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Humanizing the Working Environment in Health Care Through Music and Movement

The Importance of Embodied Leadership

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Music and Public Health

Abstract

In the workplaces of our health-care institutions today, stress and burnout are common issues and pressing ones to be addressed by organizational leaders. The chapter considers how the development of empathy can help to contribute to dealing with this complex issue by easing not simply the symptoms of stress and burnout but addressing one of the causes of it. Drawing on theories of mirroring, emotional brain and embodiment, I examine how the combination of music and movement facilitates access to the emotions of others and helps us to better understand their experiences. I also discuss how the training of empathy can be introduced into health care through programmes of cultural activities that facilitate an exploration of how the body can be used to increase awareness of one’s own emotions and those of others. This work contributes to the growing body of evidence for how artistic programmes offer value to health care. By promoting greater empathy as a practice of embodied leadership within the organization, we seek to contribute to the creation of a working environment that is “humanized” through a culture of care.

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References

  • Aldridge, D., Gustorff, D., & Neugebauer, L. (1995). A preliminary study of creative music therapy in the treatment of children with developmental delay. The Arts in Psychotherapy, 22(3), 189–205.

    Article  Google Scholar 

  • Aronsson, G., Theorell, T., Grape, T., Hammarström, A., Hogstedt, C., Marteinsdottir, I., et al. (2017). A systematic review including meta-analysis of work environment and burnout symptoms. BMC Public Health, 17, 264.

    Article  PubMed  PubMed Central  Google Scholar 

  • Åsberg, M., Krakau, I., Nygren, Å., Rodhe, M., Wahlberg, A., & Währborg, P. (2010). Stress som orsak till psykisk ohälsa /stress as the cause of mental illness. Läkartidningen, 107(19–20), 1307–1310.

    Google Scholar 

  • Berrol, C. F. (2006). Neuroscience meets dance/movement therapy: Mirror neurons, the therapeutic process and empathy. The Arts in Psychotherapy, 33(4), 302–315.

    Article  Google Scholar 

  • Bläsing, B., Calvo-Merino, B., Cross, E. S., Jola, C., Honisch, J., & Stevens, C. J. (2012). Neurocognitive control in dance perception and performance. Acta Psychologica, 139(2), 300–308.

    Article  PubMed  Google Scholar 

  • Bojner Horwitz, E. (2004). Dance/movement therapy in fibromyalgia patients: Aspects and consequences of verbal, visual and hormonal analyses (Doctoral dissertation, Acta Universitatis Upsaliensis).

    Google Scholar 

  • Bojner Horwitz, E. (2011). Kultur för hälsans skull. (Culture for the sake of health). Stockholm: Gothia Förlag AB.

    Google Scholar 

  • Bojner Horwitz, E., & Huss, E. (2016). Using internet based arts to promote inter-generational meetings between young people and senior citizens: The Playmäkers project in Sweden. Journal of Applied Arts & Health, 7(3), 297–311.

    Article  Google Scholar 

  • Bojner Horwitz, E., Kowalski, J., & Anderberg, U. M. (2010). Theatre for, by and with fibromyalgia patients – evaluation of emotional expression using video interpretation. The Arts in Psychotherapy, 37(1), 13–19.

    Article  Google Scholar 

  • Bojner Horwitz, E., Lennartsson, A.-K., Theorell, T., & Ullén, F. (2015). Engagement in dance is associated with emotional competence in interplay with others. Frontiers in Psychology, 31, 1–8.

    Google Scholar 

  • Bojner Horwitz, E., Grape Viding, C., Rydwik, E., & Huss, E. (2017). Arts as an ecological method to enhance quality of work experience of healthcare workers: A phenomenological hermeneutic study. Journal of Qualitative Studies in Health and Well-being, Vol 13, 1333898.

    Google Scholar 

  • Bonde, L. O. (2007). Music as co-therapist: Investigations and reflections on the relationship between music and imagery in the bonny method of guided imagery and music. In I. Frohne-Hagemann (Ed.), Receptive music therapy (pp. 43–74). Wiesbaden: Dr. Ludwig Reichert Verlag.

    Google Scholar 

  • Calvo-Merino, B., Glaser, D. E., Grèzes, J., Passingham, R. E., & Haggard, P. (2005). Action observation and acquired motor skills: An FMRI study with expert dancers. Cerebral Cortex, 15(8), 1243–1249.

    Article  CAS  PubMed  Google Scholar 

  • Chartrand, T. L., & Bargh, J. A. (1999). The chameleon effect: The perception –behaviour link and social interaction. Journal of Personality and Social Psychology, 76(6), 893.

    Article  CAS  PubMed  Google Scholar 

  • Covington, H. (2001). Therapeutic music for patients with psychiatric disorders. Holistic Nursing Practice, 15(2), 59–69.

    Article  CAS  PubMed  Google Scholar 

  • Cross, E. S., Kraemer, D. J., Hamilton, A. F. D. C., Kelley, W. M., & Grafton, S. T. (2009). Sensitivity of the action observation network to physical and observational learning. Cerebral Cortex, 19(2), 315–326.​

    Article  PubMed  Google Scholar 

  • Crosta Ahlforn, K., Bojner Horwitz, E., & Osika, W. (2017). A Swedish version of the Consultation and Relational Empathy (CARE) measure. Scand J of Primary Health Care, 35(3), 286–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • De Vignemont, F., & Singer, T. (2006). The empathic brain: How, when and why? Trends in Cognitive Sciences, 10(10), 435–441.

    Article  PubMed  Google Scholar 

  • Denton, M., Zeytinoglu, I. U., Davies, S., & Lian, J. (2002). Job stress and job dissatisfaction of home care workers in the context of health care restructuring. International Journal of Health Services, 32(2), 327–357.

    Article  PubMed  Google Scholar 

  • Downing, G. (1996). Kroppen och ordet. Kroppsorienterad psykoterapi—teoretisk bakgrund och klinisk tillämpning (The body and the word. Bodily oriented psychotherapy—theoretical background and clinical application). Borås: Natur och Kultur.

    Google Scholar 

  • Ekman, P., & Friesen, W. V. (2003). Unmasking the face: A guide to recognizing emotions from facial clues. Los Angeles: Malor Books.

    Google Scholar 

  • Frank A. Russo, Naresh N. Vempala, Gillian M. Sandstrom, (2013) Predicting musically induced emotions from physiological inputs: linear and neural network models. Frontiers in Psychology 4.

    Google Scholar 

  • Gallese, V. (2005). “Being like me”: Self-other identity, mirror neurons and empathy. Perspectives on Imitation: From Cognitive Neuroscience to Social Science, 1, 101–118.

    Google Scholar 

  • Gallese, V., Fadiga, L., Fogassi, L., & Rizzolatti, G. (1996). Action recognition in the premotor cortex. Brain, 119(2), 593–609.

    Article  PubMed  Google Scholar 

  • Golkar, A., Johansson, E., Kasahara, M., Osika, W., Perski, A., & Savic, I. (2014). The influence of work-related chronic stress on the regulation of emotion and on functional connectivity in the brain. PLoS One, 9(9), e104550.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Grahn, J. A., & Brett, M. (2007). Rhythm and beat perception in motor areas of the brain. Journal of Cognitive Neuroscience, 19(5), 893–906.

    Article  PubMed  Google Scholar 

  • Grape Viding, C., Osika, W., Theorell, T., Kowalski, J., Hallqvist, J., & Bojner Horwitz, E. (2015). “The culture palette” – a randomized intervention study for women with burnout symptoms in Sweden. British Journal of Medical Practitioners, 8(2), a813.

    Google Scholar 

  • Grape Viding, C., Osika, W., & Horwitz, B. (2017). “You can’t feel healthier than your caregiver” – the ripple effect of trust and empathy for patients and health care staff, cultivated through cultural activities. The Journal of Nursing Care, 6(5), 1–8.

    Google Scholar 

  • Grossi, G., Perski, A., Osika, W., & Savic, I. (2015). Stress-related exhaustion disorder–clinical manifestation of burnout? A review of assessment methods, sleep impairments, cognitive disturbances, and neuro-biological and physiological changes in clinical burnout. Scandinavian Journal of Psychology, 56(6), 626–636.

    Article  PubMed  Google Scholar 

  • Hayes, B., Bonner, A., & Pryor, J. (2010). Factors contributing to nurse job satisfaction in the acute hospital setting: A review of recent literature. Journal of Nursing Management, 18, 804–814.

    Article  PubMed  Google Scholar 

  • Kirsch, L. P., & Cross, E. S. (2015). Additive routes to action learning: Layering experience shapes engagement of the action observation network. Cerebral Cortex, 25(12), 4799–4811.

    Article  PubMed  Google Scholar 

  • Kutney-Lee, A., Wu, E. S., Sloane, D. M., & Aiken, L. H. (2013). Changes in hospital nurse work environments and nurse job outcomes: An analysis of panel data. International Journal of Nursing Studies, 50(2), 195–201.

    Article  PubMed  Google Scholar 

  • Landsbergis, P. A. (1988). Occupational stress among health care workers: A test of the job demands-control model. Journal of Organizational Behavior, 9(3), 217–239.

    Article  Google Scholar 

  • Le Doux, J. E. (1998). The emotional brain: The mysterious underpinnings of emotional life. New York: Weidenfeld & Nicolson.

    Google Scholar 

  • Lennartsson, A. K., Bojner, H. E., Theorell, T., & Ullén, F. (2017). Creative artistic achievement is related to lower levels of alexithymia. Creativity Research Journal, 29(1), 29–36.

    Article  Google Scholar 

  • Mattila, A. K., Ahola, K., Honkonen, T., Salminen, J. K., Huhtala, H., & Joukamaa, M. (2007). Alexithymia and occupational burnout are strongly associated in working population. Journal of Psychosomatic Research, 62(6), 657–665.

    Article  PubMed  Google Scholar 

  • McGarry, L. M., & Russo, F. A. (2011). Mirroring in dance/movement therapy: Potential mechanisms behind empathy enhancement. The Arts in Psychotherapy, 38(3), 178–184.

    Article  Google Scholar 

  • Moreno, R., & Mayer, R. (2007). Interactive multimodal learning environments. Educational Psychology Review, 19(3), 309–326.

    Article  Google Scholar 

  • Moss, M., Good, V. S., Gozal, D., Kleinpell, R., & Sessler, C. N. (2016). A critical care societies collaborative statement: Burnout syndrome in critical care health-care professionals. A call for action. American Journal of Respiratory and Critical Care Medicine, 194(1), 106–113.

    Article  PubMed  Google Scholar 

  • Niedenthal, P., Barsalou, L., Winkielman, P., Krauth-Gruber, S., & Ric, F. (2005). Embodiment in attitudes, social perception and emotion. Personality and Social Psychology Review, 9(3), 184–211.

    Article  PubMed  Google Scholar 

  • Nordlund, S., Reuterwall, C., Höög, J., Lindahl, B., Janlert, U., & Slunga Birgander, L. (2010). Burnout, working conditions and gender – results from the northern Sweden MONICA study. BMC Public Health, 10(1), 326–334.

    Article  Google Scholar 

  • Pijnenburg, M. (2002). Humane healthcare as a theme for social ethics. Medicine, Health Care and Philosophy, 5(3), 245–252.

    Article  Google Scholar 

  • Rizzolatti, G., & Arbib, M. (1998). Language within our grasp. Trends in Neurosciences, 21, 188–194.

    Article  CAS  PubMed  Google Scholar 

  • Romanowska, J., Nyberg, A., & Theorell, T. (2016). Developing leadership and employee health through the arts: Improving leader-employee relationships. Cham: Springer Books.

    Book  Google Scholar 

  • Schlaug, G., Marchina, S., & Norton, A. (2008). From singing to speaking: Why singing may lead to recovery of expressive language function in patients with Broca's aphasia. Music perception: An interdisciplinary journal, 25(4), 315–323.

    Article  Google Scholar 

  • Shanafelt, T. D., Gorringe, G., Menaker, R., Storz, K. A., Reeves, D., Buskirk, S. J., et al. (2015). Impact of organizational leadership on physician burnout and satisfaction. Mayo Clinic Proceedings, 90(4), 432–440.

    Article  PubMed  Google Scholar 

  • Sifneos, P. E. (1973). The prevalence of ‘alexithymic’ characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22(2), 255–262.

    Article  CAS  PubMed  Google Scholar 

  • Smith, A. (1759). The theory of moral sentiments (Vol. 1976, p. 238). Oxford: Clarendon Press. Accessed via http://file.org.uk/ebooks/65/7.pdf 05/05/2017.

    Google Scholar 

  • Sonke-Hendersen, J. (2007). History of the arts and health across cultures. In Irlene A Serline (Ed.) Whole person health care Vol 3. The Arts in Health. Praeger: Santa Barbara, CA. ISBN 13:9780275992347.

    Google Scholar 

  • Stern, D. N. (2000/1985). Interpersonal world of the infant: A view from psychoanalysis and development psychology. New York: Basic Books.

    Google Scholar 

  • Swedish Social Insurance Agency. (2015). Sjukskrivningar 60 dagar eller längre. En beskrivning av sjukskrivna åren 1999–2014 efter kön, ålder, arbetsmarknadsstatus, yrke, sjukskrivningslängd och diagnospanorama. Report no. 2015:1. Stockholm: Försäkringskassan.

    Google Scholar 

  • Taylor, G. J., Bagby, R. M., & Parker, J. D. A. (1997). Disorders of affect regulation: Alexithymia in medical and psychiatric illness. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Theorell, T., Hammarström, A., Aronsson, G., Träskman Bendz, L., Grape, T., Hogstedt, C., et al. (2015). A systematic review including meta-analyses of work environment and depressive symptoms. BMC Public Health, 15, 738.

    Article  PubMed  PubMed Central  Google Scholar 

  • Theorell, T., Jood, K., Slunga Järvholm, L., Vingård, E., Perk, J., Östergren, P. O., et al. (2016). A systematic review of studies in the contributions of the work environment to ischaemic heart disease development. The European Journal of Public Health, 26(3), 470–477.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thompson, R. A. (1994). Emotional regulation: A theme in search of definition. In N. A. Fox (Ed.), The development of emotion regulation: Biological and behavioural considerations (pp. 25–52). Chicago: The University of Chicago Press. (Monographs of the Society for Research in Child Development, 59, Serial No. 240).

    Google Scholar 

  • Umilta, M. A., Kohler, E., Gallese, V., Fogassi, L., Fadiga, L., Keysers, C., et al. (2001). I know what you are doing: A neurophysiological study. Neuron, 31(1), 155–165.

    Article  CAS  PubMed  Google Scholar 

  • Wicker, B., Keysers, C., Plailly, J., Royet, J. P., Gallese, V., & Rizzolatti, G. (2003). Both of us disgusted in My insula: The common neural basis of seeing and feeling disgust. Neuron, 40(3), 655–664.

    Article  CAS  PubMed  Google Scholar 

  • Zoni, S., & Lucchini, R. G. (2012). European approaches to work-related stress: A critical review on risk evaluation. Safety and Health Work, 3, 43–49.

    Article  Google Scholar 

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Correspondence to Eva Bojner Horwitz .

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Horwitz, E.B. (2018). Humanizing the Working Environment in Health Care Through Music and Movement. In: Bonde, L., Theorell, T. (eds) Music and Public Health. Springer, Cham. https://doi.org/10.1007/978-3-319-76240-1_12

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  • DOI: https://doi.org/10.1007/978-3-319-76240-1_12

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