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THE FEASIBILITY OF DIRECTED-IMAGINAL MUSIC PSYCHOTHERAPY FOR SELF-AWARENESS FOR INDIVIDUALS WITH SUBSTANCE USE DISORDER

Benonis, Daniel
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http://dx.doi.org/10.34944/dspace/9478
Abstract
This single-session feasibility trial aimed to examine the effects of Directed-Imaginal Music Psychotherapy (DIMP) on self-awareness in relation to change in adults being treated for substance use disorder. DIMP is a two-part protocol. The first part is a live music, receptive intervention in which a trained music therapist plays a specified harmony sequence on guitar accompanied by verbal guidance to promote imagery and sensory experiences in participants. The verbal guidance is based on participant-defined “Comforts” in each of their five primary senses. The music and imagery component was followed by group verbal processing to discuss physical, emotional, or cognitive changes participant’s experience and gauge an understanding of insights into treatment gained by the participants. Participants completed the Self-Awareness Outcomes Questionnaire (SAOQ; Sutton, 2016) before and after the intervention to measure possible change in self-awareness in relation to change in their recovery. The Wilcoxon signed rank test indicated statically significant improvements in self-awareness scores from 3.37 pre-test to 3.77 post-test. Fieldnotes and transcripts from audio recordings were also used in thematic analysis. Deductive themes of Insight, Mindfulness, Reflection, and Rumination were taken from Sutton’s (2016) SAOQ study. Inductive themes of Disconnection/Connection, Safety & Comfort, Independence/Isolation, and Goal Orientation emerged from the qualitative data. Feasibility for implementation was considered through the lenses of adoption, reach fidelity, and sustainability (Pearson et al., 2020). The study found that DIMP is feasible for implementation (Bowen et al., 2009). Considerations for future research and clinical practice were identified.
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