley J, Moore R. Therapeutic effects of music and mother’s voice on premature infants. Pediatr Nurs. 1994; 21(6): 509-512, 574.

Lorenz K. (1935). Der Kumpan in der Umwelt des Vogels. Der Artgenosse als auslösendes Moment sozialer Verhaltensweisen [The companion in the bird's environment The conspecific as a triggering moment for social behavior]. Journal für Ornithologie. 83; 137–215, 289–413.

Negus VE. The Mechanism of the Larynx. W.M. Heinemann, Medical Books; 1929.

Kentner AC, Scaliab S, Shin J, Miglioreb MM, Rondón-Ortiz LN. Targeted sensory enrichment interventions protect against behavioral and neuroendocrine consequences of early life stress. Psychoneuroendocrinology. 2018; 98: 74–85. doi.org/10.1016/j.psyneuen.2018.07.029

Cheng L, Wang S-H, Huang Y, Liao X-M. The hippocampus may be more susceptible to environmental noise than the auditory cortex. Hear Res. 2016; 333: 93e97 http://dx.doi.org/10.1016/j.heares.2016.01.0010378-5955

Tomatis AA. La nuit uterine. Paris, Edition Stock; 1981.

Nöcker M, Güntner M, Riegel KP. The effect on the mother´s voice on the physical activity and the tcPO² of very premature infants. Pediatr Res. 1987; 22: 221.

Nöcker-Ribaupierre M. Auditive Stimulation nach Frühgeburt. Ein Beitrag zur Musiktherapie. [Auditory Stimulation after premature birth. A contribution to music therapy] Stuttgart: G. Fischer; 1995.

Nöcker- Ribaupierre, M. Short and longterm effects of the maternal voice on the behaviors of very low birth weight infants and their mothers as a basis for the bonding process. In: Pratt RR, Erdonmez Grocke D, eds. MusicMedicine 3. The University of Melbourne; 1999:153-161.

Raeburn P. A Second Womb https://www.nytimes.com/2005/08/14/magazine/a-second-womb.html Accessed October 20th, 2020.

Dunst C, Trivette C, Deal A. Enabling and empowering families: Principles and guidelines for practice. Cambridge, MA: Brookline Books; 1988.

Seifer R. Conceptual and methodological basis for understanding development and risk in infants. In: Twarog Singer L, & Sanford Zeskind P, eds. Biobehavioral Assessment of the Infant. New York: Guilford Press, 2001:18-39.

Watling Neal J, Neal ZP. Nested or Networked? Future Directions for Ecological Systems Theory. Soc Dev. 2013; 22(4): 722–737. doi: 10.1111/sode.12018

Nöcker-Ribaupierre M. The mother`s voice in early childhood: Implications for music therapy: A literature review. Brit J Music Ther. 2011; 25(1): 6-18.

Nöcker-Ribaupierre M, Linderkamp O, Riegel KP. Effects of auditory stimulation with mother's voice on the long-term development of premature infants. Music and Medicine. 2015; 7: 20-25.

Lyons-Ruth, K. Implicit relational knowing: Its role in development and psychoanalytic treatment. Infant Mental Health Journal. 1988;19: 282-289.

Lenz GM, v.Moreau, D. Coming together: Resonance and Synchronization as a Regulating Factor in Relationships. In: Nöcker-Ribaupierre, M, ed. Music Therapy for premature and newborn Infants (2nd ed.). Dallas: Barcelona; 2019.

Shoemark H, Grocke D. The markers of interplay between the music therapist and the medically fragile newborn infant. J Music Ther. 2010; 47: 306-334. https://doi.org/10.1093/jmt/47.4.306

Mondanaro J, Ettenberger M, Park L. Mars Rising: Music Therapy and the Increasing Presence of Fathers in the NICU. Music and Medicine. 2016: 8(3): 95-107.

Mondanaro J, Ettenberger M. When Men Become Fathers of Premature Infants: Understanding Adaptation in the Neonatal Intensive Care Unit. In Shoemark H & Ettenberger M, eds. Music Therapy in Neonatal Intensive Care: Influences of Culture. Dallas: Barcelona Publishers; 2020: 247-269.

Ghetti C, Bieleninik Ł, Hysing M, et al. Longitudinal Study of music Therapy’s Effectiveness for Premature infants and their caregivers (LongSTEP): protocol for an international randomised trial. BMJ Open 2019;9:e025062. doi:10.1136/bmjopen-2018-025062

Loewy J. NICU music therapy: Song of kin as critical lullaby in research and practice. Ann N Y Acad Sci. 2015; 1337: 178–185.

Chapman, JS (1979). Influence of varied stimuli on development of motor patterns in the premature infant. Birth Defects Orig Artic Ser; 15(7): 61-80.

Shoemark, H., Ettenberger, M. (Eds). Music Therapy in Neonatal Intensive Care: Influences of Culture. Dallas: Barcelona Publishers; 2020.

Malloch S, Trevarthen C. (Eds.) Communicative musicality: Exploring the basis of human companionship. Oxford: Oxford University Press; 2009.

Stern D. The issue of vitality, Nord J Music Ther. 2010; 19(2): 88-102.

Tronick EZ, Bruschweiler-Stern N, Harrison AM, Lyons-Ruth K, Morgan AC, Nahum JP, Sander L, Stern DN. Dyadically expanded states of consciousness and the process of therapeutic change. Infant Ment Health J. 1998; 19(3): 290-299. https://doi.org/10.1002/(SICI)1097-0355(199823)19:3<290::AID-IMHJ4>3.0.CO;2-Q.

DeNora T. Music in everyday life. Cambridge: Cambridge; 2000.

Hanson-Abromeit D. A conceptual methodology to define the therapeutic function of music. Music Ther Perspect. 2015; 33(1): 25-38.

Loewy J, Jaschke AC. Mechanisms of Timing, Timbre, Repertoire, and Entrainment in Neuroplasticity: Mutual Interplay in Neonatal Development. Front. Integr. Neurosci. 2020; 14:8. doi: 10.3389/fnint.2020.00008

Shoemark H, Dearn T. Keeping the family at the centre of family-centred music therapy with hospitalised infants. Aust J Music Ther. 2008; 19: 3-24.

Dahlstrom M, Stewart L, Shoemark H. The potential of the human voice for early parent-infant interactions in medically at-risk newborn populations. In: Heydon R, Fancourt D, Cohen A, eds. Routledge Companion to Interdisciplinary Studies in Singing: Volume III Well-being, 2020: 42-49.

Coombes E, Muzaffar I-A. The Singing Unit – a pilot study investigating the efficacy of a music therapy singing intervention in a local neonatal unit to support parent/infant bonding and reduce parental anxiety. J Neonatal Nurs. 2020. https://doi.org/10.1016/j.jnn.2020.07.002

Ettenberger M, Rojas Cárdenas C, Parker M, Odell-Miller H. Family-centred music therapy with preterm infants and their parents in the Neonatal Intensive Care Unit (NICU) in Colombia – A mixed-methods study, Nord J Music Ther. 2017;26(3):207-234, DOI: 10.1080/08098131.2016.1205650

Lejeune F, Lordier L, Pittet MP, Schoenhals L, Grandjean D, Hüppi PS, Filippa M and Borradori Tolsa C (2019) Effects of an Early Postnatal Music Intervention on

Cognitive and Emotional Development in Preterm Children at 12 and 24 Months: Preliminary Findings. Front. Psychol. 10:494. doi: 10.3389/fpsyg.2019.00494

Bieleninik Ł, Ghetti C, Gold C. Music therapy for preterm infants and their parents: A meta-analysis. Pediatrics. 2016; 138(3): e20160971. doi: 10.1542/peds.2016-0971

Filippa M, Panza C, Ferrari F, Frassoldati R, Kuhn P, Balduzzi S, et al. Systematic review of maternal voice interventions demonstrates increased stability in preterm infants. Acta Paediatr. 2017;106:1220–1229. doi: 10.1111/apa.13832

Lordier L, Loukas S, Grouiller F, Vollenweider A, Vasung L, Meskaldij DE. et al. Music processing in preterm and fullterm newborns: A psychophysiological interaction (PPI) approach in neonatal fMRI. Neuroimage. 2018;185:857–864. doi: 10.1016/j.neuroimage.2018.03.078

Provenzi L, Broso S, Montirosso R. Do mothers sound good? A systematic review of the effects of maternal voice exposure on preterm infants’ development. Neurosci. Biobehav. Rev. 2018; 88: 42–50. doi: 10.1016/j.neubiorev.2018.03.009

Filippa M, Lordier L, De Almeida JS et al. Early vocal contact and music in the NICU: new insights into preventive interventions. Pediatr Res. 2020; 87:249–264. https://doi.org/10.1038/s41390-019-0490-9

Maitre NL, Arnon S. Music therapy for neonatal stress and pain—music to our ears J Perinatol. 2020; 40: 1734–1735.

Shoemark H, Rimmer J, Bower J, Tucquet B, Fisher M, Ogburn N, Dun B. A conceptual framework: The musical self as a unique pathway to outcomes in the acute pediatric health setting. J Music Ther. 2018; 55(1): 1-26. https://doi.org/10.1093/jmt/thx018

Published

2021-04-23

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