Music Therapy Programming for Persons With Eating Disorders

A Review With Clinical Examples

Authors

  • Varvara Pasiali Queens University of Charlotte http://orcid.org/0000-0002-5621-7634
  • Dean Quick Queens University of Charlotte; Levine Cancer Institute
  • Jessica Hassall Queens University of Charlotte
  • Hailey A Park Voices Together

DOI:

https://doi.org/10.15845/voices.v20i3.2785

Keywords:

eating disorders, adolescent, music therapy, review, treatment

Abstract

Eating disorders are serious disturbances in eating habits, body image attitudes, and weight that affect overall well-being and can have life-threatening consequences. Participation in music therapy sessions may allow for healing of anxiety, self-worth, and body-image challenges that each person may face. In this manuscript we examined the music therapy literature pertaining to clinical work with persons who have eating disorders. We describe six techniques (clinical improvisation, song autobiography, song discussion, songwriting, music assisted relaxation/imagery, and Bonny Method of Guided Imagery and Music) and their reported uses in the literature. While the evidence supports that these techniques are effective, we acknowledge that what works in one context may not be culturally relevant or effective in another. The overview of the evidence in the literature corroborates how therapists who work with persons who have eating disorders tend to use music therapy techniques as pathways for contributing to sense of self. For each technique, we provide clinical examples with a strong element of the need to redevelop or discover identity.

Author Biographies

Varvara Pasiali, Queens University of Charlotte

Dr. Pasiali is Associate Professor of Music Therapy at Queens University of Charlotte. Her research interests include early intervention, resilience, and family-based music therapy. Her main lecturing areas include improvisation, applied clinical techniques, and psychology of music. Dr. Pasiali is a regular presenter at conferences and has published in various journalsShe is an invited reviewer for music therapy journals including Nordic Journal of Music Therapy, Journal of Music Therapy, The Arts in Psychotherapy. She also serves as an associate editor for the open access peer-reviewed journal Approaches: An Interdisciplinary Journal of Music Therapy.

Dean Quick, Queens University of Charlotte; Levine Cancer Institute

Dean Quick, MT-BC completed his music therapy degree at Appalachian State University. Board certified in music therapy since 2010, Dean Quick specializes in treating adults in oncology and individuals of all ages with mental health issues (specifically those with eating disorders and/or personality disorders). Dean is a clinical music therapy practicum supervisor at Queens University of Charlotte as well as the music therapist for Levine Cancer Institute in Charlotte, NC. Using clinical music therapy interventions in conjunction with deeply rooted existential beliefs and music-based treatment philosophies, Dean utilizes music to assist individuals in living a life empowered by music.

Jessica Hassall, Queens University of Charlotte

Jessica is an undergraduate music therapy student at Queens University of Charlotte.  Her primary instrument is flute.

Hailey A Park, Voices Together

Hailey graduated in 2018 with a BM in Music Therapy from Queens University of Charlotte. A board-certified professional music therapist, Hailey has a passion for working with individuals with special needs and fostering the growth of each client. Her diverse experience includes working with early intervention, special education and adult enrichment programs.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.

Amir, D. (2012). “My music is me”: Musical presentation as a way of forming and sharing identity in music therapy group. Nordic Journal of Music Therapy, 21(2), 176-193, https://doi.org/10.1080/08098131.2011.571279.

Augusta-Scott, T., & Brown, C. (2007). Narrative therapy: Making meaning, making lives. SAGE Publications.

Baker, F. A. (2015). Therapeutic songwriting: Developments in theory, methods, and practice. Palgrave Macmillan.

Baker, F., Wigram, T., Stott, D., & McFerran, K. (2008). Therapeutic songwriting in music therapy. Part I: Who are the therapists, who are the clients, and why is songwriting used? Nordic Journal of Music Therapy, 17(2), 105-123, https://doi.org/10.1080/08098130809478203.

Barmore, L. (2017). The Bonny Method of Guided Imagery and Music (GIM) and eating disorders: Learning from therapists, trainer, and client experiences (Unpublished saster's thesis). Appalachian State University. https://libres.uncg.edu/ir/asu/f/Barmore,%20L_2017%20Thesis.pdf.

Bauer, S. (2010). Music therapy and eating disorders – A single case study about the sound of human needs. Voices: A World Forum for Music Therapy, 10(2), https://doi.org/10.15845/voices.v10i2.258.

Beer, L. (2011). A model for clinical decision making in music therapy: Planning and implementing improvisational experiences. Music Therapy Perspectives, 29(2), 117-125, https://doi.org/10.1093/mtp/29.2.117.

Bibb, J., Castle, D., & Newton, R. (2015). The role of music therapy in reducing post meal related anxiety for patients with anorexia nervosa. Journal of Eating Disorders, 3, 50, https://doi.org/10.1186/s40337-015-0088-5.

Bibb, J., Castle, D., & Newton, R. (2016). 'Circuit breaking' the anxiety: Experiences of group music therapy during supported post-meal time for adults with anorexia nervosa. The Australian Journal of Music Therapy, 27, 1-11, https://www.austmta.org.au/journal/article/%E2%80%98circuit-breaking%E2%80%99-anxiety-experiences-group-music-therapy-during-supported-post.

Bibb, J., Castle, D., & McFerran, K. S. (2019). Reducing anxiety through music therapy at an outpatient eating disorder recovery service. Journal of Creativity in Mental Health, 14(3), 306-314, https://doi.org/10.1080/15401383.2019.1595804.

Boblin, M. (2008). Music therapy in the treatment of eating disorders. In S. L. Brooks (Ed.), The Creative Therapies and Eating Disorders (pp. 142-158). Charles C. Thomas.

Boston Public Health Commission. (2009). https://www.bphc.org/whatwedo/violence-prevention/start-strong/Pages/Resources.aspx.

Chen, M-W., & Rybak, C. (2018). Group leadership skills. Interpersonal processes in group counseling and therapy. SAGE Publications.

Frisch, M. J., Franko, D. L., & Herzog, D. B. (2006). Arts-based therapies in the treatment of eating disorders. Eating Disorders: The Journal of Treatment & Prevention, 4, 131-142, https://doi.org/10.1080/10640260500403857.

Gardstrom, S. C., & Hiller, J. (2010). Song discussion as music psychotherapy. Music Therapy Perspectives, 28(2), 147-156, https://doi.org/10.1093/mtp/28.2.147.

Goldberg, F. S., & Dimiceli-Mitran, L. (2010). The central tenets of GIM: Consciousness and the integration of psychotherapy and spirituality. Voices: A World Forum for Music Therapy, 10(3), https://doi.org/10.15845/voices.v10i3.438.

Grocke, D., & Wigram, T. (2007). Receptive methods in music therapy: Techniques and clinical applications for music therapy clinicians, educators and students. Jessica Kingsley Publishers.

Heiderscheit, A. (Host). (2009, August). Music therapy and eating disorders [Audio podcast episode]. In AMTA-Pro Podcast Series. http://amtapro.musictherapy.org/?p=252

Heiderscheit, A. (2015). Guided Imagery and Music in the therapeutic hour: A case illustration of an adult client in eating disorder treatment. In D. Grocke & T. Moe (Eds.), Guided imagery & music (GIM) and music imagery methods for individual and group therapy (pp. 99-107). Jessica Kingsley Publishers.

Heiderscheit, A. (2016). The Bonny Method of Guided Imagery and Music in eating disorder treatment. In Creative arts therapies and clients with eating disorders (pp. 121-140). Jessica Kingsley Publishers.

Hilliard, R. E. (2001). The use of cognitive-behavioral music therapy in the treatment of women with eating disorders. Music Therapy Perspectives, 19(2), 109-113, https://doi.org/10.1093/mtp/19.2.109.

Justice, R. W. (1994). Music therapy interventions for people with eating disorders in an inpatient setting. Music Therapy Perspectives, 12(2), 104-110, https://doi.org/10.1093/mtp/12.2.104.

Lejonclou, A., & Trondalen, G. (2009). “I’ve started to move into my own body”: Music therapy with women suffering from eating disorders. Nordic Journal of Music Therapy, 18(1), 79-92, https://doi.org/10.1080/08098130802610924.

Loth, H. (2002). ‘There’s no getting away from anything in here": A music therapy group within an inpatient programme for adults with eating disorders. In A. Davies & E. Richards (Eds.), Music therapy and group work: Sound company (pp. 90-104). Jessica Kingsley Publishers.

McFerran, K. (2010). Adolescents, music and music therapy: Methods and techniques for clinicians, educators and students. Jessica Kingsley Publishers.

McFerran, K. (2011). Music and adolescents. In N. S. Rickard & K. McFerran (Eds.), Music and adolescents (pp. 97-108). Nova Science Publishers.

McFerran, K., Baker, F., Kildea, C., Patton, G., & Sawyer, S. (2008). Avoiding conflict: What do adolescents with disordered eating say about their mothers in music therapy. British Journal of Music Therapy, 22(1), 16-23, https://doi.org/10.1177/135945750802200103.

McFerran, K., Baker, F., Kildea, C., Patton, G., & Sawyer, S. (2011). What’s in the lyrics? A discussion paper describing the complexities of systematically analysing lyrics composed in music therapy. Canadian Journal of Music Therapy, 17(1), 34-54.

McFerran, K., Baker, F., Patton, G., & Sawyer, S. (2006). A retrospective lyrical analysis of songs written by adolescents with anorexia nervosa. European Eating Disorders Review, 14(6), 397-403, https://doi.org/10.1002/erv.746.

McFerran, K. S., & Heiderscheit, A. (2016). A multi-theoretical approach for music therapy in eating disorder treatment. In A. Heiderscheit (Ed.), Creative arts therapies and clients with eating disorders (pp. 49-69). Jessica Kingsley Publishers.

Noer, M. L. (2015). Breathing space in music: Guided imagery and music for adolescents with eating disorders in a family-focused program. In D. Grocke & T. Moe (Eds.), Guided imagery & music (GIM) and music imagery methods for individual and group therapy (pp. 71-85). Jessica Kingsley Publishers.

Papanikolaou, E. (2015). Short guided imagery and music (GIM) sessions in the treatment of adolescents with eating disorders. In D. Grocke & T. Moe (Eds.), Guided imagery & music (GIM) and music imagery methods for individual and group therapy (pp. 63-72). Jessica Kingsley Publishers.

Parente, A. B. (1989). Feeding the hungry soul: Music as a therapeutic modality in the treatment of anorexia nervosa. Music Therapy Perspectives, 6(1), 44-48, https://doi.org/10.1093/mtp/6.1.44.

Punch, S. (2016). Resilience-based music therapy in the treatment of adolescents with eating disorders. In A. Heiderscheit (Ed.), Creative arts therapies and clients with eating disorders (pp. 71-97). Jessica Kingsley Publishers.

Robarts, J. (1995). Towards autonomy and a sense of self. Music therapy and the individuation process in relation to children and adolescents with early onset anorexia nervosa. In D. Dokter (Ed.), Art therapies and clients with eating disorders (pp. 229-246). Jessica Kingsley.

Robarts, J. Z., & Sloboda, A. (1994). Perspectives on music therapy with people suffering from anorexia nervosa. Journal of British Music Therapy, 8(1), 7-14.

Siegel, S. (2007). Music therapy practice for clients with eating disorders. In B. J. Crowe & C. Colwell (Eds.), Effective clinical practice in music therapy: Music therapy for children, adolescents, and adults with mental disorders (pp. 149-164). American Music Therapy Association.

Sloboda, A. (1995). Individual music therapy with anorexic and bulimic patients. In D. Dokter (Ed.), Art therapies and clients with eating disorders (pp. 247-261). Jessica Kingsley Publishers.

Stewart, R., & McAlpin, E. (2016). Prominent elements in songwriting for emotional expression: An integrative review of literature. Music Therapy Perspectives, 34(2), 184-190, https://doi.org/10.1093/mtp/miv011.

Tamplin, J. (2006). Song collage technique: A new approach to songwriting. Nordic Journal of Music Therapy, 15(2), 177-190, https://doi.org/10.1080/08098130609478164.

Tileston, P. (2013). Adults and adolescents with eating disorders. In L. Eyre (Ed.), Guidelines for music therapy practice in mental health (pp. 402-448). Barcelona Publishers.

Trondalen, G. (2003). "Self-listening" in music therapy with a young woman suffering from anorexia nervosa. Nordic Journal of Music Therapy, 12(1), 3-17, https://doi.org/10.1080/08098130309478069.

Trondalen, G. (2011). Music is about feelings: Music therapy with a young man suffering from anorexia nervosa. In A. N. Meadows (Ed.), Developments in Music Therapy Practice (pp. 434-452). Barcelona Publishers.

Trondalen, G. (2016). Expressive and receptive music therapy in eating disorder treatment. In A. Heiderscheit (Ed.), Creative arts therapies and clients with eating disorders (pp. 99-114). Jessica Kingsley Publishers.

Trondalen, G., & Skårderud, F. (2007). Playing with affects…and the importance of “affect attunement”. Nordic Journal of Music Therapy, 16(2), 100-111, https://doi.org/10.1080/08098130709478180.

Trottier, K., & MacDonald, D. E. (2017). Update on psychological trauma, other severe adverse experiences and eating disorders: State of the research and future research directions. Current Psychiatry Reports, 19, 45, https://doi.org/10.1007/s11920-017-0806-6.

Wigram, T. (2004). Improvisation: Methods and techniques for music therapy clinicians, educators, and students. Jessica Kingsley.

Published

2020-10-30

How to Cite

Pasiali, V., Quick, D., Hassall, J., & Park, H. A. (2020). Music Therapy Programming for Persons With Eating Disorders: A Review With Clinical Examples. Voices: A World Forum for Music Therapy, 20(3), 15. https://doi.org/10.15845/voices.v20i3.2785

Issue

Section

Reflections on Practice