Significant Moments in Improvisational Music Therapy
Composite Case Examples of Improvisation With Adults Diagnosed With Intellectual and Developmental Disabilities
DOI:
https://doi.org/10.15845/voices.v21i3.3152Keywords:
Improvisation, Countertransference, emotional processing, intellectual disability, case exampleAbstract
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.
Japanese abstract;
即興音楽療法の重要な瞬間
知的発達障害と診断された成人との即興演奏の複合事例
ケイトリン・ビービー
要約
知的・発達障害と診断された成人を対象とした音楽療法における、感情表出、治療過程での重要な瞬間、多様式を用いたコミュニケーションについて、4つの複合事例を紹介し、考察する。音楽的要素、身体の動きや姿勢、逆転移、相互作用のパターンなどの検討を通じた療法的な気づきをもとに、深い感情的関係と感情処理の意味について、主に非言語的な手法を用いて取り組んでいる。著者の臨床実践の複合ビネット（エピソード）は、これらの要素は、それがセッションや治療関係、またこの領域における他専門職の音楽療法理解に影響を与えたその瞬間に気づく、と示している。この論文で提示された概念に関連して、臨床における感情処理への影響が示されている。
キーワード：即興、逆転移、感情処理、知的障害、事例紹介
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