• Sara Freja Harries
4. semester, Musikterapi, Kandidat (Kandidatuddannelse)

This thesis is a qualitatively phenomenologically inspired case study. It deals with a client with depression and anxiety symptoms who receives music therapy. 
There is a focus on examining the significance of the non-verbal voice improvisational interaction between the client and the music therapist. The interventions being examined are based on the Psychodynamic Voice Therapy method developed by music therapist and researcher Sanne Storm (2013).
The topic of the thesis revolves around the interest in better understanding the dynamics that unfold between client and music therapist in a clinical voice improvisation.
It revolves around better understanding the therapeutic potential of voice improvisation in the work with the client, through examining the intervention's relationship to theories of mother-child attachment.
Based on 3 audio clips from 2 voice improvisations between client and music therapist, it is examined how the music therapist is supporting and matching the client's voice expression and what that means for the way the client is using her voice. 
Furthermore, it is examined how the vocal interplay can be understood in relation to Daniel Stern's theories about the mother-child connection.

The study has applied a microanalysis method prepared by the Norwegian professor of music therapy, Gro Trondalen (2007). The full title of this method is: ”A Phenomenologically Inspired Approach to Microanalyses of Improvisation in Music Therapy”.
The results show that in the shared vocal improvisations the therapist supports and matches various forms of vitality, emotional expressions and level of arousal in the client's voice. This is done through a matching of the client's vocal parameters. 
There is both appropriate matching and mismatching of the client's vocal expression, and through these, the aim is to create a feeling of security, recognition and a mutual understanding that it is a shared experience. The way the therapist is present with her voice supports the client's vocal development towards more varied and nuanced voice parameters and a more changeable and rich emotional expression. 
Descriptions from a comprehensive analysis illustrate how a vocal improvisation between client and music therapist can activate and reflect dynamics in the mother-child connection, and thereby help to create new paths in early established relationship patterns. 


Music therapy, improvisation, anxiety, depression, therapeutic voicework, Psychodynamic Voice Therapy, case-study.
Antal sider76
ID: 414484144