Exploring Social Perceptions of Queer and Trans Music Therapists and Clients

A Qualitative Story Completion Study

Authors

  • Bethany Mulley University of the West of England, Bristol, United Kingdom
  • Victoria Clarke University of the West of England, Bristol, United Kingdom
  • Luke Annesley University of the West of England, Bristol, United Kingdom

DOI:

https://doi.org/10.15845/voices.v26i1.4374

Keywords:

homophobia, inclusion, LGBTQIA+, music therapy, reflexive thematic analysis, transphobia

Abstract

Existing research presents a mixed picture on music therapists’ preparedness to work effectively with LGBTQIA+ clients, highlighting deficits in training and a lack of insight on the part of some music therapists into what LGBTQIA+ inclusive practice actually entails. Alongside this, there is a growing literature on clinical practice with and interventions for LGBTQIA+ clients; however, there is an absence of research exploring directlywith members of LGBTQIA+ communities their experiences and perceptions of music therapy. The current study aims both to expand the limited literature exploring music therapists’ preparedness to work with LGBTQIA+ clients, and to begin to explore LGBTQIA+ people’s perceptions of music therapy. It does so through use of the novel, creative method of story completion (SC)—participants were given two (of four) “story stems” based on a hypothetical implied first therapy session scenario involving a trans or queer client or therapist and asked to complete them. Forty-six participants (20 trainee/qualified music therapists [nineof whom identified as LGBTQIA+]; 23 LGBTQIA+ people; threeno demographic data) wrote a total of 87 stories. Reflexive thematic analysis was used to develop three themes: 1) disclosure in therapy is important for the therapeutic relationship and the client; 2) effective therapists are non-judgmental and inclusive; and 3) shared identity matters. The analysis suggests a lack of knowledge of LGBTQIA+ communities and inclusive practice on the part of straight and cisgender music therapists, alongside an aspirational commitment to an open and non-judgmental approach. The stories written by LGBTQIA+ participants recognised the potential for prejudicial treatment—these participants framed openness as an ethical imperative.

 

Acknowledgements

We would like to thank all the participants for their contributions in this research.

 

Funding

There was no funding for this research.

Author Biographies

Bethany Mulley, University of the West of England, Bristol, United Kingdom

Bethany Mulley(she/her, they/them) graduated with a MA in Music Therapy from the University of the West of England, Bristol, in 2023; their dissertation research was supervised by Victoria Clarke. She is currently working as a music therapist in a Specialist School. [mulleybethany@gmail.com]

Victoria Clarke, University of the West of England, Bristol, United Kingdom

Victoria Clarke(she/her, they/them) is an Associate Professor in Qualitative and Critical Psychology in the School of Social Sciences at the University of the West of England, Bristol, UK, where she teaches research methods to music therapy students and supervises MA music therapy dissertation projects. Her own research addresses issues of difference and social justice, and with Virginia Braun she has written extensively about thematic analysis—see www.thematicanalysis.net—including most recently the awardwinning textbook Thematic Analysis: A Practical Guide(2022, Sage). They also write about qualitative methods more broadly and have a particular interest in developing the story completion method (see www.storycompletion.net) and the qualitative survey method. [Victoria.Clarke@uwe.ac.uk]

Luke Annesley, University of the West of England, Bristol, United Kingdom

Luke Annesley(he/him) is a jazz/improvising musician and a Senior Lecturer in Music Therapy in the School of Health and Social Care at the University of the West of England, Bristol, UK. He worked for 12 years in the National Health Service for Oxleas Music Therapy Service and has been published in several academic journals, including the British Journal of Music Therapy, Journal of Music Therapy and Approaches: An Interdisciplinary Journal of Music Therapy. He has hosted the British Association for Music Therapy podcast Music Therapy Conversations since 2017. [Luke.Annesley@uwe.ac.uk]

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Published

2026-03-03

How to Cite

Mulley, B., Clarke, V., & Annesley, L. (2026). Exploring Social Perceptions of Queer and Trans Music Therapists and Clients: A Qualitative Story Completion Study. Voices: A World Forum for Music Therapy, 26(1). https://doi.org/10.15845/voices.v26i1.4374

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Research