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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Defining Attachment and Bonding: Overlaps, Differences and Implications for Music Therapy Clinical Practice and
Mark Ettenberger1,2, Łucja Bieleninik3,4, Shulamit Epstein5
1Department of Music Therapy, University Hospital Fundación Santa Fe de Bogotá, Bogotá 110111, Colombia.
Insights
Music therapy in the Neonatal Intensive Care Unit (NICU) supports parent-infant bonding and attachment. Understanding the distinct processes of bonding and attachment is crucial for effective NICU interventions and research.
Area of Science:
- Neonatal care
- Developmental psychology
- Music therapy
Background:
- Preterm birth and Neonatal Intensive Care Unit (NICU) hospitalization cause parental stress, anxiety, and depression.
- These challenges can negatively impact parental mental health, the parent-infant relationship, and child development.
- Music therapy is an emerging clinical practice in the NICU aimed at fostering parent-infant relationships.
Purpose of the Study:
- To clarify the distinct concepts of parent-infant 'bonding' and 'attachment'.
- To explore the implications of these distinctions for music therapy practice and research within the NICU.
- To provide guidance for healthcare professionals on early parenting interventions.
Main Methods:
- Literature review and conceptual analysis of 'bonding' and 'attachment' in the context of the NICU.
- Discussion of theoretical overlaps and differences between the two concepts.
- Exploration of practical applications and scenarios for music therapists.
Main Results:
- Bonding and attachment are distinct but related processes in early parent-infant relationship formation.
- Differentiating between bonding and attachment is essential for precise theoretical application.
- Clearer definitions can enhance the effectiveness of music therapy and other NICU interventions.
Conclusions:
- Distinguishing between bonding and attachment is vital for music therapists and healthcare professionals in the NICU.
- A more precise theoretical understanding can lead to improved clinical practice and research outcomes.
- This distinction supports the development of targeted interventions to strengthen the parent-infant relationship during NICU stays.
Abstract:
Preterm birth and the subsequent hospitalization in the Neonatal Intensive Care Unit (NICU) is a challenging life event for parents and babies. Stress, anxiety, and depressive symptoms, limitations in holding or touching the baby, and medical complications during the NICU stay can negatively affect parental mental health. This can threaten the developing parent-infant relationship and might adversely impact child development. Music therapy in the NICU is an internationally growing field of clinical practice and research and is increasingly applied to promote relationship building between parents and babies. The two most commonly used concepts describing the early parent-infant relationship are 'attachment' and 'bonding'. While frequently used interchangeably in the literature, they are actually not the same and describe distinctive processes of the early relationship formation. Thus, it is important to discuss the overlaps and differences between attachment and bonding and the implications for music therapy clinical practice and research. Whereas providing examples and possible scenarios for music therapists working on either bonding or attachment, the distinction between both concepts is relevant for many health care professionals concerned with early parenting interventions in the NICU. This will hopefully lead to a more precise use of theory, and ultimately, to a more informed clinical practice and research.
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