{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:04:34Z","timestamp":1789671874219,"version":"4.0.1"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Children receiving pediatric palliative care (PPC) have complex, multidimensional needs requiring an integrative and person-centered approach. Although songwriting (SW) within medical music therapy (MMT) has been used to support expression and communication, its role as a process-oriented intervention in PPC remains underexplored. This case-based report explores the use of SW to support emotional expression, communication, and meaning-making at the end of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We describe the case of a 12-year-old patient with advanced Burkitt lymphoma receiving MMT during hospitalization. SW emerged within an established therapeutic relationship grounded in receptive listening and emotional regulation. The SW process developed over approximately 30 days and was analyzed through clinical observation and musical-textual analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>SW facilitated the gradual emergence of experiences related to physical suffering, hope, identity, and family relationships. The song\u2019s open structure, unstable phrasing, and vocal qualities reflected the patient\u2019s physical and emotional condition, highlighting the dynamic and nonlinear nature of lived experience. Rather than promoting emotional resolution, the process enabled the patient to remain within evolving questions, supporting a sense of meaning without closure. SW also functioned as a relational space, fostering shared meaning and emotional continuity within the family.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance of Results:<\/jats:title>\n                    <jats:p>This report suggests that SW in PPC can support the integration of complex experiences while sustaining meaning-making without imposing closure. It highlights the role of the music therapist in maintaining a flexible, attuned, and ethically grounded stance, offering a space in which patients can explore and inhabit their experience in a manner consistent with their condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261488240","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:18:45Z","timestamp":1789449525000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Songwriting in Medical Music Therapy in Pediatric Palliative Care: Case-Based Clinical Insight from Music Therapy Practice"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6106-1187","authenticated-orcid":false,"given":"Filippo","family":"Giordano","sequence":"first","affiliation":[{"name":"Conservatory of Music A. Casella L\u2019Aquila, L\u2019Aquila, Italy."},{"name":"Department of Precision and Regenerative Medicine and Ionian Area, University of Bari, Bari, Italy."},{"name":"Apleti ets, University Hospital of Policlinico Bari, Bari, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Rutigliano","sequence":"additional","affiliation":[{"name":"Apleti ets, University Hospital of Policlinico Bari, Bari, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1167-0651","authenticated-orcid":false,"given":"Mariagrazia","family":"Baroni","sequence":"additional","affiliation":[{"name":"Department of Music Therapy, Conservatory of Music A. Vivaldi Alessandria, Alessandria, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"Dileo","sequence":"additional","affiliation":[{"name":"Department of Music Therapy and The Arts and Quality of Life Research Center, Boyer College of Music and Dance, Temple University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Muggeo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Oncology and Hematology, University Hospital of Policlinico Bari, Bari, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.12.031"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01194-5"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01515-2"},{"key":"e_1_3_3_5_1","first-page":"79","article-title":"The present and future of medical music therapy for adults in the U.S.A","volume":"23","author":"Dileo C","year":"2021","unstructured":"4.Dileo C. The present and future of medical music therapy for adults in the U.S.A. JUCR 2021;23:79\u201393.","journal-title":"JUCR"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/wjps-2021-000307"},{"key":"e_1_3_3_7_1","first-page":"65","article-title":"Integral thinking in music therapy","volume":"12","author":"Lee JH","year":"2015","unstructured":"6.Lee JH. Integral thinking in music therapy. J Music Hum Behav 2015;12:65\u201394.","journal-title":"J Music Hum Behav"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12519-022-00578-6"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018301"},{"key":"e_1_3_3_10_1","first-page":"57","volume-title":"Music therapy at the end of life","author":"O\u2019Callaghan C","year":"2024","unstructured":"9.O\u2019Callaghan C. Music therapy literature review on research in palliative and hospice care. In: Music therapy at the end of life. Jeffrey Book; 2024; pp. 57\u201374."},{"key":"e_1_3_3_11_1","volume-title":"\u201cMusic Therapy at the End of Life\u201d","author":"Dileo C","year":"2024","unstructured":"10.Dileo C, , Baroni M. \u201cMusic Therapy at the End of Life\u201d. Second ed. Jeffrey Books: USA; 2024."},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/13594575231196406"},{"key":"e_1_3_3_13_1","first-page":"179","volume-title":"Guided Imagery & Music (GIM) and Music Imagery Methods for Individual and group therapy","author":"Gimeno MM","year":"2015","unstructured":"12.Gimeno MM. MED-GIM Adaptations of the Bonny Method for medical patients. In: Guided Imagery & Music (GIM) and Music Imagery Methods for Individual and group therapy. 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