Abstract

Four composite case examples are presented and discussed as they relate to emotional expression, significant moments in the therapeutic process, and communication using a variety of modalities in music therapy with adults diagnosed with intellectual and developmental disabilities. Building on therapeutic awareness through discussing musical elements, body movement and posture, countertransference, and interactional patterns, the implications of deep emotional connection and processing are approached using primarily nonverbal methods. Composite vignettes from the author’s clinical work demonstrate awareness of these factors in the moment as they impacted the session, therapeutic relationship, and other professionals’ understanding of music therapy in this population. Implications for emotional processing in clinical practice are presented as they relate to the concepts presented in this paper.

Highlights

  • Improvisation in music therapy invites connection through a unifying experience that often involves the expression of some type of emotional content and is directed towards the growth of the client (Bruscia, 2014; Dillard, 2006; Graham, 2004; Seabrook, 2019; Strehlow & Lindner, 2014)

  • Deep connections can be made within the safety and acceptance present within the therapeutic relationship and musical space

  • Verbal processing proved to be unnecessary for Alison and the therapist following the movement improvisation

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Summary

Introduction

Improvisation in music therapy invites connection through a unifying experience that often involves the expression of some type of emotional content and is directed towards the growth of the client (Bruscia, 2014; Dillard, 2006; Graham, 2004; Seabrook, 2019; Strehlow & Lindner, 2014). Improvisation creates a sacred space, the musical space, for exploration and relationship (Kenny, 2006). This space can hold safety, relationship, spontaneity, receptivity, and creative potential. By participating in the creative process, the client is actively creating and embarking toward change. VOICES: A WORLD FORUM FOR MUSIC THERAPY. REFLECTIONS ON PRACTICE from the therapist in this space (Graham, 2004; Polen, 2013; Swaney, 2017; Swaney, 2020). Deep connections can be made within the safety and acceptance present within the therapeutic relationship and musical space

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