Music Therapy and Elective Mutism: A Case Discussion

Abstract

This paper describes individual music therapy sessions with a 20-year-old man with specific communication difficulties manifested as inappropriate behaviour and elective mutism in his daily life. It shows how music therapy was a particularly relevant treatment in the context of the Unit where he was being helped. It illustrates firstly how aspects of play can be embraced in the therapeutic relationship, and secondly how problems can be worked through in the experience of both musical and non-musical interaction. The therapist uses a psychodynamic viewpoint in her understanding and interpretation of the sessions.