你好，安妮，早上好 Hello, annie. Good morning.
大家晚上好，在中国现在是傍晚时分 Hello, everyone high. He added in china. Now we are good evening.
哦，是的 Yes, you are.
你试着告诉大家 You should try tell anyone.
嗯，抱歉，因为我的链接不是很稳定 Yeah, sorry, because my connection, good, my connection is not very ah, stable,
你们现在可以听到我的声音吗？ but hopefully you can still hear me.
嗯，我的名字是Qian, 很高兴今晚与你们一同度过 Yeah, and hello. My name is chen. And thank you everyone for being here today.
你们也可以叫我Jessica Uh, i'm my name is chen, and you can call me jessica as well.
我是一名音乐治疗师，也是今天的主持 I'm a music therapist and a host for today's web in air today
今天我们很高兴邀请到了来自于奥格斯堡大学的Heiderscheit教授 we are pleased to welcome dr any high the shy a very special guest from oxford university.
Heiderscheit教授是音乐专业的副教授，也是奥格斯堡大学音乐治疗项目的主任 Dr. Egghead shy is associate professor of music and director of music therapy program and uh, oxford university
她有超过20年的向本科生与研究生授课的经验 She has over twenty years of experience teaching undergraduate and graduate courses
并且，她拥有近30年健康护理的临床经验 and almost thirty years of experience in a variety of health care in clinical setting.
她是世界音乐治疗联合协会的主编委员会主编 She's the chair of the publication commission for the world federation of music therapy,
也是《当今音乐治疗》的编辑 an editor of music therapy today.
同时，她也是国际音乐与医学组织的首席沟通者 Also she is the chair of communication for the international association of music and medicine
由于时间缘故，我无法将教授的生平一一赘述 because of time. I'm sorry, I couldn't finish reading her biography is so many,
但我相信我们都能意识到她经验丰富、如此优秀 but I guess we all realize she is so experience is so great
为音乐治疗领域做出了巨大的贡献 and really contribute a lot to the music therapy areas.
今天，她将为我们分享以她专业的眼光，如何看待全球视角下的音乐治疗 And today she will be sharing with us her expert opinion on music therapy in global perspectives.
所以，如果你像我一样十分好奇，各个国家的音乐治疗发展现状如何？ So if you like me wondering, what is the development of music therapy in countries around the world?
全球视角中音乐治疗的最新趋势如何？ And what is the latest trends of music therapy from global perspectives?
对于全球的音乐治疗师而言，是否有可用的资源？ Is there any resources available to music therapists around the world?
我们可以如何与全球的同行实现合作，并获得支持？ And what which ways we can cooperate without our international colleagues and get support?
那么请聚精会神地聆听博士下面的演讲 I guess you should give your full attention to doctor heide a shy in her speech.
现在让我们欢迎Heiderscheit博士 So now let's welcome doctor either shy.
谢谢你，Qian Thank you chen.
既然我们处于不同时区 And um, good day. Good evening.
那么，大家晚上好、早上好 Good morning to everybody out there, given we are all in different time zones here.
对我来说，现在是明尼苏达的早上七点 For me, IT's seven o'clock in the morning in minnesota.
并且寒冬刚过去一半 And we are in the middle of our cold winter.
这里刚刚经历了所谓的极地漩涡 We just survived what was called the polar vortex.
零下50度的气温，现在温度刚刚有所回升 Our temperatures were fifty below zero, and we're just kind of come through that.
很高兴能遇见与你们 So i'm happy to be with all of you
也很高兴能够就音乐治疗的全球性行业发展展开讨论 and really pleased to be talking about the global profession of music therapy.
我们将会谈论到我们的行业是如何从无到有的 Um, and we'll be talking about um, how our profession has grown.
我们将会谈论到所遇到的有趣的发展道路 Um, we'll be talking about some of the interesting developments as well as some of the challenges
也会提及面临的挑战 that come with that as well.
Chen已经对我的背景进行了介绍 Um, chen has already kind of told you a bit about my background.
我已经做了很长一段时间的音乐治疗师，并且热爱这份工作 Um, i've been a music therapist for quite a long time, and I love being a music therapist.
我现在的工作中心在于指导人们如何成为音乐治疗师 Um, I do have a privilege now to get the opportunity to teach people to become music therapist
我也服务于各种组织 as well as to serve um, various organizations
像是世界联合组织，以及国际音乐与医学组织 like the world federation and the international association, music and medicine,
这两者都是国际性组织，并且与音乐治疗相联系 which are both international organizations, um, where music therapists can connect.
今天我想先从我们行业的发展说起 Um, so I want to start today just by talking um, a little bit about the development of our profession.
因为我认为这对于了解这个行业在当下正处于哪一阶段十分重要 And because I think this is an important part of how our of where our profession is today.
如果我们在全球的文化或者曾经存在的文化中去寻找 So if we go to any culture around the world and any culture historically around the world,
音乐都是健康与治疗实践中的整合部分 music has been an integral part of health and healing practices.
无论我们去古希腊寻找，还是其他地方 So whether we go to ancient greece or, um, into,
举例来说，在美国，如果我们到美国本土文化中 for example, in the united states,if we go into the native american culture,
或者到本土的澳大利亚文化中 or we go into the aboriginal cultures in Australia,
亦或者到古代中国的历史中去寻找 or we go into the history of ancient china,
音乐都曾是这些文化中治疗实践中的一部分 music has been a part of the healing practices of all of these cultures.
这些文化中都记载着 And many of these cultures have documented
音乐如何被萨满巫师、医治者和医治寺庙所使用 that history of how music has been used in these practices by shamans, by um, healers in their healing temples.
如果我们回到古希腊时期 And if we go back to um, ancient greece that
那时的医生被培训称音乐家 time physicians were trained as musicians
因为音乐是他们实践中所必须的 because music was so integral to their practice
他们的训练包含了被培训成音乐家 that their training included being trained as musicians
因为他们会在实践中频繁使用到音乐 because they used music so regularly in their practice.
他们也会为他们的病人弹奏竖琴、齐特琴 And they would play the harp, the liar, um, for their patients the zither.
他们作为医生会为他们的病人创作音乐 And they would actually be making the music for their patients. Ask physicians
包括野史杂记在内的许多信息证明了这一观点 a lot of this information. There's also anecdotal information and evidence that exists as well.
但当我们步入19世纪和20世纪初期时 But it was then when we, um, moved into really the late nineteenth century and early twentieth century
我们开始构建实证知识的大厦 that we began building more empirical evidence.
而当我们步入21世纪时，我们正在构建越来越有力的实证证据 And now that we are in the twenty first century,we're building stronger and stronger empirical evidence.
这些证据也正是医学科学家们想要看到的实证证据 And that's the evidence that um, our scientists medicine look at is they want to see this strong empirical evidence.
他们想要的不只是奇闻逸事，而是科学的证据、可以被验证的证据 They want to move beyond anecdotal to that scientific evidence, things that we can, in essence, prove.
现在即使我们进一步去探究实证证据 Now, even though we've made that move to looking at empirical evidence,
也不会削减历史中将音乐作为治疗一部分的使用 um, it doesn't undermine the historical uses of how music has been a part of healing, because that is our foundation.
我们祖先如何理解音乐与治疗，这仍在研究挖掘中 And what our ancestors understood about music and healing, that is still areas of research that we're digging into today.
因为他们理解音乐 As they understood music.
他们不需要这些实证证据，他们有轶事为证 They didn't have all the empirical evidence, they had anecdotal evidence.
但现在我们所发展的实证研究基于他们所观察到的经历 But now we are developing the empirical evidence based on what they observed an experience.
所以我们行业发展的基础是牢牢地建立在历史实践之上的 So the foundation of our profession is firmly built on these historical practices.
我们现在的发展需要我们继续进行实证研究，并收集数据 And we are now moving into the places where we are developing research gathering data for this empirical evidence
以求实现行业先进性 that we now need to advance the profession.
由于本讲的重点将不会集中在漫长的历史 So while this presentation isn't going to focus kind of on the long history,
也不会过多讲述音乐治疗如何成为一个行业 um, of how music therapy has developed as a profession,
即使这个历史是很有趣的 um, even though there's there's very interesting history out there,
我们将看一看在全球行业中我们位于何处 we're really going to look at where we are as a global profession today book.
我要切换幻灯片了 I'm just trying to get the slides to move.
突然这个幻灯片卡住了 All of a sudden, the slides are locked.
好了，现在好了 And and okay, there we go. Okay.
如果你们对音乐治疗作为一门行业的历史感兴趣 Um, so if though if you are interested in reading a bit more about the history of music therapy as a profession,
我在这里罗列了一些资源，你们可以深入探索一下这部分历史 i've listed just a couple of resources here, um, that you can do a little bit more digging into some of the history.
这些信息只要点击一下就可以随时随地获取了 Um, so you can have that information for your at your fingertips as well.
现在让我们开始探索音乐治疗作为全球性行业是怎样的 So now let's move into exploring music therapy as a global profession.
这是让我十分兴奋的内容 Um, and this to me, is a very exciting piece,
因为我们可以见证音乐治疗在全球发展的全过程 because we've seen the growth of music therapy all around the world.
在2017年，Patrick Kern, Daniel Tague 发表了一份研究 So in two thousand seventeen, ah, patrick kernan, daniel teague published a study
他们分析了音乐治疗实践所处的阶段 looking at music therapy practice status.
我想要花一些时间和大家一起回顾这份全球调查研究 And what I wanted to do is to spend a little bit of time looking at this international survey study
首先，他们收集信息以了解全球的音乐治疗实践发生了什么 that began to gather information about what is happening in music therapy practice around the world.
所以这个研究的目的是获取一些描述性数据 So the purpose of this study was really to obtain descriptive data
它们包括目前的人口特征，实践者身份和临床实践趋势 about some of the current demographics, the practice status, um, the clinical practice trends,
这样一来我们可以让音乐治疗行业了解到 so that we could help inform the music therapy world's
（音乐治疗）培训还需要那些努力的支持以及需要维持什么 about advocacy efforts about training needs and what we need to be sustainable.
不仅是我们治疗师的个人发展，也包括音乐治疗实践与领域的进展 Um, not only in our developed but but in advancement of the practice and field of music therapy.
于是我们研究了全球将近250名音乐治疗师 Um, so the study included almost twenty five hundred music therapists from around the world.
他们都是与音乐治疗世界联合会 So these were men, people who are professional members of,
相关组织的专业成员 organizational members that are affiliated with the world federation of music therapy.
他们分别来自六个不同的地区 And these came from six different regions in the world,
分别为澳大利亚、新西兰、欧洲、拉丁美洲、北美洲（包括美国和加拿大） australia, new zealand, europe, latin america, north america, which includes the united states and canada,
以及西南亚和太平洋西部地区 southeast asia, and the western pacific.
所以这份由将近250名音乐治疗师 So this nearly twenty five hundred music therapist
组成的样本可以代表我们在全球的发展现状 provided a very good cross stamp ling of the international profession that we are today.
每一个治疗师都完成了一份由30个选项组成的在线问卷 And these music therapist each completed a thirty item online survey to
提供了音乐治疗实践现状的信息 provide information um, about the practice of music therapy.
首先它调查了音乐治疗师在哪些场所工作 So it began looking at where our music therapists working.
也就是说世界范围内音乐治疗师在哪些不同的临床机构工作 Where are the different clinical settings around the world where music therapist work.
由数据我们得知 So as we look at the data
绝大多数比例的音乐治疗师在精神健康机构工作 we can see the largest percentage, um, of that music therapists reported is working in mental health settings
其次是在学校工作 and then moving into school settings
第三是以老年人口为对象的实践和个人实践 and then working with older adults, geriatric populations in private practice.
而在图表的最右边我们可以看到“其他”类 And then if we look to the far right of the graph, we see there's this other category.
音乐治疗有着十分广泛的应用 So there are, of course, um, a wide variety of settings
所以很多音乐治疗师会以独立的方式进行工作 that music therapist working in that are very individualistic.
我们将这一类治疗师归为“其他” And those were put into the category of other.
但如果我们依据图表 But if we just follow down the grass.
我们可以发现除却个人实践 So after private practice,
治疗师在医疗机构、儿童护理机构、基于社区的机构 people are working than in medical settings, childcare settings, community based settings
以及康复机构、医院和健康相关的机构 rehabilitation settings, hospice, and then wellness based settings.
我们由此可以得出音乐治疗师在全球范围内在哪些场所工作 So we see a wide variety um, of settings where music therapists are working in around the world.
在美国，我们的音乐治疗师在40多个不同的临床机构工作 Um, I know that in the united states, we have music therapists working in over forty different clinical settings.
而在全球范围内，治疗师工作的场所也存在极大的多样性 So we're seeing quite a great diversity from our international representation as well.
接着让我们看看音乐治疗师在为哪些人群服务 So then if we look at what are the populations that music therapists are serving,
数据得出，音乐治疗师为全球46种不同的客户群体服务 what the data demonstrated is that forty six different client populations are being served by music therapist globally.
我们所服务的大多数客户 So if we look just kind of going down this graph,
为自闭症谱系紊乱的人群 the larges tum, client population being served our clients with autism spectrum disorder
接着是发展性缺陷的个体 and then individuals with developmental disabilities.
接着是包括情绪、抑郁、行为问题在内的有精神健康困扰的人群 And then we move into the mental health. So emotional, um, depressive disorders, behavioral disorders,
接着是阿尔兹海默症人群 and then we get into dementia alzheimer as, um,
我们看到占很大比例的 so we begin to see that a large percentage,
有精神健康困扰的自闭症患者 um, our individuals with autism as well as mental health disorders,
接着是老年人 and then we get into kind of work with older adults.
我们可以看到这其中的多样性 Um, so we see that variety there.
这个图表为我们很好地展示了全球范围内音乐治疗师服务的对象 Um, and it gives just a nice kind of overall view of who are the clients that globally music therapists are serving.
当我们将自己实践对象考虑在内时会很有意思 So some interesting information for us to look at is you consider your area of practice.
可能你的客户出现在这张图表上 Um, you may well see it represented here.
你也可能看到一些群体与工作场所 You may also see areas, um, if you consider your community and where you live in work,
是你所工作的地区 are there areas that you see music therapists are here working
还没有开始接触的 that maybe in your area of the world it hasn't quite expanded into.
但现在根据这些数据，我们可以开始服务更大范围的人群 Um, but now that now that we have this data, we can begin to see the music therapist a serving a wide range of clients.
这张表格还没有结束 So then, ah, and this list continues.
虽然46格不同的人群并没有全部呈现出来 So, um, as you can see, there's there's a lot here to really look at,
但这张表格值得我们仔细地分析 um,when we're talking about forty different populations that can't all fit on that one slide.
值得注意的是，在这张幻灯片中呈现的第二部分 But again, as we move into this, um, second half of the slide,
我们可以发现一些不太常见的领域 we might see some areas that are less common
这些领域是近期即将有所增长的 Um, and these can be those areas of more recent growth.
例如长期疼痛、饮食紊乱 So from chronic pain to eating disorders,
阶段性疾病、躯体症状、物质滥用、药物治疗 to terminally ill, to somatic symptoms, um, to substance abuse, to medical surgical,
丧亲者、佛教徒、早产儿 um, to bereavement, to working with clients in karma, premature infants,
失聪或者失明的人群、心脏病患者、整形障碍者 clients that are deaf or blind, cardiac, orthopedic,
烧伤者、哺乳困难者、产后分娩困难者 burn patients, feeding disorders, postpartum and labor and delivery.
音乐治疗应用的范围越来越广 So that again, we can see music therapy is reaching further and further,
在健康护理、各类临床机构中都存在大量的服务需求 um, in in health care and in various clinical settings to provide those services to a wide range of clients.
这份研究也调查了音乐治疗师所使用的技术 Um. So the study also looked at what are the techniques that music therapists are using?
报告显示，占比最大的是唱歌与发声技术 So the largest percentage that the respondents reported was singing and vocalization.
乐器演奏与歌唱法 And that was really quite even with um, instrument playing.
都占到了90.3% So, um, both at ninety point three percent, uh, they kind of matched even even there
接着是即兴音乐、动作与舞蹈技术 and then looking at um, music improvisation, movement and dance,
听预先录制好的音乐与现场音乐的占比相近 um, as well as listening to pre recorded music, um, listening to live music,
接着是歌曲创作与编曲 then song writing and composition
融合音乐与其他媒体的技术以及电子音乐活动技术占比相近 and combining music with other media as well as uh, computer based music activities
由此我们可以得出，全世界的音乐治疗师的治疗技术具有相似性 so that we can see as music therapists around the globe. Um, this just kind of shows some of our similarity of practice
我们使用音乐、让接受治疗者融入到音乐创作中的方式也十分相似 and how we're using music, how we are engaging clients in making music as well.
另一个研究中，这一章幻灯片中，资金是哪里来的？ Our next study, our next slide looks at what are the funding sources?
音乐治疗是如何如何付费的？ So how are music therapists and how is music therapy paid for?
我们看到，在近乎一般的设施中资金来自设施本身 So we see in most setting almost half of the settings that funding comes from the facility
或者是医院的预算 Or the hospital budget
接下来是政府投资 Um, just after that, it comes from government funding.
接下来是私人顾客付款 And then it looks at uh, next is private private clients paying.
也就是顾客为自己的服务买单 So the client paying for services out of pocket or by themselves.
有人资助音乐治疗服务 Next is um, people donating or sponsoring music therapy services.
我们也看到有的音乐治疗是不确定如何付费的 And then we have some music there was there not sure how their services are getting paid for.
同时我们也会有个人医保来支付音乐治疗的费用 Um, and then we have private insurance plans that are covering for music therapy services as well.
通过认识的音乐治疗支付方式的多样性 Um, so I think it's interesting, you know, for us to begin to recognize the various ways that music therapy is being funded.
我们可以将这些方式应用在自己的社区与服务中 So that is we may be going out in our own respective communities and our own respective parts of the world.
当我们看到我们的工作如何被支付的 And we are looking at how do we fund the work that we do.
我们也开始意识到选择是多样性 We can begin to see the various ways and options.
总体来说，音乐治疗在全球范围内是被资助的 Um, that music therapy is funded all around the world.
调查中的另一个问题是 So one of the other questions on the survey was,
让被访者用不同的陈述来识别，以及他们是否与这些陈述相关 um, having respondents identify with different statements and if they related to any of these statements.
我想读一些陈述接下来 Um, so i'm going to just read through some of these statements, and and then we'll talk about,
我们将会对大多数进行探讨 um, you know, which most of them responded to.
这些陈述包括音乐治疗是广为人知的 So the statements included, music therapy is well known.
音乐治疗师是被充分尊重的职业 Music therapists are well respected professionals.
音乐治疗师主要是都有丰厚的收入 Music therapists are adequately paid
音乐治疗师都经受过严格的培训 music therapists are well trained
音乐治疗师主要是在临床实践中有极高的标准 music therapists at here to a high standard of clinical practice.
音乐治疗师主要是都是好的音乐家 Music therapists are good musicians,
音乐治疗师主要是都是有力的领导者 music therapists are strong leaders,
音乐治疗学生都接受过充足的实践训练 and music therapy students receive sufficient practical experience.
对于这些陈述被调查者表达他们自己的认同情况 So respondents could, um, put their um, preference to their response to these statements,
他们十分同意这些陈述 whether they strongly agree with these statements,
亦或者十分反对 whether or they strongly disagree with these statements.
接下来我不会逐一赘述，我们会挑一些进行分析 And for example, we won't go through each of these individually, but we'll just pick a few.
例如对于音乐治疗是广为人知的这一点 For example, the first one music therapy is well known,
全球的大多数音乐治疗师表示反对 the largest number of respondents, and again, music therapist from around the world responded as they disagree.
对你们而言 And so you know, something to consider in in your own community is,
我将根据你自己的社群情况进行回答 you know, how would you how would you respond to that question is music therapy will know
值得注意的是 um, and again, most of the respondents to the survey reported
大多数反馈都不同意这一点 they disagree that they don't feel music therapy as yet well known.
所以，我们还有更多的教育要去做 So that there are still more education for us to do
我们还需要让音乐治疗更被知晓 More for us to do to know about music therapy
如果你认为周围的人对音乐治疗并不了解 So if you feel that in your community music therapy is not well known yet,
那么你不是惟一一个有这样感觉的 know that you are not alone in that experience, that many music therapists around the globe
全世界的音乐治疗师都在经历这一情况 are continuing to experience that.
我们还需要做更多的工作让更多的人了解音乐治疗 So we still have work to do to educate and inform people.
关于另一条陈述，音乐治疗师重视治疗关系 Um, one of the other statements, music therapists value the therapeutic relationship.
绝大多数的参与者认同这一条 Now, the largest majority of respondents said they strongly agree with that statement.
如果以上有部分在你的工作中你也认可 Um, so if that's something that you find true in your work
那么你与全世界的音乐治疗师达成了一致 than you are right in line with music therapist all around the world.
让我们来挑选另一条 Um, let's choose another one.
你知道是是否获得了丰厚的报酬 Let's see, how about music therapist are adequately paid?
大多数反馈者不同意这一条 The largest number of respondents on that question said they disagree.
如果你感觉自己作为音乐治疗师没有得到丰厚的报酬 So if you are finding that you don't feel adequately paid in your work as a music therapist,
全世界有很大比例的音乐治疗师 there are music therapists, many music purpose to all around the globe. The largest percentage
也觉得没有得到丰厚的报酬 still feeling that that's not the case, that we're not being adequately paid.
通过这项调查可以从自己的视角看待音乐治疗 Um, so again, you know, interesting information
也可以看到全世界音乐治疗的动向 as we look at not only music therapy in our respective part of the world, but all around the world.
从该调查和数据看，有一些讯息是值得被考虑的 So from the survey, there were a number of concerns that came up from this descriptive data.
其中一个是音乐治疗师缺少就业机会 So, um, one of those concerns was a lack of jobs, that there were just a lack of jobs for music therapist,
另一个是缺少资金和合理的收入 the other one being lack of funding or lack of appropriate pay,
很难获得音乐治疗的服务补助 another one being getting reimbursement for music therapy services.
补助大多是来源于健康护理机构 So that reimbursement coming from um, health care insurance
而这些补助很难满足需要 um, so that not getting enough reimbursement for that.
并且大众缺乏对这个行业的认识 Um, another concern for the profession was recognition and public awareness.
所以我们依然需要去告知科普音乐治疗是什么 So the need for us to continue to educate, to continue to inform the public about what music therapy is
另一个问题是获得专业认可 and helping that too, um, transition us to gaining recognition as a profession
这与执照的问题是息息相关的 that can also tie into one of the other concerns which was licensure.
正式的认可和认证可以保证音乐治疗 So that being the need for formal accreditation
是被保护的治疗服务 and certification to ensure that music therapy is a protected therapeutic service.
在世界各地有许多正式的认可和认证流程 So while in many parts of the world, there may not be a formal accreditation or certification process,
然而在有的地方并没有让人放心的认证流程 um, in other parts of the world. There there is a delight and sure process either.
这些就是专业人士所担心的问题 And so those are issues that are concerns for the profession as a whole,
督导也是让人担心的问题之一 another one being, um, mentoring.
督导即受到他人的监督、创建工作网络 So having someone that could mentor or being able to network.
或许你所在的地区没有足够多的音乐治疗师 So maybe you're in a part of the world where, um, there's a limited number of music therapist
或者你是唯一一个 or you're the only music therapist.
在这种情况下，与其他地区音乐治疗师建立联系 And so being able to connect with other music therapists,
可以减少你被隔离的感觉 being able to not feel isolated in your area or community or your part of the world.
让人兴奋的是，基于我们现有的技术 Um, the great thing is is with the technology that we have now given.
我们现在可以从世界各地汇聚一堂 You know, we are all here gathered today and we are all in different parts of the world.
我们现在需要做的是 Um, but it does require we have to find those people to connect to in order
找到我们的同行并与他们建立联系 to make these connections in order to um, do that networking.
幸运的是我们已经有像世界音乐治疗协会，国际音乐与医学协会这样的组织 And thankfully, we have organizations like the world federation, like the international association of music and medicine,
可以帮助我们与世界范围内的其他同行建立联系 that can help us connect um, to other professionals all around the world.
从而降低我们的孤独感 So that we can feel a little less isolated.
我们的一些同行也存在着另一个担心 And we can have some people to network with
就是缺少培训项目 another concern um, that came up in the survey um, was around the lack of available training programs.
你所在的地区没有培训项目 And so if you have lived in a part of the world
而你想要成为音乐治疗师 where there isn't a training program and you wanted to become a music therapist,
你很有可能需要到世界的另一个地方去，以完成这项培训 you've likely had to travel to another part of the world to complete that training.
我们没有全世界培训项目的数据 Now, if we, um, and we don't have all of the data that shows us where all of the training programs are,
但以美国为例，我们有超过80个学术型培训项目 but for example, in the united states, we have over eighty um, academic training programs.
在美国这样的项目数量较多 Um, so there are a plethora of programs here in the u s
但即使如此，美国仍有许多州并没有这样的项目 but even if we look at that, there are many states in the united states that do not have training programs.
如果在美国想要成为音乐治疗师 And so people still have to look at, if they want to be a music therapist in the united states,
他们需要去去哪里呢？他们需要去哪里接受培训呢？ where do they need to go?Where's the training program that they need to go to to be able to get that training?
哪里离他们最近呢？ What's closest to them?
另一个问题是 One of the other concerns that came up around training
我们缺少培养音乐治疗师的本科培训项目 was the concern that the bachelors degree is not sufficient,um, to be trained as a music therapist.
在美国和其他一些国家，本科学位是进入治疗的门槛 Now in in the united states and in some parts of the world, bachelors degree is the entry level training degree
在世界的另一些国家，门槛是获得硕士学位 in other parts of the world. The master's degree is
作为一个全球性的行业，我们的培训尚无统一的国际标准 so as a profession globally, we don't have an international standard for that.
国家与国家之间的门槛与标准都是不同的 It varies from one country to another with regards to what that entry level degree is.
但让人担心的是，本科项目并不能提供充足的培训 But, um, but that concern that was raised was that the bachelors degree did not provide sufficient enough, um,
本科生们很难在如此多的临床领域中进行工作 training for music therapists to work um, adequately. And um, so many different clinical areas.
作为一名音乐治疗师，你可能对其中的一些担心但同身受 So you may have experienced some of these concerns yourself as a music therapist.
但你也会因此感到并不是一个人承担着这些担忧 Um, I think what can be helpful is to know that you're not alone in in some of the concerns that you might have,
这些问题是全世界的同行都注意到和经历着的 that our colleagues all around the world are noticing and experiences. Can these concerns as well.
意识到这些问题并不会让这些问题得到解决 While that doesn't make it all better, um,
我们作为专业人士可以团结起来解决这些问题 what we can do is work together as a profession to address some of these concerns.
所以我想花些时间说说这些问题和资源 So i'd like to spend a little bit of time talking about some of these issues and resources.
我到全球各国去调查 So one of the things um, that i've discovered in in traveling to different parts of the world is that
发现音乐治疗在各国的发展 in any country that we might travel to wear music therapy is
处在不同的阶段 i and engaged profession is that it is at various stages of development.
音乐治疗在美国已经有70年的历史了 So for example, in the united states, music therapy has been an organized profession for nearly seventy years.
南非正在庆祝音乐治疗10周年 Now, if we go to south africa, they're celebrating their ten year anniversary of music therapy.
在有的地区音乐治疗才刚刚建立 And so while the profession might be an established,
我们处于音乐治疗行业发展的不同阶段 we are in all different stages of development.
正因为我们处于不同的阶段 And so recognizing um, that we have music therapy developing at these different stages
彼此帮助共同成长的过程十分重要 is an important piece to understand how we can help one another learn from one another in this process is very important.
我想要强调Voice这个论坛 So I want to highlight um, the the something on voices.
该论坛每一个月会介绍一个国家的音乐治疗发展情况 Voices is a world forum for music therapy.
也会不断更新 And voices provides um, a segment that's entitled country of the month.
音乐治疗的发展进度 And they include within this updates on developments in music therapy.
其中包含了几个国家的最新发展动态 And they've included several countries to date.
我就不一一朗读国家的名称了 I won't read through all of the countries,
能够看到发展的最新动态对我们是十分有帮助的 but I think what is what is helpful is to begin to see that we can get updates um, about music therapy in different parts of the world.
我们可以开始意识到全世界不同国家正在发生什么 And to begin to understand what's happening in different countries around the world.
你可以通过在线查询 So if you have an opportunity to visit voices,
查看到世界不同地区的音乐治疗正在经历和探索什么 you can visit it online and check out their country of the month and explore what is happening in different parts of the world.
报告展现出音乐治疗在八个大洲的的动态 So we know that music therapy is represented in all eight continents around the worldnow,
比如说，在美国有超过7000个音乐治疗师中 just to give you an example, there are over seven thousand practicing music therapists in the u s
在日本有5000个 about five thousand practicing music therapist in japan.
通过比较，我们可以注意到 So it's just a point of comparison, um, that we begin to kind of look at.
比美国要小得多的日本拥有5000个音乐治疗师 And if you think about size of countries, japan is much smaller than the u s
这是很有趣的数据 but they have five thousand music therapist practicing interesting data to look at.
通过世界音乐治疗协会 Um, I wanted to ensure that you also knew about some of the connections
可以加强世界各地区之间的联系 that you could make through the world federation of music therapy.
世界音乐治疗协会是由全世界音乐治疗组织组成的国际性组织 So the world federation of music therapy is an international organization comprised of music therapy organizations,
有很多专业的音乐治疗师和音乐治疗学生也在其中 as well as professional music therapists and students are in music. Therapy can also be members of the organization
因为这是一个国际性组织，我们会与全世界的音乐治疗师联系 because it is an international organization. We are connecting with music therapists all over the world.
为了成为一个国际性组织 Now, the way that the world federation is structured is in order to be international organization is that
国际联盟的组织结构与世界健康组织的组织结构类似 we've structured it in a similar fashion to the world health organization,
它将世界分为了八个地区 which divides the world into eight regions.
这也是世界联盟所做的事 So it's what we've done with the world federation as well.
我们按照地区划分成了八个部分，分别代表了世界的八个地区 So we have eight regionally as on that serve as representatives to these eight regions of the world.
我希望让大家知道这八个代表区域的不同 So I wanted to, um, let you know about each of these different representatives.
在这一张幻灯片上你们可以看到Carol Lotter是南非的一位音乐治疗师 Um, you will see on this slide. Carol Lotter is the music therapist in south africa,
她主要在南非工作 and she is the regionally as an for south africa.
你可以看到Sidharth Pagad是澳大利亚与新西兰地区的代表 You will see, said arth, a dog who is the regionally as an for australia and new zealand.
接下来我将呈现八个地区的信息以及它们的联系方式 And let's go to, um, so i've just given you a little information of each of the eight regions and how to find that contact information here.
如果你想与你所在的地区获得联系， So that if you are interested in contacting the regionally a son from your region,
你所需要的信息在这里 you can access that information here.
有时候我回到世界不同的地方去 Or if you are interested, I we often get inquiries that people are gonna be traveling to this part of the world.
我很乐意与当地的音乐治疗师联系 And i'd like to connect to a music therapist in this area.
你可以联系当地组织，他们或许可以让我们联系到彼此 Um, and you can then contact the regionally as and and they can help you make that connection.
我已经去过这些亚洲地区，所以如果你在西太平洋地区 I've included the rest of the regionally asians. So if you are in the western pacific
似乎在座的大多数的确是这一地区的 and it sounds like many of you are,
Vivian Chan居住在香港，她是太平洋地区的联络员 um, vivian chan is the regionally hazen and she lives in hong kong. She is the regionally as an for the western pacific.
Baishali是东南亚地区的联络员 And then we have bush le who's the regionally as an for southeast asia.
Baishali居住在印度，但她代表了整个地区 Michelle is in india, but she represents that entire region.
Bronwen居住在美国 We also have bronwyn landless who lives in the united states.
并且是北美地区的联络人，包括了美国和加拿大 And she is the regionally is on for north america, which includes the united states and canada.
Marcela Lichtensztejn是拉丁美洲和加勒比海地区的代表 And then we have marcela lichtenstein, who is the regionally as an for latin america and the caribbean.
Scarlata是欧洲地区的代表 We have a lead score lotto, who is the regionally as on for europe.
欧洲有将近70个国家，并且是较大的领土范围 Now, if we consider europe, europe includes, um, this region includes um, nearly seventy countries. That's a lot of territory to cover.
但她是整个欧洲唯一的代表，她住在意大利 Uh, but she is the regionally is on for europe. She lives in italy.
Kristal Foster是Kuwait是一位音乐治疗师 And then we have crystal foster, who is a music therapist in kuwait,
并且是地中海东部的联络员 and she is the regional liaison for the eastern mediterranean region.
如果你想要联系这些地区的音乐治疗师， So if you are interested in connecting with music therapists in different parts of the world,
这八个地区对你来说是丰富的资源 these eight regionally as and is are great resources for you
你可以与他们建立联系并询问他们问题 to connect to and that you can have that access, um, to ask them questions.
这可以帮助你 They can help connect you to music therapist,
与世界其他地区的音乐治疗师建立联系 in these different regions of the world. So that if you are looking to make those connections,
你将有机会去获取世界其他地区的资源 um, you have those opportunities and you have these resources available to you.
现在让我们关注正在发生着的，影响我们行业发展的事情 So let's look a little bit at some of the current issues impacting the profession.
让我们先从行业的先进性讲 And one of those begins with advancing the profession.
这个调查关注全世界对音乐治疗师的专业教育、训练与认证 So one of the um, concerns that came up in this survey was around education, training, and certification,
也探讨了这些对于成为专业的音乐治疗师的重要性 and how this is critical to the development of music therapy as a profession.
全世界绝大多数的国家需要硕士学位才可以被认证为音乐治疗师 So most countries around the world require a master's degree for someone to be certified as a music therapist.
在美国，音乐治疗的入门级别是本科学位 Now in the united states, As I mention, the entry level degree is bachelor’s degree
这个学位要求你有进行过有力度的音乐培训，以及身体和社会科学相关的培训 This degree requires rigorous course work in music, the physical and social sciences
你也需要修习过音乐治疗的课程 As well as specific music therapy course work,
以及需要1200小时的被督导的临床实践经验 And 1200 hours of supervised clinical experience
在美国，美国音乐治疗协会已经开始讨论 Now in the united states, the american music therapy association has engaged in a discussion
如何将入行标准提升到硕士学历 about moving to a master's level entry degree,
这需要所有的音乐治疗师都具备通过这个考试的能力 um, that would require all music therapist to make that move in order to be eligible for the board exam.
而我们还尚未实现 But that, um, hasn't happened to at this point.
但在美国，通过认证意味着 But I will say, um, the um, certification process that we have in the united states is that in order to, um,
一个音乐治疗师完成了他的学术训练 hold a credential, that one must complete their academic training there.
他们需要接受1200个小时的临床督导 Ah, political hours, the twelve hundred clinical supervised loss was,
然后才能够参加这个考试 and then they're eligible. Take the board exam.
一旦他们完成这个测试 And once they complete the board exam,
他们将具有值得让人信任的从业能力 then they have a credential which is empty.
不同国家的认证过程是不同的 And one of the things that different countries have done is to work to create the credential or a credential within their country.
有的国家甚至还不具备认证过程 Now, for some countries that don't have that yet,
一些音乐治疗师，因为他们的国家没有这样的考试 I know that there have been some music therapists who have taken the board exam in the u s
所以他们来美国参加认证考试 in order to hold that credential, um, because their country might not have a credential.
但我也知道其他国家正在完善他们的认证体系 Um, but I also know that other countries are looking at developing a credential so that they have some sort of standard within their country,
并且定义这个学位的意义 um, to certify training and what that degree means,
在寻求完善 and hold a search sitter.
非常抱歉，认证还需要经历一段艰难 I'm sorry, certification having a hard time with that word this morning.
在其他的一些地区 Um. So one of the other um,
主要的问题是如何处理具有不同需求的患者 issues that came up in it is addressing the varied and complex needs of patients.
根据数据我们得知 So what we've seen in the data from this study is that
音乐治疗有将近50个不同的临床领域 music therapists are working in almost fifty different clinical settings.
一些音乐治疗师需要耐心地 So music therapists are being called upon to work with patience
处理具有多种临床症状的患者 with various co morbid or carried multiple diagnoses more than one diagnosis.
这些患者往往具有复杂的健康问题 Um, clients who have complex health issues
他们的情况十分复杂 and even complex circumstances.
患者们所经历着的创伤会增加治疗的复杂程度 This can also include clients who have underlying trauma that may be adding a layer of complexity to their care.
与病情十分严重的患者相处时，患者是十分脆弱的 Um, also working with very critically ill clients, clients who are quite fragile,
他们的健康状况十分不稳定 or their health is quite precarious in nature,
还有一些可能对其他干预方式没有反应的患者 um, as well as clients who have not maybe responded to other modalities.
所以为了能够满足这些情况复杂的患者的需求 So in order to continue to meet these complex and complicated needs,
音乐治疗师需要经受过充足的训练 music therapist need to be adequately trained,
他们的治疗需要有效，并且确保不会引发二次伤害 um, to be effective and to ensure that we're not causing harm.
区分是一种能力 And so part of that is recognizing what um,
区分出哪些是我们经受过充足训练且能够处理的 any one of us as a music therapist is adequately trained to do.
哪些是在我们的实践范围之外的 And what might be what we would say is outside of our scope of practice,
哪些是我们尚未做好准备的 what we are not prepared to do,
这并不意味着我们作为一名音乐治疗师停止成长与发展 um, now that doesn't mean we can't continue to grow and develop as a music therapist.
我们要能够区别自己的能力能够处理哪一类来访者 Uh, but we have to recognize, am I adequately trained to work with this type of client or that type of client?
这样我们才能保证患者的安全 Um, and that's how we ensure that we protect clients and keep them safe
避免造成伤害 and that we don't cause harm.
另一个问题是支持音乐治疗的发展 Um, one of the other issues was supporting the development of music therapy.
像我们之前讨论过的那样 And as we've talked about earlier,
音乐治疗在全世界范围内的发展处于不同阶段 music therapy is in various stages of development all around the world.
所以当有的地区正在提供学术模型时 So while there is support throughout the world to provide um, academic models,
我们可以互相借鉴学习 we can certainly look from country to country.
为了能够跨区域地学习 And how has music therapy training been structured
音乐治疗的训练是如何构建的呢？ so that we can learn from one another there.
我们也可以互相合作 But there are also opportunities that exist for us to collaborate,
从而支持音乐治疗的发展 to support the development of music therapy.
比如说，我有来自于中国、土耳其的同事 Uh, for example, I have had colleagues from China, from turkey.
他们来到我的机构做研究 Come and do a faculty fellowship with me at my institution
从而他们有机会学到音乐治疗的内容 so that they have the opportunity to learn about music therapy.
从学术训练到临床实践 Um, academic training models about music, they're being clinical practice, um, in my part of the world.
有许多的机会、结构可以让我们与彼此连接、合作 So there are opportunities, there are structures, there are ways we can connect and collaborate
这促进了这个行业的发展 that allow us to really support the development of the profession.
世界联合是支持音乐治疗发展的一条道路 So the world federation is also looking at um, ways to to support that.
针对世界认证这一想法已经展开了讨论 And there has been dialogue surrounding the idea of a global certificate.
实现全球统一认证对于音乐治疗来说 So creating a global certificate in music therapy to ensure that
可以保证我们行业的统一性 there is some sort of certification um, around our profession,
但也需要意识到在现存的音乐治疗认证中 but having to look at what are those common standards
共同的标准与实践方式 and practice that exist in music therapy that certificate could represent.
在世界的不同部分中认清（统一性）是一件复杂的事情 So it's a complex issue, um, to try to discern given in different parts of the world.
我们的训练等级不同 Our training levels are different.
那么我们如何构建全球的认证呢？ Um, so how would we structure a global certificate
这依然有待讨论 that still something that's kind of in discussion and dialogue?
当我们看待全球认证这个想法的优劣时 So as we look at some of the pros and cons, um, surrounding,
我们在标准与临床实践中的共性 um, the work that we do.and this idea of looking at a global certificates, some of the pros surrounding that are,
便是一大优点 you know, some of our common standards of clinical practice.
所以在行业内承认一个全球性的标准是有可能的 So that would, um, give recognition to that. It would also give professional recognition by having a global certificate.
这会实现全球的流通性 It could also provide global mobility.
如果我们有全世界统一的音乐治疗认证 If we hold the global certificate and music therapy that might provide
跨国的发展与合作将取得更大的进步 um, greater access to work from one from one country to another.
众多的临床实践方法 Some of the challenges, some of the um, challenges that it presents
是众多的挑战之一 is a wide variety of clinical approaches that we implement that in in the practice that we do.
我们如何设立一个标准？ So how do we how do we set a standard for that?
如何让这个标准适应不同的文化？ And then we have to account for cultural differences.
怎样将这些在一个证书中得到说明 Um, how do we how do we uh, account for that within a global certificate?
这些是当我们提及全球统一认证的音乐治疗时 So these are some of the pieces that have to be discussed and explored.
需要展开讨论与探索的 Um, when we consider the idea of introducing a global certificate in music therapy.
当我们进入下一个问题之前 So before we um, move into some questions,
我想要与你们分享一些即将发生的全球事件 I did want to share with you some upcoming global events.
如果你在寻求与全球的音乐治疗师相连接的方法 So if you are looking for ways to connect to music therapists around the world,
会有不同的事件可以提供机会 there are different events that take place.
首先我想要分享的内容有这些 So I wanted to share with you um, a few of these.
今年六月将在丹麦奥尔堡举行第11届欧洲音乐治疗论坛 So in June of this year will be the eleventh European music therapy conference,
大约有26至30个论坛 and that will be held in all burg, denmark, and june twenty six through the thirtieth.
这次论坛是欧洲的论坛 So this conference, uh, while it is a European conference,
将有来自世界各地的研究型和实践型的音乐治疗师 there will be music therapists here from all over the world and presenting on research, clinical practice,
他们在做不同的事情 um, different things that they're doing.
所以对于全球音乐治疗师的交流来说是一个很好的机会 So it's a great opportunity for a global exchange of music therapist from all around the world.
这是第十一届欧洲音乐治疗大会，简称EMTC So that is the eleventh european music therapy conference or EMTC as it's called.
我们接下来另一个大会是第十六届世界音乐治疗大会将在2020年举办 And our next event is the world music therapy congress, which will be the sixteenth world congress that will be held in twenty.
大概一年或一年半之后 So about a year and a half from now.
它将会在南非举办，大约是2020年六月 Um, IT will take place in south africa. IT'll be in july of twenty twenty.
为了参加此次大会，来自世界各地的音乐治疗师将会齐聚在非洲 And so, um, music therapist again from around the world will gather in south africa for this international conference.
你或许还记得上一届世界音乐治疗大会是在2017年的日本 You may remember the last um, music therapy world congress was in twenty seventeen, uh that took place in Japan.
音乐治疗大会将会在世界各地举行 So the world music there be conference moves around the world.
每三年举办一次 IT's held every three years
你可以在日历上标记2023年的大会在澳大利亚墨尔本举办 and if you want to kind of markets um in your calendar for twenty twenty three it will be in melbourne, australia.
所以在中国的你或许比在非洲的同仁们更容易参加大会 So little maybe a little bit easier for those of you in china. A little bit easier to get to than maybe south africa.
世界大会让来自世界各地的音乐治疗师汇聚一堂 Uh but again, the world congress brings together music therapists from all around the world people
交流最新的研究结果 sharing their latest research,
最新的临床发展 their latest developments in clinical practice,
并且有很大的机会与国际组织和音乐治疗师建立联系 and a great opportunity to to connect with the international community and music therapists.
所以如果你对于参加大会很感兴趣 So if you are interested in, um, coming to the world congress,
参与大会的方案提议仍是开放的 they call for proposals is still open.
所以如果你提交一份摘要，依然可以参加本次大会 So you can submit an abstract, um, still at this time.
考虑到呈现表达的重要性 So consider that opportunity of presenting,
来南非参与大会，与全世界的音乐治疗师连结起来 coming to south Africa, connecting with music therapists ah, from all over the world,
分享你们正在做的事 and sharing what you're doing in your part of the world.
这是我们学习彼此的机会，这有助于行业的先进性 Again, IT's that opportunity where we get to learn from one another and how that helps advance the profession.
所以我在最后一部分想要重点强调我们在全球发展着的行业 So what I would like to just say in closing remarks is that music therapy is a growing profession and it is growing globally.
我们可以看到我们在全球的发展处于不同阶段 We see it growing in all parts of the world. IT's a different stages of development in different parts of the world.
这是让人兴奋的部分 And that, um, is an exciting part of it.
我最近与我的同事做过演讲 Um, I recently did a presentation with
他们来自于香港和南非 um, a colleague of mine from Hongkong and from south africa,
我们讨论我们所在的地区对音乐治疗的支持情况 and we talked about advocating for music therapy in our part of the world.
这主要依赖于我们所处的发展状况 And again, what that um, is dependent upon is what is that stage of development that we are at within our part of the world.
但即使处于不同发展阶段，我们一直在支持 But we are all advocating, even though we're in different stages of development,
音乐治疗师获取信息的渠道越来越多 there are increased opportunities for music therapists to gather information,
我们可以彼此学习交换知识 to learn from one another to exchange knowledge
促进自身成长与专业发展 and to really foster this growth and the development in our profession.
重要的是我们需要全球的连结帮助我们促进全球的职业发展 The important thing is as we need these global connections to help us support and foster the growth of the profession around the world.
在发展的过程中，我们需要彼此 So we need each other.
我们需要在全世界范围内与彼此连结 We need one another in this process. And we need to connect with one another, even globally.
当做这件事时，我们将会从新的知识与全球性的研究中受益 Uh, in doing that, we benefit from this new knowledge and the research that our colleagues all over the world are doing.
所有的这些提升了我们彼此的专业发展 All of this helps to advance the profession for each of us.
让我们来了解音乐治疗在澳大利亚 So what's happening in music therapy in china can advance what's happening in music therapy in the u s
正在发生着什么 that's happening in Australia.
以及音乐治疗在中国、美国、世界的每一个角落的最新动向 And music therapy can advance what's happening in china and in the u s and in any part of the world.
我们连结地更紧密，我们更能够彼此帮扶 So the more we are connected, the more we can support each other.
从而促进音乐治疗在世界范围内的发展 And we can support the global growth of music therapy.
所以我鼓励你们联系当地社群 So I encourage you to connect with your colleagues locally in your community,
再建立区域间的联系，最终走向全球联合 then connecting regionally and working to connect globally.
因为你们将发现作为一个行业，我们在全世界的发展 Because you will find that this is what's going to foster our overall growth as a profession.
接下来的幻灯片上我将会提到一些参考内容，欢迎你们使用 So with that said, i've included some references um, on um, the power point that you are welcome to, uh, to make use of.
我也将我的联系方式放在这里 I've included my contact information here.
让我翻回去几页 Um, so let me go back to,
如果你们需要看那页参考内容的话 i'm gonna go back to the references slide that if you want to get a picture of that,
这样你们就可以获得这些参考内容 you can so that you'll have those references.
你也可以获得一些资源 And you'll see that some of those are um, resources.
你也可以从Voice网站获得线上的资源 You can get online the voices,
也可以从世界音乐治疗协会网站中获得 um, as well as the world federation.
杂志期刊占了绝大部分，它们都可以在线上获取 Um, and then most of the journal articles, you can you can access those online as well.
你有空的时候就可以返回这一页幻灯片获取信息 Once you've had a moment, if you want to snap some information that i'll move back to the slide with my contact information
如果今天之后你们有一些问题，都可以联系到我 so that if even after today, if you have questions, you can certainly be in contact with me.
今天的内容就到这里，接下来的时间我会尝试对你们的疑问进行回答 So I will stop here so that if there are any questions today, I can work to answer those questions now.
很棒，谢谢你Annie Great. Thank you, annie.
这是一场满是干货的讲座 Yes, first a very great information, a lot of resources we can like yeah,
为你们与全球的同行们联系起来提供了资源与渠道 like work and like contact with our colleagues and get a lot of support.
在座的参与者，如果你们有任何问题和评论都可以与我们分享 Yeah. So if so, so for all of the participants, if you have any questions or maybe comments you would like to share with us
我们可以在聊天框里看到你们的回复 so you can type in the chat box so we can read it.
我想要先做一些评价 Aha, actually, I would like to make some common first.
因为有许多提到的内容都让我十分受触动 Yeah, can I yeah, yeah, because ah, yes, yes, there's a lot of things when any mentioned is really touching me.
我在中国获得了音乐治疗的本科学位 Um, i'm in China now. I I I got my bachelor degree of music therapy in china.
随后我前往澳大利亚在墨尔本大学攻读我的硕士学位 Yeah. And then later I uh, I went to the milk, I went to australia and get my master degree on the melbourne university.
接着我回到中国 And then I went back to China.
因为有一瞬间我觉得中国 Yeah, because at the moment I feel that yeah, china's need more
需要更加专业的音乐治疗师做一些事情 music therapy is more professional music therapy is come back and do something.
现在我看到有一些问题，也许我们可以先回答一些问题 Ah, so actually, there's some questions. Maybe we dance. Yeah, we can answer it first.
比如说西方如何看待中国对于理论和实践所做的贡献？ How does the west look at the contribution in both theory and practice from the east of china,
中国无疑对于音乐治疗作出了贡献 which is in general, less development developed in music therapy?
对音乐治疗在中国发展情况的研究是很重要的事情之一 Absolutely.So, you know, one of the things that I think is important and and um,
为了交换彼此的信息 and sometimes because, um, in order to exchange information,
我们需要在杂志上发表文章 we have to um, have that information in journals that we are all reading
参加各类会议 journals that we are all accessing or conferences we are all accessing.
比如说，我会十分频繁地与我的同事在中国的地区做研究 So for example, um, I I am um, frequently in contact with my colleagues who are doing research in china in areas
这也是我的兴趣之一 that are of interest to me.
我认为在有些事情上我们是需要彼此互相学习的 Um, and so I think there there are things that we can learn from one another.
当我带着学生到中国来 Um, so examples of um, when I bring students to china,
我们会进入社区观察音乐治疗师是如何实施治疗的 we go into the community, we get to observe music therapists and how they're practicing.
我们也会去看传统的中医 Um, we also get to look at how, for example, um,
是如何融入进音乐治疗实践之中的 how traditional Chinese medicine is maybe being integrated into some of that music therapy practice.
我们需要去了解我们有哪些不同 So, um, so those are things that we get to look at how we might be different.
对于音乐治疗实践 Um, but what that also means for our practice of music therapy, um,
我们会关注对于同一方法在使用方式上的不同 that we can look at ways that were similar ways that were different.
这样的不同并没有好坏之分 That doesn't mean better. Worse
这只是意味着为我们了解彼此提供了一个机会 it just means there's opportunities for us to learn from one another
也为帮助我们将这份不同引入美国提供了启示 um, and how we might bring that. Um, you know,
在美国有将中医融入健康治疗的发展趋势 here in the united states, there's been a trend of bringing traditional Chinese medicine practices into health care in the u s and
那些在中国十分古老的实践在美国却刚刚开始 while those are very ancient practices in china, they are newer here.
我们从中国学习这些有着悠久历史的实践方法，并引入美国 And so we are learning from those ancient practices in china and bringing those here into the u s um,
并且我们会尝试 so we've had opportunities to look at
将中国不同的治疗方式整合在音乐治疗中 how that's even being integrated into music therapy, um, as well as different settings, um, in in, um, in china.
也就是说 So, um, again, how how is,
传统的中国音乐会在美国不断地被消化吸收 you know, the traditional music, um, of china being integrated in, we are um, in the u s very much a melting pot.
我们应该如何尊重每个人的文化背景 So how do we um honor someone's culture someone's background.
这是我们正在探索的一个重要内容 Um, so I think all of those are pieces that we get to look at.
所以不论我们处于哪一发展阶段 So no matter what stage of development we are at,
我们都可以从彼此身上学到很多 there's really opportunities for us to learn from one another in that process.
所以我鼓励你们彼此学习 So I would encourage you.
在一个国家已经处于先进地位的音乐治疗 I think one of the things that I often see is, um, for example,
可能会加速另一个国家的音乐治疗的发展 if music therapy is more developed in in a particular country that um, that another country might elevate that practice of music therapy.
我们能做的就是结合自身的文化与实践经验 And I think what we can do is learn from one another, but also not um, negate um, our own culture and practice,
从对方身上学习，彼此帮助 but again, learn and hold onto our own tradition as well.
我确实看到了彼此之间有一些精彩的交流 So I do see those kind of wonderful kind of exchanges happening,
我们在这个过程中互相学习 um, how we can learn from one another in that process.
我只是从我自身的经验和大家讲解 And that's what I can only speak for my own experience.
当我和我的同事在世界的不同地区合作时 What I have found, um, in um, collaborating with my colleagues in different parts of the world,
包括在中国进行实践时 even even in China as well.
我希望我的挥发对你的问题有所帮助 I hope that help to answer that question.
噢，那样很棒，没错 Oh, that's a great yes.
请问在美国和世界范围内 So how is the culture in music therapy to collaborate
文化在治疗中是如何与其他艺术治疗方式合作的呢？ with other arts therapy in the US and the world.
回答这个问题，我会先分享一段我作为协调者的经历 Um, I will start by sharing.I am a collaborator by nature.
我一直在与艺术治疗师、舞动治疗师还有精神戏剧治疗师合作 Um, I have collaborated with art therapist, dance and movement therapists, um, psychodrama therapists.
我与各种不同的创造性艺术治疗师合作过 Um, so I've collaborated with many different creative arts therapists.
都是十分激动人心的经历 Um, I find that collaboration very exciting.
在美国，多重表达性艺术治疗师会使用多种方式 Um, and I think what we see you know in the US is there are some settings where we see multiple creative arts therapists, um,
但并不是所有治疗方式都会使用 but not in all settings.
当有合作的机会是 And so while there can be those opportunities for us to collaborate, um,
十分重要的一点是我们作为一个专业人士，与别人合作的意愿 one of the key pieces I find is our willingness as a professional to collaborate,
我们不是一种竞争关系 um, that we not see that what we do is a competition.
我不需要去和创造性艺术治疗师竞争 I don't need to compete with the creative arts therapist,
我们通常会彼此合作 but that we can collaborate.
我认为合作的最大标志就是我们已经能够看到的一些出版物 Um, I think one of the great signs of that, um, are some of the publications that we have seen.
我们可以看到创造性艺术治疗师彼此合作 Um, and we see that creative arts therapists are collaborating together as well as, um,
在美国也有创造性艺术会议或表达性治疗师 here in the US we have creative arts conferences or expressive therapies.
会议是我们作为创造性艺术治疗师聚在一起，互相学习 Conference is where we get to come together as creative arts therapists learn from one another.
就我的经验来说 Um, I don't see, uh, we don't have to, at least to my knowledge,
我没有看到过国际性的艺术表达性治疗的有组织的会议 I've not seen it in all of my years of practice. Um, i've not seen an international creative arts therapy.
而亿派国际正在做的事情 Um, organization conference, except what we're, you know kind of doing through inspire is
就是为极具创造性的艺术治疗师提供了彼此聚集的机会 so I think there's opportunity for us to really come together more as creative arts therapists,
并且我们因此的确进行了更多的合作 um, and really do more collaborating.
我认为机会是有的 So I think there's opportunities.
但是需要我们每一个人作为专业人士 I think what it requires is that each of us as professionals,
去找到彼此合作的机会 where we find those opportunities to collaborate, um, to do that with one another,
这的确有助于我们工作的先进性和对患者的治疗 it really does advance the work that we do and helps our clients along the way.
好，下一个问题是关于国际表达行艺术治疗组织的 Um. All right, so another question is yes, the international expressive arts therapy association.
如果你们还没有与组织取得联系，请尽快联系我们 So if you haven't connected with it, please, please do.
有人提问： Um, so looking at um,
是否能提供一些对患有长期疾病和饮食障碍的患者很有帮助的音乐治疗方法？ could you serve some methods in music therapy that are helpful?
当然可以的，有一些方法十分有用 Oh, sure. So methods that are helpful with people with chronic pain and eating disorders.
但如果你对饮食障碍很感兴趣的话，我可能没有足够的时间详谈 So yes. Um, so I probably don't have a lot of time if you're interested in eating disorders.
我有一本由Jessica Kingsley出版的书 Um, I have a book published by jessica kingsley publishers on the creative arts therapies
讲的内容是创造性艺术治疗师是如何治疗有饮食障碍的患者的 in um treating clients with eating disorders.
刚刚我在介绍音乐治疗时提供的链接中就有这本新书 Um, so there's information there as well as in the new book that I published on the introduction to music.
也有一些实践，在巴塞罗那出版的 There be practice um, which is published by barcelona.
让我从慢性头痛开始说起 Um, but let me start with chronic pain.
很多人都在与各种各样的长期慢性疼痛做斗争 So people who are dealing with kind of ongoing, persistent, chronic pain.
解决这种疼痛有许多种不同的方法 Um, so there are a variety of ways that we can kind of deal with that.
要根据个体需要进行制定 Um, always tailor it to the individual.
但有一件事对于各类不同的病人都是十分行得通的 But one of the things that we know about music listening, um, and this makes it very accessible for a variety of clients,
就是当我们在听音乐的时候，我们会关闭疼痛接收器 is that when we're listening to music, it can block out the pain signals,
但是只有当音乐吸引他们的注意力的时候 but that the music they listen to has to be music
无论是放松还是干扰，才会起作用 that can capture their attention can in essence whether it's relax or distract them
在个性化制定方面 So it has to be tailored to that individual.
对于一些患者而言 So for some clients,
十分特殊的音乐可以让他们大脑中的疼痛信号器关闭 it might be, um, very specific music that can um, distract them and then block those pain signals in in the brain.
对于有的患者则是帮助他们获得充足的休息 Um, or for some clients, it might be helping them to relax enough um,
从而很好地控制这些疼痛 to manage some of that pain as well.
这些都是十分重要的方式 Um, so those are those are some um kind of important ways to do that.
我十分关注解决患者的慢性疼痛 I really focus on when i'm working with clients with chronic pain,
我想要为他们提供一些在家就可以操作的技术 I want to give them techniques that they can use at home.
不仅仅是在治疗活动期间可以进行 So not just within the therapy session because typically they're gonna be dealing with that pain
在家里也可以进行的技术 when they're at home. Um, not just in the therapy session.
当我在治疗饮食障碍的患者时 Um when i'm working with clients with eating disorders
我一会儿会分享我刚刚做的线上辅导 and i'm gonna share I just did an online tutorial
关于和客户用音乐治疗进食障碍的 um, that is on music therapy with clients with eating disorders,
我会提到我所用到的有些不同的方法 where I talk a bit about the different um, methods that I use.
我会告诉患者他理应尝试所有的方法 And I will say with clients and he deserves, I use all methods.
像是二次创造式、接受式、即兴创作式、成分分析式的方法 So recreative, um, receptive, improvisational and compositional method.
我也会让患者写作，用歌声进行讨论 So I do song writing with clients. Um, we do some song discussion song.
我们会使用许多传记、即兴创作，以及其他不同的音乐体验 Um, so a lot of biographies, um, we do improvisation, um, and we do all kinds of different experiences with within the music.
我也会让具有饮食障碍的患者放松下来 I do relaxation clients with eating disorders
因为他们有很高的焦虑性 because they have a high incidence of anxiety disorder along with eating disorders.
我发现对于患有饮食障碍的患者十分重要的是 So, um, what I find is really important for clients with eating disorders is um,
为他们提供应对的方法 giving them ways of coping.
他们的饮食障碍是一种他们应对（焦虑）的方法 Because they're eating disorder has become a way of coping.
所以他们需要改变这种方法 So they need develop their coping skills.
观察他们如何应用音乐处理饮食障碍 So looking at how do they use music to cope than there eating disorder.
就可以学习如何放松、管理自己的情绪 So learning to relax, learning to manage their emotions.
所以我们能够通过音乐让患者实现放松、联想 Um, so we can, you know, use that through music, relaxation, music and imagery.
基于音乐的即兴创作也可以帮助他们放松下来 Um, we can do that through some and music based improvisation that can be relaxing as well.
我们也需要去处理、探索他们的感受 Um, also being able to process and explore their feelings.
因为对于饮食障碍的患者而言，他们的部分感觉是麻木的 Um, because those feelings are being kind of numbed by the eating disorder
就像是经受过创伤的情况 as well as dealing with underlying trauma.
关于线上的音乐治疗 Um, but music therapy online,
你可以去浏览音乐治疗网站 you can go to music visit music therapy online
他们是线上进行的 and there's a web and ah that i've just um,weapon are tutorial that
我刚刚在10-11月份出版了一本 I just published in December or November on um,
关于音乐治疗如何应用于饮食障碍患者的书 music therapy and with eating disorder clients.
也有一些其他的免费资源 Um, so there's another kind of resource out there free to make you.
我使用过每一种方法，而我们需要注意的是 So, um, I I used every method at my hands with clients with eating disorders.
如果他们在药物上不稳定 What we have to keep in mind is when clients are, um, you know, if they're medically unstable.
如果一个患者因为厌食症和药物不稳定性而体重过轻 So if a client is very low waited because of anorexia and are medically unstable,
我无法让他们积极地加入到活动中，因为他们太脆弱了 I can't have them actively engaged and making music there too fragile.
所以我们要在治疗的所有层面上记住患者的需要 So we have to keep in mind what are their needs at any particular level of treatment.
有人提问说：最适用的方法是什么呢？ Um, and so what methods are most appropriate there?
我对患者使用有这些方法 But I use all those methods
即兴创作、放松、歌曲讨论 with clients have done song writing, the clients with eating disorders.
歌曲自传等等 I've done improvisation, relaxation, song discussion, song autobiographies.
我不会不与患者使用某种方法 So, um, so I don't rule any methods off the table,
但会考虑到他们的需求和他们所处的治疗阶段 but consider their needs within the level of treatment that they're at.
所以我们来看看 So let's see.
另一个问题是：你提到过音乐是音乐治疗的核心和基础 Another question is you mentioned music was the core and foundation of music therapy.
但如何平衡基于艺术的研究和基于实证的研究？ Um, however, how to balance art based research and evidence based research?
基于艺术的研究相较于实证研究是处于弱势地位的吗？ Do you feel arts based research is a disadvantage position compared to evidence?
这是一个很棒的问题 So this is a great question.
我个人认为基于艺术的研究并不是一个弱点 And I can say personally I do not feel it's a disadvantage.
当我们观察全世界的时候 But with that said, I do know that we look at in around the world,
我们从不同的角度看待证据 we look at evidence um, in different ways.
我们所看到的最有力的证据 And so the strongest evidence that we typically look at
这里的“我们”指的是科学界 and by we I mean the scientific community, the strongest evidence,
他们认为实证的证据是最有力的 they look at his really empirical evidence.
当我们谈论黄金标准时 So when we talk about the gold standard,
我们是在谈论控制随机性的实验 we're typically talking about randomized controlled trials.
所以我认为对于我们这个领域的研究来说最重要的事情是 And so I think the important thing for us to acknowledge is that
我们对于不同的研究有不同的标准 our world of research has different standards for different types of research and how we view those.
我认为我们俩者都需要 So I think we need both.
这两种的研究我都有实施 I do both types of research
因为我认为他们同样重要 because I find that important.
我不认为基于证据的研究可以捕捉音乐治疗中发生的所有事情 I don't find that just evidence based research can capture the all of what we do in music therapy.
但我发现科学界认为实证证据是更加有价值，这是不幸的 But I also recognize right that our scientific community gives greater value, unfortunately, too, um, this empirical evidence.
对于音乐治疗师而言，我们不必陷入这一陷阱中 Um, but what I would say for us as music therapist is to, um, to not try to fall into that trap.
因为在基于艺术的研究中，我们也许多重要的发现 Um, because there is important um, discoveries that we make in arts based research
这些发现可以引导我们更好地实施音乐治疗 that I think is um, important to developing our practice,
因此我们要做的是平衡这两者，把它们看作是一个整体 but recognizing we need to balance both um, as a profession as a whole.
我希望这个回答有所帮助 I hope that helps.
虽然我也会被两种研究不断拉扯 IT's IT's IT always makes my heart a lITtle bIT sad that push and pull that we find kind of in um, in this research.
但我也一直在进行两种研究，我承认这两个各自的价值 Um, but I really hold both. I hold both with great value.
它们都为我们专业性的提高提供答案 Um, they hold great answers and information for us as a profession.
感谢您对所有问题的回答 Thank you any to answer all of the questions.
不用谢，这些都是很棒的问题 You're so welcome their great questions.
是的，我也这么觉得 Yes, I agree with you.
很抱歉今天只能到这结束了，因为时间已经到了 So I'm sorry, I have to stop. I have to say stop because we are run out of time.
我相信今天我们从老师这里学到了很多 I guess we all learn a lot from any
老师也给我们带来了一个有趣的话题 and any really bring a very interesting topic for us.
这也是为什么我们能提出这么多疑惑 So that's why we have so many questions.
我们将会有很多想和她分享的事情 There's so many thing we would like to share with her.
就像她所说，如果你们有更多的疑问 And I guess just like any say, if you have more questions,
你们可以通过电子邮箱联系她 you want to the more maybe you can contact contact to her by her email.
对吧 Is that right?
十分感谢Annie Yes, yes, great, thank you very much.
为我们带来了这么精彩的分享 Thank you annie, for sharing one. All of the things for us.
我相信所有人都有所收获 And I guess all of us benefit a lot from today's presentation.
也感谢今天所有的参与者 And also thank you for all the full participant.
谢谢你们的时间 Thank you for your time.
谢谢你们的评论 Thank you for your comments.
再次感谢所有人 And thank you for all that.
一个好的问题有着很重的分量 A wonderful question as he listed a great weight.
可以让我们合作、分享，加深我们学习的内容 We collaborate, we share and we really it really help us to learn deeply.
最后，再次感谢Annie Yes, at last but not least I should mention thank you for ces.
感谢Tony可以为我们提供这么好的平台，让我们联系同行 Thank you tony to provide wonderful they form for us to clever rates and share with each other.
这的确是一件让人很棒的事情，十分感谢！ Yes, its wonderful. Thank you very much. Thank you.
谢谢你的祝愿，下次再见！ I wish you all the best. So see you next time.
你们赚了 You make money.
谢谢大家，下次见 Thank you, everyone.