How the Identities and Lived Experiences of LGBTQ+ Music Therapists Impact Their Therapeutic Practices and Relationships with Service Users
DOI:
https://doi.org/10.15845/voices.v26i2.4759Keywords:
music therapy, LGBTQ+, therapist identity, authenticity, therapeutic relationships, intersectionality, inclusionAbstract
This qualitative study explores how LGBTQ+ music therapists’ identities and lived experiences impact their therapeutic practices and relationships with service users. Through semi-structured interviews with three LGBTQ+ music therapists, this research investigates authenticity, empathy, identity expression, and intersectionality with neurodivergence. The findings highlight how participants’ personal histories of marginalisation and queerness inform their approach to music therapy, influencing their relational depth, therapeutic flexibility, and ability to foster safe, inclusive environments. Music becomes a medium not only for emotional expression but also for affirming identity and challenging social norms. Therapists’ experiences with internalised oppression, fear of disclosure, and navigating professional boundaries reveal the complex dynamics of being LGBTQ+ in clinical practice. A key insight is the therapists’ use of shared or parallel experiences of exclusion as sources of empathy, enhancing connection and trust with service users—especially queer and neurodivergent youth. The study concludes that LGBTQ+ therapists’ identities are not separate from their professional roles but are essential to their therapeutic ethos. The findings contribute to growing conversations around inclusivity in music therapy and suggest systemic support structures that affirm the identities of LGBTQ+ therapists in practice.
Aknowledgements
I would like to thank all the participants for their contributions to this research and for taking the time to share their experiences openly. Thank you to my supervisor for their guidance and support.
References
Ansdell, G. (2014). How music helps in music therapy and everyday life. Routledge.
Ansdell, G., & Pavlicevic, M. (2010). Practicing “gentle empiricism”—The Nordoff Robbins research heritage. Music Therapy Perspectives, 28(2), 131–140. https://doi.org/10.1093/mtp/28.2.131
Bain, C. L., Grzanka, P. R., & Crowe, B. J. (2016). Toward a queer music therapy: The implications of queer theory for radically inclusive music therapy. The Arts in Psychotherapy, 50, 22–33. https://doi.org/10.1016/j.aip.2016.03.004
Bain, C. L., & Gumble, M. (2019). Special issue on queering music therapy. Voices: A World Forum for Music Therapy, 19(3). https://voices.no/index.php/voices/issue/view/373
Biedka, S. (2022). Music therapists’ experiences of therapeutic relationships with clients with marginalized gender identities and sexual orientations. Music Therapy Perspectives, 40(2), 152–163. https://doi.org/10.1093/mtp/miac026
Boggan, C. E., Grzanka, P. R., & Bain, C. L. (2017). Perspectives on queer music therapy: A qualitative analysis of music therapists’ reactions to radically inclusive practice. Journal of Music Therapy, 54(4), 375–404. http://dx.doi.org/10.1093/jmt/thx016
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. University of Chicago Legal Forum, 140, 139–167.
Foreman, K. (2015, October 2). Grace Jones: Style, power and in-your-face sexuality. BBC Culture. https://www.bbc.co.uk/culture/article/20151002-grace-jones-style-powerand-in-your-face-sexuality
Gumble, M. (2019). Gender Affirming Voicework: A queer autoethnographic account. Voices: A World Forum for Music Therapy, 20(2). https://doi.org/10.15845/voices.v20i2.2916
Hadley, S. (Ed.). (2006). Feminist perspectives in music therapy. Barcelona Publishers.
Halverson-Ramos, F. (2018, June 4). Take pride: Be your unabashed self with music. SoundWell Music Therapy. https://soundwellmusictherapy.com/music-therapy-withlgbt-clients/
Jones, K., Clarke, V., & Annesley, L. (2025). “I’m coming out”: The role of music in LGBTQ+ identities. Voices: A World Forum for Music Therapy, 25(1). https://doi.org/10.15845/voices.v25i1.4218
Keeling, K. (2019). Queer times, Black future. New York University Press.
Kessler, L. E., & Waehler, C. A. (2005). Addressing multiple relationships between clients and therapists in lesbian, gay, bisexual, and transgender communities. Professional Psychology: Research and Practice, 36(1), 66–72. https://doi.org/10.1037/0735-7028.36.1.66
Lee, C. (1996). Music at the edge: The music therapy experiences of a musician with AIDS. Routledge.
Lee, C. (2008). Reflections on being a music therapist and a gay man. Voices: A World Forum for Music Therapy, 8(3). https://doi.org/10.15845/voices.v8i3.415
Lee, C. (2019). Sounding the authentic self: Artistic expressions of a queer music therapist. Voices: A World Forum for Music Therapy, 19(3). https://doi.org/10.15845/voices.v19i3.2799
Lee, C. (Ed.). (2022). The Oxford handbook of queer and trans music therapy. Oxford University Press. https://doi.org/10.1093/oxfordhb/9780192898364.001.0001
Lorde, A. (1984). Sister outsider: Essays and speeches. Crossing Press.
Marais, G., & McBeath, A. (2021). Therapists’ lived experience of self-disclosure. European Journal for Qualitative Research in Psychotherapy, 11. https://doi.org/10.24377/EJQRP.article3624
McIvor, D. S. H. (2023). Exploring the client-therapist relationship in music therapy: A qualitative study in adult mental healthcare. Voices: A World Forum for Music Therapy, 23(3). https://doi.org/10.15845/voices.v23i3.3931
McSorley, K. (2020). Sexism and cisgenderism in music therapy spaces: An exploration of gender microaggressions experienced by music therapists. The Arts in Psychotherapy, 71. https://doi.org/10.1016/j.aip.2020.101707
Monypenny, J., & Hardy, S. (2023). Queer visibility and shared authenticity: Making a case for radical self-disclosure as creative arts therapists. In C. Lee (Ed.), The Oxford Handbook of Queer and Trans Music Therapy (pp. 661–687). https://doi.org/10.1093/oxfordhb/9780192898364.013.10
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
Nordoff and Robbins. (n.d.). How music therapy helped Ruthie express their LGBTQ+ identity. Retrieved October 19, 2024, from https://www.nordoff-robbins.org.uk/howmusic-therapy-helped-ruthie-express-their-lgbtq-identity/
Nordoff, P., & Robbins, C. (2007). Creative Music Therapy: A guide to fostering clinical capabilities (2nd ed.). Barcelona Publishers.
Robinson, B. & Oswanski, L. (2021). LGBTQ+ music therapy. In M. Belgrave & S. A. Kim (Eds.), Music therapy in a multicultural context (pp. 75–84). Jessica Kingsley Publishers.
Roffee, J. A., & Waling, A. (2016). Resolving ethical challenges when researching with minority and vulnerable populations: LGBTIQ victims of violence, harassment and bullying. Research Ethics, 13(1). https://doi.org/10.1177/1747016116658693
Rolvsjord, R. (2010). Resource-oriented music therapy in mental health care. Jessica Kingsley Publishers.
Walker, N., & Raymaker, D. M. (2021). Toward a neuroqueer future: An interview with Nick Walker. Autism in Adulthood, 3(1). https://doi.org/10.1089/aut.2020.29014.njw
Whitehead-Pleaux, A., Donnenwerth, A., Robinson, B., Hardy, S., Oswanski, L., Forinash, M., Hearns, M., Anderson, N., & York, E. (2012). Lesbian, gay, bisexual, transgender, and questioning: Best practices in music therapy. Music Therapy Perspectives, 30(2), 158–166. https://doi.org/10.1093/mtp/30.2.158
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