When (if) to stop?: Music therapy with persons living with severe dementia – Reflections on years of care and connection

Abstract

ABSTRACT Introduction Working with a person living with dementia over the years presents a significant challenge for the music therapist, particularly in determining the appropriate duration of intervention. This challenge is compounded by the evident deceleration process experienced by the person, necessitating a high degree of sensitivity and adaptability from the therapist. Method This article draws on the author’s extensive experience as a music therapist, spanning individual sessions lasting from 6 to 14 years with the same person. Insights gleaned from clinical moments over this duration highlight challenges inherent in long-term therapeutic interventions. Results The therapeutic relationship developed over the years enables the music therapist to adjust the intervention progressively to the client’s evolving needs and remain attuned despite challenges in interpreting the person’s responses during severe dementia. Discussion This reflection emphasizes the relevance of music therapy in providing continuous care for persons with severe dementia, acknowledging the inherent challenges of such interventions.