Trauma is a phenomenon that shapes our lives and can manifest in symptoms both overt and hidden. There are myriad causes and activators of trauma: it is pervasive, and therapists can presume that the people we see in sessions have experienced one or more traumas. Across cultures, neurobiological responses to trauma are shared: dysregulation of affect, changes in neurological functioning and processing, and prolonged stress reactions are common outcomes experienced by people from around the world. Intimate partner violence (IPV) and sexual assault (SA) create traumatic symptoms and responses in survivors; these can be debilitating and life-altering events. Music as a therapeutic modality offers survivors a way to process the effects of past and present traumatic events in a way that does not rely solely on cognitive processing or for survivors to relive memories that activate more stress or cause retraumatization. The purpose of this scoping review was to identify salient and current trends in music therapy that integrate a trauma-informed approach to working with women-identifying survivors of IPV and SA. Findings indicate a lack of continuity in theoretical and practical approaches. A theme of resiliency arose, and therapeutic experiences of songwriting, clinical improvisation, and active music making emerged as primary foci for clinical work.

中文翻译：

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对亲密伴侣暴力和性侵犯的成年幸存者进行创伤知情音乐治疗：范围界定审查

创伤是一种影响我们生活的现象，可以通过明显的和隐藏的症状表现出来。创伤的原因和诱因有多种：它是普遍存在的，治疗师可以推测我们在治疗中看到的人经历过一种或多种创伤。在不同文化中，对创伤的神经生物学反应是相同的：情感调节失调、神经功能和处理的变化以及长期的应激反应是世界各地的人们经历的常见结果。亲密伴侣暴力（IPV）和性侵犯（SA）会给幸存者带来创伤性症状和反应；这些可能会使人衰弱并改变生活。音乐作为一种治疗方式，为幸存者提供了一种处理过去和现在创伤事件影响的方法，这种方式不仅仅依赖于认知处理，也不让幸存者重温那些引发更多压力或导致再次创伤的记忆。本次范围审查的目的是确定音乐治疗的当前显着趋势，将创伤知情方法与女性识别 IPV 和 SA 幸存者结合起来。调查结果表明理论和实践方法缺乏连续性。弹性的主题出现了，歌曲创作、临床即兴创作和积极的音乐制作的治疗经验成为临床工作的主要焦点。