The use of improvisation for developing relatedness in the adult client

Journal/Book: Music Therapy. 1983; 3: 29-42.

Abstract: Examines the phenomenon of relatedness and how musical improvisation can promote relatedness in music therapy. It is noted that when percussion and melodic percussion are used, improvisation becomes available to all types of patients, regardless of prior musical training. Improvising music is special in that it allows a client to experience himself/herself in relation to others on 2 levels, the actual and the symbolic. The actual level takes place in the very real interaction of his/her sounds with those of others; the symbolic level involves the expression of emotions, thoughts, and memories through the music. The improvisation session is described with reference to the instruments used, techniques, and the therapist's role. Instruments should respond to simple hand, arm, or finger movements (i.e., percussion and melodic percussion instruments). Improvisation techniques include modeling, leading, mirroring, role playing, grounding, and stimulating; therapists may assume the roles of initiator, supporter, and/or guide. Case examples are presented of a client with a diagnosis of schizophrenia, residual type, who used improvisation to begin to communicate; a resettlement group that used improvisation to prepare for and negotiate the experiences of living together; and a neurotic client who used improvisation to focus more on the present and work through issues of relatedness. (8 ref)

Note: music improvisation; development of relatedness in music therapy & psychotherapeutic process; adult patients

Keyword(s): Music therapy; psychotherapeutic processes; adulthood

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